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Diagnostics HCS contribution to 7 days. Ruth Thomsen Scientific Director NHSE London Region. Healthcare Science and Services. 80% of all diagnostics 1 billion tests a year 55 K workforce 52 different specialisms Screening–Diagnostics–Monitoring-Therapy-Rehab Equipment Safety
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DiagnosticsHCS contribution to 7 days Ruth Thomsen Scientific Director NHSE London Region
Healthcare Science and Services • 80% of all diagnostics • 1 billion tests a year • 55 K workforce • 52 different specialisms • Screening–Diagnostics–Monitoring-Therapy-Rehab • Equipment Safety • Cost to NHS 10% of budget (£8 billion)
Clinical Physiology – 11 • Audiology • Autonomic Neurovascular Function • Cardiac Physiology • Clinical Perfusion Science • Critical Care Science • GI Physiology • Neurophysiology • Opthalmic and Vision Science • Respiratory Physiology • Urodynamic Science • Vascular Science
Clinical Physiology Diagnostic Testing • Over 300 different types • 15 Million undertaken a Year
Contact with a HCS for Hearing Loss • Hearing problem –Screener (Baby 7/7) • Blood tests – Pathology (GP) (7/7) • Hearing tests - Audiologist (6/7) • X-Ray/Scan – Imaging (7/7) • Blood tests – Pathology(Specialist) (7/7) • Auditory pathway test (ABR)– Audiology/Neuro (5/7) • Inheritance – Genetics (5/7) • Blood Pressure- Cardiology (7/7) • Rehabilitation- Audiologist/Social care/Education (5/7) • Monitoring- All of the above
Already Providing 7 days • Pathology (Haematology, Biochemistry, Microbiology) • Medical Physics • Cardiac Physiology
Groupings Key Findings Cardiac Neurophysiology Medical Physics Physiology Pathology Overall 26 45 40 97 266 Responses (n) 80.0% 91.1% 92.3% 92.7% 86.3% % who believe we should offer 7DS 24.0% 26.7% 37.5% 78.1% 43.9% % currently implementing 7DS 0.0% 2.3% 5.1% 17.0% 8.3% % implementing as 'Full' 7DS 57.6% 52.2% 84.6% 86.2% 69.1% % who think should offer Level 2+ service 34.8% 46.2% 25.8% 87.9% 53.9% % who have consulted with 'Service Users' HCS 7 day surveyNHSIQ sept 2013
HCS and support for 7day services • Prevention- Education, improve access • Early Intervention- Timely diagnostics • Acute care - Rapid diagnostics • Recovery – hospital stay min. • Follow up- Self management and monitoring • Rehabilitation- Self support and peer support