About us

Contents

  1. IR Statement - POIRS
  2. Medtronic Valiant Navion™ Thoracic Stent Graft System Recall
  3. Transjugular Intrahepatic Portosystemic Stent-Shunt (TIPSS)
  4. Guidance management of gas embolism
  5. Global Vascular Guidelines
  6. NICE Guidance for Prostate Artery Embolisation (PAE)
  7. BIAS Report - Fourth Iliac Angioplasty Study Report 2018
  8. BIAS Registry
  9. Mechanical Thrombectory for Ischaemic Stroke
  10. BSIR statement - Obtaining informed consent after the Montgomery ruling
  11. Training of Existing Consultants in Interventional Radiology
  12. NHS Reference Cost Collection 2016/17
  13. BSIR Statement on UFE
  14. NICE Guidance CG147 update
  15. Updates on national tariff related publications from NHS Improvement
  16. Letter to members and medical directors re IR data submission to NVR 2016
  17. Benchmarking Consent in Nephrostomy
  18. Duty of Candour
  19. FSSA Position Statement - Appointment to Heads of School

IR Statement - POIRS

The Provision of Interventional Radiology Services (POIRS) has been revised, and the second edition is due to be published this summer (2019). A statement has been released by the Royal College of Radiologists (RCR) and British Society of Interventional Radiology (BSIR), to introduce the POIRS document, identify the benchmarks for Interventional Radiology and to highlight the competencies of interventional radiologists in patient management, both in an inpatient and outpatient scenario, obtained as part of their subspecialty training.

Click HERE to view the statement.

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Transjugular Intrahepatic Portosystemic Stent-Shunt (TIPSS)

TIPSS Guidelines

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Guidance management of gas embolism

Please click HERE to view Management of Patients With Gas Embolism

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Global Vascular Guidelines

Please click HERE to view the Global Vascular Guidelines  CLTI Guideline Published in June 2019

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NICE Guidance for Prostate Artery Embolisation (PAE)

NICE Guidance for Prostate Artery Embolisation (PAE)

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BIAS Report - Fourth Iliac Angioplasty Study Report 2018

BIAS Report - Fourth Iliac Angioplasty Study Report 2018

Foreword

My thanks to the many people who have contributed to the British Iliac Angioplasty and Stenting (BIAS) registry. The BSIR is very proud to have instigated and supported this project, which is now in its fourth (and nal) report stage. BIAS has been one of the vanguard registries in the United Kingdom. This report joins its three predecessors, and is not only useful for its content, but is also a tribute to all those BSIR members who have taken the time to complete data entry. The society realises that much of this has been given freely, and often in individuals’ spare time. As President, on behalf of The Society, I thank you all for that. 

BIAS is (to the best of The Society’s knowledge) the largest iliac artery endovascular intervention registry worldwide, with over 13,000 patients entered over its 16 years of operation. It demonstrates the commitment of the British Interventional Radiology community to ensuring that this index procedure for vascular interventional radiology is delivered safely and is benchmarked for future delivery. We can see that patients experience good outcomes at follow up, which is key. BIAS also provides us with excellent longitudinal information about the way services are delivered, for example the ever-increasing use of day-case facilities.

The BSIR’s rich history in supporting and developing registries is an enviable one. Going forward, The Society encourages members to continue to contribute to the National Vascular Registry (which has taken over the role of documenting iliac intervention from BIAS, as well allowing the recording of more distal peripheral interventions). At the same time, we ask members to consider other areas where data submission by Interventional Radiologists into new registries might establish benchmarks for safe and efective practice. Anyone with enthusiasm and ideas for future registries is encouraged to contact the Registries and Audit Committee via the BSIR website (www.BSIR.org). Many congratulations and thanks to you all. Trevor Cleveland President, British Society of Interventional Radiology.

Many congratulations and thanks to you all.

Trevor Cleveland

President, British Society of Interventional Radiology

 

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BIAS Registry

8000+ cases entered since last publication (BIAS III, 2008) 13000+ cases altogether. Largest registry of iliac intervention worldwide as far as I know 50+ cases per week at peak recruitment in 2013. Substantially better recruitment so far compared with NVR. Follow up data excellent - 97% for most data points. Very low complication rates High success rates. read more..

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Mechanical Thrombectory for Ischaemic Stroke

Training to deliver mechanical thrombectomy

In order to achieve the desired delivery of a 24/7 service in MT across England, the number of operators capable of contributing to MT services needs to expand more rapidly than will be achieved by current INR trainee numbers. This means training other specialists to perform MT.

The British Society of Neuroradiologists (BSNR) has produced “Training guidance for mechanical thrombectomy” (Lenthall R, McConachie N, White P, Clifton A, Rowland-Hill C. BSNR training guidance for mechanical thrombectomy. Clin Radiol 2017; 72(2): 175.e11–175.e18.) which details the training that will be required for practitioners from different clinical backgrounds to achieve the necessary skills and experience to effectively contribute to the acute stroke service. This guidance will underpin all routes to increasing the workforce.

https://www.rcr.ac.uk/clinical-radiology/being-consultant/mechanical-thrombectomy-ischaemic-stroke

 

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Obtaining informed consent after the Montgomery ruling - please see BSIR statement attachment below, available to view and print.

 

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BSIR statement - Obtaining informed consent after the Montgomery ruling

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Training of Existing Consultants in Interventional Radiology

Training of Existing Consultants in Interventional Radiology - please see BSIR statement attachment below, available to view and print.

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Training of Existing Consultants in Interventional Radiology

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NHS Reference Cost Collection 2016/17

NHS have now published this year’s reference cost collection (2016/17 costs) all the spreadsheets and supporting documentation can be found HERE

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BSIR Statement on UFE

BSIR Statement on UFE

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NICE Guidance CG147 update

NICE Guidance CG147 update

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Enquiries and frequently asked questions

NHS Improvement now publish the queries they receive on the national tariff.  The 2016/17 enquiries log now updated with questions and FAQs up to January and this can be found here:

https://www.gov.uk/government/publications/nhs-national-tariff-payment-system-201617

NHS Improvement have also launched the 2017/19 document with a selection of FAQs, that document can be found here:

https://improvement.nhs.uk/resources/national-tariff-1719/

 

Tariff doc corrections

NHS Improvement have updated a number of documents on the 2017/19 webpage due to small errors.  The main national tariff has had a date correction made in paragraphs 271 and 272 (relating to MFF recalculation).  They have corrected a column header issue on the MFF page of the national prices spreadsheet and further to feedback have removed the non-mandatory price for adult hearing services from the non-mandatory prices spreadsheet.  The documents can all be found here:

https://improvement.nhs.uk/resources/national-tariff-1719/

 

Reference cost collection guidance.

NHS Improvement have now published the reference cost guidance for 2017, it can be accessed here:

https://improvement.nhs.uk/resources/approved-costing-guidance/

 

Whole population budget webinars.

Following NHS Improvement latest webinar on new payment approaches, a page as been set up to bring all of the webinars on the subject together.  This will be added in the next month or so with further material.

https://improvement.nhs.uk/resources/whole-population-budgets/

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Letter to members and medical directors re IR data submission to NVR 2016

Please see below a position statement from the BSIR about time allocation (in job planning) and administrative support for IR data entry into NVR. We hope that members may find this useful in negotiations with trust management over these issues.

Yours faithfully,

Chris Hammond

Chair: BSIR R&A Committee

Letter to members and medical directors re IR data submission to NVR 2016

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Please see below a survey of nephrostomy outcomes (also performed earlier in 2016), which we hope may aid you in benchmarking your practice and assisting in consent processes.

Chris Hammond

Chair: BSIR R&A Committee

Benchmarking Consent in Nephrostomy

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FSSA Position Statement - Appointment to Heads of School

FSSA position statement  - regards heads of school

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