The Arklow Story a dedicated local GP
radiology service.

Sinead O’Connor, GM
Global Diagnostics Ireland
s.oconnor@globald...
How it all started?
Local hospitals unable to manage the GP radiology
demand for x-ray & ultrasound services
Rapidly growi...
Solution??
HSE Initiative & Pilot Project
• A new x-ray & ultrasound service to be located
in the Arklow HSE Centre
• Dire...
Defined Service Requirements
• An end to end radiology managed service
solution, including equipment, fit out,
infrastruct...
Our Team
• 2 administrators
• 1.5 radiographers
• 1.5 sonographers
• Team of 11 consultant radiologists

Team behind the t...
Our Service Today
•
•
•
•

53,000 patients imaged in total since 2008
37,000 x-rays
16,000 ultrasounds
Average 8,000+ per ...
How we measure our service?
Feedback from our GP’s on our Arklow Service
(survey 2012)
• 100% rated it as ‘Excellent’ or ‘...
Over referral risk due to
accessibility?
40% of GPs surveyed felt that this was a risk
Year on year volumes show that this...
From little acorns……..
Arklow was Global Diagnostics 1st project
We now see over 160,000 patients per annum across 8
hospi...
Sinead O'connor, The Arklow project, Community Based Diagnostics
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Sinead O'connor, The Arklow project, Community Based Diagnostics

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Innovations in Community based Practice

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Sinead O'connor, The Arklow project, Community Based Diagnostics

  1. 1. The Arklow Story a dedicated local GP radiology service. Sinead O’Connor, GM Global Diagnostics Ireland s.oconnor@globaldiagnostics.ie
  2. 2. How it all started? Local hospitals unable to manage the GP radiology demand for x-ray & ultrasound services Rapidly growing local population - 12% increase between 1998 & 2002 & a further10% by 2006. Excessive wait times for outpatient x-ray & ultrasound appointments Excessive delays getting results back GP’s referrals were lowest priority Patients travelling long distances for services
  3. 3. Solution?? HSE Initiative & Pilot Project • A new x-ray & ultrasound service to be located in the Arklow HSE Centre • Direct access for 46 local GPs only • Region: South Wicklow and North Wexford region • Free service for patients within their own community
  4. 4. Defined Service Requirements • An end to end radiology managed service solution, including equipment, fit out, infrastructure & staff • Appointments offered within 48 hours of initial request • X-ray appointments available in 48 hours • Ultrasound appointments available within 5 days • Same day urgent appointments • All exams reported within 48 hours
  5. 5. Our Team • 2 administrators • 1.5 radiographers • 1.5 sonographers • Team of 11 consultant radiologists Team behind the team - managing quality & includes clinical audit & risk management. Feeds into the larger Global clinical governance organisational structures
  6. 6. Our Service Today • • • • 53,000 patients imaged in total since 2008 37,000 x-rays 16,000 ultrasounds Average 8,000+ per annum • All exams reported with 24 hours. • Critical, urgent and clinically significant but un expected result communication closed loop process • Radiologists accessible for follow –up & questions on reports or follow up • CHKS accredited service since 2011
  7. 7. How we measure our service? Feedback from our GP’s on our Arklow Service (survey 2012) • 100% rated it as ‘Excellent’ or ‘Good’ • 97% responded that it positively affects initial patient management. • 50% agree it leads to quicker treatment in the case of an adverse result • 27% responded that it prevents unnecessary referrals to A&E. • 97% agreed that urgent referrals are appropriately managed by the service • 76% agreed radiologists were available to discuss reports
  8. 8. Over referral risk due to accessibility? 40% of GPs surveyed felt that this was a risk Year on year volumes show that this has not happened. Year Patient Volumes 2009 8715 2010 8368 2011 8592 2012 8059 Numbers have remained stable even with the introduction of 6 new GPs over 5 years.
  9. 9. From little acorns…….. Arklow was Global Diagnostics 1st project We now see over 160,000 patients per annum across 8 hospitals providing emergency and speciality radiology and ophthalmology services to public and private healthcare partners. Sole radiology provider in 2 hospitals National Healthcare Award Winner in 2012 for innovation in quality service delivery within a hospital Awarded NCSS national contract to deliver diabetic retinopathy screening services & established Global Vision. Latest new service started 2 weeks ago in Vista Medical Imaging in Naas Irish owed & operated - employs 81 staff
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