The purpose of this discussion article is to explore the implementation of radiation therapist‐led treatment reviews as a form of advanced practice for radiation therapists in Australia. The feasibility of such a role, the impact on cancer care services and implementation requirements to enable the position to be implemented effectively in an Australian environment are explored. Current practice involving weekly patient treatment reviews and cases where health professionals other than radiation oncologists have undertaken this role will be evaluated. Recommendations on its implementation in an Australian environment are also given. An extensive literature review was conducted through the databases ScienceDirect, Medline and CINAHL. Searches were carried out using the following keywords; “radi*” and “prescribing”, “radi*” and “patient review” and “radi*” and “role development”. Abstracts of the yielded results were appraised and those that matched criteria for analysis underwent critical review for inclusion in the discussion. Although steps have been taken to implement the advanced practice role of a treatment review radiation therapist in Australia, little has been done to formalise the role. It is evident from the international literature that the radiation therapist‐led reviewer role has resulted in benefits to patients, medical specialists and therapists. This advanced practice role has the potential to increase radiation therapist retention and recruitment. Implementation of this role in the Australian environment would be advantageous; however criteria outlining the scope of practice and remuneration packages need to be established to facilitate the synthesis of this role in a clinical environment.