Raising the Pathology Profile

1
Raising the Pathology Profile

• Dr Ian Barnes
• National Clinical Lead for Pathology,DH
• IT Strategy Conference,Leeds
• 17th November,2008

2
NHS Next Stage Review (1)

• Quality
• Safety
• Personalisation
• Patient information
• Patient choice
• Patient experience

3
NHS Next Stage Review (2)

• Quality improvement
• Standards
• Metrics
• Enhancing professionalism
• World class commissioning
• Innovation
• NHS EVIDENCE
• NICE

4
Pathology Modernisation

• Strategic Review of Pathology Services.
• September 1995
• Modernising Pathology Services.
• February 2004
• Modernising Pathology Building a Service
  responsive to Patients.
• September 2005
• Report of the Review of NHS Pathology Services in
  England.
• August 2006

5
Pathology Modernisation

• Programme 1998 2008. Finished March.
• 2008 - .
• Pathology Delivery Plan
• Pathology Programme Board
• Pathology Partnership Group
• Project Teams
• Diagnostic Programme Board

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Diagnostics Programme Board 2008

• Pathology
• Physiological measurement
• Imaging
• Aims
• -Support closer working between DH diagnostic
  workstreams
• -Consider diagnostic services reNext Stage
  Review
• -Ensure diagnostic workstreams meet needs of
  clinical programmes and other key DH workstreams

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Overarching Workstreams

• Workforce
• Leadership
• Commissioning
• Knowledge management and information
• Primary care and closer to home
• RD/innovation and improvement

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Pathology

• A Pathology Delivery Plan in place to deliver key
  NHS priorities to improve patient care.
• Performance managed via a Partnership Group
  comprising project leads and other stakeholders.
• Underpinned by involvement of pathology
  professionals and professional bodies.

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DH Pathology Workstreams (1)

• Carter Review (2nd Stage)
• Report written, submitted to Minister
• 20 recommendations
• Awaiting publication
• Undergoing impact assessment (DH)
• Ministerial decision
• Implementation

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DH Pathology Workstreams (2)

• National Action Learning
• National Service Improvement
• Clinical Leadership
• Accreditation
• UKAS
• CPA
• POCT

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DH Pathology Workstreams (3)

• 18 weeks
• Commissioning
• PBR / Tariff
• Technology innovation / R D
• -NHS Evidence
• -NICE

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DH Pathology Workstreams (4)

• Clinical Benchmarking
• Harmonisation
• Best Practice
• Evaluation of new tests
• -NHS Evidence
• -NICE

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DH Pathology Workstreams (5)

• GP Order Comms
• Test catalogue
• (e) formulary
• Lab tests on line
• Handbook on line
• Map of Medicine

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Summary

• Pathology profile raised in DH
• Opportunities for improved integration and
  engagement ( vascular checks, renal,etc)
• Core projects in place to support delivery of
  high quality services which meet user needs
• Professional engagement essential at local and
  national level
• Innovation will be required to drive change