Licences for medical procedures involving ionising radiation

Healthcare providers require a licence from the Swedish Radiation Safety Authority to perform diagnostics or treatment involving ionising radiation. This page contains information about which procedures require a licence and how to apply.

The Swedish Radiation Safety Authority issues licences for medical procedures involving ionising radiation pursuant to the Swedish Radiation Protection Act (1988:220) and Radiation Protection Ordinance (2018:506), as well as our own regulations.

Procedures involving the following require a licence from us:

  • High-activity sealed radioactive sources (HASS)
  • Open radioactive sources
  • X-ray examinations and treatments that are not covered by notification obligation pursuant to SSMFS 2018:2
  • Nuclear medicine diagnostics and therapy
  • Radiotherapy using x-ray equipment, linear accelerators or sealed radioactive sources
  • Procedures using cyclotrons

Healthcare providers who perform procedures involving ionising radiation are responsible for ensuring that the procedures are safe for patients and that staff and the public are protected from radiation.

How to apply for a licence

Submit the completed application form and necessary documentation to the Swedish Radiation Safety Authority at registrator@ssm.se.

The necessary documentation includes:

  • A register extract: A register extract showing that your organisation is registered in the Health and Social Care Inspectorate’s (IVO’s) Healthcare Provider Register.
  • Description of the procedures: An adequate description is required to understand which procedures the licence will cover and to assess whether these are justified.
  • Organisation, control and management: A description of the organisation performing procedures involving ionising radiation, including the division of responsibilities, authorities and cooperation for tasks of significance to radiation safety.
  • Premises and equipment: Registration of radioactive sources and premises, as well as an account of how the premises are designed to limit exposure to ionising radiation.
  • Training: An account of how staff are trained in radiation protection, and to handle equipment and apply methodology.
  • Patient protection: Procedures for assessing whether the procedure is justified, guidelines for referrals to diagnostic examinations and optimisation routines.
  • Staff protection: Procedures for monitoring radiation doses to staff and how staff are categorised by dose, with a justification of the chosen categorisation.

Please refer to our instructions for more details about the required information.

Supplementation may be requested should necessary information be missing. If you fail to respond to a request for supplementation, a decision will be reached based on the available documentation.

The Swedish Radiation Safety Authority’s licensing reviews are intended to ensure that your organisation can fulfil statutory requirements. This is the basis for our decision.

Processing time

The time it takes to process an application varies depending on factors such as complexity, type of licence and the authority’s workload at the time in question. We will begin dealing with the matter when we receive a completed application. If the application is incomplete and supplementation is required, the processing time will be extended accordingly. If the requested information is not forthcoming, we may need to reach a decision based on the information we have to hand, or we may dismiss the application entirely.

Appealing a decision

A decision regarding a permit, or licence, under the Radiation Protection Act (2018:396) may be appealed to the Administrative Court in Stockholm. The decision includes instructions on how to lodge an appeal.

Fees

The application fee varies depending on the type of procedure and the number of devices covered by the application. Current fees are stated in the Ordinance (2008:463) on certain fees to the Swedish Radiation Safety Authority.

The application fee is debited when the application is submitted to the Swedish Radiation Safety Authority. The annual supervisory fee is first debited during the calendar year after the licensing decision is made.

Should the licensing review require a special investigation or other work that incurs significantly higher costs than normal, a supplementary fee of SEK 1,400 per working hour is payable.

Criminal liability

Pursuant to Section 1 of Chapter 6 of the Swedish Radiation Protection Act (2018:396), it is prohibited to conduct unlicensed activities involving ionising radiation. Pursuant to point 1 in Section 2 of Chapter 9 of the same act, anyone intentionally or negligently breaching this prohibition may be sentenced to a fine or imprisonment for up to two years.

Do you have any questions or concerns?

Do you have any questions or concerns about the application process, or suggestions for improving the information on this page? If so, please contact us at Tillstandsprovning-stralskydd@ssm.se.

Information on how we process personal data

The Swedish Radiation Safety Authority is the controller of processing for the personal data you supply in your application or registration. We process personal data in compliance with Regulation (EU) 2016/679, the General Data Protection Regulation (GDPR).