1. Role of the Radiographer Prescriber

2. What do radiographers do?

4. ……..Now!

5. 29,695 Radiographers in the UK registered with the Health and Care Professions Council (HCPC).
Diagnostic radiographers
Therapeutic radiographers

6. Diagnostic radiographers take lead responsibility for the management and care of patients undergoing a spectrum of clinical imaging examinations, together with associated image interpretation.

7. plain film contrast imaging CT interventional MRI ward & theatre
Diagnostic radiographers
plain film contrast imaging
CT interventional
MRI ward & theatre
ultrasound bone scanning
nuclear medicine cardiac

8. Therapeutic radiographers take lead responsibility for the management and care of patients with cancer undergoing radiotherapy during the pre-treatment, treatment delivery and immediate post-treatment phases.

9. treatment end of treatment counselling palliative
Therapeutic radiographers
planning review
treatment end of treatment
counselling palliative
community liaison satellite RT
info & support brachytherapy

10. Currently, radiographers can...........
Supply/administer under Patient Specific Directions (PSDs)
Supply/administer under Patient Group Directions (PGDs)
Train as Supplementary Prescribers
A reminder of what radiographers can do under the Medicines Act and amendments. Note that assistant practitioners can NOT use PGDs although anyone can use PSDs

11. Supplementary Prescribers: 46 annotated with HCPC (end 2014)
Very few diagnostic
Therapeutic radiographers in on-treatment review
A reminder of what radiographers can do under the Medicines Act and amendments. Note that assistant practitioners can NOT use PGDs although anyone can use PSDs

12. Challenges of supplementary prescribing: CMP
Logistics of getting CMP signed
SP more suited to long term conditions
A reminder of what radiographers can do under the Medicines Act and amendments. Note that assistant practitioners can NOT use PGDs although anyone can use PSDs

13. Independent prescribing Why and how would it be used?
A reminder of what radiographers can do under the Medicines Act and amendments. Note that assistant practitioners can NOT use PGDs although anyone can use PSDs

14. Independent Prescribing in Radiotherapy
Extension of current practice of Supplementary Prescribing
Would overcome issues with CMP
Better and quicker service delivery
Keeping patient on treatment
New ways of working; community, satellite etc
Using skills of radiographers
46 SPs in UK, most of whom are therapy radiographers working in on-treatment review

15. Independent Prescribing in Imaging
Mainly contrast agents
PGDs will continue to be used
Radiographer led services
Most of what diagnostic radiographers do is about administration. Simultaneous prescribing and administration is possible BUT it is NOT considered good practice and local procedures must be put in place to ensure patient safety.

16. Independent Prescribing in Imaging
Interventional e.g. gastro-intestinal
Ultrasound e.g. musculoskeletal
Vascular e.g. insertion of lines
DEXA scanning
New ways of working e.g. Emergency department
WE NEED A BIT OF VISION...
Most of what diagnostic radiographers do is about administration. Simultaneous prescribing and administration is possible BUT it is NOT considered good practice and local procedures must be put in place to ensure patient safety.

17. WE NEED A BIT OF VISION......
A patient with a minor injury is sent for imaging, radiographer reports there is no bony injury. What if the radiographer could discharge the patient from imaging with referral and/or prescription? Better for patient, better for service

18. THE NHS ENGLAND MEDICINES PROJECT......
22 DAYS LEFT FOR CONSULTATION Please support radiographers by responding positively Stronger together Better for patient, better for service

19. Christina Freeman