Directorate of Human Resources
Recruitment Team
Flat 3
Willow Drive
Kirkcaldy
Fife, KY1 2LS
Tel 01592 643355
Fax 01592 204611 www.show.scot.nhs.uk/faht
Date
Your Ref
Our Ref
Enquiries to
Extension
Direct Line
Email:
As per postmark
Please see below
Recruitment
28131
01592 643355 fife-uhb.recruitment@nhs.net
Dear Sir/Madam
POST REFERENCE: HH152/10/15AA
CLOSING DATE: 12 NOON ON 13 th November 2015
Thank you very much for your interest in the above post. I have pleasure in enclosing an application pack which includes, a job description, application form, terms and conditions, person specification and procedure for the disclosures of criminal records. Please be advised that the application form must be completed in full as unfortunately we cannot accept a CV enclosure .
When providing referees on the application form please be aware we require references to cover a minimum of a three year period . If the period of time both referees have known you is less than three years you will be required to provide additional referees. This can be indicated on an additional sheet of paper and where possible please give us email addresses for contact.
Should you wish to make an enquiry to the Recruitment Team regarding a vacancy please ensure that you quote the reference number.
Please be advised that if you do not hear from us within 4 weeks of the closing date then you have been unsuccessful in your application.
May I take this opportunity to thank you for the interest that you have shown in NHS Fife.
Yours faithfully
Recruitment Team
Enc.

Post:
Reference Number:
Reporting Radiographer
HH152/10/15AA
Pay Banding:
Band 7, £31,383 - £41,373 pro rata
Hours of Duty : 30
Contract Type: Permanent
Annual Leave: 27 days on commencement
29 days after 5 years service
33 days after 10 years service
Public Holidays: 8 fixed public holidays
The leave year extends from 1 April to 31 March.
Part time staff will receive a pro-rata entitlement for annual leave and public holidays combined as per the Agenda for Change agreement.
Reckonable service may be credited for annual leave purposes in accordance with the Agenda for Change Agreement.
Sick Pay
Entitlements to Statutory Sick Pay and Occupational Sick Pay will be determined in accordance with the Agenda for Change Agreement. Reckonable service may be credited for Sick Pay purposes providing there has been no break in service of 12 months or more at time of appointment in accordance with Agenda for Change Agreement.
Superannuation
New entrants to NHS Fife who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme.
Our pension scheme is provided by Scottish Public Pensions Agency. This scheme is a qualifying pension scheme, which means it meets or exceeds government’s new standards. All benefits including life insurance and family benefits are explained on the SPPA website http://www.sppa.gov.uk/ . Contribution rates will vary from 5% to 14.5% depending on pensionable earnings.
Once a year, (following 2 years qualifying service) a statement is available online
( http://www.sppa.gov.uk/ showing how much service has built up in your pension.
You can increase the amount you put in if you want by buying additional pension. For full details please see the Factsheet “Additional Pension” available on the SPPA website http://www.sppa.gov.uk/ .The amount contributed by the government in the form of tax relief would also increase.
If you want to opt out of the pension scheme please follow the instructions in the enclosed fact sheet.

Occupational Health Clearance
Any offer of employment is subject to satisfactory Occupational Health clearance. Should you be invited to interview you will be asked to complete a Pre-Employment Health Questionnaire.
The Occupational Health Service (OHSAS) will make an assessment on your fitness to carry out the post based on the information contained within the questionnaire. In certain circumstances further information is required before clearance can be given and OHSAS may contact you by telephone or request that you attend for an appointment. Clearance must be obtained before any new employee commences employment within NHS Fife. Clearance may be subject to you attending for a Post-Employment appointment and it is vital that you attend this appointment if required.
Rehabilitation of Offenders Act 1974
Under the terms of the Rehabilitation of Offenders Act 1974, many people need not refer to previous convictions which, after a certain period of time, are regarded as spent. Certain posts within the National Health Service, however, are excluded from the provisions of this Act. All potential employees must disclose on the application form any unspent convictions and certain potential employees are required to inform us of any previous convictions which, for other purposes, are “spent” under the provisions of this Act. Failure to disclose such information could result in dismissal or disciplinary action by the organisation. Any information given will be treated in the strictest confidence. Please refer to the NHS Fife Procedure for the Declaration of
Criminal Convictions for further information.
Disclosure Scotland / Protection of Vulnerable Groups (PVG)
A number of our posts are identified as requiring Disclosure Scotland clearance at a number of levels including Standard or Protection of Vulnerable Groups (PVG). The PVG Scheme requires an individual / personal membership to the scheme, if this is a requirement of the post, the employer, NHS Fife, will meet the costs of this application. Existing members may require a scheme update and the interview panel must be informed of this and again NHS Fife will meet the cost associated with this.
No Smoking Policy
NHS Fife operates a No Smoking Policy and it is the case that staff are not permitted to smoke on the premises or during working hours. It is a condition of employment that you comply with these requirements.
Agenda for Change Implementation and Variations to Contract of Employment
Agenda for Change is a nationally agreed remuneration, job evaluation, personal development and terms and conditions framework which will apply to all NHS Scotland staff (except very senior managers and staff within the rem it of the Doctors’ and Dentists’ Review Body). This means that you will be subject to the terms and conditions contained within this agreement and also any subsequent national or local agreements or variations made in respect of Agenda for
Change. Such changes will automatically be applied to you and your contract of employment will be deemed to have been amended on this basis.
Entitlement to Work in the UK
NHS Fife is legally obliged to ensure all its employees are legally entitled to work in the
United Kingdom. All applicants are required to confirm their right to work in the UK in their application. If you are not a United Kingdom (UK), European Community (EC) or
European Economic Area (EEA) National please state the visa category under which you are legally entitled to work in the UK on your application form and the expiry date of your leave to remain in the UK.

Certificates of Sponsorship
If a candidate who requires Tier 2 Sponsorship is appointed to a post NHS Fife may make an application for sponsorship providing applications are available and it can be demonstrated no suitable candidate meets the minimum requirements for the post from within the EEA. This is in keeping with current Home Office regulations which dictate that employers are not in a position to offer employment to candidates requiring Sponsorship/Work Permit where it can be demonstrated that EEA candidates meet the minimum requirements for the post.
Job Share
Unless otherwise stated within the job advert applications for this post may be considered on a job share basis. Should you wish to apply on a job share basis please indicate this on a covering letter attached to the application form.

General guidance

If you have any questions or need some help with completing the form, please call 01592
643355 ext 8706 or 7906 or email fife-uhb.recruitment@nhs.net
. Please have the job reference number handy if possible

If you are using the ‘hard copy’ version of our application form, please use black ink and write clearly in BLOCK CAPITALS. This makes the form much easier to read and clearer when we photocopy it

The job reference number can be copied from the job advert or the application pack

The job location will be on the job advert

The candidate number will be written in by us once you have returned the form to our office

The people who look through your completed form (short listing or short leeting team) to see if you have the skills and abilities needed for the job, will only see ‘Part C’ of the form. They will only see your candidate number and all personal details will be anonymous

Please do not send in a CV instead of, or as well as, the application form. We do not consider CVs during the selection process
 Please fill in all sections of the application form. If some parts are not relevant, write ‘not applicable’ or ‘N/A’ in that space


If you need more space to complete any section, please use extra sheets of paper. Do not put your name or any identifying information on it as it needs to remain anonymous.
Secure it to the relevant section, and we will add a candidate number to it when we receive it

When you have completed all of the form, please send it to:
Recruitment Section
NHS Fife
Flat 3
Willow Drive
Kirkcaldy
Fife
KY1 2LS
Personal Details section
 This gives us your contact details such as name and address. Under ‘title’ you would put either Mr, Mrs, Ms, Dr or just leave blank if you prefer

We may need to contact you at some time throughout the recruitment process. Please let us know the most suitable method of contacting you, for example email or phone call and the most convenient time
Declarations

Please refer to the enclosed Procedure for the Disclosure of Criminal Convictions.
For certain posts you must tell us about all convictions and cautions regardless of how long ago the offence may have occurred. Convictions from other countries must also be notified. If in doubt please call our office at the help line number on page one of this guidance

Please note that having a conviction will not automatically disqualify you from getting a job with us. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated

Remember to read, consider and sign the declaration at the bottom of page 2
Qualifications section

Please tell us of any qualifications you have. This can include school standard grades,
GCSEs highers, or work based qualifications such as SVQs or NVQs
 Remember to write down any ‘non formal’ qualifications or certificates that you think are relevant to the job you are applying for
Present (or most recent) post section
 If you are currently out of work, please write this in the ‘job title’ space

Please write your start date in month/year format MM/YYYY


Please tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main tasks, and any responsibility for supervising others. There is not a lot of space here so continue on a separate sheet if you need to
Employment History section

This is where you write down all the jobs you have done previously

Remember that if a job you have done in the past supports or is similar to the job you are applying for, please tell us more about it in your ‘support of application’ statement on page 6 of the application form
– use a separate sheet if you need more space
References section

Referees are people who know you at work. Please give the full names and addresses of 2 referees, one of whom must be your present or most recent employer and can confirm your job details

Your referees must cover a three year time period and should where possible be work based references.

Please where ever possible provide an email address for your referee.

You should check that the people you have put on your form are happy to be referees

Your referees will not be contacted unless you are a ‘preferred candidate’ after interview. A preferred candidate is someone who is the preferred choice for the job, subject to satisfactory checks where appropriate
Driving Licence

You only need to complete this if the job requires you to drive. Please check the job description or person specification. For example, some jobs with the Ambulance Service require you to be able to drive class C1 and D1 vehicles
Statement in support of your application

This is one of the most important parts of the form. In here you say why it is you want this job, and can list all your skills and abilities that you think help to match up you against the ‘person specification’. In here you could describe how something you have done in a non work setting (for example, planning and leading a group outing) shows planning skill and some leadership qualities
Where did you see the advert section

Please try to remember where you heard about this job, and tick the relevant box. The information you give will help us find out how good our advertising is
Equal opportunities monitoring

Please note that all details on this section (Part D) will remain totally anonymous. It will be detached from the rest of the form as soon as we get it and remain anonymous


We want to ensure that there are no barriers to joining our workforce. As an employer,
NHSScotland is as fully inclusive as possible. One way we can ensure this is to analyse all the data provided in this section and ensure that job opportunities are being accessed by as wide a community as possible.
Please send the completed form to the following address:
or post your hard copy to:
Recruitment Section
NHS Fife
Flat 3
Willow Drive
Kirkcaldy
Fife
KY1 2LS


Have you experience of a mental health problem?

Want help with the application process for a post with NHS Fife or Fife
Council?

Would you benefit from some support even after you start work?

Are you unemployed and live in Fife?
Then Support into Work can provide free, independent and confidential support through the whole process of applying for a job with either NHS Fife or Fife Council and, if successful, for the first few weeks after starting work.
Support into Work is a two-year pilot funded by the Scottish Executive to increase access to employment for unemployed people experiencing mental health difficulties who live within Fife.
The service is provided by Fife Employment Access Trust (FEAT) a well-respected voluntary organisation with 10years experience or supporting people with mental health problems into employment.
FEAT is independent of both NHS Fife and Fife Council and the fact that someone has received support will not adversely affect the recruitment outcome.
For more information on the support available or if you would like to take advantage of the service contact:
Fife Employment Access Trust
Collydean Cottage
6/7 Hanover Court,
Glenrothes, Fife KY7 5SB
Tel: 01592 759371
Email: enquires@f-e-a-t.co.uk
Please do not send completed application form to this address

1. Introduction
NHS Fife complies fully with the Code of Practice, issued by Scottish Ministers, in connection with the use of information provided to the registered person and other recipients of information by Disclosure Scotland Part V of the Police Act 19
97, for the purposes of assessing applicants’ suitability for positions of trust.
We undertake to treat all applicants for positions fairly and not to discriminate unfairly against the subject of a disclosure on the basis of conviction or other information revealed.
2. Spent Convictions
The Rehabilitation of Offenders Act 1974 enables some criminal convictions to become ‘spent’ after a rehabilitation period. The length of the rehabilitation period depends on the sentence given and not the offence committed. For custodial sentences the rehabilitation period is decided by the original sentence and the length of time actually served is irrelevant. Custodial sentences of more than 2.5 years can never become spent.
3. Disclosing Spent and Unspent Convictions
In line with the Rehabilitation of Offenders Act 1974 for any post within NHS Fife you are required to disclose any “unspent” convictions.
If you are applying for any posts listed below you are also required to provide us with any informatio n in relation to all “spent” convictions.
4.

Clinical Posts (including Nursing, Medical, Dental and AHP posts)

Director of Finance & Heads of Finance Department

Ward Clerks

Public Health Posts

Health Promotion Posts

Porters

Volunteers

Hairdressers

Catering & Domestic Posts within Inpatient Areas
Disclosure Scotland (SCRO)
The aim of the Disclosure Scotland Service is to enhance public safety and to help employers nd voluntary organisations in Scotland to make safer recruitment decisions. Any offer of employment to a post identified as requiring “spent” convictions to be disclosed will be subject to a satisfactory Disclosure Scotland check.
5. Procedure for Disclosing Convictions
If you have an unspent or spent conviction and you are required to disclose this to NHS Fife you should do this by completing the section “Convictions” within Part B of the application form giving details of the following:-


The Nature of the offence

The Sentence given

The Date of the Offence
6. Interview
If you are selected for interview, members of the interview panel will not be aware of any declaration you have made. Should you be selected as the preferred candidate following interview we will undertake to ensure an open and measured discussion on the subject of any offences or other matters that might be considered relevant for the position concerned. We guarantee that only those who need to see it as part of the recruitment process will only see this information.
7. Failure to reveal information
Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment. If you are offered employment such a failure may result in dismissal or disciplinary action.
Having a criminal record will not necessarily debar you from working with NHS Fife. This will depend on the nature of the position, together with the circumstances and background of your offences.
8. Queries
If you have any queries on this matter then please contact our recruitment office who will be able to assist you.

Auto Enrolment Fact Sheet 2
What is happening?
The UK Government’s aim is for more people to have another income, on top of the state pension, when they come to retire. The basic state pension is intended to be a foundation and you may want more.
Employers are now required to enrol their workers automatically into a pension scheme to make it easier for people to start saving. You will therefore be automatically enrolled into the NHS
Pension Scheme from your date of commencement with us.
What does this mean for you?
Our pension scheme is provided by Scottish Public Pensions Agency .
This scheme is a qualifying pension scheme, which means it meets or exceeds the government’s new standards.
All benefits including life insurance and family benefits are explained on the SPPA website http://www.sppa.gov.uk/
Once a year, (following 2 years qualifying service) a statement is available online
( http://www.sppa.gov.uk/ ) showing how much service has built up in your pension.
You can increase the amount you put in if you want by buying additional pension. For full details please see the Factsheet “Additional Pension” available on the SPPA website http://www.sppa.gov.uk/ The amount contributed by the government in the form of tax relief would also increase.
From 1 April 2015, the member contributions are calculated as follows:
Tier Pensionable Pay Band (whole time
1
2
3
4
5
6
7 equivalent) in 2015/16
Up to £15,828
£15,829 to £21,601
£21,602 to £27,089
£27,090 to £49,967
£49,968 to £71,337
£71,338 to £111,376
£111,377 and above
Contributions Rate in
2015/16
5.2%
5.8%
7.3%
9.5%
12.7%
13.7%
14.7%
Pension contributions are taken off salaries before tax.
In addition, NHS Fife currently contributes 14.9% to an employee’s pension.
Please note, these contribution rates may be revised. Any changes will be posted on Dispatch when they become available. On your payslip , the figure you will see is your contribution.
The NHS Pension Scheme
After 2 years of membership, an annual online statement will be available from SPPA showing how much pension you have accrued. More information on the scheme can be found at www.sppa.gov.uk
How to opt out
To opt out, you can obtain the relevant opt out form from SPPA’s website http://www.sppa.gov.uk/Documents/NHS/NHS%20Useful%20Resources/NHS%20Forms/Opting
%20out/OPTOUT%20NHS%202013%20V.1.pdf
Once you have completed it, send it to the Payrolll Dept (see payslip for details).

If your completed opt out form is received within 1 month of your start date you will be removed from the pension scheme with effect from your start date. Any payments you have already made will be refunded and you will not have become an active member of the scheme on this occasion.
If you want to stop making payments at any time after 1 month of commencing employment you can do so by completing the opt out form. Repayment of pension contributions and the calculation of preserved benefits will be arranged by SPPA. Further information on refunds is available on www.sppa.gov.uk
- see NHS factsheet.
If you encounter any difficulties in accessing this form, please contact either your Line Manager in the first instance or a member of the HR Department.
HMRC Protection
If you are one of the relatively small number of people who applied for, obtained and still hold a
Fixed Protection certificate from HM Revenue and Customs (which protects the total value of all pension benefits you can have at £1.8 million without triggering an excess benefits tax charge) or an Enhanced Protection certificate then you may lose the Fixed or Enhanced Protection if you opt to remain in the scheme. If you currently hold HMRC Fixed or Enhanced Protection you may wish to consider the consequences of further accrual of benefits as this may invalidate your protection. Further information is available from HMRC
A regular reminder
Anyone who opts out will be automatically enrolled back into a pension scheme at a later date
(usually every three years). This is because your circumstances may have changed and it may be the right time for you to start saving. We will contact you when this happens, and you can opt out if it’s still not right for you.
A commitment from us
If you are under 75, work or usually work in the UK, and earn over £10,000 a year
(the amount set by the government for this):
- we must by law continue to maintain your membership of a scheme that meets certain government standards; and
- if your membership of such a scheme ends (and it is not because of something you do or fail to do), we must by law put you into another scheme that meets government standards straightaway.
Questions you may have:
Will the amounts paid into my pension change?
Yes, the amounts will automatically increase or decrease accordingly if your earnings (exclusive of overtime payments) go up or down.
If I opt out or stop making payments, can I rejoin a workplace pension scheme at a later date?
Yes, you can rejoin a workplace pension scheme. To do so, contact your payroll contact (see payslip for details) in writing by sending a letter, which has to be signed by you. Or, if sending it electronically, it has to contain the phrase “I confirm I personally submitted this notice to join a workplace pension scheme”.
What if I want to pay more into my pension?
You can increase the amount you put in if you want by buying Additional Pension. For full details please see the Factsheet “Additional Pension” available on the SPPA website

http://www.sppa.gov.uk/ The amount contributed by the government in the form of tax relief would also increase.
What is tax relief?
The government takes tax off your income. You can see this on your payslip. Tax relief means some of your money that would have gone to the government as tax now reduces the actual cost of contributing into the pension scheme. www.direct.gov.uk/workplacepensiontaxrelief
Where can I get further information?
If you have any questions about the pension scheme, contact:
SPPA
7 Tweedside Park
Tweedbank
Galashiels TD1 3TE
Telephone 01896 893000 www.sppa.gov.uk
If you have any questions about your enrolment or contribution levels, contact your payroll contact (see payslip for details).
For information on pensions and saving for later life visit: www.direct.gov.uk/workplacepension
A booklet explaining pension auto enrolment together with Frequently Asked Questions has been published by the Pension Regulator and can be found at http://www.dwp.gov.uk/docs/workplace-pensions-faq.pdf

JOB DESCRIPTION
1. JOB IDENTIFICATION
Job Title: Advanced Practice Reporting Radiogarpher. (Diagnostic)
Responsible to: Superintendent Radiographer
Reports to: Deputy Superintendent Radiographer
Department(s): Radiology
Directorate: Clinical Support Services and Access
Division: Fife Acute Services
Job Reference: HH152/10/15AA
No of Job Holders: 1
Last Update (insert date): 23/09/2015
2. JOB PURPOSE
Using a high level of skill and knowledge to autonomously provide a high quality diagnostic imaging service.
To autonomously provide written reports for radiographc procedures working within your Scope of Practice
Support the Consultant Reporting Radiographer, management and clinical leads in meeting operational and strategic targets.
To establish an environment of support for reporting radiographer trainees
Deputise for the specialist Superintendent 3 Radiographer in his / her absence.
The post holder will carry a significant clinical workload.
Justify and perform Radiographic examinations, providing direct care in order to assist in the management of patients referred from clinicians and other referrers.
Supervise and train Radiographers, Student Radiographers, Assistant Practitioners and support

workers ensuring continuity of service delivery.
3. DIMENSIONS
General:

Demands for diagnostic Imaging are generated by the specific needs of each clinical area. Images must be suitable for diagnosis and archived on PACS.

Superintendent Radiographer is available on a daily basis to provide advice when required during core working hours.

Superintendent Radiographer will agree an annual personal development plan.
Clinical areas:

General Radiography (A+E, GP, Out Patients, In Patients – ITU / Ward / Theatre portables) Dental, Fluoroscopy, Interventional, CT, MRI, Nuclear Medicine,
Mammography, Bone Densitometry and Ultrasound .

Service covers imaging patients - from neonatal to geriatric - including individuals who have varying degrees of ability and understanding.
Clinical activity:

Approximately 150,000 examinations per annum across Fife
Clinical provision:

24 hours, 365 days per annum. During on call and stand by periods (unsocial hours, over night and weekends) the post holder works single handed and therefore unsupervised.
Service covers trauma patients, urgent ward patients and emergency CT scans. Other specialised interventional procedures may be required out of hours working solely with a radiologist.
Staff Responsibility:

Deputise for Superintendent 3 Radiographer

Participate in the training / mentoring and induction of new/existing staff members ensuring they meet the required competencies

Participate in the supervision and training / mentoring of Student Radiographers on clinical placement.

Direct and supervise the workload of Radiographers, Student Radiographers, Assistant practitioners and Support workers.
 As a “reviewer” – in accordance with NHS Fife policy - carry out annual PDP interviews with Radiographers. Assistant Practitioners and Assistants.

4. ORGANISATIONAL POSITION
NHS Fife
Radiology Organisational Chart
Clinical Lead
Radiologist
Diagnostic Imaging
Services Manager
Clinical Specialist
1
US
Lead Quality and
Education x1
Superintendent
NEF x1
Lead CT
Radiographer x1
Deputy CT
Radiographer
x1 Clinical specialist
2
x 8
Senior 1 CT VHK
x4
Superintendent 1
VHK NEF x1
Lead MRI
Radiographer x1
Senior 1 MRI x5
Superintendent
General VHK
Deputy to Supt 1 x1
Superintendent
Senior 1 NM/
General x4
NM x1
Senior 1 Bone densitometry x2
THIS POST
Rotational
Band 6 Radiographer
X
Senior 1 General
VHK x4
Superintendent
Interventional x1
Senior 1
Interventional x
Senior 1 GI x1
Band 5 Radiographer
X
Radiographic Assistant Practitioner x3
Superintendent 1
QMH
X1
Consultant
Radiographer x1
Superintendent
General QMH
Deputy to Supt 1 x1
Senior 1
Mammography x3
Superintendent
CT QMH x1
Senior 1 CT QMH x2
Radiographic Assistant
X 19
5. ROLE OF DEPARTMENT

Provide a high quality, efficient and effective Radiology services to the local population.

Diagnostic imaging equipment is used to carry out radiological examinations on Patients and reports are provided to referring clinicians. The report assists the referrer in providing a diagnosis of the patient’s condition in order to decide on an effective course of treatment and care.
 Interventional Radiology is carried out to assist in the treatment of a patient’s condition.

The departmental clinical governance strategy ensures a high standard of care for patients undergoing radiological examination and promotes multidisciplinary team working.

Provide a suitable environment for the training and assessment of student radiographers.
6. KEY RESULT AREAS
It is the post holder’s responsibility to minimise radiation dose to staff, patients, the general public and self. Radiology is a rapidly changing environment. Advances in technology and technique require the post holder to continuously update knowledge and skills.

Clinical
On a daily basis to:

On a daily basis multi-task with frequent interruptions while ensuring continuous service delivery

Act independently in the assessment of referrals for X-Ray examinations, taking full responsibility for the justification of general X-Ray examinations in order to reduce unnecessary ionising radiation exposure of patients in accordance with IR (ME) R 2000.

To be reflective / independent in thinking and outlook.

Provide advice to clinicians on images, either verball y or by use of the “Comment “ system identifying possible abnormalities.

Provide formal written reports for referrers within your Scope of Practice.

Support the PACS manager in the daily housekeeping/troubleshooting of the PACs system

Maintain a high level of expertise in the safe operation of highly complex Imaging equipment, including regular equipment testing and managing faults effectively.

Undertake radiographic procedures in a variety of situations throughout acute and primary care providing emergency cover over a 24 hour period.

Perform specialised / interventional procedures which will include one or more of the following: o General Radiographic Procedures o Clincal Reporting

Work independently and single handed when providing an out of hours service to patients requiring urgent imaging due to acute trauma or illness.
 Perform independent screening procedures including ERCP’s, Dynamic Swallows,
Hysteros etc.

Prioritise workload depending on the severity of the patient’s condition and whether diagnostic imaging will have a direct impact on their management

Clinically and technically evaluate images and determine the need for further images based on that assessment using extensive knowledge and expertise in specialized clinical area.

Communicate effectively as part of the radiology team to provide a high quality imaging service.

Communicate with fellow healthcare workers to ensure efficient and effective delivery of care.

To care for the needs and welfare of every patient.

Adapt technique to accommodate the varying physical needs of each patient.

Utilise interpersonal skills associated with gaining patient compliance, accommodating the varying emotional needs of each patient. The result being an optimal image under the circumstances - with minimal dose – to aid diagnosis.

Input detailed patient data (demographic / image) thus maintaining accurate patient records.

Maintain the knowledge and skills associated with current advances in technology and diagnostic techniques.

Maintain a safe working environment.
Managerial
When departmental co-ordinator:


Rearrange distribution of personnel to accommodate unplanned staff absence

Ensure equipment/staff are in the right place at the right time

Manage the daily/standby rotas ensuring staff resources cover all areas and periods of duty

Prioritise / schedule workload to accommodate unplanned cases

Organise/prioritise porters to ensure patients details/appointment times/transport are correct to maintain an effective and efficient In Patient service flow

Be able to exercise personal responsibility and make decisions in complex and unpredictable circumstances.

In collaboration with the PACS Manager ensure the integrity of the database.

Delegate appropriate tasks and supervise, Radiographers, Student Radiographers,
Assistant Practitioners and Support workers within Radiology

Contribute to, and participate in, training schedules for Radiographer, Student
Radiographers, Assistant Practitioners and Support Workers..

Participate in the overall motivation of the Radiology team as a whole, and individually where necessary.

Involved in staff recruitment

Be actively involved in Audit and Quality Assurance to achieve departmental Clinical
Governance and Clinical Effectiveness goals.

Comply with professional / organisational policies and procedures such as: o Ionisation Radiation (Medical Exposures) Regulations 2000
– IR (ME) R 2000. o Ionising Radiation Regulations 1999 (IRR99) o Local Radiation Protection Procedures o COSHH o Professional Code of Conduct o Incident reporting o Manual Handling o Infection Control o Data Protection / Confidentiality

Contribute and comply with all departmental policies such as: o Quality Assurance Programme o Clinical Effectiveness o Health +Safety o Clinical Governance o Local MRI rules
Educational

Participate in mandatory training and actively pursue Continuous Professional
Development keeping an up to date personal record in accordance with HCPC requirements.

Maintain knowledge of technological and technical advances in methods of diagnostic
Imaging in order to promote a culture of continuous improvement within the department.

Develop knowledge and understanding within evidence-based framework and transfer to situations encountered in practice.

Maintain / update skills as necessary to achieve required competency level.

Deliver interesting cases to colleagues

Work with Consultant Radiographer to improve image quality by developing audits and research.

7a. EQUIPMENT AND MACHINERY
A variety of specialised investigative and diagnostic imaging equipment is utilised which comprises of multifunctional controls. The equipment is operator dependent and requires specific skills to achieve images of diagnostic quality. Post holders use the majority of the equipment listed below. Equ ipment costs vary from £25,000 to over £1,000,000.
Diagnostic Equipment

General purpose x-ray equipment

Dedicated Fluoroscopy units for general and interventional work

Mobile X-Ray units for ward and theatre Radiography

Mobile Image Intensifiers for Theatre / Coronary Care Fluoroscopy

Orthopantomogram (OPG) unit for dental and Maxillo Facial / Orthodontic referral

Intra Oral dental unit
Accessory Equipment

Dental CR Processor

Wireless or cabled DR plates

Computerised Radiography (CR) imaging plates and CR “imaging plate readers”

Label Printers
 PC / “dumb” terminals – used in daily administration (quality assurance / communication
[email] etc)

Stationary grids and cassette holders

A variety of immobilisation / support devices such as foam pads and bucky bands

Patient Hoists / Aids

Patient wheelchairs / trolleys
7b. SYSTEMS
Radiology Information System (RIS) for patient registration, link to PACS and data management.
Computerised Radiography (CR) or Digital Radiography (DR) Systems including image manipulation and storage software.
Picture Archive and Communication System (PACS) for storage, access and transfer of images.
Access the internet and trust intranet via departmental PC’s / “dumb” terminals.
Use software programmes such as Microsoft “Word” and “Excel” to create documents and tables e.g. used for quality assurance and audit.
8. ASSIGNMENT AND REVIEW OF WORK

Demands for diagnostic imaging are generated by the specific service needs of each clinical area from across the board. Images must be suitable for diagnosis and archived on the PACS.
Superintendent Radiographer / Consultant Radiologist will be available to consult on a daily basis.
Superintendent Radiographers will delegate other non-clinical tasks.
A Superintendent will undertake appraisal in order to agree an annual performance development plan.
9. DECISIONS AND JUDGEMENTS
Freedom to act

Provide leadership and guidance to staff, working within area of remit, based on expert
clinical knowledge and experience

Assess and understand a wide range of clinical information from a variety of disciplines and to critically evaluate it’s relevance in relation to the post holders specialty.

To manage time effectively ensuring maximum patient throughput and quality of service.

Prioritising workload according to patient and service needs.

Problem solve (in conjunction with colleagues).

During periods of staff shortages decide on how best to use resources and call in bank/parttime
staff to ensure service demands are being met.

Aware of how quickly, controlled and stable situations can soon become emergency or
life threatening and can respond with speed and accuracy to minimise delays in
treatment / diagnosis

Be accountable for own professional actions.

Knowing when to use negotiation/persuasion/tact and diplomacy skills when dealing
with staff/patients/complaints

Delegate tasks to Band 5 & 6 Radiographers, Assistant Practitioners and support staff to achieve the desired quality of patient care and service delivery.

Provide leadership and supervision to Band 5 & 6 Radiographers, Radiographer
Practitioners and support staff.

Independently evaluate clinical information, provided by referrer, to decide whether examinations requested are “justified” (under IR[ME]R 2000 regulations). If requests are
 not “justified” discuss with referrer as appropriate.

Consider mechanism of injury and decide upon appropriate images to achieve best possible diagnostic outcome.

Can recognise abnormal appearances on images and make a decision on whether further imaging is required

Assess images for diagnostic and photographic quality

Assess mental, physical and emotional condition of patient prior to examination. Technique may
need to be adapted to suit these conditions in order to minimise risks and achieve best possible diagnostic outcome

After examination ensure patient understands procedure for receiving results, and is well enough
to be discharged from the department.

Assess staff competency levels and decide if futher/continuous supervision or training is required
 Assess and document student radiographer’s competency.

10. MOST CHALLENGING / DIFFICULT PARTS OF THE JOB

Continual multi-tasking, constantly re-appraising and prioritising workload

Provide accurate and concise written reports for clinical examinations within Scope of
Practice

Maintain high levels of concentration and accuracy at all times to reduce risk of unnecessary irradiation

On a daily basis be prepared to operate Imaging Equipment in differing and demanding environments.

Being able to manage an unpredictable work load effectively and interact successfully with fellow health care professionals and patients.

Combining training in new techniques or newly procured equipment with normal patient workload.

Aware of how quickly controlled and stable situations can escalate to become an emergency or life threatening

On a daily basis to cope with the mental and physical demands of working in acute areas, independently / single handedly, sometimes having to provide images on severely injured, abusive or violent patients.

Directly supervise and train Band 5 & 6 Radiographers, Assistant Practitioners, Student
Radiographers and Support Workers whilst maintaining a high throughput of patients.

As a Radiographer in the hospital overnight meet the high work rate demands of Accident and Emergency whilst also covering CT, Interventional / Fluoroscopy, ward radiography and urgent In Patient referrals.

Work in unpleasant conditions where there is direct contact with bodily fluids, blood borne infections, MRSA, parasites and body odours.
 Exposure to cases where the patient’s prognosis is poor.
11. COMMUNICATIONS AND RELATIONSHIPS
Patients

Provide information by explanation of oftencomplex procedures, listening to the patient’s requirements in order to encourage compliance with the imaging process e.g. concerns over radiation dose or regulations regarding pregnancy. (Daily)

Some patients will have a barrier to understanding or be unable to communicate. The post holder must try to allay fears by ensuring that patients have the benefit of informed choice.
(Frequently)

Day to day provide and receive highly complex and sensitive information, e.g. dealing with non accidental injuries in children and intra-venous drug abusers etc.

Patients will have injuries or illness that will require the adaptation of the imaging technique, utilisation of developed motivational and persuasive skills to acquire correct position and reduce mobility to produce an acceptable diagnostic image. (Daily)

Provide reassurance as to the necessity of an X-Ray examination involving a risk associated with the harmful effects of ionising radiation (Daily)

Communication skills are adapted to meet the needs of patients who may be anxious, aggressive or intoxicated, with a variety of mental and physical disabilities, in pain or with language barriers. These barriers must be overcome by using clear, comprehensive, sympathetic and persuasive skills. (Daily)

Provide adequate and up to date information on daily examination waiting times

Advise and assist Senior 2 Radiographers, Radiographers or support workers on any of the above.

Relatives/Carers

Provide reassurance and receive information. (Frequently)

Provide information using tact and diplomacy in the context of the standards of professional and personal conduct and within the regulations of the Data Protection Act. (Daily)

Ask for assistance with, and instruct in methods of immobilisation, maintaining Radiation
Protection. (frequently)

Receive informed consent from relatives to continue with an examination when a patient is unable to communicate. (Occasionally)

Advise and assist Band 5 & 6 Radiographers, Assistant Practitioners or support workers on any of the above.
Radiography Staff (internal/external)

Consult Senior Staff for advice. (Occasionally / frequently depending on clinical area)

Provide support to junior staff on re ports through the “ Commenting System”

Communicate with all staff on any aspect affecting daily management of the department.
(frequently)

Discuss department policies and suggest improvements. (Occasionally)

Delegate tasks to Band 5 & 6 Radiographers, Assistant Practitioners or support workers.
(Daily)

Pass on information relating to patient transfer to colleagues. (Daily)

Work closely with radiology nursing staff when appropriate. (Frequently / Occasionally depending on clinical area)

Consult with radiologists for advice. (Frequently / Occasionally depending on clinical area)

Advise and assist Radiographers, Assistant Practitioners or support workers on any of the above.
Medical Staff/Nurse Practitioners

Query incorrect or unnecessary referrals in order to reduce patient radiation dose.
(Frequently)

Work with A&E practitioners to assist in clinical diagnosis by producing written reports.

Liaise with medical / nursing staff, e.g. to ensure patients arriving at allocated time are correctly prepared for examination and that the appropriate mode of transport is used.
(Frequently)

Provide advice on guidelines for relevant X-ray examinations. (Occasionally)
 Provide indication as to presence of pathology e.g. “Comment System” system. (Frequently)

Seek help and advice when appropriate. (Occasionally)

Work in conjunction with consultant / theatre staff. (Occasionally)

Advise and assist Band 5 & 6 Radiographers, Assistant Practitioners or support workers on any of the above.
Student Radiographers

Decide whether the Student is capable of performing an examination safely with the patient’s consent and after suitable tuition. (Frequently)

Advise the student as to the best professional practice in any situation. (Frequently)

Providing constructive criticism to student radiographers as part of the training / assessment process. (Frequently)

Advise and assist Band 5 & 6 Radiographers, Assistant Practitioners or support workers on any of the above
Other hospital staff

Liase with porters / ambulance staff, regarding patient transfers. (frequently)

Admin and clerical staff regarding patient data. (frequently)


Security staff, during daytime or out of hours, when issues of staff or patient safety may be
Compromised. (Occasionally)

Advise and assist Radiographers, Assistant Practitioners or support workers on any of the above.
Other external staff

Service engineers. (frequently)

General Practitioners. (Occasionally)

Dental Practitioners. (Occasionally)

Advise and assist Radiographers, Assistant practitioners or support workers on any of the above.
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical Skills:

Positioning of patients demands a high degree of accuracy to minimise radiation dose i.e. avoid repeat exposure and to demonstrate the correct anatomical features required.

High concentration levels during reporting sessions.

Highly developed hand-to-eye coordination is required to manipulate imaging equipment / images.

Mobile radiography requires precise manoeuvring of large and unwieldy equipment in restrictive conditions, possibly whilst maintaining sterile “no touch” technique. This equipment is positioned using multi-planar locks which requires significant hand-to-eye coordination and spatial awareness.

Have the expertise to handle and operate highly specialised and expensive equipment.

Following the appropriate training to perform intravenous cannulation / administration for patients undergoing examinations requiring contrast media or isotopes.

Trolley setting under aseptic techniques (used for interventional / biopsies)

Be able to work with speed and accuracy when performing radiographs on a critically injured patient often prior to emergency surgery.

Possess keyboard skills for the entry of data into the RIS, CR, DR and PACS.

Load and operate the high-pressure pump injector required for CT and Angiography examinations.

Basic life support skills.

Manual handling skills.
Physical Demands:

Maintain a level of physical fitness to frequently move ceiling mounted X-Ray tubes throughout three dimensions during all shifts.

Ensuring a safe environment for both patients and staff requires that heavy lead lined doors in controlled areas are closed prior to exposure of radiation, for each examination.

Walk long distances when driving mobile X-Ray units to carry out ward radiography throughout a shift when required.

The majority of the working day / night is spent standing, walking or bending.

Frequent transfer of patients from trolleys, beds and chairs onto imaging equipment requires the use of safe lifting and handling skills, using mechanical aids when required.

Carry large cassettes to and from the X-Ray facility to the CR Reader.

Sitting for long periods of time using workstations during reporting.

Manoeuvre patients on trolleys, chairs, beds and medical gas cylinders from the waiting

area to the x-ray room and back frequently throughout the day and single handedly out of hours.

Manoeuvre cumbersome mobile image intensifiers to and from theatre and within tight spaces

Wear lead aprons during ward / theatre or fluoroscopy examinations.

Maintain a high level of alertness to ensure safe working practices are maintained at all times including out of hours shifts.

Moving heavy equipment.
Mental Demands:

A high level of concentration is required throughout all shift periods.

Working within a pressurised and busy environment whilst maintaining high concentration levels on patient care.

Continually multitasking and dealing with departmental issues whilst maintaining own clinical workload
 When carrying out “out of hours” shifts, single handedly taking responsibility for the entire radiography service, managing patients and equipment

Providing supervision / direction to other staff while carrying out personal caseload.

Prioritising workload requires diplomatic skills in discussion with referrers from a variety of clinical areas.

Should imaging equipment malfunction during an examination (for example during a theatre case), evaluate the situation and provide an immediate solution. This can lead to a highly stressful and demanding episode.

When deputising for the Superintendent 3 Radiographer takes responsibility for day to day service delivery.
Emotional Demands:

Perform radiographic examinations and care for terminally ill patients.

Provide examinations for critically injured patients in the accident and emergency department, sometimes bleeding heavily with distorted or severed limbs and/or severe burns.

Move quickly from a routine examination to an acute setting due to sudden and unpredictable demand (usually out of hours, but possibly within hours) e.g. X-Ray of a painful finger with no history of trauma to a victim of a road traffic accident requiring multiple X-rays, independently taking responsibility for the diagnostic imaging of that patient.

Perform examinations on non-accidentally injured babies and children within presence of the parent

The post holder will deal with a variety of patients (neonates, geriatrics, prisoners etc) some of whom may require extremely sensitive handling. The nature of this referral pattern can lead to unpredictable emotional demands.

Exposure to verbal abuse.

A risk of exposure to physical abuse from patients who may be confused, disorientated etc
Working Conditions:

Exposure to bodily fluids, blood borne infections, parasites, MRSA and unpleasant odours frequently throughout all shifts.

Be required to wear heavy lead rubber aprons during Fluoroscopy Procedures

sometimes in a hot theatre environment.

Risk of exposure to Ionising Radiation.

Moving from cold air-conditioned areas to hot air conditions in the working areas.

The post holder could be required to travel to other sites to carry out examinations.

Working constantly in artificial lighting with little or no natural daylight.

Periods of time spent processing data using visual display units.

Working with equipment which has constant low level noise.
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

D.C.R. or BSc in Radiography.

Pg Certificate in Appendicular and Axial Reporting.

Masters level knowledge gained through experience.

HCPC Registration.

Skills and competencies normally associated with four years clinical experience.

Evidence of Continuing Professional Development (including an up to date portfolio).

Good written and verbal communication skills.

Ability to take responsibility, make decisions and act in a supervisory capacity.

Information Technology skills.

Expert working knowledge of Ionising Radiation (Medical Exposure) Regulations 2000.

Ability to work as part of the multi-disciplinary team.

Ability to travel between sites.

Ability to maintain required level of competence within area of remit.

Ability to participate in Public holiday rotas and out of hours working
14. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each jobholder to whom the job description applies.
Job Holder’s Signature:
Head of Department Signature:
Date:
Date:

RECRUITMENT AND SELECTION STANDARDS
PERSON SPECIFICATION FORM
Post Title/Grade: Reporting Radiographer
Department: Radiology
Date:
Experience
Qualifications/
Training
ESSENTIAL

Staff supervision

Evidence of up to date plain film reporting.

BSc/ Diploma in Radiography

Pg Cert in Axial & Appendicular
Knowledge
Skills
Aptitude
Reporting

HCPC Registration

IR(ME)R 2000

Clinical Governance

PACS

Quality Assurance

Organisational skills necessary to perform the role safely and effectively.

Supervisory Skills

Team Building

High level written and verbal communication skills with a
Level of English language competency

Leadership Skills

Organistional Skills

Experience of audit

Ability to work on own
initiative

Ability to lead a small team

DESIRABLE
Experience in line management



Evidence of
CPD
Computer
Literate
Presentation skills
Ability to understand and interpret complex information.
Other

Ability to travel between sites

Team Player
MEASURE
Application
Form/
Interview
Application Form
Interview
Application Form
Interview
Application Form
Interview
Application Form
Interview
Application Form
Interview