New Mobile X-Ray Service launching across Torbay and South Devon

We are pleased to confirm the launch of the new Mobile X-ray Service from Tuesday 08 September 2026, delivered by Mobile Medical Diagnostics (MMD) in partnership with Torbay and South Devon NHS Foundation Trust.

The service will provide mobile x-ray imaging for eligible patients in community settings, supporting timely diagnostics closer to home. It is designed to strengthen our falls, frailty and urgent community response pathways by reducing the need for patients to attend the Emergency Department where this is not clinically necessary.

The service will support patients who have fallen in their usual place of residence, or who require an x-ray to inform clinical decision-making by out-of-hospital teams. Referrals will be coordinated through agreed Trust pathways, including care co-ordination functions, GPs, Urgent Community Response teams, SWAST, NHS 111 and the Harbour Service, in line with agreed inclusion and exclusion criteria.

This new model will help improve patient experience by enabling care to be delivered closer to home, supporting admission avoidance, reducing unnecessary conveyance, and strengthening integrated neighbourhood working across Torbay and South Devon.

The service will be run by trained radiography staff and will operate to a planned schedule across approved community settings, initially the service will operate Monday to Friday 9am – 5pm, with a planned move towards seven-day provision, including bank holidays, subject to agreement and mobilisation progress in the future. The vehicle is equipped with a hospital-grade mobile digital x-ray machine, with appointments coordinated through established booking pathways. 

Please ensure operational teams are familiar with the referral criteria and access arrangements.

Patients may be referred for imaging if they:

  • Are aged 65+, or are frail, vulnerable, housebound, or have difficulty attending hospital.
  • Can be safely assessed in their usual place of residence and do not require immediate Emergency Department assessment.
  • Have a suspected injury following a fall or other incident, particularly where there is concern about occult injury in an older or frail person.
  • Patients who can be safely managed outside of emergency pathways.
  • Over 18 years of age

EXAMINATION

INCLUSION

EXCLUSION

Chest X-ray

  •  Foreign Body
  • Thoracic / Lung Cancer
  • Follow up chest x-ray
  • Suspected Sepsis
  • Acute respiratory distress
  • Rib fracture where there is inability to lift patient from the floor due to injury.
  • Suspected Pulmonary embolism.
  • Haemodynamically unstable
  • Acute respiratory distress/deterioration
  • Significant hypoxia
  • Complex line placements
  • Life limiting/life threatening illness or injury requiring 999

Pelvis x-ray

  • Fracture
  • Foreign body
  • Bone lesion
  • Osteoporosis eg: wedge #
  • Osteomyelitis
  • Hip dislocation
  • Silver trauma patients (covert trauma in the older person where more significant injuries are suspected)

Extremities:

Shoulder to fingers

Hip to toes

  • Fracture
  • Osteomyelitis
  • Foreign body
  • Bone lesion
  • Dislocation
  • Soft tissue injury (mallet finger, soft tissue injury)
  • Pain with suspected arthropathy
  • Joint sepsis
  • Weight bearing
  • Unstable or Open # (tenting +/- tear) critical skin lesions e.g.:  diabetic foot, peripheral vascular disease (PVD)
  • New lesion osteomyelitis
  • Neurovascularly compromised

Patients <64 years of age

Only patients aged <64 years of age and below with significant co-morbidities and/or frailty will be considered

Patients referred <64 years of age or under and/or patients who are normally fit and well with a low clinical frailty score will not be imaged. 

Patients <18 years of age

Obesity

Only following discussion with requesting clinician confirming placement of body habitus to carry out:

  • Chest
  • Extremities
  • Pelvis
  • Spine

Patient unable to be safely mobilised from the floor/bed/chair

Spine[RV3] 

Known osteoporotic

(Review by RPA before approved)

Traumatic c-spine

Spondylotic changes without other red flags

Assessment of bone density

Abdomen[RV4] 

Excluded

Excluded

Skull

Excluded

Excluded

Poly trauma

Appendicular

  • Axial 
  • Osteoporotic fracture +/- additional injury
  • Trunk

Posted by Michaela on September 25th 2026

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