Enhanced-level practice employs a higher level of clinical skills beyond those obtained for initial registration, for example, developing clinical skills training with the underpinning completion of PGC or PGD education. Enhanced level practice makes a significant and essential contribution to patient care and clinical services but does not necessarily meet advanced level across all of the four pillars of advanced practice. Following a 2019 survey by Health Education England (HEE), work to develop the use of the term ‘enhanced-level practice’ has been regarded as a positive move for patients and healthcare. HEE are currently undertaking work with stakeholders to define the notion and understanding of enhanced-level practice across the healthcare professions.

It is likely that enhanced-level practitioners will be expected to be working at Agenda for Change pay Band 6 or 7, depending on their roles and responsibilities, with Band 7 reflecting roles with responsibility for independent reporting or similar activities. Enhanced-level practitioners will not be expected to complete full MSc or Doctoral-level study, unlike advanced and consultant practitioners (although that remains an option for individuals). Expected pay bands depend on skills and responsibilities, likely 8a for advanced practice radiographers and 8b to 8d for consultant radiographers. Further comment is included in a recent editorial in Radiography Journal Enhanced practice: A strategy to resolve the inconsistencies in advanced practice implementation (radiographyonline.com)

Alongside stakeholder work for enhanced practice, the College of Radiographers is working to review the Education Career Framework for diagnostic and therapeutic radiography. The framework, which is due for publication in 2022, will include enhanced-level practice. The SoR is one of the range of professional bodies involved in the HEE multi-professional enhanced-level practice working group, from which further updates will be provided via Synergy News as work progresses.