A Comparative Look at Advanced and Enhanced Clinical Radiography Practices in the UK and Denmark

- a discussion paper

Authors

  • Robert Higgins School of Health & Society, University of Salford, Manchester, United Kingdom https://orcid.org/0000-0001-7284-1093
  • Malene Roland Vils Pedersen Department of Radiology, Vejle Hospital, Beriderbakken 4, DK-7100 Vejle, Denmark

DOI:

https://doi.org/10.7577/radopen.6388

Keywords:

advanced practice, education, radiographer, enhanced practice

Abstract

Radiography practice has evolved significantly in both the United Kingdom (UK) and Denmark during the last decade, driven by the need for greater clinical skills and improved patient care. Technological progress has resulted from both innovations in imaging modalities and the expansion of radiographers’ responsibilities such as the MRI with more advanced fields, going from film to digital imaging and the latest artificial intelligence (AI) revolution.

By comparing the frameworks, educational pathways, and professional roles associated with enhanced and advanced practice in radiography in these two countries, we provide an overview of options for radiographers to pursue career options. By examining the similarities and differences, we aim to provide insights into how each country approaches the development and implementation of advanced and enhanced radiographic practices.

References

1. Jensen J, Andersen PB, Skjøth F, Pedersen M R V. An overview of radiography research and publication productivity in Denmark. Radiography. 2025;31:102877. doi:10.1016/j.radi.2025.01.012.

2. Lindgaard MF, England A, Portelli JL, Hogg P, Johansen S. Advanced practice among diagnostic radiographers - An international survey. Radiography (Lond). 2024;30(6):1604-11.doi:10.1016/j.radi.2024.09.068.

3. Sundhedsstyrelsen. Udvikling i brug af røntgenundersøgelser i Danmark 2015. Sundhedsstyrelsen. https://www.sst.dk/da/nyheder/2015/Markant-stigning-i-brugen-af-roentgen-og-CT-skannere

4. Department of Health . Radiography skills mix: a report on the four-tier service delivery model. 2003. Available from: https://apimr.pt/wp-content/uploads/2016/10/Radiography_skill_Mix_wales_2003.pdf.

5. Hardy M, Johnson L, Sharples R, Boynes S, Irving D. Does radiography advanced practice improve patient outcomes and health service quality? A systematic review. Br J Radiol. 2016;89(1062):20151066. doi:10.1259/bjr.2015.20151066

6. Society of Radiographers. Advanced Practitioner Radiographers [Available from: https://www.sor.org/learning-advice/career-development/practice-level-information/advanced-practitioners.

7. Catania D, Giannotti N, Roletto A, Ryan ML. Opinions on advanced practice among diagnostic and therapeutic radiographers: Survey results of an European congress of radiology study. Radiography (Lond). 2024;30(3):806-12. doi:10.1016/j.radi.2024.03.001.

8. Elshami W, Abuzaid MM, McConnell J, Baird M. Changing the model of radiography practice: Challenges of role advancement and future needs for radiographers working in the UAE. Radiography (Lond). 2022;28(4):949-54. doi:10.1016/j.radi.2020.05.014

9. Caulfield L. A literature review exploring the perceived impact, challenges and barriers of advanced and consultant practice in therapeutic radiography. Radiography (Lond). 2021;27(3):950-5.doi:10.1016/j.radi.2021.01.002.

10. Abuzaid MM, Elshami W, Kadhom M, McConnell J, Mc Fadden S. The changing concept of radiographer's role in UAE: An analysis of radiologists' opinions and acceptance. Radiography 2022;28:1042-9. doi:10.1016/j.radi.2022.07.010.

11. Clerkin N, Ski C, Brennan P, Strudwick R. Factors that impact upon interpretation efficacy of radiography advanced practitioners who interpret mammograms. J Med Imaging Radiat Sci. 2025;56(4):101889. 10.1016/j.mir.2025.101889).

12. Piper K, Mitchell M, Griffin K, Morgan T, Roy A, Thomas A, et al. Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study. Radiography 2021;27:475-82. DOI: 10.1016/j.radi.2020.10.016

13. Woznitza N, Piper K, Burke S, Bothamley G. Chest X-ray Interpretation by Radiographers Is Not Inferior to Radiologists: A Multireader, Multicase Comparison Using JAFROC (Jack-knife Alternative Free-response Receiver Operating Characteristics) Analysis. Acad Radiol. 2018;25:1556-63. doi:10.1016/j.acra.2018.03.026

14. Health education England. Allied Health Professions’ Research and Innovation Strategy for England 2022 [Available from: www.hee.nhs.uk/sites/default/files/documents/HEE%20Allied%20Health%20Professions%20Research%20and%20Innovation%20Strategy%20FINAL_0.pdf.

15. Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. 2017 [cited 2025. Available from: https://www.hee.nhs.uk/sites/default/files/documents/multi-professionalframeworkforadvancedclinicalpracticeinengland.pdf.

16. Multi-professional framework for advanced practice 2025 2025 [cited 2025 10th of June 2025]. Available from: https://advanced-practice.hee.nhs.uk/multi-professional-framework-for-advanced-practice/.

17. Society of Radiographers. What is advanced practice in radiography? [Available from: https://www.sor.org/learning-advice/career-development/practice-level-information/advanced-practitioners/what-is-advanced-practice-in-radiography. .

18. Jensen J, PB Andersen, Skjødth F, Pedersen MRV. Overview of radiography research and publication productivity in Denmark. Radiography. 2025;31. DOI:10.1016/j.radi.2025.01.012

19. Styrelsen for Patientsikkerhed. Autorisationsregisteret [Available from: https://autregweb.sst.dk/authorizationsearch.aspx.

20. Andersen PAB, Precht H, McEntee M, Pedersen, MRV. How to set up a mobile X-ray unit in the community - Implementation initiatives for patient-centred care. Radiography. 2023;Suppl 1:S148-S51. doi: 10.1016/j.radi.2023.02.027

21. Jensen JM, Andersen PAB, Kirkegaard L, Larsen N, Most W, Nielsen D, Precht H. Exploring the patient perspectives of mobile X-ray in nursing homes - A qualitative explorative pilot study. Radiography (Lond). 2021;27(2):279-83. doi: 10.1016/j.radi.2020.08.009.

22. Society of Radiographers. Person-centred Care [Available from: https://www.sor.org/learning-advice/professional-practice/person-centred-care#:~:text=Person%20centred%20care%20in%20the,needs%20of%20each%20individual%20patient.

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Published

2025-12-08

How to Cite

Higgins, R., & Pedersen, M. R. V. (2025). A Comparative Look at Advanced and Enhanced Clinical Radiography Practices in the UK and Denmark: - a discussion paper. Radiography Open, 11(1), 93–100. https://doi.org/10.7577/radopen.6388

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Discussion paper

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