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Scottish Pathology Network (SPAN) The First 6 Months. Where?. Travelled 15000 miles Darlington Newcastle Gateshead Edinburgh London. Lothian - WGH and NRIE Glasgow North – WIG and GRI Glasgow South Yorkhill Neuropathology SGH Inverclyde Royal Alexandra Paisley Crosshouse Stirling
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Where? Travelled 15000 miles Darlington Newcastle Gateshead Edinburgh London • Lothian - WGH and NRIE • Glasgow North – WIG and GRI • Glasgow South • Yorkhill • Neuropathology SGH • Inverclyde • Royal Alexandra Paisley • Crosshouse • Stirling • Raigmore • Dumfries & Galloway • Aberdeen • Fife • Lanarkshire – Monklands, Wishaw & Hairmyres Clydebank May 06
Why? • Scoping Pathalba • Scoping the quality of the pathology infrastructure • Communication • Gaining perspectives and viewpoints from Herceptin to colorectal screening from specialist reporting to accreditation May 06
The Reception? • Professional and cordial • Questions about where the network was going and its function • Some dismissive • No Department seemed disinterested May 06
Overview • The majority of departments seemed to have secured significant investment in laboratory upgrade and new technology • Vacancies anecdotally did not seems as bad as 3 years ago • CPA status varied although 2 Departments had significant long standing problems. • No evidence of significant backlogs of work. • Evidence of pressure to deliver under a significant backdrop of change May 06
What? • Cervical cytology- Briefing paper • Herceptin – Questionnaire, S. Exec Briefing paper and status report • Pathalba – Scoped need, Board decision paper and tender • Colorectal screening roll out • Launch meeting • Web site • Developed communication strategy • Developed a framework and initial workplan for SPAN • Facilitated plans for movement of work • Consulted on National Clinical Datasets • Scotland/Malawi partnership • In conjunction with National Procurement negotiated additional discount of £40k with Dako • Provided advice to organisations and management on pathology issues May 06
Benchmarking • Kerr and Delivering for Health • All Laboratories in Scotland to Keele Benchmark by 2006 • Why? • How do we compare? May 06
Cytology Health Improvement Public Expectation Drivers for Change May 06
Pathalba Project Plan • Scoping exercise Oct/Nov 05 • Paper agreed at Pathalba Board Jan 06 • Tender for Phase 1 Issued Mar 06 • Tender Closing Date 08 May 06 • Delivery of systems by Summer 06 • Phase 2 delivery by Late 2007 May 06
Herceptin May 06
Status Nov 2005 May 06
ICC/FISH May 06
Questionnaire May 06
Resources May 06
Role Extension May 06
Conclusions from Dec SPAN Paper • Any site must meet the published guidelines and EQA requirements • In line with ‘Delivering for Health’ FISH to be provided on 3 or 4 centre model • Pathology testing is unlikely to be a constraint to timely treatment (Funding Dependant) • Testing where regionalised needs to provide a standardised timely service to meet local MDT needs. May 06
Web Site Development May 06
Major Incident Recovery Plan • Backup computer systems • Retain partial functionality on site where possible • Labs in other centres/regions • Plans for staff movement • "sift carefully through rubble; reassemble specimens and staff; process as normal..." May 06
What next? • Steering Group • Scoping major areas of development • Prioritising the development through workplan • Encouragement of current advisory structures/committees to feed through SPAN • New groups where appropriate • Develop further initiatives in histopathology, cervical cytology and molecular pathology May 06
Possible Structure? SEHD Planning Groups Pathology Departments Osteo GI Others Skin Head BMS Scottish Pathology Network Neuro Paed Breast Gynae Cervical Lymphoma May 06
HDL (2006) 12 Nationally May 06
Regionally Locally May 06
The Final Slide • ‘Roll-out of successful initiatives and the sharing of best practice remains piecemeal’ Scottish Parliament Audit Committee May 2005 • ‘Rapid advances in automation mean that consideration should be given to rationalisation of some non acute and screening functions’ Kerr Report May 2005 May 06