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Meeting Targets: A Journey Through Crosshouse Radiology's Transformation

This presentation outlines Crosshouse Radiology's journey towards meeting diagnostic targets since 2007, highlighting key changes in work practices and interim measures implemented to enhance service delivery. Facing challenges in capacity and demand, the department adopted 12-hour shifts to improve efficiency, reduce waiting times, and enhance staff morale. Key achievements, including increased patient capacity and better service reliability, are discussed, alongside remaining challenges such as staffing shortages and the need for ongoing service development. Join us in exploring the future of Crosshouse Radiology.

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Meeting Targets: A Journey Through Crosshouse Radiology's Transformation

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Presentation Transcript

  1. Meeting the Targets! The Crosshouse Journey

  2. Outline • Who are we? • Brief History • Interim Measures • Changes in work practice! • How are we doing? • The Future – is it bright?

  3. Who are we? • Larger of 2 DGHs • 527 beds (570) • Area Beds: • Paeds • Gyn • Nephrology • Dermatology • ENT • Maxfac • 1 MRI scanner – age 7 • 1 CT scanner – age 3 • MRI GA service

  4. Introducing the Targets: • August 2007 ‘Diagnostic 4 week target will take effect from December 2010 – there should be additional resources’ (GR) • In preparation AAHB Radiology - 6 weeks from now!

  5. Brief History • August 2007: • CT: 5wks; MRI: 9wks • ~7,000CT; 3,700MRI • 9am – 5pm, Monday – Friday, 9am – 12pm Saturday (Stroke Service) • (39 hour CT week; 36 hour MRI week) • 4.75 WTE radiographers(6 staff); 2 WTE helpers • 5 departmental porters

  6. Interim Measures • Capacity and Demand Audit • 111% MRI; 110% CT • Process Mapping • Forget lunch! • Canvas staff • Voluntary overtime – loyal! • Clear the backload! • Outsource reporting for MRI • Extra session reporting • (2 qualified Cranial CT Reporting Radiographers still not supported to practice) • Patients scanned and reported at GJH and CG

  7. The More You do………………. • January 2009 (16 months down the line) • CT: 8wks; MRI: 9wks • ~9,600CT (37% ); 4,600MRI (24% ); • 9am – 5pm, Monday – Friday, 9am – 12pm Saturday (Stroke Service) • Minimum of 5 OT sessions per week • (47 - 51 hour CT week; 42 - 48 hour MRI week)

  8. It’s not ALL about targets! • After a year of OT • De-motivated – lack of solutions • Tired • Crabbit • Stress • Clinical risk • Recalls THEN - “4 weeks by March” NO APPARENT END

  9. SO……. • Overtime ended till there was a ‘PLAN’ • Waiting lists not maintained

  10. Sustainable solutions - • Ideal Service? • Formalise the 12 hour days • Rota(s) proposed • Staff involved • Requirements: • 4 additional WTE staff • 1 additional WTE assistant • Funding was put in place for the Radiographer posts!

  11. Balance restored! • 4 posts to advert closing date May • OT supported again • 12 hour days commenced October 2009

  12. 12 hour shifts!

  13. 12 hour shifts!

  14. One year down the line: • 8.8 WTE Radiographers (11 staff) • 3 WTE Assistants (1 still not fully funded) • 4 Departmental Porters • CT: • 8am - 8pm Monday – Thursday • 9am – 5pm Friday and Saturday • MRI: • 8am – 8pm Monday – Friday (64 hour CT week; 60 hour MRI week)

  15. Benefits of 12 hour days:

  16. Benefits of 12 hour days:

  17. Patient Benefits of 12 hour days: • Reduced waiting times - • Reduced anxiety • Increased flexibility • Increased access • Faster turnaround in Department with still more time to talk! • Increased in-patient capacity – no more ‘bed-blocking’! • Happy patients – even on a Saturday!!

  18. Staff Benefits of 12 hour days • Improved Radiographer involvement • Improved morale/job satisfaction • Decreased external pressure • Improved development/training opportunities • Great flexibility • Less pressure on the sessions • Decreased recall rate – no more ! • Happy Radiologists? • No need to be on site!

  19. Service Benefits • Better utilisation of the equipment • Reliable Service • Improved quality of Service • Improved relations with referrers “Great service” Itamar Felsenstein

  20. Where we stand now - 6months later (Figures as of 5th March) • CT: • 10,500 CT (9%); • 9 day wait to appointment • 99.2% completed in target • MRI: • 5,100 MRI (11%); • 22 day wait to appointment (patient type) • 93% completed in target 5 Departmental Porters • Jan 2008 42% CT exams IP, 13% MRI exams • Jan 2010 47% CT exams IP, 15% MRI exams

  21. However: • Frustrated Service Development • CT Colonography • GI MRI • Stroke MRI • Cardiac CT/MRI “CT Coronary Angiography should be developed as a decentralised service” WoS RPG • Shortage of Permanent Radiologists • 5 WTE Consultants • Total annual throughput 105,500 exams per annum • 2 ‘permanent’ Locum Consultants (2 qualified Cranial CT Reporting Radiographers still not supported to practice)

  22. Are we there yet? NO! • MRI • Limited reporting time • Still ‘breachers’ • Protocol • Inject/Vet

  23. Acknowledgements: • Clinicians • Radiologists • Theresa Holliman WLC But most of all: • My Team Fiona, Jacqui, Penny, Sandra, Leigh, Mhari-Clare, Angela, Marion, John, Kim and Jillian, Joan, Linda and Anna Craig and Eleanor

  24. Any: Comments? Questions? Concerns? Solutions??

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