Diagnostic radiographer at Lewisham and Greenwich NHS Trust

The job at Lewisham and Greenwich NHS Trust

Diagnostic radiographers produce and interpret the medical images that let clinicians see inside the body. They operate X-ray equipment, CT and MRI scanners, fluoroscopy, ultrasound and nuclear medicine cameras, positioning patients accurately, justifying and optimising radiation dose and checking image quality. The work mixes technical precision with fast-moving patient care, from trauma imaging in the emergency department to theatre, wards, clinics and screening programmes. Experienced radiographers report images, lead ultrasound lists and take on advanced practice roles. Patients of all ages, from newborns to older people, who need imaging for diagnosis, screening, monitoring or image-guided treatment, including trauma, cancer, cardiac and emergency patients.

At an acute trust such as Lewisham and Greenwich NHS Trust, that work means an acute hospital caseload — inpatients on the wards, emergency and critical care, theatres and diagnostics, and hospital outpatient clinics, with the working day shaped by admissions, ward rounds and discharge planning. Newly qualified posts here are usually rotational: four to six months at a time in a different clinical area, which is how you find out what you want to specialise in before you commit. Across the profession as a whole, diagnostic radiographers work in settings including NHS acute trust imaging department, emergency department, operating theatres, CT and MRI units and nuclear medicine — an organisation of this type will run some of those services and not others, which is why two posts with the same job title in the same city can be very different jobs.

Pay is not an employer decision. Agenda for Change is negotiated nationally and set separately in each of the four nations, so Lewisham and Greenwich NHS Trust pays band 5 exactly what every other NHS employer in England pays it: £32,073 at the bottom of the band on the 2026/27 scale. For context, median full-time pay across all occupations in London was £49,692 in 2025. What genuinely differs between two employers is the caseload, how rotations are structured, how much protected time you get for supervision and continuing professional development, how much band 6 progression is built into the establishment, and how far you travel between sites. Those are the questions worth asking at interview.