1. Interventional Radiology: moving on from the troublesome teens Iain Robertson President British Society of Interventional Radiology Consultant Interventional Radiologist Greater Glasgow & Clyde Health Board Email: bsiriain@gmail.com

2. History of IR 1953 1964 1977 1982 1985 1966 1972 1987 1991 2010

3. UK Interventional Radiology Founded 1988 633 members 490 members 140 junior members 2 associate members

4. Identity & Responsibility

6. Vital, clinical service of proven effectiveness National Imaging Board Report NICE/ MHRA/ DOH RCR Chief Medical Officers

7. What is an Interventional Radiologist?

8. Internal Identity

9. External Identity Subspecialist accreditation Defined curriculum Defined training pathway 3 years core 3 years IR Defined assessment

10. Dependability (Responsibility)

11. How do we know a good quality IR service?

12. Vital means dependable 24/7 Clinical means patient focused Proven effectiveness means data driven

14. Scope of Services Patient Focus Data Service Improvement

15. RAG status Core 24/7 services England only just now Map revision March 2012

16. Key Steps 1.Define the scope of services 2.Define staff involvement 3.Procedures manual 4.Unify equipment 5.Embobags

17. Scope of services

18. Key Steps: Scope of service Range of procedures appropriate for sites Understand what is done in hours Understand what you aim to do out of hours Set a defined target: hemorrhage control for most of us Define sites that will participate and how

19. Make new friends Upskill new friends as reqd Set the bar EVAR Primary operator: 4 TIPPS Primary operator: 5 Embolization: 9 Nephrostomy around 15 1:6 is the minimum target Radiology Teams

20. Hard Facts If you won’t do it OOH – you don’t do it in hours!

21. Nurses Need nurse leadership Longer negotiation Cross-city service Staff rotation for training Reduce variability -Protocols Develop a manual

22. Procedures manual Defines service Referral process & responsibilities Site specific info Protocols Equipment lists

23. Unify equipment stock Everyone uses the same Supports the nurses/ radiographers Provides resilience Saved the hospital 150K Responsible control

24. Embobags “Portable” consumables 2 embo bags Catheters Embolics Contrast Needles Everything……….

25. Scope of Services Patient Focus Data Service Improvement

26. www.bsir-qi.com