In accordance with the Ionising Radiations Regulations 2017 (IRR17), it is an offence to use dental X-ray equipment without registering with the Health and Safety Executive (HSE). This applies to all four nations, and a registration fee is applicable (except in Northern Ireland).
IRR17 replaced IRR99, with one significant difference between the two pieces of legislation being the introduction of a graded approach to radiation risk. This means that regulatory control is "proportionate to the size and likelihood of exposures resulting from work".
There are three tiers to the graded approach:
- notification - for low risk activities
- registration - for work with radiation generators, including X-ray devices
- consent - for the highest risks, such as industrial radiography (not appropriate for routine work with dental X-ray equipment).
Owners of multiple dental practices can submit a single application for all sites under their control where they carry out work with ionising radiation. More information can be found at the HSE website.
Another helpful document is 'Guidance notes for dental practitioners on the safe use of X-ray equipment (2nd edition)', produced by Public Health England and the Faculty of General Dental Practice (UK).
Code of practice
A successful registration will require the applicant to confirm that they understand their regulatory requirements under IRR17.
The HSE has produced a Code of Practice and Guidance for employers and contractors and it's a good idea to review this before starting the application process. Dental practices may also wish to consult their Radiation Protection Adviser (RPA) before submitting the online application.
Once obtained, evidence of registration must be retained in the practice.
Compliance
Failure to comply with IRR17 could have serious implications. Bear in mind that the GDC's Standards for the Dental Team (1.9) says, "You must find out about laws and regulations that affect your work and follow them".
The CQC, HIW, HIS or RQIA may also ask for evidence that you are compliant with the latest radiation regulations.
This page was correct at publication on 24/03/2022. Any guidance is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.