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13.0 Openness, transparency and candour (recommendations 173 – 184)

13.1 We entirely support the demand that healthcare staff and the organisations in which they work must be honest, truthful and open in all dealings with patients and the public, and that personal and organisational interest must never outweigh this duty. We expect the radiography profession and workforce to provide full and truthful answers to questions from their patients about the clinical imaging examinations undertaken or radiotherapy given, working within their personal scopes of practice and knowledge and skills. Where patients ask questions that fall outside an individual’s scope of practice, then we expect the patient to be properly referred to an appropriate professional within or outside the clinical imaging or radiotherapy team. We have expressed these expectations clearly in the revisions we made during the past year to our Scope of Practice3 statement, and to our Code of Professional Conduct.2

13.2 Through our comprehensive local workplace representative and officer networks, we encourage our members to raise patient safety and care concerns in the workplace, using their employers’ standard procedures. Where concerns go unaddressed, we will raise matters within and outside of organisations as we deem necessary.

13.3 We understand and support the call for the duty of candour to become a statutory obligation of registered professionals, although we have reservations about the practicalities associated with this, especially how candour can be prevented from being used as evidence of civil or criminal liability. We will, therefore, be looking closely at consultations and draft legislation that relate to this matter. 

13.4 For similar concerns about the practicalities, we will examine closely draft legislation intended to establish as a criminal offence wilful obstruction of others in the performance of their statutory duties, the provision of intentionally misleading information to a patient/patient’s nearest relative, and making deliberately untruthful statements to a commissioner or regulator (recommendation 183 refers).       

  • We have revised and published our scope of practice statements for the radiography profession3 and for the assistant practitioner workforce related to radiography.4
  • We have strengthened our Code of Professional Conduct2 and addressed the need for honesty, truthfulness and openness within it.
  • We support our members in raising concerns about patient safety and care in their workplaces, and we will take these further if they are not adequately addressed.
  • As consultations and/or draft legislation related to new statutory obligations and criminal offences emerge, we will make full and considered responses on behalf of the radiography profession and wider workforce.


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