title: Evaluation of paediatric radiology services in hospitals in the UK.
abstract: OBJECTIVE
  To compare paediatric radiology provision across the UK with national standards published by the Department of Health and the Royal College of Radiologists (RCR).
  
  
  METHODS
  Audit standards and indicators for paediatric imaging were derived from "Delivering quality imaging services for children",1"Standards for imaging in cases of suspected non-accidental injury"2and "Improving paediatric interventional radiology services"3and agreed jointly by the Clinical Radiology Audit Committee and the British Society of Paediatric Radiology. A questionnaire was sent to all hospitals and NHS trusts imaging children aged 16 or younger in the UK in October 2013. The target for all indicators was 100%. Eighty-seven of 196 (44%) eligible institutions submitted data, the size distribution of the institutions was representative when compared to data from "Facing the future: a review of paediatric services"4published by the Royal College of Paediatrics and Child health.
  
  
  RESULTS
  Only 65% of paediatric images were obtained by staff who had had specific training and only 60% were reported by radiographers or radiologists with appropriate training. Sixty-two percent of centres did not have access to a paediatric opinion 24 hours a day, 7 days a week all year; only 34% of radiographers who regularly imaged children had had any access to continuing professional development (CPD) in the 12 months of the audit. Although all hospitals had facilities for image transfer, only 57% had any formal funding arrangements in place for external reporting of images.
  
  
  CONCLUSIONS
  The standards set for a network approach to paediatric radiology provision in "Delivering quality imaging services for children" are largely unmet. This failure to make the most of the workforce and resources puts vulnerable children at risk. The authors urge NHS England to work with the RCR to organise and administer a national network for paediatric imaging.
authors: Paediatric Radiology, Queens Medical Centre, Nottingham NG7 2UH, UK.
authors: K
authors: K
authors: Halliday
authors: The Royal College of Radiologists, London WC2A 3JW, UK. Electronic address: karl_drinkwater@rcr.ac.uk.
authors: K
authors: K
authors: Drinkwater
authors: Radiology, East Sussex Hospitals NHS Trust, Eastbourne, East Sussex BN21 2UD, UK.
authors: D C
authors: DC
authors: Howlett
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006761:Hospitals / Q000592:standards*; D006801:Humans; D007223:Infant; D010372:Pediatrics / Q000592:standards*; D011871:Radiology / Q000592:standards*; D011872:Radiology Department, Hospital / Q000592:standards*; D015642:Radiology, Interventional / Q000592:standards; D006113:United Kingdom