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Establishing a National SABR Service: A Model for Safe and Effective Clinical Implementation.

P Díez1, R Patel1, A Haridass2

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Clinical Oncology (Royal College of Radiologists (Great Britain))
|December 18, 2025
PubMed
Summary

Structured mentoring and radiotherapy quality assurance (RT QA) enabled the safe and effective national implementation of stereotactic ablative body radiotherapy (SABR) services. This program successfully trained and supported radiotherapy centers across England, ensuring high-quality patient care.

Keywords:
ImplementationMentoringQuality assuranceSABRSBRT

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Area of Science:

  • Oncology
  • Radiotherapy
  • Health Services Research

Background:

  • A national program was established in 2020 by NHS England and NHS Improvement to expand stereotactic ablative body radiotherapy (SABR) provision to 51 centers.
  • This initiative followed a successful registry-based evaluation of SABR for extracranial oligometastatic disease and hepatocellular carcinoma.

Purpose of the Study:

  • To detail the integration of structured mentoring and radiotherapy quality assurance (RT QA) within a national SABR implementation program.
  • To ensure the safe, effective, and timely delivery of SABR services across England.

Main Methods:

  • A mentoring framework was developed by the UK SABR Consortium for experienced centers to guide novice sites.
  • An accreditation program, including facility questionnaires, contouring/planning benchmarks, dosimetry audits, and case reviews, was delivered by the National Radiotherapy Trials Quality Assurance Group.

Main Results:

  • Sixteen experienced centers mentored 33 new SABR sites, facilitating diverse techniques and equipment.
  • A multidisciplinary team developed and delivered the RT QA program, leading to accreditation for lung, bone, and node sites by April 2025.
  • Nearly 24,000 patients have received SABR treatment since the program's inception in 2020.

Conclusions:

  • This marks the first nationally funded program demonstrating the value of structured mentoring and RT QA in implementing SABR services.
  • The collaborative, multi-professional approach ensured consistent, high-quality SABR delivery through comprehensive training and support for radiotherapy centers.