The Royal College of Radiologists

1. The Royal College of Radiologists Giles Maskell President

2. Causes of variation • The work of the RCR • Referral guidance • Accreditation • The future role of the radiologist • The focus on patients

3. Causes of variation • Technological innovation and changes in clinical practice • Equipment • Expertise • Availability/capacity • Culture

4. What does the RCR do? Leadership Education Support

5. A few of the things the RCR does • prepares and issues guidance and sets standards across the range of radiological practice • Designs, delivers and assures the quality of training • Referral guidelines (i-Refer) • Conducts national audits – nephrostomy, liver biopsy, cancer staging • conducts workforce and workload censuses • READ – shared learning from experience • CPD – conferences and events • Supports radiologists and radiology departments in difficulty • Runs an accreditation scheme for radiology departments (ISAS) • Lobbies health policy makers to promote the role of imaging and radiologists in healthcare

6. A few of the things the RCR does • prepares and issues guidance and sets standards across the range of radiological practice • Designs, delivers and assures the quality of training • Referral guidelines (i-Refer) • Conducts national audits – nephrostomy, liver biopsy, cancer staging • conducts workforce and workload censuses • READ – shared learning from experience • CPD – conferences and events • Supports radiologists and radiology departments in difficulty • Runs an accreditation scheme for radiology departments (ISAS) • Lobbies health policy makers to promote the role of imaging and radiologists in healthcare

7. i-Refer • 21 year history, now in 7th edition • Formerly known as “Making Best Use of a Department of Clinical Radiology” (MBUR) • Available free on N3 to NHS users in all 4 countries (also as Apple and Android app) • Sophisticated methodology using Delphi process • 14000 hours of consultant radiologist time • Accredited by NICE/NHS Evidence • International leader

8. Imaging Services Accreditation Scheme (ISAS)

9. ISAS • A patient focussed accreditation scheme • 4 domains: • Clinical • Facilities, Resources and workforce • Patient experience • Safety • 50 radiology services in England already engaged in the process and supported by the National Imaging Programme Board in Wales

10. The future role of the radiologist • A readily available resource for advice on diagnostic pathways • At the interface between traditional primary and secondary care, taking control of patient pathways • At the “front door” of the hospital promoting early discharge • Central to the development of “personalised medicine” through molecular imaging • Undertaking an increasing range of minimally invasive techniques, replacing traditional therapies esp in cancer care.

11. Our future relationship with patients • Increased direct contact • Increased public awareness and interest in imaging (including errors) • ? Reports direct to patients