CAHPO 2016. Workshop 1: Nicholas Woznitza
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Transcript of CAHPO 2016. Workshop 1: Nicholas Woznitza
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Team-working in Radiology: Optimising CareNICK WOZNITZA BSC, PGD, PGC, MIR(AP)CL INICAL ACADEMIC REPORTING RADIOGRAPHERHOMERTON UNIVERSITY HOSPITAL & CANTERBURY CHRIST CHURCH UNIVERSITY
@xray_nick @MedRadJclub
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NHS England 2014; Independent Cancer Taskforce 2015
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230,000 patients waiting >30 days
Achievable?NHS England 2014; Independent Cancer Taskforce 2015; Royal College of Radiologists 2015
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Radiology across England Sustained and significant increases in radiology activity1 Chronic shortage of consultant radiologists2
Ambitious plans for improved cancer outcomes3
Unrelenting pressure on emergency medicine4
1 – National Diagnostic Imaging Dataset 2016; 2 – Royal College of Radiologists 2014; 3 – Independent Cancer Taskforce 2015; 4 – NHS England HSCIC 2016
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Aim & Objectives Expand contribution of radiographer advanced practice
Meet anticipated activity increased Maintain/improve reporting times
College of Radiographers & Royal College of Radiologists 2012
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Project 1: Neonatal service Large, tertiary neonatal unit: 60 cots; 3,000 X-rays per annum 2010: No clinical report
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Project 1: Neonatal service Radiographer-led neonatal X-ray reporting All x-rays reported, next working day; 90% by radiographer Weekly MDT; radiographer deputises for consultant paediatric radiologist
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Project 2: Emergency service ED activity at record levels1,2
Radiographer immediate reporting shown to be effective3
8Homerton University Hospital Quality Accounts 2014-15; NHS England HSCIC 2016; Hardy et al. Br J Radiol 2013;86:20120112
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Project 2: Emergency service Radiographer-led immediate reporting of ED skeletal X-rays X-rays reported prior to patient leaving Radiology Reporting radiographer lead for all X-ray queries
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Radiology Activity & Reporting Times
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2010-11 2011-12 2012-13 2013-14 2014-15 2015-160
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20000
40000
60000
80000
100000
120000
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160000
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XR CT MRI Activity
Repo
rting
Tim
e (h
ours
)
Depa
rtm
ent A
ctivi
ty
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Reporting Times Current reporting times: X-ray: 34 hours (74% within 24hrs) CT: 16 hours (73% within 24hrs) MRI: 72 hours (36% within 24hrs)
Royal College of Radiologists: 170,000 examinations waiting 30 days for a report
Royal College of Radiologists 2016
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Contribution of Advanced Practitioners
3 Consultant Radiologists
6 Consultant Radiologists
4.5 Consultant Radiologists
2013-14 2014-15 2015-16
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Key Learning Points Team-based approach essential Radiographer reporting provides a significant contribution Effective, efficient, safe Essential component of patient focused service
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Plans for Spread Exemplar site for College of Radiographers, National Diagnostic Imaging Board Strategy & audit freely available Radiographer neonatal X-ray reporting highly commended BIR Service Improvement award 2015