Consultancy Not just another Job a Commitment

1
Consultancy - Not just another Job - a Commitment

• Dorothy Keane
• Consultant Radiographer
• South Tyneside NHS Foundation Trust

2
Aims of Session

• Consultant AHPs - the National Picture
• Consultant Radiographer Role
• New Developments in Radiography

3
Consultant AHPs - National Picture

• Dieticians 5
• OTs 7
• Physios 32
• Podiatrists 3
• Radiographers 12
• SALT 1

4
AHP Strategy

• Clinical Leadership to lead staff through
  transformational change
• Modernising Roles look at new and innovative
  ways of working
• Recruitment and Retention motivated staff
• Clinical Governance research, audit and
  training following new protocols and pathways

5
The Consultant AHP

• Expert Clinical Practice
• Modernising Services
• Training, Education and Learning
• Developing Research
• Strategic and Professional Leadership

6
Consultant AHPs
7
Radiography

• Reporting
• Emergency Care
• Breast Practitioners
• Clinical Oncology
• Endovascular
• GI Imaging

8
Why Consultant Posts ?

• Improve patient experience by improving quality
  and service
• Strengthen clinical leadership
• Help retain clinical maturity
• Improve rewards

9
The Person

• Visionary
• Risk taker
• Courageous
• Opportunist
• Confident
• Resilient

10
Requirements

• Breaking new ground
• Cutting edge of practice
• Working in partnerships in different ways
• Free to pioneer and cross boundaries
• Outcomes identified

11
The Competences

• Expert Clinical Service
• Modernising of Services
• Training, Education Learning
• Develop Research

12
Expert Clinical Service

• Provide consultancy
• Develop and deliver new specialist services
• Develop clinical expertise of staff
• Lead selection and design of audits
• Use expertise in an enabling and empowering way

13
Modernising Services

• Lead change in how services are delivered
• Politically aware
• Innovative and creative
• Knowledge of patient pathways
• Communicate visions
• Manage change

14
Training, Education Learning

• Lead and develop a learning culture
• Support service development
• CPD
• Share skills with others
• Influence design and development of national /
  international AHP education
• Foster inclusive environment

15
Developing Research

• Ivory tower -gt coal face
• All clinicians are researchers
• Reflective practice
• Dissemination of findings

16
Strategic and Professional Leadership

• Required for all 4 competencies
• Vision
• Collaborate and influence
• Deliver Change
• Confidence, courage, resilience and risk taking
• Credibility

17
Role of Consultant Radiographer

• Independent practitioner - expert in field
• Gold standard Radiology reports
• Personal and professional autonomy
• Significant clinical leadership
• 50 clinical practice
• Teaching, audit, research, CPD
• Drive changes both within and across
  organisations
• Work in conjunction with Universities

18
Difficulties and Challenges

• Resistance to change
• Scepticism
• Professional jealousy
• Demanding
• Challenging
• Lonely

19
Improving Services

• AE Reporting
• NOF
• Paediatric Hips
• GI Screening
• Charcot foot

20
NOF Project

• 4.35 patients to ward in lt- one hour
• Royal College said 7 by 2004

21
The Old Way
22
NOF Project

• In simple cases do we need doctors ?
• Empowering nurses, radiographers and porters
• Clinical governance of project

23
The New Way
24
How Have We Done ?

• 86 patients fast-tracked -gtward lt- 1hr
• 20 doc then fast-tracked -gtward lt-1hr
• 0 patients not fast-tracked
• False negatives 2
• False positives 4

25
Why Has Consultant Practice Worked ?

• Improvements all centred around the patient
• Improvements led by frontline staff
• Cross boundary working central to changes
• Training, support, feedback, audit
• Staff ownership

26
The Way Forward

• Maintaining standards
• Expanding to other areas
• Dissemination
• Regional, national, international
• Research and publication

27
THANKYOU
?

• dorothy.keane_at_sthct.nhs.uk