Collaborative Ultrasound Manifesto

Ultrasound is an essential component of UK healthcare, supporting diagnostics, screening, monitoring and treatment across almost every clinical specialty. Yet ultrasound services face increasing pressure from workforce shortages, inconsistent training structures, variable governance, ageing equipment, and slow adoption of innovation. These challenges are systemic and cannot be resolved by any single profession or organisation.

To address them, AXREM, the British Institute of Radiology (BIR), the British Medical Ultrasound Society (BMUS), the Institute of Physics and Engineering in Medicine (IPEM), and the Society of Radiographers (SoR) have formed a collaborative working group representing clinical, scientific, educational and industry expertise.

This manifesto sets out shared priorities, identifies barriers to safe and sustainable ultrasound delivery, and defines coordinated actions needed to ensure high‑quality, equitable ultrasound services—now and for the future.