Insights from a clinical lead

Inside NHS Scotland Academy's National Ultrasound Training Programme

Published on March 1, 2026

The rising demand for medical ultrasound1, coupled with a well-documented national shortage of sonographers2, prompted the Scottish Radiology Transformation Programme (SRTP) to undertake a comprehensive survey to assess ultrasound demand, capacity and workforce across Scotland3.

The findings across all 14 Scottish health boards were striking: there was a sonographer vacancy rate of 13%, with 12% of the workforce planning to retire within three years. Recruitment efforts were proving challenging, with boards increasingly dependent on locum staff to manage waiting lists, even before the COVID-19 pandemic. Alarmingly, trainee numbers did not align with the projected workforce deficit. In addition, boards reported a significant "training burden", citing increased patient throughput and limited dedicated training time, factors that intensified pressures on existing staff. These findings underscored an urgent need to expand the sonography workforce nationwide.

NHS Scotland Academy (NHSSA), an innovative partnership...

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