The four-tier system: the ups and downs of getting there

This poster will describe the pathway the South Essex Breast Screening Service/Southend Breast Unit took to introduce the radiographers' four-tier system. This will be set out as a board game of snakes and ladders highlighting the successes and setbacks we encountered, and how we started, recruited staff, trained and now use their training. Finally we show the way that the department has grown into a learning culture with all roles increasing their continuing professional development.