Longitudinal changes in extended roles in radiography: A new perspective.

Area of Science:

• Radiologic Technology
• Healthcare Workforce Development
• Medical Imaging Practice

Background:

• The scope of radiographic practice has evolved significantly since 2000.
• Extended roles and a structured workforce model are key areas of development in diagnostic imaging.

Purpose of the Study:

• To update data on changes in radiographic practice in UK National Health Service (NHS) trusts.
• To identify regional variations in the adoption of extended radiographer roles.
• To map the implementation of the 4-tier workforce structure.

Main Methods:

• Structured questionnaires were distributed to radiology managers across UK NHS acute trusts.
• Data collected included details on extended role tasks, adoption timelines, workforce numbers, and the 4-tier structure implementation.
• A response rate of 68.6% was achieved with 177 questionnaires returned.

Main Results:

• Significant increases in radiographer-led intravenous injections, barium studies, and image reporting (ultrasound, skeletal, barium studies, mammography, etc.) were observed compared to 2000.
• Regional disparities in reporting prevalence were noted, particularly higher in English regions outside London.
• The 4-tier structure implementation showed 59% employing assistant practitioners and 47% advanced practitioners, with plans for further expansion.

Conclusions:

• UK NHS trusts are increasingly utilizing radiographers in extended roles, demonstrating a recognition of expanded practice scope.
• The 4-tier structure is being implemented, with advanced practitioners forming the largest staff group.
• These changes indicate a response to national health plans promoting new working practices in radiography.