Abstract Multidisciplinary collaboration is essential for safe, effective and patient-centred radiation oncology. This perspective outlines how integrated teamwork amongst radiation oncologists, nurses, radiation therapists and medical physicists supports the full care pathway, from clear indication setting and objective sharing at consultation, through image-guided planning and delivery, to proactive toxicity management and structured long-term follow-up. We describe practical handoffs and feedback loops that align decisions and streamline workflows, highlighting the value of stating the treatment objective in operational terms that the entire team can implement and audit. We also examine tumour boards as engines of evidence-informed decisions in curative and palliative settings, where goal-concordant symptom control often requires coordinated input from palliative care, anaesthesiology, pharmacy and rehabilitation. Because radiotherapy can be less visible to patients and community clinicians, we propose regional collaboration mechanisms, including pre-referral triage, bidirectional communication with primary care and outreach that lowers psychological and procedural barriers to access. Taken together, these elements suggest that well-designed team processes and quality-assurance structures improve consistency, timeliness and safety. Although prospective links to survival and quality-of-life outcomes remain heterogeneous, converging operational evidence supports institutional investment in robust team infrastructures and iterative learning systems that align radiotherapy with patients’ values.
Katano et al. (2025) studied this question.