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Clinical Governance

It is the responsibility of the employer, the supervising healthcare practitioner and the assistant practitioner to ensure that the quality of care is delivered and maintained to a high standard. The following must therefore be observed and implemented:

  • Outcomes of care, especially adverse events and service failures are monitored in order to analyse and improve services.
  • Clear lines of responsibility and accountability are established for the overall quality of clinical care.
  • Skill mix is considered when planning and developing workforces in imaging and radiotherapy services.
  • Risk assessments are undertaken before new roles and working practices are developed and introduced.
  • Protocols are developed and agreed locally (with the employer, as appropriate) before skill mix initiatives are implemented.
  • Evidence based practice is supported and applied routinely in everyday practice.
  • Continuous professional development programmes are in place to identify and meet the developmental needs of the individual health professional.

It is important that the work of assistant practitioners is subject to the same clinical audit processes as for other members of the workforce. Extension of the role and scope of practice of the assistant practitioner will be considered by SCoR on the basis of robust research and audit data to support such a proposed change.

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