Radiology vetting doesn’t have to live in your inbox.
RadFlow is a web-based platform that brings referral intake, assignment, clinical review, and reporting into a single controlled workflow. Built for the operational reality of radiology services — not adapted from a generic tool.
The scale of the challenge — and why a structured vetting workflow matters.
Sources: NHS England Diagnostic Imaging Dataset, Annual 2024/25 (published August 2025). Royal College of Radiologists, Clinical Radiology Workforce Census 2024.
Sound familiar?
Under the Ionising Radiation (Medical Exposure) Regulations 2017 (IR(ME)R), every CT scan, X-ray, and nuclear medicine examination carried out in the UK must be individually justified — with documented evidence that the clinical benefit outweighs the radiation risk. That is not a best practice recommendation. It is a legal obligation.
In England alone, that means 8.3 million CT scans per year — each one requiring a practitioner to review, justify, and record a decision. Most services are doing this through a combination of email threads, shared spreadsheets, and RIS workarounds that were never designed for the task.
- Referrals arrive by email with no consistent format and nowhere central to track them.
- Chasing status means interrupting the radiologist or trawling a thread for the last update.
- Turnaround data lives in someone’s spreadsheet — if it exists at all.
- When an audit comes, pulling the documented justification trail together takes hours.
- In teleradiology environments, limited RIS access makes the problem worse — not better.
With a 29% shortfall in clinical radiologists across the UK — and not a single department currently meeting its reporting requirements within contracted hours — the efficiency of the vetting workflow is no longer a back-office concern. It is a clinical and operational priority.
One platform. Every step covered.
RadFlow handles the full vetting cycle — intake, assignment, review, and reporting — without switching between systems. Each step is designed around how radiology teams actually work.
Structured referral intake
Every referral enters through a consistent form — with the fields, attachments, and clinical context that vetting practitioners actually need. No more chasing missing information after the fact.
- Configurable intake forms by modality and pathway
- File attachments supported from submission
- Automated intake from referral emails — coming in next development phase
Clear assignment and ownership
Every case has an owner. Admins assign referrals in one click, and the practitioner sees their queue immediately — no email required.
- Assign to any practitioner in seconds
- Case status visible to admin at all times: pending, assigned, decided, reopened
- Reassign or reopen without losing the audit trail
A review screen built for speed
The practitioner view is designed to minimise friction — four clicks from opening a case to recording a justified decision, with a full audit trail created automatically at every step.
- Referral attachment open alongside the decision form
- Record IR(ME)R justification, protocol, and notes in one step
- Justification reports include the exact scan protocol based on local agreement
- Mobile-compatible — decisions can be made on the go
Reporting that is always ready
Dashboard, PDF, and CSV exports are built in — so turnaround performance and audit evidence are available without any manual compilation.
- Live dashboard showing volume, status mix, and workload by practitioner
- PDF dashboard report ready to share with clinical leads or management
- CSV exports for case data and event history — for audit, governance, and CQC inspection
Designed for the people who run radiology services.
Full queue visibility, no chasing.
See your entire referral queue at a glance. Know what is outstanding, who owns it, and where turnaround times are under pressure — without chasing individuals or rebuilding a spreadsheet every week.
A focused workspace, not more friction.
A clean workspace that shows you exactly what is assigned to you and lets you record a justified decision in four clicks. Designed to reduce the friction of high-volume vetting work — not add to it.
Audit-ready records, always.
A credible, audit-ready record of every IR(ME)R justification decision — with turnaround data, workload visibility, and export-ready reports that support governance, waiting-time monitoring, and performance conversations.
Built for IR(ME)R compliance from the start.
The Ionising Radiation (Medical Exposure) Regulations 2017 (IR(ME)R) require every medical exposure to ionising radiation to be individually justified by a practitioner — with documented evidence that the clinical benefit outweighs the radiation risk. This applies to every CT scan, plain X-ray, fluoroscopy procedure, and nuclear medicine examination carried out in the UK.
RadFlow is designed around that requirement. Every justification decision is captured, time-stamped, and linked to the practitioner who made it — automatically, as part of the workflow rather than as a separate documentation task. The audit trail is there when you need it: for CQC inspections, peer review, or IR(ME)R compliance evidence.
- Organisation-scoped access model — owner, admin, practitioner, and coordinator roles
- MFA with TOTP authenticator app, enforceable for all admin-capable accounts
- Complete event history — every case action and notification recorded with timestamp and user
- IR(ME)R-aligned justification records with protocol and clinical notes
- Azure cloud hosting with UK data residency and configurable data retention
- DPIA and supplier security documentation available on request
Works alongside what you already have.
RadFlow focuses on the referral and vetting layer — the part of the pathway that typically lives in inboxes, spreadsheets, and manual processes rather than in your RIS or PACS. It does not try to replace the systems you depend on. It closes the gap between them.
For teleradiology environments where direct RIS access is limited or unavailable across client sites, RadFlow provides the structured workflow layer that allows vetting to happen cleanly and consistently, regardless of the underlying systems at each location.
A platform that keeps moving.
RadFlow is in active development, with a roadmap focused on reducing manual input and expanding the channels through which referrals can reach the platform.
- Automated email intake — referrals arriving by email will create cases directly, with attachments, eliminating manual data entry at the point of receipt
- Outcome and follow-up communication — sending vetting outcomes back to the referrer from within the platform
- Deeper integration options — connecting intake and outcome data with existing RIS, PACS, and reporting systems
Common questions about RadFlow
Is RadFlow designed for IR(ME)R compliance?
Is RadFlow suitable for NHS use?
Does RadFlow replace our RIS or PACS?
Can we pilot RadFlow on a single pathway before any wider commitment?
We are a teleradiology service with limited RIS access at client sites. Does RadFlow work for us?
See RadFlow on your service’s referrals.
Send us a short note about your current vetting process — volumes, modalities, the friction points — and we will arrange a focused demo around your service.