Why all this 'sue the NHS' talk?
An x-ray wasn't done initially as, most likely, it wasn't clinically indicated. Accy then presented back at A&E some time later with ongoing pain and an x-ray was then taken to rule out or in a break as the issue.
I assume
@Accy cyclist does not fit the typical demographics that would indicate him as high risk therefore the initial examination was reasonable.
The current attitude to sue the NHS in an American import, where private healthcare is predominant, that I abhor and takes vital funds away from direct patient care.