Management and radiology - a guide to current and future management issue in radiology

1 MAY 2015

MANAGEMENT AND RADIOLOGY—A GUIDE TO CURRENT AND FUTURE MANAGEMENT ISSUES IN RADIOLOGY Venue: Etc. venues Marble Arch, London CPD: 6 CREDITS

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BIR ANNUAL CONGRESS 2015 4–5 NOVEMBER LONDON • Room 1

Primers for the non-specialists

Day 1

Day 2 Clinical hybrid imaging in oncology • Room 1

Session organised by Dr David Wilson, Consultant Interventional MSK Radiologist, Oxford University Hospitals NHS Trust

Session organised by Dr Gopinath Gnanasegaran, Consultant Physician in Nuclear Medicine, St Thomas’ Hospital

• Room 2

• Room 2

Session organised by Mr Andy Rogers, Head of Radiation Physics, Nottingham University Hospitals NHS Trust

Session organised by Dr Hardi

Radiation protection — current issues in molecular imaging and radiotherapy

View the full programme and register: www.bir.org.uk

Emergency radiology — advances in trauma imaging and Essentials for the radiology trainee Madani, Radiology Registrar, Royal Free London Hospital and Dr Ausami Abbas, Cardiothoracic Radiology Post CCT

Welcome and thank you for coming to “Management and radiology—a guide to current and future management issues in radiology” organised by The British Institute of Radiology.

We wish you a very enjoyable and educational experience.

Certificate of attendance This meeting has been awarded 6 RCR category I CPD credits.

Your certificate of attendance will be emailed to you within the next 2 weeks once you have completed the online event survey at: https://www.surveymonkey.com/s/Managementandradiology

BIR Annual Congress 2015: 4–5 November, London

We are most grateful to

for supporting this conference Please take time to visit their exhibition stands to find out more about the services they offer 1

Programme

09:00 Registration and refreshments 09:25 Welcome and introduction

Dr Jeevan Kumaradevan, Consultant Radiologist, Whittington Health 09:30

Managing radiology services and service development—a radiographer’s perspective Mr Adrian Trinidade, Superintendent Radiographer/MRI Manager,

Whittington Health

10:10 The implementation of new services and managing change

Dr Ros Crooks, Clinical Director in Diagnostics and Pathology and Director of

Breast Imaging Services, Whittington Health 10:50 Refreshments 11:10 Revalidation and appraisal—how to make it work for you

Dr David Grant, Chief Information Officer, Whittington Health 11:50 Looking outside tertiary care

Dr Caroline Allum, Medical Director, Hertfordshire Community NHS Trust 12:30 Lunch 13:30 Developing a career in management—a trainee’s perspective

Dr Fiona Pathiraja, ST4 Radiology Trainee, University College London Hospitals 14:10 Project management and preparing a business case

Dr Colm Prendergast, Clinical Director, East and North Hertfordshire Trust and

Chairman, Radiology Management Committee for Radiology, UCLPartners 14:50 Teleradiology and its implication to radiology as a career

Professor Philip Gishen, Director of Imaging, Imperial College Healthcare NHS

Foundation Trust 15:30 Refreshments 16:00

What does a director of operations and chief executive expect from their radiologists and imaging department?

Mrs Kate Slemeck, Executive Director of Operations, and Mr David Sloman, Chief Executive, Royal Free London NHS Foundation Trust

16:45 Tips for your consultant interview—interactive discussion with panel 17:15 Close of event

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Certificate of attendance This meeting has been awarded 6 RCR category I CPD credits.

Your certificate of attendance will be emailed to you within the next 2 weeks once you have completed the online event survey at: https://www.surveymonkey.com/s/Managementandradiology BIR Annual Congress 2015: 4–5 November, London

Join the BIR today and receive 20% off your membership fee As a thank you for attending today’s event we would like to offer you this great deal Be part of the only multi-disciplinary membership organisation for everyone interested in medical imaging

See a member of BIR staff for details

Join us for a drink after the event Network with other delegates, speakers and exhibitors at:

The Carpenters Arms 12 Seymour Place, London

A traditional English pub, just a short walk from Etc. venues and Marble Arch station 3

Speaker profiles Dr Caroline Allum Medical Director, Hertfordshire Community NHS Trust Caroline is Medical Director at Hertfordshire Community NHS Trust and Consultant Radiologist at the Royal Free London. She is passionate about delivering the best possible care for patients and developing teams and the leaders of the future. She is committed to ensuring quality and responsiveness of services and excellent patient experience. A finalist in the Category of Inspirational Leader at the East of England Leadership Awards in November 2014, named in 2013 as one of the Health Service Journal’s (HSJ’s) 50 most inspirational women leaders in health, she also reached the final of the HSJ Clinical Leadership awards in the category of Clinical Leader in 2012.

She has been involved in significant transformation within her organisation and chaired Pan London radiology benchmarking and procurement projects.

Dr Ros Crooks Clinical Director in Diagnostics and Pathology and Director of Breast Imaging Services, Whittington Health Ros currently works as a Consultant Breast Radiologist at the Whittington Hospital North London, where she has been since 2007. Since 2010 she has also been the Clinical Director of Diagnostics, overseeing the departments of Imaging and Pathology. In 2014 she took part in the first “Leading Transformational Culture Change within the NHS” programme supported by the Royal College of Radiologists and the Institute of Leadership and Management.

Professor Philip Gishen Director of Imaging, Imperial College Healthcare NHS Foundation Trust Philip was appointed as a Consultant Radiologist at King’s College Hospital in June 1977, having trained in South Africa and London. He was a Consultant at King’s College from 1977 to 2001 and was Clinical Director and Head of Radiology for his last 6 years there. In 2001 he moved to the Hammersmith Hospital as Professor and Head of Radiology, a post that he occupied until 2012. In 2012 he was appointed Clinical Director of a Teleradiology Company (Radiology Reporting Online). He qualified in medicine at the University of Witwatersrand in South Africa in November 1968. Registrar in medicine in 1971 and 1972. He entered radiology in 1973. Diploma in Medical Radiodiagnosis in London in 1974. Fellowship examination of the Royal College of Radiologists in 1976. Consultant Radiologist at the Johannesburg General Hospital and 1 year later took up a consultant post in radiology, specialising in cardiovascular radiology at King’s College Hospital. He specialises in the diagnosis and treatment of lower back pain and sciatica using all radiological modalities (plain film, lumbar spine, screening, CT, MR, isotope scanning, including SPECT-CT and PETCT) to provide the most accurate diagnosis and treatment possible. He readily reports on plain films, CT and MR scans. He remains an active radiologist. He has published widely on many topics.

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Dr David Grant Chief Information Officer, Whittington Health David was appointed as Consultant Radiologist at the Whittington Hospital in 1988 and held the post of Director of Imaging between 1990 and 2004. He became Director of Clinical Services in 1993–1997 and again in 2004–2008. He became Associate Medical Director in 2008–2011 and became Chief Information Officer in 2011. David retired from his substantive NHS post in July 2013.

Married with three children, his professional interests include picture archiving and communication systems (PACS) and teleradiology. He is a former member of the Pan London PACS Board 2003–2005 and the National Clinical Reference Panel for Connecting for Health.

David has provided leadership roles in both the NHS and private sectors retiring as Medical Director and Responsible Officer of the Hospital of St John and St Elizabeth in 2014. He has introduced new concepts such as voice recognition technology, managed equipment services and the introduction of a collaborative interventional radiology service. He has given clinical advice in the current Electronic Patient record and radiology information system (RIS)/PACS and vendor neutral archive (VNA) implementations at the Trust and has implemented a total of four RIS/PACS systems in both the NHS and private sectors.

Dr Jeevan Kumaradevan Consultant Radiologist, Whittington Health Jeevan is a Consultant Radiologist at the Whittington Hospital, formerly Clinical Radiology Lead. His main interests include uroradiology and intervention. He completed radiology training at the Royal Free Hospital rotation in 2001, followed by a 1 year fellowship in Western Australia in 2002. He sat on NHS London Advisory Group for Intervention in 2012.

Dr Fiona Pathiraja ST4 Radiology Trainee, University College London Hospitals Fiona is a year 4 SpR at University College London Hospitals. She is Chair of the Junior Radiologists Forum at the Royal College of Radiologists where she represents over 1,200 radiology trainees. Prior to radiology, Fiona spent 2 years at the Department of Health as Clinical Advisor to Professor Sir Bruce Keogh (NHS Medical Director) and has also worked as a Healthcare Management Consultant in the private sector. Fiona is dual qualified in public health and radiology and hopes to work at the interface between radiology and health policy. Her main areas of interest include junior doctor engagement, grassroots quality improvement and organisational transformation.

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Dr Colm Prendergast Clinical Director, East and North Hertfordshire Trust and Chairman, Radiology Management Committee for Radiology, UCLPartners Colm was appointed Consultant Radiologist at North Hertfordshire NHS Trust in 1991. Since the appointment he has held a succession of clinical managerial roles, including Clinical Director, Divisional Chair and Medical Director. He has also had extensive experience in the development and organisation of training. He established a training rotation in radiology at the Lister Hospital initially with one trainee in 1995; there are now 6 SpRs and a clinical fellow post. He is Training Programme Director for radiology for University College London Hospitals and chair of the Training Programme Management Committee for Radiology for UCLPartners.

Mrs Kate Slemeck Executive Director of Operations, Royal Free London NHS Foundation Trust Kate has been the Executive Director of Operations at the Royal Free London since 2011. Prior to this she was the Director of Operations at the Whittington Hospital NHS Trust for 5 years and before this Deputy Director of Operations. Kate has over 20 years NHS management experience, mainly in acute trusts (including Northwick Park Hospital and the Royal Hospital for Neuro-disability). She originally trained as an occupational therapist.

Mr David Sloman Chief Executive, Royal Free London NHS Foundation Trust David has been Chief Executive at the Royal Free London since 2009. During this time he has been successful in obtaining Foundation Trust status for the organisation and leading the trust towards acquisition of Barnet and Chase Farm Hospitals NHS Trust. David was formerly Chief Executive of the Whittington Hospital and before that he was Chief Executive of NHS Haringey. He has spent his career in healthcare management, most of it in the NHS, although he worked for a number of years in the private healthcare sector. David is an executive member of UCLPartners, a member of the north central and north east London Local Education and Training Boards (LETBs), the chair of the north central and north east London Clinical Research Networks (CLRN) Partnerships Board, a board member of Skills for Health, and the Chair of the London Leading for Health Reference Group.

Mr Adrian Trinidade Superintendent Radiographer/MRI Manager, Whittington Health Adrian is the MRI Lead at Whittington Health. He is involved in all aspects of staff training and sits alongside the Imaging Service Manager in delivering the service.

Outside of these tasks, he does plain film reporting and provides in-house support and training to the junior radiographers in identifying plain film anomalies.

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Abstracts (where supplied) Managing radiology services and service development—a radiographer’s perspective Mr Adrian Trinidade There is a plethora of challenges facing imaging mangers in delivering a timely and cost-efficient service to the service users and the trust. Ensuring that key performance indicators are delivered is not usually effective with top-level managerial decisions but through the implementation of a system that ensures that there is full staff integration and job satisfaction. We will briefly look at six aspects affecting most imaging departments—finance, assessment of staff and procedures, staff training and development, statistics, audits and integration at a trust-wide level and how changes to management of these areas has led to a more efficient and streamlined department.

Educational aims: • We will examine the changes made within a medium-sized district general hospital to examine how they overcame some of the major challenges facing the Imaging department and explore the possibilities and obstacles in delivering this to other Trusts.

Learning outcomes: • To examine one’s current style of management and local code of practice to explore what changes can be made to help understand what obstacles are occurring and how they can be overcome.

The implementation of new services and managing change Dr Ros Crooks The implementation of new services and managing change within any organisation is a process that requires careful orchestration. The outcome of any such project is often dependent on the journey itself. Ensuring that the right people are involved, that they remain engaged with the process, and that they see the benefits of a common goal will smooth the process and increase the chances of success. Having a systematic approach is key.

Revalidation and appraisal—how to make it work for you Dr David Grant Appraisal is a cycle of improvement designed to allow the doctor to develop their practice, so as to deliver better patient care. It is well-established in non-medical career structures, but the administrative burden, time required and cost have made its incorporation into routine medical practice slower than in other career disciplines.

However, there is a legitimate public expectation that doctors should be competent and previously there was no mechanism of assessing this on a regular basis after the original date of qualification.

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Appraisal is a mandated General Medical Council (GMC) requirement, but the challenge is to move from compliance to a sense of commitment to the process by individual practitioners. The ability to provide a track record of behaviour and satisfactory appraisal can often assist the doctor in dealing with complaints.

It is for these reasons that transparency, documentation and clear evidence of communication with reflection are so important.

Revalidation was introduced in 2012 and links the appraisal cycles to provide a comprehensive comment about the doctor. Revalidation is the process by which doctors are “licensed to practice” and can demonstrate that they are up to date and fit to practise in their chosen field and able to provide a good level of care.

Revalidation aims to give confidence to patients that their doctor is regularly checked by both their employer and the GMC. Licensed doctors have to revalidate every 5 years by having annual appraisal as defined by the GMC. Educational aims: • Outline the process of appraisal and revalidation • Review the changes to the GMC Good medical Practice Guidance • Demonstrate the potential protection afforded by a track record of a series of favourable appraisal outcomes Learning outcomes: • Look at appraisal as a positive experience.

• Encourage reflection as part of routine medical practice.

• Place emphasis on communication, probity and good documentation.

Further reading: • http://www.gmc-uk.org/GMP_framework_for_appraisal_and_revalidation. pdf_41326960.pdf • http://www.gmc-uk.org/guidance/good_medical_practice.asp • http://www.gmc-uk.org/Good_medical_practice___English_0914. pdf_51527435.pdf • http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/medicalvalidation-vijaya-nath-mar14.pdf Looking outside tertiary care Dr Caroline Allum The NHS is currently facing a massive financial challenge. The new chief executive of the NHS has outlined his Five Year Forward View and the Dalton Review has articulated possible organisational forms. The drive for increased access to services outside of tertiary and secondary care, pressure from patients, GPs and commissioners is huge.

There are opportunities for radiologists to support and be integral to new models of care. I will cover some high level national issues in this presentation and also explore how we as radiologists can guide the agenda by being pro-active with our commissioners as they design pathways of care that extend out into the 8

community and closer to peoples homes. I will touch on the concept of value based healthcare and give examples of how benchmarking can help with the challenge and how important collaboration is between organisations.

Educational aims: • An understanding of the NHS context in which radiology departments currently operate and of how to influence the agenda pro-actively.

Learning outcomes: • Ability to discuss how radiology can support out of hospital care. Confidence to start a discussion with commissioners about radiology outreach.

Developing a career in management—a trainee’s perspective Dr Fiona Pathiraja This session will cover: • Top tips for consultant interview with reference to management and leadership • How to get involved with quality improvement locally as a junior trainee • Portfolio careers and the bigger picture • Context to the wider NHS healthcare landscape and where trainee-leadership fits in Project management and preparing a business case Dr Colm Prendergast In this talk I shall explain why you need a business case and its importance to service development or redesign. I shall define the structure and key elements that are essential to writing a good business case and explore common reasons for failure. Successful strategies for communicating and maximising the impact of your case with decision makers will be discussed.

Once agreed, a project will need good management to ensure delivery. I shall look at best practices for successful project management and common reasons for failure. I shall explore what defines success and how to build on it for the future.

Teleradiology and its implication to radiology as a career Professor Philip Gishen The lecture covers the background of teleradiology including consultants’ contracts, work output and the increase in radiology requests by clinicians for CT, MRI and US. The financial implications of Teleradiology will also be discussed.

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FORTHCOMING EVENTS AN EVENING WITH PROFESSOR LÁSZLÓ TABÁR: A NEW ERA IN THE DIAGNOSIS AND TREATMENT OF BREAST CANCER 11 MAY 2015 LONDON THORACIC IMAGING 15 MAY 2015 CAMBRIDGE IMAGING IN DEMENTIA 18 MAY 2015 LONDON EMERGENCY AND OUT OF HOURS RADIOLOGY 20 MAY 2015 GLASGOW NEURORADIOLOGY UPDATE AND REFRESHER COURSE 18–19 JUNE 2015 LONDON BIR WESSEX SUMMER EVENT 19 JUNE 2015 CHICHESTER FUNCTIONAL IMAGING IN RADIOTHERAPY 10 JULY 2015 LONDON THE CURIOUS WORLD OF RADIOLOGY 14 JULY 2015 LONDON JOINT BNMS AUTUMN MEETING: MOLECULAR IMAGING AND THERAPY - SCINTILLATING FUTURE IN RADIOGUIDED SURGERY AND THERONOSTICS 2 SEPTEMBER 2015 LONDON THE BIR/DMCI HANDS-ON TRAINING SERIES: HRCT OF THE CHEST 25 SEPTEMBER 2015 LONDON IRMER UPDATE 28 SEPTEMBER 2015 BIRMINGHAM UPDATE ON IMAGING NON-ACCIDENTAL INJURY 2 OCTOBER 2015 LONDON HOW TO GET INTO RADIOLOGY AND RADIOLOGY SUBSPECIALTY CAREERS DAY 7–8 OCTOBER MANCHESTER OPTIMISATION IN DIGITAL RADIOLOGY 9 OCTOBER 2015 LONDON FOR MORE INFORMATION AND TO REGISTER VISIT WWW.BIR.ORG.UK 17

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