Greatra Mayana

Career & Employment Opportunities

Allied Health Professions: Radiography – Transforming the radiography workforce


Talking to the service deliverers of
today their greatest challenge is around how they can get the most effective
service model in place. The advent of advanced clinical practice for AHPs and certainly my role as consultant radiographer has open up enormous
opportunity. If a patient comes for an x-ray what the patient wants is not the x-ray as quickly as they can they want the answer as quickly as they can
advanced practice within reporting helps to deliver that. There are established diagnostic capacity barriers and one way to introduce sustainable safe and
effective diagnostic capacity is to introduce integrated radiographer
reporting Many of the health professionals that we have in play today have many more skills and have much more capability and capacity than we’re using at present the idea is that we work with our medical colleagues to actually
redefine some of the roles so that we can actually have a very different service
delivery model tomorrow but one which nonetheless is focused very much on the
needs of patients. At Homerton we’ve taken a proactive and
planned approach to the use of radiographer reporting and it’s allowed
us to deal with the activity demands as they increase. With reporting radiographers and increasing the number and bringing them into your department
and training them it’s not about replacing consultant radiologists it’s
about making sure they do the activities they are best qualified for. One these new ways of working is therapeutic radiography and the advancement there in terms of the training skillset of practicing radiographers Being the first consultant
radiographer locally in this trust people were curious as to what the role
would actually mean and what it would add to the service the idea is that the
scope of practice of my role and would lend itself to working in a
complementary fashion with the oncologists. When we developed the post we looked at where the gap in the service was and the training that
Neill had was to fill that gap. We’re not trying to pretend that Neal is a
full medic he isn’t he’s taking on some of the duties within a confined scope of
practice but it just shows that it’s doable to replace that traditional model
with a new model. What we have to do nationally of
course he’s make sure that where these developments are occurring we have a
standard model across the country that everybody knows that if you’re trained
in a particular field of extended role or advanced practice in Blackpool that
you can get the exactly the same standard of delivery and expertise in
Canterbury. Radiographers can’t report from day one that requires postgraduate education. In terms of the scope of reporting radiographer practice it is
based initially on the framework that we have set up for
qualifications initially in terms of going through the relevant qualification
processes for the reporting radiographer to start to report here and then we
apply our own level of assessments on top of that before we allow
autonomous practice within the department. With many of these advanced
clinical practitioners we will see them sitting alongside
trainee medics registrar’s junior doctors working and training alongside
them so they’re all part of that information exchange there’s quality
audits all of the clinical governance arrangements all of those things that we
we know have served doctors well over the years are now available to advanced
clinical practitioners. This is about taking those clinicians forward with a
very different model of care so that we can get a truly integrated approach. Radiographers reporting radiographs is nothing new but embedding it in practice
is what we need to do is actually make sure individuals are utilised to their
full scope. We are able to demonstrate that therapeutic radiographers can prescribe and deliver radiotherapy and take on some of the more traditional
clinician roles and do it successfully. We know from research that the ability
of the clinicians is improved by adding our report into the patient pathway
we’ve got research that shows immediate interpretations can reduce spend can
reduce journey times can actually reduce the number of patients admitted to
hospital and bed stays. There will always be gaps in the workforce and it’s looking at how we can best use the existing skills we have in terms of the future
it’s there for us to make.

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