> Of course in this day and age of globilisation what's
> stopping us getting a radioGRAPHER to do the scan, be that
> CT/USS or limb coil MRI and sending the image to a hospital
> elsewhere in the world where it IS 9-5pm and then we can get
> 24/7 hot reporting. The legal cover could almost certainly be
> worked through.
> Perhaps we could suggest that to cover the cost of this we
> would retain some of the A&E budget that currently goes to
> the radiology dept.
I understand that in the US, much of the CT reporting from Massechussetts
General is carried in India (the Indian radiologists get evaluated and extra
training if needed first) with no major problems as far as I'm aware.
> Radiology SpR ? what's that ? we don't have them in this
> trust.... I agree about admitting them to in-patient teams
> and them festering on the wards.... that's why we admit them
> under the care of A+E (as we do all our head-injuries) and
> the are seen by a consultant (occasionally SpR) the next day
And less likely to get one (at least at nights) given the EWTD. However,
with tele links it might be easier to get a report at night. It is also
worth thinking about whether with a bit of training you can get all your A
and E consultants or middle grades up to the stage where they can provide an
initial report that the patient doesn't need neurosurgery. Anything that
lets the patient go home is likely to save money and be better received by
the patient.
Matt Dunn
Warwick
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