All too often patients subjected to radiotherapy (RT) will develop skin burns. These are accepted by many clinicians as being an unfortunate sequel of a lifesaving treatment; however, evidence is beginning to show that they need not be regarded as ‘inevitable’ (Bray et al, 2016). There are treatment options which can help avoid, or ameliorate them that merit consideration. After specialist RT centre treatment, skin burns become the responsibility of the community nurse to address. They can cause serious reduction in patient quality of life, or even delay further radiotherapy owing to pain and exudation (Singh et al, 2016).