ANGELA Exploring variation and trends in adherence to national occupational standards for reporting radiographers

Purpose: The primary aim of this study was to observe variations and trends in the implementation and
conformity to guidelines and standards in the advanced practice role of radiographer reporting within the
United Kingdom (UK) National Health Service (NHS) trusts.
Method: A questionnaire using a 5-point Likert categorical response scale, and free text open questions were
applied. The engagement process used an on-line survey, which was sent out between July and August 2015
to NHS reporting radiographers. The inclusion criteria covered a cross section of imaging modalities
including plain film, computed tomography (CT), magnetic resonance imaging (MRI), nuclear medicine
(NM), fluoroscopy, and mammography.
Results: A total of 261 radiographers completed and returned the survey. Commenting on a selection of
questions based on four key themes: (1) scope of practice (74.3%; n=168/226 responded as having a detailed
scope of practice), (2) education and training support (55%; n=125/227 had no mentor allocated), (3)
resources and equipment (48%; n=102/212 did not have access to dedicated equipment); and (4) outcome
measures of performance (only 36%; n=77/216 regularly audited their workload).
Conclusion: The results of the data collected, identified specific trends in the sample group on defined scope
of practice, and the level of organisational support. It was implied from the varied responses on equipment
and resources provided to fulfil the role, that best practice guidance on resources should have a clearly
defined area in future frameworks and policy to support safe working practices. The diverse responses to the
survey suggest adherence to recommended best principles in reporting were not consistent within this sample
group. The main trends noted from the survey data centred upon on parity of support, equipment, scheduled
sessions, audit mechanisms and cross-cover of service provision.