1. Dr Laurence Sutton. Consultant Radiologist Calderdale and Huddersfield NHS Trust. National Clinical PACS Lead NE Cluster

2. PACS the facilitator of change. New ways of delivering Diagnostic Imaging Services. NHS CfH PACSNHS CfH PACS

3. The information Vision NHS CfH PACSNHS CfH PACS to have relevant diagnostic images and associated data available and useable in a timely manner at the point of care for all clinicians, irrespective of the location and timing of the care being provided. This would apply to any aspect of care delivery requiring images and associated data and would integrate relevant diagnostic images and data seamlessly with wider pertinent clinical information. Further, to have relevant diagnostic images and associated data available and useable for all clinicians to support service improvements in care delivery, service planning, research or education.”

4. PACS Programme: NCRP Vision for Future Development. Sets out the Vision for PACS. Steps required to realise the Vision. Supports the wider strategy for Diagnostic Imaging across the NHS. NHS CfH PACSNHS CfH PACS

5. Diagnostic Imaging Service Reform. National Diagnostic Imaging Board. Dr. Erika Denton. NHS CfH PACSNHS CfH PACS

6. Diagnostic Imaging Service Reform Vision Enablers. NHS CfH PACSNHS CfH PACS Workforce Modernisation. Independent Sector Capacity PACS Service Transformation.(ISIP)

7. Diagnostic Imaging Service Reform Vision Enablers. Service Transformation. (ISIP) Integrated Service Improvement Programme. NHS CfH PACSNHS CfH PACS a methodology to enable local health economies, including all relevant service partners, to plan service change collaboratively to optimise efficiency, value and quality.

8. Diagnostic Imaging Service Reform POLICY DRIVERS. NHS CfH PACSNHS CfH PACS System Reform and Patient Led NHS Patient Pathways. Patient Choice. Workforce Reform. Organisational Changes ISIP Best Use of Capital Resources Payment By Result.

9. Independent Sector (IS) Diagnostic Imaging (DI) Additional Services 2006. Increase overall capacity. Pleurality and Choice. Waiting Times for DI. DH Target 18 weeks. (R to T).2008 Waits for imaging < 1 month. Target 13 weeks all DI March 2007 NHS CfH PACSNHS CfH PACS

10. Shorter Waiting Times. Referral to Treatment. Increase Primary Care Access. NHS and NHS Contracted IS Imaging prior to first OP appointment. Evidence Based Guidelines.( Choose and Book ) Increased Volume Imaging. Increased NHS Capacity. Optimised NHS Capacity.( Choice of scan ) NHS CfH PACSNHS CfH PACS

11. Shorter Waiting Times. Increased Volume of Imaging /1000 NHS CfH PACSNHS CfH PACS CurrentProjectedScan/yr MRI18351.8M 20% CT40552.5M NUS1001204.6M

12. Shorter Waiting Times. Workforce Planning. Deliver increased volumes. 4 Tier Structure. Radiology Academies Focus of Training Initiatives to support workforce. NHS CfH PACS Programme NHS CfH PACSNHS CfH PACS

13. Full National PACS March 2007. To facilitate: Flexible Workforce. More Efficient Workforce Radiology Networks. Remote Reporting. Teaching, Training and Research. NHS CfH PACSNHS CfH PACS

14. National Infrastructure versus Increased Diversity of Service Provision NHS CfH PACSNHS CfH PACS Standardisation Infrastructure Shift from Secondary to Primary Care Split between Image acquisition and Reporting Commoditisation of DI services. Pleurality and Choice

15. National Infrastructure versus Increased Diversity of Service Provision. The Technical Challenge The challenge is to develop a Nationwide Technical solution that will support the requirements of Patient Choice, Shift in where healthcare is delivered and maintaining the Integrity and availability of the Patients’ Imaging Record. NHS CfH PACSNHS CfH PACS

16. National Infrastructure versus Increased Diversity of Service Provision. The Professional Challenge (1) The challenge is to maintain the Clinical Integrity of Diagnostic Imaging Services through evidence based practice and improved communication between Radiologists and the Referrers. NHS CfH PACSNHS CfH PACS

17. National Infrastructure versus Increased Diversity of Service Provision. The Professional Challenge (2) The challenge is to acknowledge the benefits that PACS with integration with other clinical IT systems now provides for significantly improved productivity and quality of reporting. NHS CfH PACSNHS CfH PACS

18. National Infrastructure versus Increased Diversity of Service Provision. The Professional Challenge (2) ‘We can no longer hide behind the inefficiencies of Film.’ ‘Next Day doesn’t cut it anymore.’ Steven C Horri. MD NHS CfH PACSNHS CfH PACS

19. The Technical Challenge. The How Questions!? And More! NHS CfH PACSNHS CfH PACS When can I see Images from another organisation? When will there be a truly pan Health Care Community PACS? How will Image Data and associated Data be updated and Validated? How will Data Retention Policies be managed in an a digital environment?

20. The Technical Challenge. The How Questions!? And More! NHS CfH PACSNHS CfH PACS Is it worth connecting my Legacy PACS into the cluster data store. How will I know which images to report if I’m working remotely from the point of acquisition? How do I know that an Image report has been read and acted upon. Will I see all the patients prior images?

21. The Technical Challenge. The How Questions!? And More! NHS CfH PACSNHS CfH PACS PACS CENTRAL TECHNICAL TEAM AND DESIGN STEERING GROUP