The last decade has seen an enormous upheaval within all aspects of health care, and the videofluoroscopy service is no exception. There is ever increasing need for the objective examination of swallowing to create a baseline for the patient as part of their diagnosis and subsequent treatment. However, much of the current literature available focuses on the speech and language therapist working alongside a radiologist, but increasingly, the radiologist is no longer involved in the investigation, highlighting the need to amplify the multi-disciplinary team knowledge of the procedure.. Increasing demand for new and established diagnostic and interventional procedures has encouraged innovative models of service delivery, resulting in an extended range of health professionals crossing the traditional practice boundaries. In particular, the radiographers who complete the examination along with the speech and language therapists need to learn more about the swallowing function, and likewise, it is essential that the speech and language therapists increase their knowledge base on the radiographic aspects of the examination..