csc phase 2 radiology and urology
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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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Presentation Transcript
radiology
Radiology
  • bottleneck in most tumours
  • diagnosis
  • staging
  • follow-up
  • prebooking
  • skill mix
radiology and urology
Radiology and Urology
  • IVUs
  • US
  • TRUS
  • Bone scans
  • CT
  • MRI
  • Patient experience
where are we now
Where are we now?
  • Phase 2 still early days
  • some sustainable changes made
what the csc can give you
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
What the CSC can’t give you
  • Resources
    • but it can give you the evidence that resources are now the only solution
format
Format
  • Presentations of projects
  • Discussion
    • successes
    • failures
    • problems
    • challenges
different ways of working

Different ways of working

Weekend CT staging scans

ways of working
Ways of working
  • flexible rotas
  • 7-day radiology
7 day radiology
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
ct staging
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
weekend ct staging
Before

mean wait 17 days

<50% within 2 weeks

Now

mean wait 6 days

100% within 2 weeks

sustainable

Weekend CT staging
radiology14
Radiology
  • bottleneck in most tumours
  • diagnosis
  • staging
  • follow-up
  • prebooking
  • skill mix
radiology and urology15
Radiology and Urology
  • IVUs
  • US
  • TRUS
  • Bone scans
  • CT
  • MRI
  • Patient experience
where are we now16
Where are we now?
  • Phase 2 still early days
  • some sustainable changes made
what the csc can give you17
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
What the CSC can’t give you
  • Resources
    • but it can give you the evidence that resources are now the only solution
format19
Format
  • Presentations of projects
  • Discussion
    • successes
    • failures
    • problems
    • challenges
ivus a problem area
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
the facts
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
slide23
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
nuclear medicine
Nuclear Medicine
  • prebooking prostate cancer bone scans
  • increase capacity by matching scan to patient
  • reduce wait
  • increase patient satisfaction
others
Others
  • patient experience
  • multidisciplinary team working
ultrasound
Ultrasound
  • skillmix
  • capacity and demand
  • one-stop TRUS clinic
  • rapid access and prebooked TRUS
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