Shared Services - Imaging

Annual Event

2015

NHS Boards Chief Executives’ Group14 January 2015

Shaping the future of shared services for NHS Scotland:

Guiding principles and implementation proposals

Support Non-Clinical Support Clinical Support

FinanceHuman Resourcese-HealthBusiness Intelligence

LaundryCentral DecontaminationCateringWaste ManagementEstates MaintenanceProcurementFleet Management

Pharmacy - Aseptic DispensingLaboratory ServicesRadiology ServicesMedical PhysicsPublic Health

For Radiology Reporting - a range of options along the spectrum of a regional or nationally delivered or commissioned approach, with hybrids for in hours and out of hours.

Our hope is that in the future most radiologists will work in a distributed network fulfilling a dual role as generalists to their local healthcare community and as an expert resource to a wider network in their specialist areas of practice.

Radiology in the UK – the case for a new service model

Sept 2014

RCR – Networks of Expertise

• Population not institution based

• Collaboration to form networks servicing a population of several million

• Groupings of 150-200 radiologists

RCR Audit

In October 2014 – snapshot audit

• 6000 patients waited more than a month for results of a CT or MRI scan

• 300,000 waited more than a month for an X ray result

UK 48

Germany 92

Spain 112

France 130

Radiologists/million population

Current Situation

• Demand vs capacity

• Workload complexity

• Recruitment/retention/early retirement

• Equipment issues

Current Situation

• Health Boards employ radiologists providing all local radiology services

• Insourcing and outsourcing is used to deal with capacity issues

• Post code lottery for certain modalities

Current Situation

• Delays in reporting of 4-6 weeks

• Radiology vacancy rate of 15%

• Radiologist burn out

Current Situation

• There is a lack of sufficient radiologists to meet demand for access targets and deliver a comprehensive inpatient and outpatient service

• Access to subspecialty expertise is restricted – this can lead to over diagnosis and under diagnosis

Barriers

• Financial

Barriers

• Financial

• Technological

Barriers

• Financial

• Technological

• Organisational/Contractual

Barriers

• Financial

• Technological

• Organisational/Contractual

• Cultural

Where do we want to be?

• Timely access to inpatient and outpatient imaging for all patients

• Fair and equitable access for patients

– to specialist radiological opinion across geographical boundaries

– to emergency interventional procedures

Where do we want to be?

Scotland to be an attractive place to train and practise in Radiology