[en] First, we need to get the message across that radiotherapy is not as safe or of as high quality as it could be. All of us in the radiotherapy community have an obligation to our patients to acquaint ourselves with the growing body of knowledge in the area of radiotherapy safety and to implement those tools and strategies which are likely to prove most effective in our own local environments. As part of this growing body of knowledge there have been many recommendations made by expert panels over recent years. In this presentation we will distil many of these recommendations down to those most frequently cited as being important for patient safety. The twelve most cited issues from 7 seminal documents are staffing/skills mix, training, documentation, learning from incidents, communication/questioning, check lists, QC/PM, dosimetric audit, accreditation, minimizing interruptions, prospective risk assessment and safety culture1. Thus, to make radiotherapy safer we need to be cognizant of these recommendations and consider their relevance to our own particular clinical operations. A previous study2 has suggested which of these issues are likely to be the most important in the context of Low and Middle Income countries. We will briefly estimate the possible resource implications for institution of each of these 12 factors strongly implicated in patient safety and suggest that many of them entail only very small budgetary impacts in terms of both capital and human resources.