8D_Team working within radiology to improve patient

Team-working in Radiology:
A Service Manager’s Perspective
COLIN WEST
HEAD OF DIAGNOSTICS – HOMERTON UNIVERSITY
HOSPITAL
Homerton University Hospital NHS Foundation Trust
• ethnic minority communities constitute over 50% of the population
• over 50 languages spoken by Hackney residents
• high levels of deprivation (33% of children entitled to free school
meals)
• 450 bedded hospital
• 3,500 staff
• £260m turnover
Activity by Modality
CT
MR
U/S Non-Obs
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
7958
9272
11337
11636
12631
13856
14884
3309
4452
5623
5814
6456
8035
8707
17085
18965
21471
23057
26199
29059
31227
35000
30000
CT
25000
MR
20000
U/S Non-Obs
15000
Linear (CT)
10000
Linear (MR)
Linear (U/S Non-Obs)
5000
0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
Capital Equipment
2008
2nd Reporting Room + W/station for Reporting
Radiographers
Dedicated A&E wifi DR Room
2012
2009
Install second MR unit
Convert 3x xray rooms to wifi DR
Replace Fluoroscopy with Digital unit
Replace OPG with CBCT
2010
Replace mobiles with DR version
1x PACS workstation per Consultant Radiologist
2011
Replace Mammography with large plate +
stereotactic
Build 5th General Ultrasound room
2013
Replace 1.5T MRI with 3T
2014
Install DEXA
Staffing
2008/09
wte (at 01 Apr)
2009/10
78.8
2010/11
2011/12
81.4
85.7
2012/13
91
2013/14
95.6
100.2
wte (at 01 Apr)
120
100
80
60
wte (at 01 Apr)
40
20
0
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
Total Activity (Examinations)
2008/09
CT
Fluoro
MRI
U/S
Xray
Total
2009/10
9272
856
4452
18965
65344
98889
2010/11
11337
1002
5623
21471
71370
110803
2011/12
11636
1228
5814
23057
72546
114281
2012/13
12631
1043
6456
26199
74802
121131
2013/14
13856
866
8035
29059
76227
128043
14943
922
8748
31355
81613
137581
100000
CT
80000
Fluoro
60000
MRI
U/S
40000
Xray
20000
Linear (U/S)
Linear (Xray)
0
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
Total Activity (Examinations)
2008/09
CT
Fluoro
MRI
U/S
Xray
Total
2009/10
9272
856
4452
18965
65344
98889
2010/11
11337
1002
5623
21471
71370
110803
2011/12
11636
1228
5814
23057
72546
114281
2012/13
12631
1043
6456
26199
74802
121131
2013/14
13856
866
8035
29059
76227
128043
14943
922
8748
31355
81613
137581
150000
CT
100000
Fluoro
MRI
50000
U/S
0
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
Total Activity (Minutes)
2008/09
CT (40)
Fluoro (30)
MRI (60)
U/S (20)
Xray (5)
Total activity (minutes)
370880
25680
267120
379300
326720
1369700
2009/10
453480
30060
337380
429420
356850
1607190
2010/11
2011/12
465440
36840
348840
461140
362730
1674990
2012/13
505240
31290
387360
523980
374010
1821880
2013/14
554240
25980
482100
581180
381135
2024635
597720
27660
524880
627100
408065
2185425
700000
600000
500000
CT (40)
400000
Fluoro (30)
300000
MRI (60)
200000
U/S (20)
Xray (5)
100000
0
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
Total Activity (Minutes)
2008/09
CT (40)
Fluoro (30)
MRI (60)
U/S (20)
Xray (5)
Total activity (minutes)
2009/10
370880
25680
267120
379300
326720
1369700
2010/11
453480
30060
337380
429420
356850
1607190
2011/12
465440
36840
348840
461140
362730
1674990
505240
31290
387360
523980
374010
1821880
2012/13
2013/14
554240
25980
482100
581180
381135
2024635
597720
27660
524880
627100
408065
2185425
2500000
CT (40)
2000000
Fluoro (30)
1500000
MRI (60)
U/S (20)
1000000
Xray (5)
Total activity (minutes)
500000
Linear (Total activity (minutes))
0
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
Activity & Spend Data
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
wte (at 01 Apr)
78.8
81.4
85.7
91
95.6
100.2
Mins activity / wte
17381.98
21178.19
21810.629
19744.349 19544.807 20020.659
Activity & Spend Data
wte (at 01 Apr)
2008/09
78.8
Mins activity / wte
17381.98
Spend per wte
£63,270
2009/10
81.4
2010/11
85.7
2011/12
91
19744.349 19544.807 20020.659
£66,648
£65,862
£65,563
2012/13
95.6
2013/14
100.2
21178.19
21810.629
£68,000
£67,649
Activity (Exams) vs. Spend
Total Activity (exams)
Spend
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
98889
110803
114281
121131
128043
137581
£4,985,645 £5,425,145 £5,644,382 £5,966,200 £6,500,779 £6,778,455
Activity (Exams) vs. Spend
Total Activity (exams)
Spend
Spend / activity
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
98889
110803
114281
121131
128043
137581
£4,985,645 £5,425,145 £5,644,382 £5,966,200 £6,500,779 £6,778,455
£50.42
£48.96
£49.39
£49.25
£50.77
£49.27
Activity (Minutes) vs. Spend
Total activity (minutes)
Spend
Spend / min
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
1369700
1607190
1674990
1821880
2024635
2185425
£4,985,645 £5,425,145 £5,644,382 £5,966,200 £6,500,779 £6,778,455
£3.64
£3.38
£3.37
£3.27
£3.21
£3.10

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