First FRCR Examination in Clinical Radiology Statutory Requirements

First FRCR Examination in Clinical Radiology Statutory Requirements and Non-Statutory Recommendations (c) Other relevant legislation John Saunderson Radiation Protection Adviser 15/03/2018 1

Other relevant legislation Medicines (Administration of Radioactive Substances) Regulations 1978 (see www. arsac. org. uk) Environmental Permitting Regulations 2010 The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2009. 15/03/2018 2

Medicines (Administration of Radioactive Substances) Regs 1978 (“MARS”) • “No person shall administer to a human being (otherwise than to himself) any radioactive medicinal product unless he is doctor or dentist holding a certificate issued by the Health Minister for the purposes of section 60 of the Act in respect of radioactive medicinal products (hereinafter referred to as a “certificate”) or a person acting in accordance with the directions of such a doctor or 15/03/2018 3 dentist. ”.

Medicines (Administration of Radioactive Substances) Regs 1978 (“ARSAC”) • “No person shall administer to a human being (otherwise than to himself) any radioactive medicinal product unless he is doctor or dentist holding a certificate issued by the Health Minister for the purposes of section 60 of the Act in respect of radioactive medicinal products (hereinafter referred to as a “certificate”) or a person acting in accordance with the directions of such a doctor or 15/03/2018 4 dentist. ”.

Covers • Nuclear medicine scanning • Nuclear medicine therapy • Some pathology test, e. g. – C-14 urea breath test • Brachytherapy – – interstitial intracavity surface applicators neutron activation. 15/03/2018 5

Certificates are specific to • Specific to – Practitioner – Site (i. e. hospital) – Radio-pharmaceutical and proposed use • Valid for 5 years (or maybe less for research) • Information must be provided on – equipment – facilities – scientific support • Applicants assessed against “core curriculum”.

Environmental Permitting Regulations 2010 “EPR 10” Unless exempt, must have PERMIT to • keep or use radioactive material • dispose of radioactive waste • accumulate radioactive waste Permits are issued by the Environment Agency. 15/03/2018 7

Source Registration • Limits activity and number of sources • Requires – supervision – labelling – security – report losses to Police & EA – Records. 15/03/2018 8

Waste Authorisation • Limits activities, disposal routes, accumulation times • Requires – security – report losses to Police & EA – Records & annual summaries to EA • Disposal routes may be – aqueous to drain – incinerate solid – transfer solid to others – gaseous discharge.

Part Exemptions – e. g. < 10, 000 MBq Tc-99 m in human excreta to drains per year – Approximately equivalent to 166 bone scans a year. 15/03/2018 10

The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2009 “It does what it says on the packet” • Controls transport of radioactive materials (and other dangerous goods) – driver training – packaging 15/03/2018 11

Typical packages 15/03/2018 12

The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2009 Controls transport of radioactive materials by road – driver training – Packaging – labelling - packages and vehicles – consignment notes – QA. 15/03/2018 13

fin 15/03/2018 14