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Shielding Guides

January 21, 2026

Author: Ishwari Patil

Top 8 Considerations when Refurbishing X-ray Rooms

If you are planning a refurbished X-ray room in a vet or dental clinic, general hospital, emergency department or university hospitals NHS Foundation Trust site, this guide will walk you through everything you should consider creating a compliant, efficient and patient-friendly facility. Think of this as a simple checklist that helps you avoid the common pitfalls; we see in imaging refurbishment projects across the NHS and private healthcare.

Top 8 Considerations to Keep in Mind During the Refurbishment Process

Top 8 Considerations to Keep in Mind During the Process of Refurbishing X-Ray Rooms

Below are the Top 8 considerations that matter most when refurbishing an X ray room, whether it is a replacement project, an upgrade to state-of-the-art equipment, or a full transformation of an existing imaging suite.

1. Compliance with Regulations

  • Understand the Regulatory Standards – Before any drawings are issued, ensure the refurbishment aligns with IRR17, HTM 58, and your Trust’s specific radiology and estates guidance. This is where the Radiation Protection Advisor (RPA) becomes essential. Their report will define shielding height, lead thickness, beam orientation, occupancy, and whether the slab or ceiling requires additional protection. From our CPD work with architects, the RPA report is often misunderstood or incorrectly interpreted. Make sure it is your first reference point, not an afterthought.
  • Licensing and Accreditation – Any newly refurbished X-ray room must be commissioned correctly to meet NHS Foundation Trust requirements, ensuring the equipment, shielding and mechanical and electrical installations meet regulatory expectations. Without this, the room cannot legally operate.

2. Layout and Workflow

A well-planned layout does more than look good. It significantly improves safety, efficiency and the overall patient experience.

Optimising Space Utilisation

Compact dental practices, emergency departments or outpatient X-ray units all have different constraints. Ensure adequate space for the radiographer workstation, clear access routes, storage and shielding-compliant wall layouts.

  • Flow of Movement –  Patients and staff should not cross paths unnecessarily. Clear routes reduce stress, prevent bottlenecks and shorten waiting times.
  • Designate areas for different functions – This includes:
    • Changing cubicles for patients
    • Waiting bay or new waiting area
    • Control room and workstation
    • Equipment room (if required)

Patient Experience 

Design choices directly influence comfort levels.

  • Privacy –  Use smart glass, internal windows and discrete layouts to help patients feel safer during examinations.
  • Comfort –  A spacious, well-lit environment creates a calmer experience, especially for anxious patients attending in an emergency or following a GP referral. Features such as Rayblocs Sense X lighting help to manage and gently condition the atmosphere within the imaging space, creating a sense of reassurance and even delight in an otherwise clinical environment.

3. Equipment Selection

Choosing the right imaging system is critical to the long-term success of the refurbished room.

Upgrading Technology 

Modern digital X-ray systems improve diagnostic quality, reduce dose and shorten examination times, offering a real benefit for both staff and patients.

  • Digital Imaging –  Digital X-ray equipment reduces operational delays and increases throughput, especially in high-demand departments.
  • Telemedicine Capabilities –  Some state-of-the-art systems now integrate remote reporting or triage workflows, improving service speed and communication between the radiographer, Local GPs, and referring clinicians.

Compatibility and Integration 

  • Interoperability – Ensure the new machines can communicate with PACS and EHR systems to streamline workflows.
  • Future-Proofing – Select equipment that allows replacement components, upgrades or expansion later. This keeps the room operational for longer and protects capital investment.

4. Radiation Safety Measures

Safety is central to every X-ray room refurbishment, and good design is the first line of defence.

Radiation Safety 

Radiation shielding must follow the RPA’s specification exactly. From our CPD, the most common mistakes include:

  1. Using a lead-lined door leaf without a lead-lined frame
  2. Architraves not installed on the controlled area side
  3. Incorrectly dressed socket penetrations
  4. Missing overlaps on lead-lined boards
  • Shielding Materials – Select the correct mm Pb code for walls, doors, ceilings, screens and internal windows. Ensure all components come from tested, compliant manufacturers.
  • Signage and Protocols – Use clear X-ray in Use signage, flush-mounted or wall-mounted, depending on your design preference. These are essential for safe operation.

Infection Control 

  • Surface Materials: Use non-porous, easy-to-clean materials for walls and flooring.
  • Air Quality: Implement high-efficiency particulate air (HEPA) filtration systems to reduce airborne contaminants.

5. Staff Considerations

  • Ergonomics and Accessibility – Design for radiographers, not just patients. Correct workstation height, screen positions and movement pathways reduce risk of injury and fatigue.
  • Training and Workflow Adaptation – Whenever new equipment or layout is introduced, ensure the superintendent radiographer or department manager prepares an adjusted workflow. This ensures a smooth return to medical operation post-installation.

6. Budgeting and Financial Planning

  • Cost Estimation – Plan for all components: construction, shielding, installation, mechanical and electrical, equipment, commissioning and downtime costs. A refurbished X-ray room involves more than the machine itself.
  • Funding Opportunities – Some Trusts secure capital funding through digital imaging initiatives or service-improvement programmes aimed at improving patient experience and reducing waiting times.

7. Project Management

  • Selecting a Qualified Team – Choose architects, contractors and shielding specialists experienced in imaging environments. Inexperienced teams often cause expensive delays or non-compliance issues.
  • Establish a realistic timeline for the refurbishment project – Consider lead times for radiation shielding materials, equipment delivery, installation, RPA verification and commissioning.

8. Sustainability Considerations

Use sustainable timber, low-carbon board options and recycled metals where possible.

Eco-Friendly Materials

  • Low-VOC Paints – Improve complete patient comfort and indoor air quality with low-VOC finishes.
  • Energy-Efficient Systems – LED lighting, efficient HVAC and digital systems reduce long-term running costs.

If you’re Looking to Upgrade the New Equipment in your X-ray Room, Contact Raybloc for the Best Radiation Shielding Products

If you are planning a refurbished imaging unit or newly refurbished X-ray room and need the safest, most reliable radiation shielding solutions, please contact Raybloc. Our lead lined doors, internal windows, X ray screens and wall panels are installed across NHS hospitals, university hospitals NHS Foundation Trust sites and private clinics nationwide. We ensure every project is safe, compliant and designed to make real difference to patient experience.

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Ishwari Patil
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