Chief Allied Health Professions Officer’s Conference 2016 Workshop 1: Urgent and emergency care – Chair Helen Marriott Radiography reporting enabling timely intervention. Nicholas Woznitza, Clinical Academic Reporting Radiographer, Homerton University Hospital & Canterbury Christ Church University.

1. Team-working in Radiology:
Optimising Care
NICK WOZNITZA BSC, PGD, PGC, MIR(AP)
CLINICAL ACADEMIC REPORTING RADIOGRAPHER
HOMERTON UNIVERSITY HOSPITAL & CANTERBURY CHRIST CHURCH UNIVERSI TY
1
@xray_nick @MedRadJclub

2. NHS England 2014; Independent Cancer Taskforce 2015

3. NHS England 2014; Independent Cancer Taskforce 2015; Royal College of Radiologists 2015

4. Radiology across England
 Sustained and significant increases in radiology
activity1
 Chronic shortage of consultant radiologists2
 Ambitious plans for improved cancer outcomes3
 Unrelenting pressure on emergency medicine4
1 – National Diagnostic Imaging Dataset 2016; 2 – Royal College of Radiologists 2014; 3 – Independent Cancer Taskforce 2015; 4 – NHS England HSCIC 2016

5. Aim & Objectives
 Expand contribution of
radiographer advanced practice
 Meet anticipated activity increased
 Maintain/improve reporting times
5College of Radiographers & Royal College of Radiologists 2012

6. Project 1: Neonatal service
 Large, tertiary neonatal unit:
 60 cots; 3,000 X-rays per annum
 2010: No clinical report
6

7. Project 1: Neonatal service
 Radiographer-led neonatal X-ray
reporting
 All x-rays reported, next working day;
90% by radiographer
 Weekly MDT; radiographer deputises for
consultant paediatric radiologist
7

8. Project 2: Emergency service
 ED activity at record levels1,2
 Radiographer immediate reporting
shown to be effective3
8Homerton University Hospital Quality Accounts 2014-15; NHS England HSCIC 2016; Hardy et al. Br J Radiol 2013;86:20120112

9. Project 2: Emergency service
 Radiographer-led immediate reporting of ED
skeletal X-rays
 X-rays reported prior to patient leaving Radiology
 Reporting radiographer lead for all X-ray queries
9

10. Radiology Activity & Reporting Times
10
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
0
10
20
30
40
50
60
70
80
2010-11 2011-12 2012-13 2013-14 2014-15 2015-16
DEPARTMENTACTIVITY
REPORTINGTIME(HOURS)
XR CT MRI Activity

11. Reporting Times
 Current reporting times:
 X-ray: 34 hours (74% within 24hrs)
 CT: 16 hours (73% within 24hrs)
 MRI: 72 hours (36% within 24hrs)
 Royal College of Radiologists: 170,000 examinations
waiting 30 days for a report
11Royal College of Radiologists 2016

12. Contribution of Advanced Practitioners
3 Consultant
Radiologists
6 Consultant
Radiologists
4.5 Consultant
Radiologists
2013-14 2014-15 2015-16

13. Key Learning Points
 Team-based approach essential
 Radiographer reporting provides a significant
contribution
 Effective, efficient, safe
 Essential component of patient focused service
13

14. Plans for Spread
 Exemplar site for College of Radiographers,
National Diagnostic Imaging Board
 Strategy & audit freely available
 Radiographer neonatal X-ray reporting highly
commended BIR Service Improvement award 2015
14

15. Questions?
nicholas.woznitza@nhs.net
@xray_nick