Patient/Client Care Ensure efficient service provision through: Supporting appropriate scheduling of work (rotas for scanning, reporting, quality assurance and maintenance) by type and degree of urgency for both the hospital based scanner and the mobile DXA service. Assisting / leading in the management of work schedules of clinic staff. Supporting administrative procedures that are in place. Cooperation with colleagues throughout the Trust. Contribute to developing and improving the service, working with other staff to achieve this. Supporting and participating in all clinical aspects of the Healthy Bones Service: Supporting clinicians or signposting in referral, reports and advice on all aspects of bone densitometry where appropriate Participating in audit and research carried out by the Healthy Bones service Be responsible for independently carrying out a full range of patient investigations using the DXA scanner, including: Ensure patients meet the criteria to receive a DXA Scan. Where appropriate, ensure the patient has completed the Healthy Bones questionnaire. Explain the investigation and its purpose to patients, relatives and colleagues. Where necessary obtain additional clinical history and complete patient information sheets. Scan patients and assess the resulting images for adequacy, according to departmental procedures. Analyse scans using specialised computer software, ensuring that regions of interest are correctly selected and that any artefacts which may possibly reduce the reliability of the result are identified. Be responsible for independently interpreting the results from investigations carried out on the DXA scanner and provide a report of the subsequent diagnosis to the referrer, including; Assess the scan images for unusual features which could affect normal interpretation and comment on these, when appropriate, in the report. Decide on the appropriate normal range, from published guidance, to apply to a particular subjects results and provide a report of the diagnosis based on this. Provide treatment advice according to written departmental protocols. Review referrals and authorise them for scanning, under protocol, if they are justified. Carry out quality assurance tests on the equipment. For further details please see the attached JD & PS.