Progress report on integrating skill mix: the college perspective

Pilot testing of the '4 Tier Structure' for radiography in mammography screening has been completed in four sites. A number of positive outcomes have been identified and there are proposals to introduce the model to other sites. A framework for pay and conditions of service for radiographers at all levels will be presented to underpin the new structure. The scope of the pilots included development of all four tiers, including lead/consultant practitioner. Criteria for consultant therapists have been developed and guidance for employment issued by the Department of Health. The paper will discuss the opportunities for the consultant radiographer role within the screening service and consider the implications for future service delivery.