Diagnostics Task and Finish Group Report - 18 Weeks

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• Use these and any relevant national good practice examples identified to exploreopportunities for areas of direct access development within diagnostic services;• Highlight innovation in the provision of Direct Access Diagnostic Services in yourBoard to help others learn from your good practice;• Explore the reasons for variation in referral practice for diagnostic services byroutinely examining referral data and establishing a regular dialogue with GPs andother referrers to examine the reasons for this variation which may be reducedthrough improved access to advice, care pathways or additional training;• Establish links with NHS Board’s Community Health Care Partnerships to furtherdevelop the dialogue between primary and secondary care around referralpractice, establishing links with those leading the Quality Indicators Project;• Explore the use of SCI Gateway Advice Only functionality and other advice onlyroutes to improve access to advice for primary care referrers.Key Message: Review Rapid Access PossibilitiesPull together a comprehensive picture of Direct Access and Straight to Test DiagnosticServices available within your Board;Use these and any relevant national good practice examples identified to exploreopportunities for areas of direct access development within diagnostic services;Highlight innovation in the provision of Direct Access Diagnostic Services in your Boardto help others learn from your good practice.Diagnostics Task and Finish Group Report - V1.0 December 201124
Sharing Good PracticeOver the last two years the Diagnostics Task and Finish Group has hosted a series ofevents to facilitate a collaborative approach to improvement of Diagnostic Servicesacross NHS Scotland.The Managed Diagnostic Imaging Clinical Network (MDICN) has worked closely with thediagnostic Task & Finish Group to identify current levels of imaging access for primarycare, understand the reasons for variation and identify the barriers to increased access.A joint event between the 18 week RTT team and the MDICN focused on providing aforum to explore the arguments for and against increased access from primary care.Most boards reported an intention to increase access to general practitioners, howeverwere wary of the potential impact on workload when increasing the pool of referrers. Theimportance of developing a local group that permitted a focus for protocol developmentand demand management and better interaction between primary care and Imagingdepartments was recognised.The Managed Diagnostic Imaging Clinical Network (MDICN) main work-plan supports thekey elements of the Diagnostic Task and Finish Group. Major themes for the networkinclude improving effectiveness through a collaborative benchmarking project andimproving national data standardisation. Within its work-plan the network has developeda national imaging dataset that provides high level data on referral trends including theability to monitor and compare levels of primary care access for all Boards acrossScotland.In 2011, the MDICN are leading a major workstream in developing quality measures forImaging departments in Scotland. The primary indicators are currently being developedbut the group has identified the importance of timeliness and a high level indicatormeasuring time from request to report availability for referring clinician has beenprioritised.Events have covered a range of topics and have spanned a wide selection of diagnosticservices including neurophysiology, cardiac and respiratory physiology, radiology,Diagnostics Task and Finish Group Report - V1.0 December 201125
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Diagnostics Task and Finish Group Report - 18 Weeks

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