A survey of the NHS reporting radiographer workforce in England

Authors

  • Paul Lockwood School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, Kent, United Kingdom https://orcid.org/0000-0001-5598-3890
  • Christopher Burton School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, Kent, United Kingdom https://orcid.org/0000-0003-1159-1494
  • Theresa Shaw School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, Kent, United Kingdom
  • Nicholas Woznitza School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, Kent, United Kingdom Radiology Department, University College London Hospitals NHS Foundation Trust, London, United Kingdom. https://orcid.org/0000-0001-9598-189X

DOI:

https://doi.org/10.7577/radopen.5635

Keywords:

Diagnostic radiography, Survey, Reporting radiographer, Workforce, England

Abstract

Introduction: At present there is no national register of the population size and scope of reporting radiographers in England. This makes operational workforce and succession planning for sustainable healthcare services in the National Health Service England (NHSE) difficult, affecting implementing NHSE policies and priorities such as 50% of X-rays reported by reporting radiographers and decreasing reporting Turnaround Times (TATs). This survey aimed to establish the workforce population employed as reporting radiographers in NHSE.

Methods: An online anonymous seven question survey was distributed on social media and at the UK Imaging and Oncology Congress. Participant criteria included NHSE radiology staff (diagnostic radiographer, reporting radiographer, radiology manager, imaging superintendent modality lead, consultant radiologist, etc.) or a student diagnostic radiographer working within an NHSE trust. The survey recorded the participant's NHSE region (North Western, North Eastern and Yorkshire, Midlands, East of England, London, South Eastern and South Western regions), Integrated Care Systems (ICS), NHSE Trust, hospital, the amount of reporting radiographers and trainees employed, the Agenda for Change (AfC) job banding and imaging modality reported (X-ray, CT, MRI, NM, PET, DEXA). The data analysis applied descriptive statistics for estimating patterns and trends in the distrubtion of data (English region, AfC banding and imaging modality).

Results: Responses were received from all seven of the NHSE regions (n=36/43 ICSs). The data demonstrated a larger workforce in the north of England than in the south, with employment at a range of AfC bandings from 5-8. The imaging modalities reported by radiographers in England demonstrated X-ray (n=34), the most reported imaging examination by region, and Nuclear Medicine (n=3) the least, with evidence of clinical reporting for CT (n=20), MRI (n=18), DEXA (n=16), Mammography (n=13) and fluoroscopy (n=12) being completed by radiographers in England.

Conclusion: The findings for England (n=704 reporters; n=142 trainees) provide an estimate based on the response rate of the current reporting radiographer workforce across the NHSE regions, and their contribution to the skills mix radiology reporting service delivery. It is hoped future surveys will provide ongoing workforce estimates for the diagnostic radiographer reporting workforce in NHSE to support workforce transformation and sustainability plans for the radiography profession and to meet government healthcare targets and priorities.

References

UK Statutory Instruments. The Health Professions Order 2001. (No.254 Part VII; Article 39) [Internet]. The Health Professions Order 2001, 254 England: UK Statutory Instruments; 2002. Available from: https://www.legislation.gov.uk/uksi/2002/254/article/39/made

Health Care Professions Council. Number of diagnostic radiographers on the HCPC Register [Internet]. 2018 [cited 2023 Jul 21]. Available from: https://www.hcpc-uk.org/resources/freedom-of-information-requests/2018/number-of-diagnostic-radiographers-on-the-hcpc-register---may-2018/

UK Public General Acts. Freedom of Information Act 2000 [Internet]. UK Public General Acts England: UK Public General Acts; 2000. Available from: https://www.legislation.gov.uk/ukpga/2000/36/contents

Health and Care Professions Council. FOI: FR07986 Numbers of Radiographers in England. FOI: FR07986 Numbers of Radiographers in England. London: Health and Care Professions Council; 2023.

Health Education England. Reporting radiographers [Internet]. Cancer and Diagnostics. 2023 [cited 2023 Dec 7]. Available from: https://www.hee.nhs.uk/our-work/cancer-diagnostics/imaging/reporting-radiographers

College of Radiographers. Preliminary clinical evaluation and clinical reporting by radiographers: Policy and practice guidance [Internet]. London; 2013 Feb. Available from: https://www.sor.org/getmedia/520af092-cd10-4ae4-8f2f-3625a91b47c3/Preliminary%20Clinical%20Evaluation%20and%20Clinical%20Reporting%20by%20Radiographers_%20Policy%20and%20Practice%20Guidanc_1

Health Education England. HEE Business Plan 2022/23 [Internet]. London; 2022 Jul. Available from: https://www.hee.nhs.uk/sites/default/files/HEE%20Business%20Plan%202022-23.pdf

NHS England. Diagnostic imaging network workforce guidance [Internet]. London; 2022 Apr. Available from: https://www.england.nhs.uk/wp-content/uploads/2022/04/B0418_Diagnostic-imaging-network-workforce-guidance_April-2022.pdf

Health Education England. Health Education England Business Plan 2019/20 [Internet]. London; 2019 Aug. Available from: www.hee.nhs.uk/sites/default/files/documents/HEE%20Business%20Plan%202019-20%20FINAL.pdf

Health Education England. Annual Report and Accounts 2020-21 [Internet]. London; 2021 Jul. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1003592/Health_Education_England_ARA_2020-21_Web_Accessible.pdf

NHS England. Diagnostics: Recovery and Renewal [Internet]. London; 2020 Oct. Available from: https://www.england.nhs.uk/wp-content/uploads/2020/10/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf

NHS England. We Are The NHS: People Plan 2020/21-action for us all [Internet]. London; 2020 Jul. Available from: https://www.england.nhs.uk/wp-content/uploads/2020/07/We-Are-The-NHS-Action-For-All-Of-Us-FINAL-March-21.pdf

College of Radiographers. 2021 College of Radiographers Diagnostic Radiography Workforce UK Census Report [Internet]. London; 2022 Aug. Available from: https://www.sor.org/download-file/?f=9dbc9e49-4b03-4e6c-83cf-bade28aef1bb&t=a

NHS England. Diagnostics Recovery and Renewal [Internet]. London; 2020 Oct. Available from: https://www.england.nhs.uk/wp-content/uploads/2020/10/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf

Royal College of Radiologists. Clinical Radiology Workforce Census 2022 [Internet]. London; 2023 Jun. Available from: https://www.rcr.ac.uk/sites/default/files/documents/rcr_clinical_radiology_workforce_census_2023.pdf

NHS England. Diagnostic Imaging Dataset Statistical Release [Internet]. London; 2023 Jul. Available from: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2023/07/Statistical-Release-20th-July-2023-PDF-473KB.pdf

Royal College of Occupational Therapists. Workforce survey report 2023: Occupational therapy under pressure (workforce survey findings 2022-2023) [Internet]. London; 2023 Apr. Available from: https://www.rcot.co.uk/sites/default/files/Workforce%20survey%202023%20-%20Demands%20and%20impacts.pdf

Health and Care Professions Council. How long do new registrants stay registered for? An analysis of first-time HCPC registrations: 2013 to 2018 [Internet]. London; 2023 Jan. Available from: https://www.hcpc-uk.org/globalassets/resources/reports/insights/retention-rates-of-first-time-hcpc-registrants-2013-to-2018.pdf

The Royal College of Speech and Language Therapists. Fail to plan, plan to fail: speech and language therapy workforce planning in England [Internet]. London; 2023 Apr. Available from: https://www.rcslt.org/wp-content/uploads/2023/04/Workforce-planning-in-England.pdf

Allied Health Solutions. Identifying the extent to which theatre support workers seek opportunities to become Operating Department Practitioners [Internet]. London; 2022 Feb. Available from: https://www.unison.org.uk/content/uploads/2023/03/Final-TSW-report-250222.pdf

Chartered Society of Physiotherapy. Workforce supply [Internet]. Workforce. 2020 [cited 2023 Aug 18]. Available from: https://www.csp.org.uk/campaigns-influencing/campaigns/workforce-policy

NHS Improvement. Operational workforce planning self-assessment tool [Internet]. London; 2018 May. Available from: https://webarchive.nationalarchives.gov.uk/ukgwa/20210318203901mp_/https://improvement.nhs.uk/documents/2734/Operational_workforce_planning_toolkit_final1may.xlsx

Health Education England. HEE Business Plan 2022/23. [Internet]. London; 2022 Jul. Available from: https://www.hee.nhs.uk/sites/default/files/HEE%20Business%20Plan%202022-23.pdf

NHS England. NHS long term plan 1.2 [Internet]. London; 2019 Jan. Available from: https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf

NHS England. Next steps on the NHS Five Year Forward View. 2017 [cited 2023 Dec 7]; Available from: https://www.england.nhs.uk/wp-content/uploads/2017/03/NEXT-STEPS-ON-THE-NHS-FIVE-YEAR-FORWARD-VIEW.pdf

Royal National Orthopaedic Hospital NHS Trust, NHS England, NHS Improvement. Getting it right first time: Radiology, GIRFT Programme National Speciality Report. [Internet]. London; 2020 Nov. Available from: https://www.gettingitrightfirsttime.co.uk/wp-content/uploads/2020/11/GIRFT-radiology-report.pdf

NHS England. Diagnostic Imaging Dataset Statistical Release. V.1 [Internet]. London; 2023 Mar. Available from: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2023/03/Statistical-Release-16th-March-2023-PDF-468KB.pdf

NHS England, Royal College of Radiologists, Society of Radiographers. Diagnostic imaging reporting turnaround times [Internet]. London; 2023 Aug. Available from: https://www.england.nhs.uk/long-read/diagnostic-imaging-reporting-turnaround-times/

NHS Improvement. Transforming imaging services in England. A National strategy for imaging networks [Internet]. London; 2019 Nov. Available from: https://webarchive.nationalarchives.gov.uk/20210401201200/https:/improvement.nhs.uk/documents/6119/Transforming_imaging_services.pdf

Care Quality Commission. Radiology review. A national review of radiology reporting within the NHS England [Internet]. London; 2018 Jul. Available from: https://www.cqc.org.uk/sites/default/files/20180718-radiology-reporting-review-report-final-for-web.pdf

UK Government. The Data Protection Act 2018: Chapter 2 The GDPR. [Internet]. The Data Protection Act 2018: Chapter 2 The GDPR. England: UK Government; 2018. Available from: https://www.legislation.gov.uk/ukpga/2018/12/part/2/chapter/2/enacted

NHS Employers. NHS Terms and Conditions of Service handbook [Internet]. London; 2023 May. Available from: https://www.nhsemployers.org/system/files/2023-08/nhs-terms-and-conditions-of-service-handbook-%2821%29.pdf

Information Commissioner’s Office. What is personal data? [Internet]. Guide to the General Data Protection Regulation (GDPR). 2022 [cited 2022 Oct 17]. Available from: https://ico.org.uk/for-organisations/guide-to-data-protection/guide-to-the-general-data-protection-regulation-gdpr/what-is-personal-data/

Information Commissioner’s Office. Special category data [Internet]. Guide to the General Data Protection Regulation (GDPR). 2022 [cited 2022 Oct 17]. Available from: https://ico.org.uk/for-organisations/guide-to-data-protection/guide-to-the-general-data-protection-regulation-gdpr/lawful-basis-for-processing/special-category-data/

NHS England. NHS Provider Directory [Internet]. London; 2022 Sep. Available from: https://www.england.nhs.uk/publication/nhs-provider-directory/

The Kings Fund. Key facts and figures about the NHS [Internet]. London; 2023 May. Available from: https://www.kingsfund.org.uk/audio-video/key-facts-figures-nhs

NHS Health Research Authority. Defining Research. HRA Decision Tools. 2017.

Townsend L, Wallace C. Social Media Research: A Guide to Ethics [Internet]. Aberdeen; 2016 Jul. Available from: https://www.gla.ac.uk/media/Media_487729_smxx.pdf

Office for National Statistics. Maximising the quality of Census 2021 population estimates [Internet]. London; 2022 Jun. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/methodologies/maximisingthequalityofcensus2021populationestimates

NHS England. NHS in numbers today [Internet]. NHS in numbers today. 2023 [cited 2023 Oct 17]. Available from: https://www.england.nhs.uk/nhsbirthday/about-the-nhs-birthday/nhs-in-numbers-today/

NHS Staff Council Job Evaluation Group. NHS Job Evaluation Handbook [Internet]. London; 2018 Sep. Available from: https://www.nhsemployers.org/system/files/2023-01/nhs-job-evaluation-handbook-%2822%29.pdf

Sevens T, McGivern T. Reporting radiographer academy training model; an evaluation of the impact for trainees and clinical service. Radiography 2022; 28:798–803. https://doi.org/10.1016/j.radi.2022.02.006

Harcus JW, Snaith B. Expanding training capacity for radiographer reporting using simulation: Evaluation of a pilot academy project. Radiography 2019; 25:288–93. https://doi.org/10.1016/j.radi.2019.05.010

Harcus J, Snaith B. The Clinical Academy for Radiographer Reporting (CARR): A New Model for Training Advanced Clinical Practitioners. J Med Imaging Radiat Sci 2018; 49:S12. https://doi.org/10.1016/j.jmir.2018.06.040

Snaith B, Hardy M, Lewis EF. Radiographer reporting in the UK: A longitudinal analysis. Radiography 2015; 21:119–23. https://doi.org/10.1016/j.radi.2014.10.001

Price R, Edwards H, Heasman F, Herbland A, Le Masurier S, Miller L, et al. The scope of radiographic practice 2008 [Internet]. Hertfordshire; 2009 Nov. Available from: https://www-sor-org.webpkgcache.com/doc/-/s/www.sor.org/download-file?f=35c3b1cd-3c1c-4349-8040-fd30c9c66092&t=m

Lockwood P. Exploring variation and trends in adherence to national occupational standards for reporting radiographers . Journal of Social Science & Allied Health Professions [Internet]. 2017 [cited 2023 Feb 3];1:20–7. Available from: https://openresearch.lsbu.ac.uk/download/16544134255f2c319f7ac89f5a00eb2b77cbac69f70866a87a7041d55f8613a2/140141/paper%20as%20published.pdf

Lockwood P. An evaluation of CT head reporting radiographers’ scope of practice within the United Kingdom. Radiography 2019; 26:102–9. https://doi.org/10.1016/j.radi.2019.09.001

Mitchell M, Lockwood P. An investigation into the clinical scope of practice of MRI reporting radiographers within the United Kingdom. Radiography. 2023; 29:489–95. https://doi.org/10.1016/j.radi.2023.02.015

Price RC, Le Masurier SB. Longitudinal changes in extended roles in radiography: A new perspective. Radiography 2007; 13:18–29. https://doi.org/10.1016/j.radi.2005.11.001

Price RC, Miller LR, Mellor F. Longitudinal changes in extended roles in radiography. Radiography 2002; 8:223–34. https://doi.org/10.1016/j.radi.2005.11.001

Culpan G, Culpan A-M, Docherty P, Denton E. Radiographer reporting: A literature review to support cancer workforce planning in England. Radiography 2019; 25:155–63. https://doi.org/10.1016/j.radi.2019.02.010

NHS England. Cancer Programme: Faster Diagnosis Framework [Internet]. London; 2019 Jul. Available from: https://www.england.nhs.uk/wp-content/uploads/2019/07/B1332-NHS-Cancer-Programme-Faster-Diagnosis-Framework-v5.pdf

NHS England. Cancer Workforce Plan. Phase 1: Delivering the cancer strategy to 2021 [Internet]. London; 2021. Available from: https://www.hee.nhs.uk/sites/default/files/documents/Cancer%20Workforce%20Plan%20phase%201%20-%20Delivering%20the%20cancer%20strategy%20to%202021.pdf

NHS England. Table 3 2022-23 Modality Provider Test to Report 2022-09-15 [Internet]. London; 2022 Sep. Available from: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2023/11/Table-3-2022-23-Modality-Provider-Test-to-Report-XLSX-164KB.xlsx

Lockwood P, Burton C, Woznitza N, Shaw T. Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: a systematic literature review. BMC Health Serv Res. 2023;23:1270.

NHS England. NHS Long Term Workforce Plan [Internet]. London; 2023 Jun. Available from: https://www.england.nhs.uk/wp-content/uploads/2023/06/nhs-long-term-workforce-plan-v1.2.pdf

Health Education England. Imaging Training Academies [Internet]. Imaging Training Academies. 2023 [cited 2023 Dec 7]. Available from: https://www.hee.nhs.uk/our-work/cancer-diagnostics/training-academies/imaging-training-academies

Murphy L, Nightingale J, Calder P. Difficulties associated with access to training and clinical support for Reporting Radiographers – A narrative evidence synthesis. Radiography. 2022;28:1071–9. https://doi.org/10.1016/j.radi.2022.08.005

Nightingale J, Sevens T, Appleyard R, Campbell S, Burton M. Retention of radiographers in the NHS: Influencing factors across the career trajectory. Radiography 2023 29:76–83. https://doi.org/10.1016/j.radi.2022.10.003

Stevens BJ. A survey assessment of reporting radiographers’ scope of practice in the West Midlands region of the United Kingdom. Radiography. 2019; 25:214–9. https://doi.org/10.1016/j.radi.2019.01.006

Nightingale J, Sevens T, Appleyard R, Campbell S, Burton M. Retention of radiographers in the NHS: Influencing factors across the career trajectory. Radiography. 2023; 29:76–83. https://doi.org/10.1016/j.radi.2022.10.003

Nightingale J, Burton M, Appleyard R, Sevens T, Campbell S. Retention of radiographers: A qualitative exploration of factors influencing decisions to leave or remain within the NHS. Radiography. 2021; 27:795–802. https://doi.org/10.1016/j.radi.2020.12.008

Clarke R, Allen D, Arnold P, Snaith B. Implementing radiographic CT head reporting: The experiences of students and managers. Radiography. 2014;20. https://doi.org/10.1016/j.radi.2013.12.008

Health and Care Professions Council. Diversity-data-Radiographers-Diagnostic-Modality-March-2023 [Internet]. London; 2023 Mar. Available from: https://www.hcpc-uk.org/globalassets/resources/data/2023/edi/ra/diagnostic/diversity-data-radiographers-diagnostic-modality-march-2023.xlsx

NHS England. Digital Imaging Dataset Statistical Release [Internet]. London; 2023 Mar. Available from: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2023/03/Statistical-Release-16th-March-2023-PDF-468KB.pdf

NHS England. Diagnostic Imaging Dataset Statistical Release 2021/2022. [Internet]. London; 2023 Mar. Available from: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2023/03/Statistical-Release-16th-March-2023-PDF-468KB.pdf

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Published

2024-02-05

How to Cite

Lockwood, P., Burton, C., Shaw, T., & Woznitza, N. (2024). A survey of the NHS reporting radiographer workforce in England. Radiography Open, 10(1), 1–18. https://doi.org/10.7577/radopen.5635

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