Includes failures in outsourced or other out-of-hours radiological reporting processes, including inaccurate or poor-quality reports, missed clinically significant findings and inadequate reporting controls that affect the reliability of interpretation provided to treating clinicians.
What is not included
Excludes general radiology interpretation failures where the out-of-hours reporting context is not material.
Excludes radiology referral, report-transmission, follow-up or action failures where the report itself was accurate and the deficient control is downstream communication or clinical response.
Excludes delays or capacity shortages in imaging acquisition where the radiological reporting process is not deficient.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
County Durham and Darlington NHS Foundation Trust1
Department of Health and Social Care1
Mid Yorkshire Teaching NHS Trust1
NHS England1
Royal College of Radiologists1
Stockport NHS Foundation Trust1
Tameside and Glossop Integrated Care NHS Foundation Trust1
Telemedicine Clinic Limited1
University Hospitals Sussex NHS Foundation Trust1
NHS trust5
Executive non-departmental public body1
Health professional body1
Ministerial department1
Private limited company1
Reports and published responses 6 reports
See individual reports that have raised this concern, and the actions taken in response
West Yorkshire Western
Concerns raised1
Lack of paediatric radiology expertise in out-of-hours imaging interpretation
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Mid Yorkshire Teaching NHS Trust
Telemedicine Clinic Limited
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.10
Mid Yorkshire Teaching NHS Trust
Reinforce clinician-to-radiologist communication processes for complex cases and maintain audit and peer review of radiology reports.
Telemedicine Clinic Limited
Roster a senior radiologist on every emergency shift for immediate peer consultation, second opinions, clinical discussion, and escalation support.
Telemedicine Clinic Limited
Encourage structured standard reports for CT head examinations to support systematic assessment of key infant imaging features.
Telemedicine Clinic Limited
Conduct retrospective senior-consultant second readings of all paediatric CT examinations within the same shift and monitor capacity constraints.
Telemedicine Clinic Limited
Provide prospective double reading for all paediatric CT scans involving children aged 0–5 years.
Telemedicine Clinic Limited
Share governance learning within the Emergency Radiology service on infant CT limitations and explicit escalation advice.
Telemedicine Clinic Limited
Increase prospective second reading for high-risk paediatric CT brain examinations, particularly for specified under-five neurological, infection, or safeguarding presentations.
Telemedicine Clinic Limited
Engage the client about service needs and discuss whether introducing or expanding prospective double reading would benefit its service.
Telemedicine Clinic Limited
Formally recognise scope-of-practice limitations and encourage radiologists to state when subspecialist review or further imaging is recommended.
Telemedicine Clinic Limited
Review the effectiveness of second-reading processes and escalation pathways during 2026 and report findings through clinical governance.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Mid Yorkshire Teaching NHS Trust
Routine overnight access to subspecialist paediatric radiology reporting is unavailable within West Yorkshire.
Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
Telemedicine Clinic Limited
General consultant radiologists supported by governance and escalation safeguards are considered appropriate; complete elimination of paediatric imaging risk is not expected.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester South
Concerns raised1
Failure to identify relevant findings in out-of-hours CT scan reports
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
Stockport NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Stockport NHS Foundation Trust
Continue engaging in REALM meetings to review complex cases and promote diagnostic excellence.
Stockport NHS Foundation Trust
Maintain an incident review and escalation framework for radiology discrepancies, including those involving external providers.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Stockport NHS Foundation Trust
The claim that Medica scan errors had occurred previously may reflect subjective observation, not a comprehensive assessment of reporting standards.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Stockport NHS Foundation Trust
Existing contractual controls, audits, governance, escalation, and acceptable accuracy thresholds are considered sufficient; no outstanding reporting concerns remain.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Stockport NHS Foundation Trust
Medica retains responsibility for its radiology reports; further concerns about their content or conclusions should be directed to Medica.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
County Durham and Darlington
Concerns raised1
Inadequate quality and accuracy of outsourced out-of-hours radiological reporting
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Delays in carrying out and reporting CT scans due to insufficient suitably qualified radiology staff
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Department of Health and Social Care
NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Department of Health and Social Care
NHSE and local integrated care bodies are responsible for addressing the concerns about treatment at Wythenshawe Hospital.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
NHS England
Greater Manchester Integrated Care provides the relevant services, while its Integrated Care Board decides commissioned health services.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
Concerns raised1
Insufficient equipment for urgent out-of-hours imaging reporting from home
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
Royal College of Radiologists
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Royal College of Radiologists
Revisit radiology informatics guidance to verify that imaging equipment specifications are clear and unambiguous.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Royal College of Radiologists
Local clinical governance protocols are responsible for ensuring imaging reports use equipment meeting minimum clinical requirements.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Royal College of Radiologists
Publicly available guidelines already set minimum equipment requirements for reviewing and reporting imaging investigations on and off site.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Brighton and Hove
Concerns raised1
Failure to identify mesenteric thrombi in overnight radiology practice
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
University Hospitals Sussex NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.5
University Hospitals Sussex NHS Foundation Trust
Remind radiologists and trainees to specifically assess the superior mesenteric artery when investigating suspected ischaemic bowel.
University Hospitals Sussex NHS Foundation Trust
Change radiology protocols to use thinner two-plane reconstructions for improved regional visualisation.
University Hospitals Sussex NHS Foundation Trust
Require next-morning Consultant review of overnight scans reported by pre-FRCR Part 2b trainees.
University Hospitals Sussex NHS Foundation Trust
Enable discretionary next-morning Consultant review of scans reported overnight by post-FRCR Part 2b trainees.
University Hospitals Sussex NHS Foundation Trust
Re-present the case through the REAL radiology learning and case-review meeting.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
University Hospitals Sussex NHS Foundation Trust
The missed embolus was difficult to diagnose, perception errors can occur, and no particular reporting pressure, interruption or distraction was identified.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.