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CSC Phase 2 Radiology and Urology PowerPoint PPT Presentation

CSC Phase 2 Radiology and Urology Dr Richard Seymour Radiology bottleneck in most tumours diagnosis staging follow-up prebooking skill mix Radiology and Urology IVUs US TRUS Bone scans CT MRI Patient experience Where are we now? Phase 2 still early days

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CSC Phase 2 Radiology and Urology

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Csc phase 2 radiology and urology l.jpg

CSC Phase 2Radiology and Urology

Dr Richard Seymour


Radiology l.jpg

Radiology

  • bottleneck in most tumours

  • diagnosis

  • staging

  • follow-up

  • prebooking

  • skill mix


Radiology and urology l.jpg

Radiology and Urology

  • IVUs

  • US

  • TRUS

  • Bone scans

  • CT

  • MRI

  • Patient experience


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Where are we now?

  • Phase 2 still early days

  • some sustainable changes made


What the csc can give you l.jpg

What the CSC can give you

  • Service Improvement Guide

  • the confidence to fail

  • money (CSC, Trust, PCT)

  • clerical staff

  • project manager

    • the luxury of perspective v use of clinical time


What the csc can t give you l.jpg

What the CSC can’t give you

  • Resources

    • but it can give you the evidence that resources are now the only solution


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Format

  • Presentations of projects

  • Discussion

    • successes

    • failures

    • problems

    • challenges


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Different ways of working

Weekend CT staging scans


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Ways of working

  • flexible rotas

  • 7-day radiology


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7-day radiology

  • introduced as part of a package to streamline treatment of emergency admissions

  • routine work in addition to emergencies

  • double time off in lieu


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CT staging

  • some departments dedicate lists to a tumour type

  • difficult to cover all tumours

  • difficult in terms of cover for a DGH consultant-led service

  • the weekend sessions are always covered


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Before

mean wait 17 days

<50% within 2 weeks

Now

mean wait 6 days

100% within 2 weeks

sustainable

Weekend CT staging


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CSC Phase 2Radiology and Urology

Dr Richard Seymour


Radiology14 l.jpg

Radiology

  • bottleneck in most tumours

  • diagnosis

  • staging

  • follow-up

  • prebooking

  • skill mix


Radiology and urology15 l.jpg

Radiology and Urology

  • IVUs

  • US

  • TRUS

  • Bone scans

  • CT

  • MRI

  • Patient experience


Where are we now16 l.jpg

Where are we now?

  • Phase 2 still early days

  • some sustainable changes made


What the csc can give you17 l.jpg

What the CSC can give you

  • Service Improvement Guide

  • the confidence to fail

  • money (CSC, Trust, PCT)

  • clerical staff

  • project manager

    • the luxury of perspective v use of clinical time


What the csc can t give you18 l.jpg

What the CSC can’t give you

  • Resources

    • but it can give you the evidence that resources are now the only solution


Format19 l.jpg

Format

  • Presentations of projects

  • Discussion

    • successes

    • failures

    • problems

    • challenges


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IVUs


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IVUs; a problem area

  • long routine wait (40 weeks)

  • screening rooms used as general and IVU rooms

  • landlocked department

  • no progress possible until rebuild of hospital

  • excess demand


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The facts

  • no knowledge of true capacity

  • no process mapping

  • inefficient use of resources (1 IVU on morning session)

  • all of the previous slide does still hold true


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IVUs

  • process mapping; change appointment times, radiologists available, bleep

  • inefficient working/reporting

  • insufficient lists

  • ?try link to CT rather than reporting, protected reporting time to compensate

  • wait reduced from 40 to 8 weeks in two months


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Nuclear Medicine

  • prebooking prostate cancer bone scans

  • increase capacity by matching scan to patient

  • reduce wait

  • increase patient satisfaction


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Others

  • patient experience

  • multidisciplinary team working


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Ultrasound

  • skillmix

  • capacity and demand

  • one-stop TRUS clinic

  • rapid access and prebooked TRUS


  • Login