“…To implement sustainable adoption of the role nationally has required substantial research to ascertain its value against the environmental backdrop of annual reduced scal investment 300 in NHS healthcare services. The evidence (micro-level) to support the advanced practice education and training, 38,42,46,157,173,233,250,276,278,283,301 and the e cacy and ability of radiographers in the role to perform to high standards has been well conceived (table 6) and designed, 37,39,104,105,111,119,[302][303][304][305] assessed, 38,43,44,[46][47][48]51,54,58,106,150,174 and its associated downstream impact on cost 58,59,219 and patient treatment and management [53][54][55][56][57]190,200,206,306 has been critical to the success of the national roll-out and implementation of the role since 1995.…”