Decades-old X-ray machines and MRI scanners in use despite recommendations for replacement.

Topics covered
Introduction to the issue of outdated medical equipment
In recent revelations, it has come to light that health boards in Scotland, specifically Highland and Grampian, are utilizing medical equipment that is significantly outdated. Despite recommendations from NHS England suggesting that imaging equipment older than ten years should be retired, many machines in these health boards exceed this age limit.
This situation raises serious concerns about patient safety and the quality of medical diagnostics.
Details of the aging equipment in use
According to data obtained by Scottish Labour through freedom of information requests, NHS Grampian is operating an MRI scanner that is 15 years old, alongside an X-ray machine that has been in service for 27 years.
Out of the 30 X-ray machines currently in use by NHS Grampian, 23 are over a decade old. Meanwhile, NHS Highland’s CT and MRI scanners are relatively newer, all being under ten years old; however, the oldest X-ray machine in their inventory is still a staggering 24 years old, with over ten of the 23 machines exceeding ten years of age.
Implications for patient care and safety
The continued use of such aging equipment poses significant risks to patient care. Dame Jackie Baillie, the Scottish Labour health spokeswoman, expressed her concerns, likening the situation to a scene from the film ‘Back to the Future.’ She criticized the Scottish National Party (SNP) for allowing the NHS to deteriorate to a point where patients might not receive timely and accurate diagnoses. The reliability of older machines is often compromised, leading to potential delays in treatment and increased risks associated with outdated technology.
Expert opinions on the necessity of modern equipment
The Society of Radiographers (SoR) has also voiced its apprehensions regarding the age of diagnostic imaging equipment in Scottish hospitals. Charlotte Beardmore, the SoR’s executive director of professional policy, highlighted that older machines tend to be less reliable, require costly maintenance, and often deliver higher radiation doses to patients compared to modern alternatives. Furthermore, contemporary equipment is equipped with advanced features, including artificial intelligence and assistive technology, which enhance imaging quality and reduce the time required for procedures, ultimately improving patient outcomes.
Government response and future outlook
In response to these concerns, a Scottish Government spokesperson noted that the 2025-2026 Scottish Budget allocates a record £21 billion for health and social care, including significant funding aimed at reducing waiting times and improving service capacity. However, the effectiveness of these investments remains to be seen, particularly in ensuring that health boards can upgrade their aging equipment to meet modern standards.
Conclusion
The reliance on outdated medical equipment in Scottish health services is a pressing issue that requires immediate attention. As the healthcare landscape evolves, it is crucial for health boards to prioritize the replacement of aging machines to ensure patient safety and enhance the quality of care provided. The ongoing dialogue among health officials, government representatives, and healthcare professionals will be vital in addressing these challenges and securing a healthier future for patients across Scotland.