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Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

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Page 1: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

Pathology: Tackling

Unwarranted Variation

Dr Bernie CroalRCPath Vice-President

http://www.rcpath.org/
Page 2: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

The Diagnostic Atlas of Variation

Data Quality ?

Variation Justified ?

• Casemix• Guidelines• PCT Policy

Inappropriate Requesting

http://www.rcpath.org/
Page 3: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

Inappropriate RequestingOver Requesting

Under Requesting

- Awareness- Availability (Postcode Diagnostics)

Optimising Patient Care

Financial efficiency

http://www.rcpath.org/
Page 4: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

Solutions

1. Education- Undergrad/Postgrad/”On-the-Job”

2. Demand Management- Pathology Demand Optimisation Group

3. IT Support- Intelligent Requesting – Support/Blocks/Pathways- NLMC – Common Language

4. Politics/Policy- Commissioning/Reconfiguration/Providers

http://www.rcpath.org/
Page 5: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

National Initiatives

- Main Pathology Stakeholders- Define New Demand Management Toolkit- Minimum Retesting Intervals (MRIs)- Incorporate into Culture/Policy

Pathology Demand Optimisation Group

http://www.rcpath.org/
http://www.rcpath.org/
http://www.britishinfection.org/drupal/
Page 6: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

Demand Management Toolkit

http://www.rcpath.org/
Page 7: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

Minimum Retesting Intervals

http://www.rcpath.org/
Page 8: Pathology: Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

The NHS Atlas of Variation in Diagnostic Services – Nov 2013

Solutions

Right Test, Right Patient, Right Time

1. Education- Undergrad/Postgrad/”On-the-Job”

2. Demand Management- Pathology Demand Optimisation Group

3. IT Support- Intelligent Requesting – Support/Blocks/Pathways- NLMC – Common Language

4. Politics/Policy- Commissioning/Reconfiguration/Providers

http://www.rcpath.org/

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