The 4-tier model for new ways of working in breast radiography has now been in place for 2 years. The role of the assistant practitioner is established and eight practitioners are in post.

Advanced practitioners remain diverse, with differences in role extension appropriate to the departments where they work. The role of the lead practitioner has yet to be clearly defined.

I will explore the experiences of the four pilot sites, particularly with regard to their differing needs for advanced practitioners. I will discuss the training and continuing professional development for radiographers undertaking this role extension.