Guidance

Nurse Practitioners and AHPs requesting x-ray and ultrasound investigations

Nurse practitioners and AHPs can become qualified and registered to organise x-ray and ultrasound investigations.

To be able to request these investigations there are several steps which the GP practice and clinician have to go through.

  • The practice has to have a protocol in place for non-medically qualified clinicians to make x-ray requests and ultrasound request- an example this protocol is available here.
  • The practice should be signed up to the local radiology provider’s policy for non-medical radiology requests- an example policy from ULHT is available here.
  • The individual clinicians have to have completed an Ionising Radiation (Medical Exposure) Regulations (IRMER) course and have an up to date certificate from this (an e-IRMER course is available from e-Learning for Health) covering these topics.
    • 00_01_01 – Making the most of e-IRMER
    • 00_01_02 – Introduction to radiation protection
    • 01_01_01 – Properties of radiation
    • 01_02_01 – Biological effects
    • 01_02_02 – Biological effects at high doses
    • 01_02_03 – Radiation units
    • 01_02_04 – Radiation doses
    • 01_02_05 – Risk vs. benefit
    • 01_03_01 – Special circumstances
    • 02_01_02 – General radiation protection and dose reduction
    • 03_01_01 – IRR99 and other regulations
    • 03_01_02 – IR(ME)R 2000 2000
    • 03_01_03 – Risk assessments
    • 03_03_01 – Clinical audit
  • The clinician should send their IRMER certificate along with an application to be a non-medical requestor to their local radiology department- an example application is attached to the practice protocol as Appendix A.
  • The clinician also needs to complete Appendix 1 of the “Policy for requesting ultrasound examinations for non-medical advanced practitioners in primary and community care” and send this to the radiology department of their local provider.

For ULHT these applications should be sent to Julie.baddon@ulh.nhs.uk.

For NWAFT contacts are david.truman@nhs.net and d.hosking@nhs.net

Best practice guidelines for NOUS Referral Guidance for Primary Care is available Best practice guidelines for NOUS Referral Guidance for Primary Care FINAL DRAFT.

First Published
4 May 2023
Updated On
12 February 2024
Due to be Reviewed
4 May 2024
Not signed in.

Please Login or Register an account to access the ability to favourite this.
Share this article

You might also find this useful...

National MMR catch-up campaign
National MMR catch-up campaign
17 February 2024
This article provides clarification on the following MMR issues: Requests for bringing forward MMR doses. Requests for MMR doses in adults including HCWs. MMR requirements for GP Practice staff National…
Cont. Reading