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Clinical pathways

The clinical pathways transformation programme supports standardisation of clinical pathways and quality improvement to reduce variation and improve sustainability of radiology imaging services working with clinical groups across NW London and RM Partners Cancer Alliance. We have a number of groups including early adopter groups, modality groups and clinical specialty groups. Areas of focus currently are primary care pathways, a network reporting group to repatriate additional reporting for outsource providers and standardisation of outsource provision.

Click here to return to the diagnostics page of referral guidelines and clinical documents.

  • NWL US guidance has been the foundation of subsequent London-wide guidance​
  • Standardisation of top-10 MRI protocols, initially in the CDC setting​
  • NWL delivered rapid recovery from the pandemic - thanks to the hard work of all NWL imaging staff​
  • Mutual aid working well as required between all organisations

  • Standardisation of process for GP access​
  • Clinical pathways improvement by engaging with all clinical networks​Sharing best practices for better patient outcomes
  • CTC shared reporting between ICHT & LNWHT is live
  • Ultrasound guidelines updated and in use across primary & secondary care across the sector.
  • MRI – standardised protocols agreed and in place across the sector.

  • Nationally funded MRI Acceleration software installed on all eligible scanners
  • CT – Protocol Harmonisation
  • NWL CT contrast guidance 
  • NOUS guidelines reviewed with inclusion of new NWL paediatric guidelines. US guidelines built into clinical decision support software for deployment 2023
  • NWL US reporting templates 
  • Improvements in Primary care access to diagnostics through digital improvements linked to ICE 
  • Collaboration with RMP to support extension of Targeted Lung Health Check (TLHC)
  • Sonographer training for US pelvis using IOTA terminology and guidelines

  • MRI anxiolysis guidance
  • Extended local access to MRI for cauda equina syndrome at local Trusts
  • Review of diagnostic capacity linked to extension of TLHC programme and interface with new provider from October 2023
  • GP DA Open access to CT pancreas ( NG12) from all providers and develop further plans to increase GPDA for CT
  • Deployment of clinical decision support software
  • Reduction in US vetting linked to CDS
  • Gynaecology pathway improvements
  • Scoping NWL IR Daycase Hub
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