Exploring enhanced level practice in radiography: A survey of awareness and implementation across the UK

As radiography careers have evolved, task sharing and adoption of new technologies and specialisms has underpinned role progression. However, as the profession aligns with the national healthcare workforce, the focus now is on the autonomy, responsibility and complexity of an individual's role. Whereas the advanced and consultant levels are established, awareness and understanding of the enhanced level of practice is not known.

Cross-sectional surveys were designed to assess their awareness of enhanced-level practice in radiography and gather insights into individuals' understanding of the topic within the profession. Parallel online surveys were targeted to imaging and oncology managers, practitioners, including academics, and students.

552 responses were received, predominantly from the diagnostic discipline (n = 409, 74.1 %). While most respondents had heard of the enhanced practice level (n = 385/552; 69.7 %), this varied depending on their role and seniority. Concerns were raised on the potential negative impact on individuals considered to be working at an advanced practice level. Awareness of the potential role scope and the education and training requirements was limited.

The data confirmed the need to socialise enhanced-level practice, particularly in relation to the national frameworks available and their application to practice, in terms of the clinical and educational requirements. A wider understanding of this level of practice and alignment with the wider NHS workforce could empower the radiography profession in career progression and advancing professional practice.

To encourage the adoption of enhanced-level practice in radiography, it is vital to provide the community with resources and support systems that enable them to comprehend and apply this level of practice, thereby delivering high-quality patient care and further advancing both the profession and its practitioners.