Being a trades union and the world's leading professional body for diagnostic and therapeutic health professionals is an unusual combination, but The Society and College of Radiographers has been leading this dual existence since 1920. The organisation's annual report has to address a multiplicity of issues for a diverse audience that includes more than 20,000 members, as well as government ministers, civil servants, members of both houses of parliament, journalists, and chief executives of healthcare organisations, to name a few.