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Dr Laurence Sutton. Consultant Radiologist Calderdale and Huddersfield NHS Trust.

Dr Laurence Sutton. Consultant Radiologist Calderdale and Huddersfield NHS Trust. National Clinical PACS Lead NE Cluster. NHS CfH PACS. PACS the facilitator of change. New ways of delivering Diagnostic Imaging Services. NHS CfH PACS. The information Vision.

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Dr Laurence Sutton. Consultant Radiologist Calderdale and Huddersfield NHS Trust.

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  1. Dr Laurence Sutton. Consultant Radiologist Calderdale and Huddersfield NHS Trust. National Clinical PACS Lead NE Cluster

  2. NHS CfH PACS PACS the facilitator of change.New ways of deliveringDiagnostic Imaging Services.

  3. NHS CfH PACS The information Vision to have relevant diagnostic images and associated data available and useable in a timely manner at the point of care for all clinicians, irrespective of the location and timing of the care being provided. This would apply to any aspect of care delivery requiring images and associated data and would integrate relevant diagnostic images and data seamlessly with wider pertinent clinical information. Further, to have relevant diagnostic images and associated data available and useable for all clinicians to support service improvements in care delivery, service planning, research or education.”

  4. NHS CfH PACS PACS Programme:NCRP Vision for Future Development. • Sets out the Vision for PACS. • Steps required to realise the Vision. • Supports the wider strategy for Diagnostic Imaging across the NHS.

  5. NHS CfH PACS Diagnostic Imaging ServiceReform.National Diagnostic Imaging Board.Dr. Erika Denton.

  6. NHS CfH PACS Diagnostic Imaging Service ReformVision Enablers. • Workforce Modernisation. • Independent Sector Capacity • PACS • Service Transformation.(ISIP)

  7. NHS CfH PACS Diagnostic Imaging Service ReformVision Enablers. Service Transformation. (ISIP)Integrated Service Improvement Programme. a methodology to enable local health economies, including all relevant service partners, to plan service change collaboratively to optimise efficiency, value and quality.

  8. NHS CfH PACS Diagnostic Imaging Service ReformPOLICY DRIVERS. • System Reform and Patient Led NHS • Patient Pathways. • Patient Choice. • Workforce Reform. • Organisational Changes • ISIP • Best Use of Capital Resources • Payment By Result.

  9. NHS CfH PACS Independent Sector (IS) Diagnostic Imaging (DI) • Additional Services 2006. • Increase overall capacity. • Pleurality and Choice. • Waiting Times for DI. • DH Target 18 weeks. (R to T).2008 • Waits for imaging < 1 month. • Target 13 weeks all DI March 2007

  10. NHS CfH PACS Shorter Waiting Times.Referral to Treatment. • Increase Primary Care Access. • NHS and NHS Contracted IS • Imaging prior to first OP appointment. • Evidence Based Guidelines.(Choose and Book ) • Increased Volume Imaging. • Increased NHS Capacity. • Optimised NHS Capacity.(Choice of scan)

  11. NHS CfH PACS Shorter Waiting Times.Increased Volume of Imaging /1000

  12. NHS CfH PACS Shorter Waiting Times.Workforce Planning. • Deliver increased volumes. • 4 Tier Structure. • Radiology Academies Focus of Training Initiatives to support workforce. • NHS CfH PACS Programme

  13. NHS CfH PACS Full National PACS March 2007.To facilitate: • Flexible Workforce. • More Efficient Workforce • Radiology Networks. • Remote Reporting. • Teaching, Training and Research.

  14. NHS CfH PACS National InfrastructureversusIncreased Diversity of ServiceProvision

  15. NHS CfH PACS National InfrastructureversusIncreased Diversity of ServiceProvision.The Technical Challenge • The challenge is to develop a Nationwide Technical solution that will support the requirements of Patient Choice, Shift in where healthcare is delivered and maintaining the Integrity and availability of the Patients’ Imaging Record.

  16. NHS CfH PACS National InfrastructureversusIncreased Diversity of ServiceProvision.The Professional Challenge (1) • The challenge is to maintain the Clinical Integrity of Diagnostic Imaging Services through evidence based practice and improved communication between Radiologists and the Referrers.

  17. NHS CfH PACS National InfrastructureversusIncreased Diversity of ServiceProvision.The Professional Challenge (2) • The challenge is to acknowledge the benefits that PACS with integration with other clinical IT systems now provides for significantly improved productivity and quality of reporting.

  18. NHS CfH PACS National InfrastructureversusIncreased Diversity of ServiceProvision.The Professional Challenge (2) • ‘We can no longer hide behind the inefficiencies of Film.’ • ‘Next Day doesn’t cut it anymore.’ Steven C Horri. MD

  19. NHS CfH PACS The Technical Challenge.The How Questions!? And More! • When can I see Images from another organisation? • When will there be a truly pan Health Care Community PACS? • How will Image Data and associated Data be updated and Validated? • How will Data Retention Policies be managed in an a digital environment?

  20. NHS CfH PACS The Technical Challenge.The How Questions!? And More! • Is it worth connecting my Legacy PACS into the cluster data store. • How will I know which images to report if I’m working remotely from the point of acquisition? • How do I know that an Image report has been read and acted upon. • Will I see all the patients prior images?

  21. NHS CfH PACS The Technical Challenge.The How Questions!? And More! PACS CENTRAL TECHNICAL TEAM AND DESIGN STEERING GROUP

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