Examining the feasibility of advanced practice radiation therapy roles within the Singaporean healthcare arena: a joint UK-Singapore study

Abstract

Background: Advanced clinical practice in UK healthcare has matured over recent years. The field now promotes multi-professional working and flexibility in patient care, which are significant factors of the modern healthcare workforce, due to the ongoing shortage of clinicians nationwide. In radiation oncology, the advanced practitioner radiographer role has been pivotal. Observing a rising necessity for similar roles in Singapore, officials from the National University Health System, Singapore, conducted a scientific visit to the UK to explore the implementation of UK advanced practice radiation therapist roles. Aims: The objective of the trip was to explore and learn about the infrastructure of the advanced practitioner radiographer role in the UK, with a view to establish similar positions in Singapore and improve service delivery within its healthcare system. Methods: During the scientific visit, Singaporean experts engaged in collaborative discussions with UK expert practitioners. These interactions centred on legislative frameworks, their applications and the educational aspects associated with the advanced practitioner radiographer role. The specialists visited various hospitals and a university to gain deeper insights. Following the visit, a survey was conducted among the Singaporean experts to gather comprehensive feedback regarding the visit. Findings: Active participation in the visit led to the researchers gaining a nuanced understanding of the UK's advanced practitioner radiographer role, and whether an equivalent advanced practice radiation therapist framework could be feasibly implemented in Singapore. The insights garnered will be instrumental for strategic planning, addressing service gaps and fostering advancements in Singapore's healthcare system. Conclusion: Adaptive governance of advanced practice is essential. Learning from the UK's intricate models can guide robust policy formulation and professional role development in Singapore. This can help to facilitate the national establishment of advanced practice radiation therapist roles, supported by suitable education and accreditation structures.