SCOTTISH CLINICAL IMAGING NETWORKSCIN

(Managed Diagnostic Imaging Clinical Network- reborn and rebranded 2014)

Dr Paul Kelly, Clinical Director, Radiology, Forth Valley

Seven Day Working In Imaging in ScotlandQuality in Imaging

Direct Access to Imaging for Primary CarePET CT

National Procurement for Outsourcing of Image Reporting

Why outsource?

Radiologist numbers (Scotland)

Current vacancies (>20)• Workforce age demographics/pension change• 317 radiologists currently • Sunday Post prediction of 312 in 2024 • England 30 extra recruited per year• Trainee numbers• 7 day working

Current solutions

• 30% increase in consultants under this govt• EPA (cheap and predictable)• WLI (less cheap and less predictable)• Locums• Radiographer reporting (?30% plain film)• Outsource/WLI (£2.6M total)

The Problem

• Backlog

• Ongoing demand

• Out of hours - ? exclude

National Procurement framework for outsourcing reporting

• National procurement of equipment• Project initiation document • Ltd number of companies/finite resource• National contract negotiated • Individual boards select from options depending on

needs• Save time and money• Standardise cost and procedure

Issues

• Backdoor privatisation?• Which image type best to outsource?• Access to previous films/report• Qualifications (GMC,FRCR)• Governance• Guidelines• Unexpected significant findings• Technology

Networks & Subspecialisation

• Neuro

• Paeds

• Intervention

• General reporting/?Insourcing

• Out of hours

KeleRADIOLOGY Inc.