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requirements
26
. A ‘one size fits all’ approach would be naïve, but it is important
that the potential of a consultant radiographer appointment and the value such a Role
Natalie Howes is a consultant radiographer at the
Northamptonshire Centre for Oncology.
post may bring to any service development, or improvement to a patient pathway,
should be explored seriously. development References
What does the future hold? opportunities
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system. International Journal of Health Care Quality Assurance. 2001; 14(4): 174-180.
Consultant radiographers have developed a united vision
27
: “Pushing back the
2. Department of Health. Cancer Reform Strategy. Department of Health; 2007.
boundaries of conventional thinking to create the service of the future” are increasing
3. The College of Radiographers. Positioning therapeutic radiographers within cancer
services: Delivering patient-centred care; 2006.
Whether or not the existence of consultant radiographers is supported, there is no
4. Mahon A. New Roles in Cancer Services in Europe. Report prepared for the European
School of Oncology (ESO) in partnership with the European Health Management
doubt that the existing posts are paramount in influencing the cancer patient’s care
Association; 2005.
pathway and experience. Historical factors, professional prejudices and individual
5. Commission for Healthcare Audit and Inspection. Knowledge Network Signpost
preferences should be cast aside to give new ways of working much greater
– Consultant Allied Health Professionals (therapy consultants); 2005.
consideration and attention; the traditional mindsets of hierarchy and professional
6. Hynd S, Sikora K. Independent sector provision of radiotherapy. Imaging & Oncology
boundary need to be challenged. If service delivery can be improved by crossing 2008; 28-33.
professional boundaries, role demarcation should not be an issue
23
. Consultant 7. Department of Health. Advanced letter AL/PAM(PTA)2/2001; 2000.
radiographer posts are not there to threaten existing ones but to complement 8. Kelly J, Piper K, Nightingale J. Factors influencing the development and
and enhance services; they bring the added benefit of new team structures and
implementation of advanced consultant radiographer practice – A review of the
multiprofessional working and collaborative practice. Price & Edwards
10
believe the
literature. Radiography. 2008; 14: e71-e78.
vision of a consultant led radiography profession will become a reality. The debate
9. The College of Radiographers. Consultant radiographers group work plan 2008/2009.
surrounding the future management of oncology services continues, with discussions
10. Price RC, Edwards HM. Harnessing competence and confidence: Dimensions in
education and development for advanced and consultant practice. Radiography.
on manager or consultant led services. The ‘or’ should become redundant; these two
2008; 14: e65-e70.
roles have great value in their own right and a place for both should be incorporated
11. National Radiotherapy Advisory Group. Radiotherapy: developing a world class
in all plans for the future of oncology services provision. Greater partnership working
service for England. 2007.
will be essential for delivering UK oncology services in the future and this must be
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dynamic and innovative if cancer patients are to receive the care they require. A key
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message
6
, therefore, is ‘collaboration, not competition’. discussion. Radiography. 2008; 14: e39-e45.
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It has been highlighted that the strategic role of the consultant practitioner seems
radiographer practice – Training Package. 2008; URL: http://www.sor.org/members/
to be under-developed at present, reducing the potential to improve patient
consultants/development.htm
experience and increase knowledge about radiotherapy in the wider community
28
.
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Ultimately, there is a vital need to increase the number of consultant radiographers
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in post and evidence the nature of those posts
24
. Great professional and practice
British Journal of Health Care. 2000; 6: 364-371.
advancements have been made in radiotherapy in recent years, and this must
17. Borrill CS, Carletta J, Carter AJ, Dawson JF, Garrod S, Rees A, Richards A, Shapiro D,
continue. The development of consultant roles is undoubtedly one of the major
West MA. The Effectiveness of Health Care Teams in the National Health Service,
advancements. For the therapeutic radiography profession it is acknowledgement, Universities of Aston, Glasgow, Edinburgh, Sheffield, Report. 2001: URL: http://
finally, of the contribution that radiographers can make to modernisation of
homepages.inf.ed.ac.uk/jeanc/DOH-final-report.pdf
oncology services and also the NHS as a whole. There are complex yet exciting
18. NCEPOD. Functioning as a team? The 2002 report of the National Confidential Enquiry
times ahead for UK oncology services and, with the Cancer Reform Strategy and
into Perioperative Deaths. London, NCEPOD. 2002: URL: www.ncepod.org.uk/pdf/
2002/02sum.pdf
NRAG recommendations in mind, therapeutic radiographers have the opportunity
19. The Health Foundation. Better Team Working for a Safer Hospital. 2007; June Briefing.
and the ability to drive change
29
that will be beneficial to cancer patients. The
20. Frankel AS, Leonard MW, Denham CR. Fair and just culture, team behaviour, and
question still remains, however, why are radiographers not wholly embracing this
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opportunity? Research. 2006; 41(4); 1690-1709.
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IMAGING & ONCOLOGY
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2009
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