The forensic radiographic skeletal survey is the principal radiological investigation in suspected child abuse. Images are frequently presented as diagnostic evidence in child protection cases, criminal proceedings and other types of litigation.

The high technical standards required for a skeletal survey place very significant demands on the imaging department(2). [2]The examination is time consuming and may be distressing for all concerned. Consideration and support should be given to the radiographers, nurses and other healthcare staff responsible for the child’s welfare while in the imaging department. This is a difficult examination and every effort should be made to put the child and parents/guardians at ease.

In performing forensic skeletal surveys, radiographers should be aware of the following legislation and guidelines:

• Guidance for Radiographers Providing Forensic Radiography Services(1). [2]
• The Child and the Law: The Roles and Responsibilities of the Radiographer(3). [2]
• Sudden Unexplained Death in Infancy(5). [2]
• Standards for Radiological Investigations of Suspected Non-accidental Injury(2). [2]
• Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) 2000(7). In addition, all staff must follow their own local rules written under IR(ME)R.
• Additional legislation is available from the Scottish Government Health Department, Welsh National Assembly and Northern Ireland Department of Health and Social Services.