Advancing practice radiography education in the UK: An analysis of themes from higher education programmes

INTRODUCTION: The development of radiographers to the enhanced, advanced and consultant levels relies on appropriate post-registration education to develop capabilities across four pillars of practice. In an evolving landscape, higher education institutions (HEIs) need to ensure provision is viable, meets demand, and aligns with professional frameworks. This study aimed to scope the current UK post-registration radiography provision to support advancing practice and explore future directions and challenges in delivery. METHODS: The multi-method qualitative study comprised two stages. Content analysis was undertaken of online information pertaining to programmes. Semi-structured online interviews were undertaken with HEI representatives from programme teams. Content and frequency analysis of education provision and thematic analysis of interviews using Braun and Clark's methodology was undertaken. RESULTS: 49 post-registration radiography programmes, at 25 HEIs, were identified during content analysis. Ultrasound, projectional radiograph reporting, and breast imaging were well provided for, yet options in radiotherapy, nuclear medicine, and DXA were limited, especially outside of England. 16 (64 %) of HEIs were represented at interview and four key themes were identified; sustainability and viability of provision, fragmentation of provision, ambiguity of levels of practice and accreditation, and addressing the four pillars of practice. CONCLUSION: HEIs have identified significant challenges to viability of provision, placing programmes at significant risk. Saturation of some areas of practice, uncertain funding streams, and low student numbers were perceived to present a challenge to the sustainability of UK post-registration radiography education. The provision, and how it meets the requirements of the advancing practice workforce, presents a very mixed picture. IMPLICATIONS FOR PRACTICE: Without a sustainable and collaborative approach to post-registration radiography education, support for the future advancing practice workforce is under threat, particularly in some discipline areas.