Exploring the workplace culture and leadership within PET CT departments across the United Kingdom

Journal article


Lockwood, P. and Martins-Ferreira, A, S. 2025. Exploring the workplace culture and leadership within PET CT departments across the United Kingdom. Radiography. 31 (4), p. 102994. https://doi.org/10.1016/j.radi.2025.102994
AuthorsLockwood, P. and Martins-Ferreira, A, S.
Abstract

Introduction

Positron Emission Tomography (PET) uses a positron camera and Computed Tomography (CT) to locate radionuclide concentrations within a patient's body for various referral pathways, including oncology, cardiology, and neurology. The PET-CT imaging rollout across the United Kingdom (UK) is a mix of National Health Service and private provider sites, with a varied skills mix in the workforce. This study aims to explore the workplace culture and leadership within a private provider PET-CT departments across the UK to understand the current challenges.

Method

A n=39 question cross-sectional survey using purposive sampling of a single private provider of PET-CT sites across the UK (n=260) was conducted. The survey was divided into n=6 sections: demographics, teamwork, standards and processes, professional development, workload levels, and work environment questions. Data analysis applied descriptive statistics and thematic analysis for recurring themes and patterns.

Results

Twenty-five responses were received, providing a range of answers on what makes an effective team, from communication (64%), collective decision-making (28%), the efficiency of standardisation of protocols (68%), and adequate work environments (72%). Key barriers included variation of protocols across sites (64%), lack of work appraisals (28%), and time to complete mandatory training (48%), and daily tasks (60%).

Conclusion

Findings present opportunities to improve the culture and leadership by reviewing staffing levels, workforce planning, training and communication. Specifically, the dissemination of information between teams was identified as an area for future improvement.

Implications for practice

Improvements to communication, allocated time for training and career opportunities would assist staff retention and teamwork. Future research into the standardisation of PET-CT protocols would be beneficial.

KeywordsPET-CT; Culture; Leadership; Skills-mix workforce; Training; Communication
Year2025
JournalRadiography
Journal citation31 (4), p. 102994
PublisherElsevier
ISSN1532-2831
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2025.102994
Official URLhttps://authors.elsevier.com/sd/article/S1078817425001385
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Publication dates
Online02 Jun 2025
Publication process dates
Accepted20 May 2025
Deposited04 Jun 2025
Accepted author manuscript
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Restricted
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Open
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Lockwood, P. 2017. CT Sinus and facial bones reporting by radiographers: findings of an accredited postgraduate programme. Dentomaxillofacial Radiology. 46 (4). https://doi.org/10.1259/dmfr.20160440
Exploring variation and trends in adherence to national occupational standards for reporting radiographers
Lockwood, P. 2017. Exploring variation and trends in adherence to national occupational standards for reporting radiographers. Journal of Social Science & Allied Health Professions. 1 (1), pp. 20-27.
Observer performance in Computed Tomography head reporting
Lockwood, P. 2017. Observer performance in Computed Tomography head reporting. Journal of Medical Imaging and Radiation Sciences. 48 (1), pp. 22-29. https://doi.org/10.1016/j.jmir.2016.08.001
Exploring the benefits of magnetic resonance imaging reporting by radiographers: A UK perspective
Lockwood, P. 2016. Exploring the benefits of magnetic resonance imaging reporting by radiographers: A UK perspective. Journal of Medical Imaging and Radiation Sciences. 47 (2). https://doi.org/10.1016/j.jmir.2015.12.083
An economic evaluation of introducing a skills mix approach to CT head reporting in clinical practice.
Lockwood, P. 2016. An economic evaluation of introducing a skills mix approach to CT head reporting in clinical practice. Radiography. https://doi.org/10.1016/j.radi.2015.09.004
Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study
Lockwood, P., Pittock, L., Lockwood, C., Jeffery, C. and Piper, K. 2015. Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study. Radiography. 2015, pp. 1-5. https://doi.org/10.1016/j.radi.2015.06.005
Out of the comfort zone (Part 2)
Lockwood, P. 2013. Out of the comfort zone (Part 2).
AFROC analysis of reporting radiographer’s performance in CT head interpretation
Lockwood, P. and Piper, K. 2015. AFROC analysis of reporting radiographer’s performance in CT head interpretation. Radiography. 21 (3), pp. e90-e95. https://doi.org/10.1016/j.radi.2015.04.001
Out of the comfort zone (Part 1)
Lockwood, P. 2013. Out of the comfort zone (Part 1).
Origins of the Reporting Radiographer
Lockwood, P. 2013. Origins of the Reporting Radiographer.
Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging
Lockwood, P. and Breen, W. 2013. Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging.
CT head reporting by radiographers: Findings of an accredited postgraduate programme
Lockwood, P. and Piper, K. 2013. CT head reporting by radiographers: Findings of an accredited postgraduate programme.
CT skull base & calvarium normal variant pitfalls
Lockwood, P. 2013. CT skull base & calvarium normal variant pitfalls.
CT head reporting by radiographers: results of an accredited postgraduate programme
Lockwood, P., Piper, K. and Pittock, L. 2015. CT head reporting by radiographers: results of an accredited postgraduate programme. Radiography. 21 (3), pp. e85-e89. https://doi.org/10.1016/j.radi.2014.12.001