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Diagnostics HCS contribution to 7 days Ruth Thomsen Scientific Director NHSE London Region.

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Presentation on theme: "Diagnostics HCS contribution to 7 days Ruth Thomsen Scientific Director NHSE London Region."— Presentation transcript:

1 Diagnostics HCS contribution to 7 days Ruth Thomsen Scientific Director NHSE London Region

2 80% of all diagnostics 1 billion tests a year 55 K workforce 52 different specialisms Screening–Diagnostics–Monitoring-Therapy-Rehab Equipment Safety Cost to NHS 10% of budget (£8 billion) Healthcare Science and Services

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4 Audiology Autonomic Neurovascular Function Cardiac Physiology Clinical Perfusion Science Critical Care Science GI Physiology Neurophysiology Opthalmic and Vision Science Respiratory Physiology Urodynamic Science Vascular Science Clinical Physiology – 11

5 Over 300 different types 15 Million undertaken a Year Clinical Physiology Diagnostic Testing

6 Contact with a HCS for Hearing Loss Hearing problem –Screener (Baby 7/7) Blood tests – Pathology (GP) (7/7) Hearing tests - Audiologist (6/7) X-Ray/Scan – Imaging (7/7) Blood tests – Pathology(Specialist) (7/7) Auditory pathway test (ABR)– Audiology/Neuro (5/7) Inheritance – Genetics (5/7) Blood Pressure- Cardiology (7/7) Rehabilitation- Audiologist/Social care/Education (5/7) Monitoring- All of the above

7 Already Providing 7 days Pathology (Haematology, Biochemistry, Microbiology) Medical Physics Cardiac Physiology

8 HCS 7 day survey NHSIQ sept 2013 Key Findings Groupings Neurophysiology Medical Physics Cardiac Physiology Pathology Overall Responses (n) % who believe we should offer 7DS 80.0% 91.1% 92.3% 92.7% 86.3% % currently implementing7DS 24.0% 26.7% 37.5% 78.1% 43.9% % implementing as 'Full' 7DS 0.0% 2.3% 5.1% 17.0% 8.3% % who think should offer Level 2+ service 57.6% 52.2% 84.6% 86.2% 69.1% % who have consulted with 'Service Users' 34.8% 46.2% 25.8% 87.9% 53.9%

9 Barriers Barriers to implementation % Financial Constraints 84.6%88.4%76.9%82.8%75.7% % Recruitment Shortages 73.1%69.8%87.2%44.8%55.7% % Patients won't attend out of hours 15.4%20.9%10.3%6.9%14.4% % Inflexible Contracts 11.5%9.3%17.9%25.3%19.1% % Legislation 11.5%14.0%20.5%31.0%18.2% % Lack of Trained Staff 69.2%58.1%79.5%41.4%48.7% % Staff Rota Preferences 61.5%58.1%48.7%54.0%52.8%

10 Drivers % Access for Primary Care 7.7%0.0%15.4%9.6%6.2% % Financial Drivers 7.7%4.3%7.7%15.7%11.1% % Patient Choice & Experience 23.1%4.3%11.5%16.9%23.5% % Waiting Times & Elective Workload 69.2%34.8%26.9%24.1%25.7% % Urgent & Emergency Care 38.5%65.2%69.2%73.5%54.4% % Clinical Demand 38.5%39.1%53.8%79.5%63.7%

11 HCS and support for 7day services Prevention- Education, improve access Early Intervention- Timely diagnostics Acute care - Rapid diagnostics Recovery – hospital stay min. Follow up- Self management and monitoring Rehabilitation- Self support and peer support


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