Immediate inspections of Scotland's five cancer radiotherapy centres will be held after a report into a radiation overdose found a catalogue of failings.
Health minister Andy Kerr ordered the inspections following an investigation into the case of a teenage cancer patient who was given 58 per cent above the prescribed dose of radiation over 19 treatments at Beatson Oncology Centre in Glasgow. She died last month, of causes not yet established.
The report found that an inexperienced treatment planner had made the error following a change of procedures.
But it also outlined failings, including inadequate staffing, out-of-date procedures and training and supervision issues.
As well as the immediate inspections, a more detailed round of investigations, in conjunction with the Health Protection Agency, will take place later this year.
Mr Kerr has written to NHS Greater Glasgow and Clyde calling for immediate action, particularly on quality systems at Beatson.
The inspector has issued the board with a formal improvement notice.