The perceptions of the enhanced and advanced levels of practice by reporting radiographers: A mixed-method study

Reporting of imaging by radiographers is an established example of post-registration role development within diagnostic radiography across the UK. Recent updates to career and professional frameworks define post-registration practice development as a continuum spanning enhanced, advanced and consultant levels. This UK-wide project aimed to scope current understanding of the levels of practice by reporting radiographers working within projection radiography, and their perceptions of image reporting within the wider context of advancing practice.

A sequential mixed-method approach was utilised. An online survey was open to trainee and qualified reporting radiographers working in the UK in Autumn 2024, with subsequent follow-up individual interviews.

188 valid survey responses were received, and 19 individual follow-up interviews were performed. Project findings demonstrate that reporting radiographers have an awareness of the levels of practice and relevance to the reporting role. However, there is scepticism around enhanced practice and limited local implementation of national frameworks. There is confusion surrounding the four pillars of practice and self-doubt surrounding the validity of activity undertaken by reporting radiographers. For some, there remains perception that the task of image reporting on its own fulfils advanced level practice.

Engagement with national frameworks by reporting radiographers is inconsistent, and there is apparent confusion and described challenges in mapping roles to multi-professional advanced practice capabilities.

Study findings may inform how education about the levels and pillars of practice is delivered to reporting radiographers and the wider radiography workforce. Engagement with frameworks may clarify radiographer contribution at each practice level of practice.