Guidelines and recommendations for radiographer staffing from the EU-REST project

Abstract

Abstract: This article outlines the radiographer workforce and staffing recommendations developed by the European Commission-funded EU-REST (European Union Radiation, Education, Staffing and Training) project. Focusing on radiographers in medical imaging, nuclear medicine, and radiotherapy, the project identified gaps in workforce planning across EU member states. Evidence-based guidelines to harmonise radiographer staffing levels and improve safety and quality in medical settings are proposed. A structured, workload-based approach for radiographer staffing using the World Health Organization’s Workload Indicators of Staffing Need (WISN) method, offering a comprehensive framework to optimise workforce planning, is outlined. The study emphasises the critical role of radiographers, who are increasingly involved in advanced and extended roles, driven by technological advancements, demographic changes, and evolving healthcare demands. However, challenges in defining workforce requirements persist due to the lack of standardised methodologies, leading to fragmented staffing guidelines. National registries to track workforce data and the recognition of emerging roles for radiographers, such as clinical research radiographers, academics, and advanced practitioners, are also recommended. By addressing these emerging needs and incorporating them into workforce planning, the study aims to enhance professional development and improve patient outcomes across EU member states. General recommendations for all professional groups include the maintenance of a central registry for each professional group and for relevant equipment by each EU Member State. Critical relevance statement: The radiographer workforce/staffing guidelines and recommendations developed by the EU-REST project propose a standardised approach to calculate radiographer staffing levels and provide recommendations regarding new and emerging professional roles and the need for centralised workforce data registries. Key Points: Limited data is available to facilitate comprehensive radiographer workforce planning across Europe. A structured, workload-based approach for radiographer staffing using the World Health Organization’s Workload Indicators of Staffing Need method is proposed. Improved data will support workforce planning and the appropriate recognition and utilisation of emerging and advanced professional roles.