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CAHPO 2016. Workshop 1: Nicholas Woznitza

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Chief Allied Health Professions Officer’s Conference 2016
Workshop 1: Urgent and emergency care – Chair Helen Marriott
Radiography reporting enabling timely intervention. Nicholas Woznitza, Clinical Academic Reporting Radiographer, Homerton University Hospital & Canterbury Christ Church University.

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CAHPO 2016. Workshop 1: Nicholas Woznitza

  1. 1. Team-working in Radiology: Optimising Care NICK WOZNITZA BSC, PGD, PGC, MIR(AP) CLINICAL ACADEMIC REPORTING RADIOGRAPHER HOMERTON UNIVERSITY HOSPITAL & CANTERBURY CHRIST CHURCH UNIVERSI TY 1 @xray_nick @MedRadJclub
  2. 2. NHS England 2014; Independent Cancer Taskforce 2015
  3. 3. NHS England 2014; Independent Cancer Taskforce 2015; Royal College of Radiologists 2015
  4. 4. 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
  5. 5. Aim & Objectives  Expand contribution of radiographer advanced practice  Meet anticipated activity increased  Maintain/improve reporting times 5College of Radiographers & Royal College of Radiologists 2012
  6. 6. Project 1: Neonatal service  Large, tertiary neonatal unit:  60 cots; 3,000 X-rays per annum  2010: No clinical report 6
  7. 7. 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 7
  8. 8. 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
  9. 9. 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 9
  10. 10. Radiology Activity & Reporting Times 10 0 20000 40000 60000 80000 100000 120000 140000 160000 180000 0 10 20 30 40 50 60 70 80 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 DEPARTMENTACTIVITY REPORTINGTIME(HOURS) XR CT MRI Activity
  11. 11. 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 11Royal College of Radiologists 2016
  12. 12. Contribution of Advanced Practitioners 3 Consultant Radiologists 6 Consultant Radiologists 4.5 Consultant Radiologists 2013-14 2014-15 2015-16
  13. 13. Key Learning Points  Team-based approach essential  Radiographer reporting provides a significant contribution  Effective, efficient, safe  Essential component of patient focused service 13
  14. 14. 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 14
  15. 15. Questions? nicholas.woznitza@nhs.net @xray_nick

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