The emrad project has grown. From a small start as a straightforward joint procurement opportunity, emrad has changed into a clinically led project with executive-level sponsorship; input and support from several key national groups; and international interest.
Following a successful go-live experience at Leicester, six Trusts are now live with the new technical system. Only Chesterfield to go now; and the other emrad Trusts will be supporting Chesterfield through their go-live process via a strong Senior Responsible Owner network.
We've deployed a new version of ZFP which covers all clinicians, in all Trusts. This is a tool capable of showing images from any Trust in the emrad consortium, to any clinician anywhere in the consortium who needs to view them. This is already having significant positive benefits to timely patient care, particularly for cross-region services such as MDTs.
With support from the New Care Models process, our cross-region proactive governance technical system is ready to deploy too: this will allow our Trusts to give patients unparalleled assurances about the safety of their identifiable data within the emrad system.
We are also collaboratively exploring innovative technical systems to underpin the desire for a true cross-region 'view' of our services: not just describing how things are today, but looking to predict problems next week before they occur based on data trends.
The first Vanguard Pilot project is now completed; and the risk:benefit analysis was strongly in favour of benefit. As a result, the Pilot has been adopted as a sustained live service model going forward- emrad@home-, in the host NHS Trust, and expanded to include more reporters.
The first Pilot lasted for twelve weeks and tested out assumptions within our Vanguard design. This included an impartial assessment of the benefits and disadvantages of provision of regular remote (home-based) working as part of an NHS service.
The complete Pilot documentation bundle is available to any NHS Trust or group on request. It is designed to take you from a start-from-scratch position, to full remote service delivery, and is platform independent.
Vanguard Pilot projects 2 and 3 are now running at Sherwood Forest Hospital, and Northampton General Hospital. These aim to concentrate on plain film remote reporting, to see if the benefits we've clearly identified from cross-sectional remote reporting in Pilot 1, can be transferred into other imaging modalities. Early indications are that they can.
We are working with the Society of Radiographers to establish a framework for provision of extended role radiographer reporting in a similar manner.
We are also starting to develop projects involving the wider clinical community- including remote access to urgent stroke imaging studies within our region.