Services using ionising radiation for medical purposes e.g. X-ray

Ionising radiation in healthcare is used in three ways:

1. Diagnostic radiology, which uses X-ray machines to obtain images of the inside of the patient’s body
2. Nuclear medicine, which uses radioactive substances introduced into the patient for diagnosis or treatment
3. Radiotherapy, which uses many types and sources of ionising radiation to cure or relieve symptoms of cancer and other diseases

These three areas are covered by the Ionising Radiation (Medical Exposure) Regulations 2017 (as amended) (IR(ME)R), which provide a framework to protect patients.

All independent healthcare services using ionising radiation must comply with IR(ME)R.

How we monitor compliance

HIW are responsible for monitoring compliance against IR(ME)R, we do this by:

• Inspecting services using ionising radiation
• Reviewing incidents notified to us that result in a significant additional or unintended exposure

How we inspect

We look at how Independent healthcare services using ionising radiation:

• Comply with the Ionising Radiation (Medical Exposure) Regulations 2017 (as amended) (IR(ME)R)
• Meet the National Minimum Standards for Independent Health Care Services in Wales.
• Comply with the Care Standards Act 2000
• Comply with the Independent Health Care (Wales) Regulations 2011
• Meet other relevant professional standards and guidance (where applicable)

Our inspections of independent healthcare services using ionising radiation are usually announced. Services receive up to twelve weeks notice of an inspection.

The inspections are conducted by at least one HIW inspector and are supported by a Senior Clinical Officer from the UK Health Security Agency (UKHSA), acting in an advisory capacity. 

If you would like a copy of our inspection workbook please contact HIW.Inspections@gov.wales quoting which type of inspection workbook you require.