1. Delivering 18 Weeks Referral to Treatment Standard - Improving the Management of Diagnostic Services Jim Crombie Chair 18 Weeks Diagnostics Task and Finish Group

2. About today.. Opportunity to review progress Share good practice and innovative service models Understand major delivery risks Discuss principles of good waiting list management Plan next steps

3. Thank you for all your hard work to date!

4. Diagnostic Task & Finish Group Produce a report of key actions for NHS Boards Produce a directory of Diagnostic Direct Access Services Provide NHS Boards with ongoing support in reducing waits for Diagnostic Tests and prompting when action required Continued analysis of DMMI data to identify key risks to delivery of 18 Weeks RTT Provide advice and support to NHS Boards to help ensure those Diagnostic Tests not currently included in DMMI (200+) are meeting 18 Weeks RTT Targets

5. DMMI 8 Key Tests Maximum 4 week wait by March 31 st 2010 6 additional tests: –24 hour BP –24 hour ECG –Echocardiography –Spirometry –Sleep Studies –Nerve Conduction Studies Still not full reporting 47% late submissions (delays with national data)

6. Know risks Significant waits: –Echocardiography –Spirometry –Sleep Studies –NCS (Carpal Tunnel Pathway) Requested further analysis, including total profile, weeks to clear and delivery plans where NHS Boards have reported long waits

7. Significant Waits - Echocardiography

8. Significant Waits - Spirometry

9. Significant Waits – Sleep Studies

10. Significant Waits – Nerve Conduction Studies

11. Unknown risks – Unknown waiting times 200 other diagnostic tests in: –Audiology –Endoscopy –Imaging –Laboratories –GI Physiology –Neurophyisology –Ophthalmic Science –Respiratory Physiology –Urodynamics –Vascular technology

12. NHS Boards need to develop a process to measure and manage ALL diagnostic tests Written to Executive Waiting Time Leads requesting each NHS Board to: –develop a plan to embed appropriate systematic measurement and effective waiting list management –prioritise based on volume and potential 18 Weeks RTT delivery risk –apply the same principles used through the reporting and management of the additional DMMI tests, including undertaking increasingly detailed analysis and the subsequent development of delivery plans for those tests found to have the longest waits

13. NHS Boards need to develop a process to measure and manage ALL diagnostic tests –Provide a brief summary outlining the timescales and priority actions for undertaking this analysis of ‘at risk tests’ to Mike Lyon by May 31st 2010 –Be clear about the relative responsibilities of the individual clinical directorate or department in relation to corporate responsibilities for 18 Weeks RTT delivery. In particular how the Board will execute local performance management arrangements The Diagnostics Task and Finish Group will be working to support NHS Boards through this process. Access to additional advice and support should be made through the Regional Manager for the 18 Weeks Service Redesign and Transformation Programme

14. Your Role! Feedback to your NHS Boards Prompt ongoing development

15. Today’s Programme Data requirements for 18 week pathways Joyce Wardrope, Health Information Consultant, Access Support Team Delivering improvements in diagnostic services to support 18 week pathways - NHS Tayside Alan Cook, Consultant Radiologist, NHS Tayside

16. Today’s Programme Redesigning laboratory services to support delivery of 18 weeks Isabel Ferguson, General Manager, Laboratories, NHS Greater Glasgow & Clyde Diagnostics, an integral part of 18 week pathways Tracey Gillies, National Clinical Lead, 18 Weeks Service Redesign and Transformation Programme / Clinical Director for Surgery, NHS Lothian

17. Breakout Sessions: A – Radiology B – Endoscopy C – Cardiac & Respiratory Physiology D – Neurophysiology E – Laboratories Today’s Programme

18. Contribute Challenge Listen Enjoy!

19. Delivering 18 Weeks Referral to Treatment Standard - Improving the Management of Diagnostic Services Jim Crombie Chair 18 Weeks Diagnostics Task and Finish Group