Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

Journal article

Woznitza, N., Elliott, J., Pittock, L. and Snaith, B. 2021. Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey. BJR Open. https://doi.org/10.1259/bjro.20210003
AuthorsWoznitza, N., Elliott, J., Pittock, L. and Snaith, B.
Abstract

Objectives:
To survey the diagnostic radiography workforce in the United Kingdom (UK) at an organisational level to ascertain the scope of advanced practice and compliance with Health Education England standards for multiprofessional advanced clinical practice (ACP).

Methods:
174 diagnostic imaging departments were invited to participate in a cross-sectional electronic survey focused upon advanced level practice and their educational and accreditation expectations (October–December 2019). Breast imaging, computed tomography, fluoroscopy, interventional radiology, lithotripsy, magnetic resonance imaging and projectional radiography were included.

Results:
A total of 97 responses were received, of which 79 were eligible for inclusion (45%). Respondents reported advanced-level practice roles across all imaging modalities, which included clinical reporting, procedural-based and combined roles. Radiograph and mammogram reporting were most prevalent (95 and 67% of Trusts), with fluoroscopy the most frequent procedure-only role (25%). Only 39% of trusts required adherence to the four pillars of ACP within job descriptions, and only 12% requiring a full Masters qualification.

Conclusions:
Diagnostic radiographer reporting and procedure-based roles in the NHS are varied and widespread. However, inconsistencies in fulfilment against the expected standards for advanced practice exist. Realignment of advanced-level roles to delineate enhanced and advanced clinical practice may ensure consistency between roles and professions. A requirement for accreditation as an advanced (clinical) practitioner with adherence to advanced practice requirements could therefore provide value to accreditation for both individual practitioners and Trusts.

Advances in knowledge:
Within the UK, diagnostic radiographer roles previously self-identified as advanced-level practice may be termed enhanced practice when not adhering to expected ACP standards.

KeywordsRadiography; Radiographers; Diagnostic radiography; Advanced clinical practice
Year2021
JournalBJR Open
PublisherBritish Institute of Radiology
ISSN2513-9878
Digital Object Identifier (DOI)https://doi.org/10.1259/bjro.20210003
Official URLhttps://www.birpublications.org/doi/full/10.1259/bjro.20210003
Publication dates
Online24 Jun 2021
Publication process dates
Accepted15 Jun 2021
Deposited16 Aug 2021
Publisher's version
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Output statusPublished
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