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These tend to be quick, typically less than six hours, and the vast majority do not involve serial imaging at various future time points, so the radiographer often meets each patient only once for that examination. Unless the radiographers redefine their role to be consistent with the patients carepathway, and that care-pathway is for a chronic disease that requires medicinal intervention, then it is unlikely that diagnostic radiography patients would benefit from radiographer supplementary prescribing. There are, however, limited areas of diagnostic practice in which serial imaging of chronic disease does take place, for example cancer imaging and bone densitometry. In these cases, the radiographer could serially image a patient over several years but it may be as little as once a year and since the CMP should be reviewed at least yearly, it becomes clear that there is limited value in a diagnostic radiographer becoming a supplementary prescriber. There is a potential role for independent prescribers in diagnostic radiography, and this is particularly evident in areas of acute medical practice. There are examples of radiographers working in accident centres whose role involves diagnosis and on the basis of this they propose treatment and discharge patients.

For many of these drugs the mode of action is not fully understood, but they all interfere with the activity of cells of the immune system in one way or another. Gold salts accumulate in phagocytic cells thereby reducing their activity and inhibit the migration of lymphocytes into inflamed tissue. An example is sodium aurothiomalate, which is given by intramuscular injection. They are toxic drugs capable of causing skin reactions ranging from erythema to exfoliating dermatitis, inflammation of mucous membranes and blood dyscrasias. Penicillamine may inhibit production of inflammatory mediators and can delay the progress of disease.

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