1. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology Perspective: Future Developments John Somers Consultant Radiologist Nottingham University Hospitals Trust. Lead for EEM Cluster

2. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology CV Consultant Radiologist (Paeds) 1991 Chair LIS IfH 2000-2003 Lead clinician Trent SHA NPfIT Cluster lead for Acute/PACS EEM 2005 National Clinical PACS lead 2006 Nottingham early adopter EEM

3. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology

4. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology Political environment Cancer 31/62 day wait 18 week target Delivering services closer to the patient Patient choice PBR ISIP Extended working hours On-call/Hospital at night

5. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology

6. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology Political environment Acute Trusts Primary care Foundation Trusts Independent Sector Treatment Centres Private Hospitals World

7. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology PACS challenges Unique ID’s Removal of artificial boundaries; Entity, SHA, Cluster Integration of RIS function Faster networks/compression Teleradiology

8. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology What is the future of PACS? Integration with CRS Breast screening programme Endoscopy Cardiology Dermatology Retinopathy screening Medical photography

9. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology Radiology in 2010? Assume truly national RIS/PACS as part of CRS Geography becomes irrelevant for majority of imaging Most images aquired against protocol anywhere Specialist employed in regional centres providing service Nationally

10. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology Radiology in 2010? On call or 24/7 working arranged across cluster General (plain film, MRI, CT, NM) work put up to report (for tarrif) by anyone able to report in specified time e.g. 24hrs Job plans based on income targets i.e. Earn your salary Treat NHS as private practice

11. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology

12. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology

13. Picture Archiving and Communications System (PACS) NHS Connecting for Health is delivering the National Programme for Information Technology