• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Role of Radiography in Modern Imaging Service. The Interventional Radiology; Guidance for Service Delivery (2010) aims to guide local service development of interventional radiology through summarising clinical evidence and by illustrating

Extracts from this document...

Introduction

Role of Radiography in Modern Imaging Service Introduction The Department of Health (2010) defines interventional radiology as a minimally invasive alternative to open surgery or medical interventions achieved by using radiological imaging guidance. The need to improve equity of interventional radiology is recognised by the Department of Health in their publications; 'Interventional Radiology: Guidance for Service Delivery' (2010) and 'Interventional Radiology: Improving Quality Outcomes for Patients (2009). It is also recognised within the Department of Health White Paper Equity and Excellence; Liberating the NHS (2010). The National Confidential Enquiry (2005-2009) into patient outcomes and deaths clearly illustrates inequalities in provision. It reported, over a four year period, poor and inconsistent provision, throughout the country of both diagnostic and interventional radiological services. However there are many factors, or arguably constraints, such a geographical, financial, workforce and workload that currently impede equity in service provision. The 'Interventional Radiology; Guidance for Service Delivery' (2010) aims to guide local service development of interventional radiology through summarising clinical evidence and by illustrating how successful imaging services have been set up in such a way that enables good quality, equitable care by skilled multidisciplinary teams. The document informs both organisational and practitioner requirements for service delivery improvement and is reflective of national Department of Health strategy; The Quality, Innovation, Productivity and Prevention programme which ultimately aims to improve the quality and delivery of care at the same time reduce efficiency costs that could then be reinvested in front line services. The document offers a comprehensive and varied evidence base for change, supported by key clinical data, providing details of how quality interventional radiology services can be achieved in a variety of settings. It explores different models of service from different perspectives as well as acknowledging constraints to delivery; thus implicitly acknowledging and avoiding bias. Case Study illustrations make explicit reference to the benefits of good interventional radiology services. Despite the different models of service delivery posed the potential impact on radiology departments are likely to be similar. ...read more.

Middle

Using the 'QALY' indicator, assesses the 'value for money' against quality gained. The method of ranking interventions, on grounds of their cost per 'QALY,' is controversial because it implies a quasi-utilitarian calculus to determine who will or will not receive treatment (Schlander 2010). However, since health care resources are limited, and Trusts are pressured to make budgetary savings, this method arguably enables resources to be allocated in the way that optimises patient benefits. The study attaches no value to quality indicators identified by patients and therefore suggests patient needs were not considered. It is clearly indicated in the 'IRGfSD' that Health Care Resource Groups have revised "counting and costing" activity of IR to incentivise provision; there is no mention of using the 'QALY' indicator; but stating that Health Care Resource Groups "provide a means of categorising the treatment of patients in order to monitor and evaluate the use of resources" is ambiguous. The 'Next Stage Review' stressed that improving quality must be "the basis of everything we do in the NHS"(Darzi 2007). Quality indicators obtained from patients, via questionnaire returns, focus on their needs and are used to inform practice. Patients are able to express their needs and concerns in consultation with health professionals, empowering them to make informed choice about their care and treatment. "No decision about me without me" (NHS 2010). Patients will be more aware of their rights and what to expect from a quality service; for example, to discuss their imaging examination with the radiographer or radiologist. Patients may also expect their images and reports to be accessible instantaneously, if not nationally, placing a high demand on the Information Technology Strategy. The Image Exchange Portal enables secure transfer of digital images between the NHS and other health care providers, strengthening radiology reporting. It is reported that streamlining data transfer, often carried out by radiographers, frees up their professional time to clinical tasks. ...read more.

Conclusion

Accuracy of radiographer plain radiograph reporting in clinical practice: a meta-analysis. Clin Radiol 2005; 60: 234-241. Krestin GP (2009)Maintaining identity in a changing environment: the professional and organizational future of radiology. Radiology 250: 612-7. http://www.rcr.ac.uk/publications.aspx?PageID=310 http://www.improvement.nhs.uk/diagnostics/ http://www.cxvascular.com/in-archives/interventional-news-1/extending-the-role-of-interventional-radiographers-and-nurses http://www.rcr.ac.uk/docs/general/pdf/NCEPOD_Response_Nov09.pdf Interventional radiologists are doctors who specialise in performing image guided minimally invasive surgery. Many of these procedures can replace traditional surgical operations. This can result in reduced complication rates and shorter stays in hospital Examples of some procedures; Femoral angiograms - dye is injected into the main artery of the body (aorta) via catheters. As the dye flows down the arteries in the legs x-rays are taken to show any abnormalities. Angioplasty - This is a way of relieving a blockage in an artery without having an operation. A fine plastic tube called a catheter is inserted through the blockage in the artery and a special balloon is then inflated, this opens up the blockage to allow more blood to flow down the artery. Stents - Metal or plastic stents can be inserted into arteries or veins to keep them patent(functioning correctly). This can relieve any blockage that's in the vessel. Stents can also be positioned in the gut to relieve any blockage and this aids the digestion of food. This procedure is done under sedation and avoids surgery along with any associated risks. Embolisation - A small bleeding artery can be embolised (blocked or sealed). Fluid, containing thousands of tiny particles, is injected through a catheter into the small arteries. This silts up small blood vessels and blocks them. Percutaneous Nephrostomy - urine from a normal kidney drains through a narrow tube called a ureter into the bladder. If this tube becomes blocked for example, by a stone, the kidney can not drain and can become infected. It is possible to relieve the blockage by inserting a catheter through the skin into the kidney allowing urine to drain from the kidney into a collecting bag outside the body. Patients may no longer need surgery. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Here's what a teacher thought of this essay

4 star(s)

An introduction outlining what would be covered would be useful to help the reader get a sense of what will be presented. It is also useful for the writer in terms of using it to check that what is in the main body matches what is written in the introduction. Nevertheless, this is a well-written piece of work examining the role of radiography in the modern imaging service. Good references to relevant documents such as policy and White Papers are made. A few minor amendments could be made, such as ensuring that diagrams are explained adequately, but other than that, this is a good piece of work.
4/5

Marked by teacher Diane Apeah-Kubi 08/10/2013

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Marked by a teacher

    Health promotion. This essay will discuss the definitions of health promotion and empowerment, and ...

    4 star(s)

    My goal of changing the target populations behaviour and educate them about the importance of TSE was hopefully achieved. I have learned the importance of empowerment and health promotion, and how a nurse uses these health aspects to improve an individual's health.

  2. Marked by a teacher

    The purpose of this assignment is to complete a health needs assessment within a ...

    4 star(s)

    General health Within the ward there are 1693 people who report themselves to be in not so good health (15.09%), within England this figure is 9.06% a difference of 6.03% almost a third higher. The percentage of those with limiting long tern illnesses is 29.01%, 11.08% higher than in national average.

  1. Marked by a teacher

    The purpose of this essay is to carry out an assessment of a patient ...

    3 star(s)

    It developed a therapeutic relationship with Jane (Nicol et al 2003). The questions posed by assessing in the individuality component of the model (such as how, how often, why and when) furnished information not only about the way in which the person carried out each activity of living but also the knowledge and beliefs she held about it (Newton, 1991).

  2. This essay will focus on inter-professional working in health and social care delivery.

    work together to provide the support people need to improve their lives. The DOH (2006), Our Health, Our Care, Our Say, discovered the need for people to have more information to make choices about staying healthy and well. This also identified how it will give protection to vulnerable adults with

  1. The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences ...

    The biomedical model is not personal and individualised and does not provide a holistic approach which is why some issues may have been missed. Kenworthy et al (2006) stated that 'this model worked well with routine, traditional physical care but made no allowances for the individuality of the patient'.

  2. A Sociological Definition of Health and Illness

    ( www.dh.gov.uk, accessed 3/2/07) Through looking at the fundamental social changes in work, industry, family life and more recently the social and cultural changes that have influenced the provisions of health care in contemporoy britain. The predominance of chronic diseases, changes in the household and family structuires and with the

  1. Mental Health and Stigma

    (Levin, 2007) The media (especially tabloids) tend to lack sensitivity towards the mentally ill and fuel stigma and negative attitudes. By using words such as "psycho" and "bonkers" the media seems to be encourage people's unfounded beliefs that stigma

  2. D240 TMA-02 compare and contrast cbt and mindfulness in understanding and working with ...

    Mindfulness based therapies are recommended by NICE guidelines to help people avoid repeated bouts of depression and anxiety (NHS, 2012). The principles of mindfulness have also been compared and linked to existential and humanistic therapies and its third wave has been branched out into various other therapies (Barker, 2010, Chapter 8, pp.172-3).

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work