biostudies-literatureUnknown25(1)Lockwood P<h4>Background</h4>The National Healthcare Service (NHS) radiology service delivery in London is representative of the current pressures and challenges faced in England of Musculoskeletal (MSK) X-ray reporting workforce shortages, and national turnaround time (TATs) targets. The implementation project evaluated facilitation as a strategy to achieve the NHS England 50% target for all MSK X-rays to be reported by radiographers.<h4>Methods</h4>The project was an eight-month multi-centre (n = 5 London NHS Trusts) study applying the Promoting Action on Research Implementation in Health Services (PARIHS) framework with embedded mixed-methods evaluation. Initial observational data using the Context Assessment Index (CAI) tool and the Workplace Culture Critical Analysis Tool (WCCAT) set the implemBMC health services research248https://www.ebi.ac.uk/biostudies/studies/S-EPMC11827166biostudies-literatureAn implementation facilitation intervention to improve the musculoskeletal X-ray reporting by radiographers across London.PMC11827166Lockwood PCompton EBurton CHayes NShaw TWoznitza NPatterson SGroombridge HO'Brien AMane UfalseAn implementation facilitation intervention to improve the musculoskeletal X-ray reporting by radiographers across London.<h4>Background</h4>The National Healthcare Service (NHS) radiology service delivery in London is representative of the current pressures and challenges faced in England of Musculoskeletal (MSK) X-ray reporting workforce shortages, and national turnaround time (TATs) targets. The implementation project evaluated facilitation as a strategy to achieve the NHS England 50% target for all MSK X-rays to be reported by radiographers.<h4>Methods</h4>The project was an eight-month multi-centre (n = 5 London NHS Trusts) study applying the Promoting Action on Research Implementation in Health Services (PARIHS) framework with embedded mixed-methods evaluation. Initial observational data using the Context Assessment Index (CAI) tool and the Workplace Culture Critical Analysis Tool (WCCAT) set the implem2025-01-01T00:00:00Z2025 Feb2025-04-04T11:58:04.479Z2025-04-04T11:58:04.479ZS-EPMC118271663994854010.1186/s12913-025-12356-x