Recommendations on alerts and notification of imaging reports

Date of next review: 


The main objective of this guidance is to ensure prompt and effective imaging result notification and its subsequent action to protect patient safety. It includes:

  • Definitions of the different categories of imaging findings that require an alert notification
  • A list of critical findings for which an alert should be triggered
  • Simplified national alert text codes for imaging reports.


Watch a webinar presenting and discussing the guidance (YouTube)


This guidance has been published by the Academy of Medical Royal Colleges and produced through a collaborative effort led by The Royal College of Radiologists (RCR) Patient Safety Adviser Dr Teik Choon See with a working party representing:

  • The Academy of Medical Royal Colleges
  • The Society of Radiographers
  • The Royal College of Physicians
  • The Royal College of Emergency Medicine
  • The Royal College of General Practitioners
  • The Royal College of Surgeons
  • The Royal College of Paediatrics and Child Health
  • NHS Digital