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This guidance is issued jointly by the British Society of Paediatric Radiology (BSPR) and the Society and College of Radiographers (SCoR) in response to concerns raised by radiologists and radiographers regarding safe and effective immobilisation of children particularly during skeletal surveys for suspected non-accidental injury. There have been instances of parents attempting to blame radiographers for injuries sustained by the child and this guidance provides additional information pertinent to this. It should be read alongside Guidance for Radiographers Providing Forensic Radiography Services (2010) and Skeletal Survey for Suspected NAI, SIDS and SUDI: Guidance for Radiographers (2009) which provide detailed guidance and advice for radiographers undertaking skeletal surveys for suspected non-accidental injury. Both documents are available on the website in the policy and guidance document library along with other general guidance and advice on imaging children. Similarly guidance from the Royal College of Radiologists is available at under Clinical Radiology publications and guidance.

All members of the imaging workforce have a ‘duty of care’ and are accountable for promoting and protecting the rights and best interests of their patients. Where the use of restraint, holding still and immobilisation of children is concerned, consideration must be given to the rights of the child and the legal framework surrounding children’s rights, including the Human Rights Act (Human Rights Act 1998) and the European Conventions on the Rights of the Child, Consent and Capacity Assessment (UN Convention on the Rights of the Child (1989)).

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