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Contents

  1. VASCULAR SURGERY TRAINING A summary and guidance for radiology trainers & trainees 2021
  2. Joint statement on collaboration between the Vascular Society (VS) and The British Society of Interventional Radiology (BSIR) June 2021
  3. BSIR / Vascular Society Update 22.04.2020
  4. IR Speciality Vote Result
  5. Professor Anna Maria Belli Travelling Grant
  6. VS BSIR Joint Statement
  7. Joint Statement from the British Society of Interventional Radiologists and the Vascular Society
  8. RCR and BSIR response to GIRFT report for vascular surgery
  9. Provision of interventional radiology services, Second edition Sept 2019
  10. ‘Top Tips’ for Reconfiguring Vascular Services
  11. Health Education England’s Learning Solution – Alpha phase complete and service assessment passed
  12. HYBRID FACILITIES
  13. E Referral Changes
  14. SEED GRANTS UK IO Practitioners Information

VASCULAR SURGERY TRAINING A summary and guidance for radiology trainers & trainees 2021

GUIDANCE on TRAINING PROVISION in VASCULAR INTERVENTIONAL PROCEDURES (To support the curricular requirements of vascular surgery trainees)

This document has been produced as a replacement for previous iteration dated September 2016 and is the result of the introduction of the 2021 versions of both the Interventional Radiology and Vascular Surgery curricula. Henceforth, use of the 2016 document should cease.

Click here to view.

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Joint statement on collaboration between the Vascular Society (VS) and The British Society of Interventional Radiology (BSIR) June 2021

Please view the Joint Statement on collaboration here.

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BSIR / Vascular Society Update 22.04.2020

Dear Colleagues,

We had our first and very constructive virtual Zoom meeting between representatives of the Vascular Society and the British Society of Interventional Radiologists on 22nd April. This is part of our ongoing informal discussions between the two societies.

BSIR / Vascular Society Update 22.04.2020

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IR Speciality Vote Result

Dear Membership,

I write to inform you that the recent vote at the AGM was strongly in favour of council pursuing speciality status with 79.5% of votes.

The FAQ’s and debate at the ASM demonstrated that there is uncertainty in this process, and I am sure that there will be hurdles to overcome, but the first step has been made.

We need to keep to simple principles in this process to allow the appropriate training of interventional radiologists (image guided surgeons) for the future.  We would remain in the Royal College of Radiologists, diagnostic radiology would be central to our training and we need to ensure that run through training will allow individuals to cross over to diagnostic and vice versa. We also need to support those diagnostic radiologists who wish to perform a range of interventional procedures.

I feel this is the beginning of a long process that is essential for our future and we will keep you informed as the process progresses.

Kind regards

Dr Ian McCafferty

BSIR President

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Professor Anna Maria Belli Travelling Grant

Please click here to view the objectives and criteria for the Professor Anna Maria Belli Travelling Grant.

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VS BSIR Joint Statement

The British Society of Interventional Radiology (BSIR) and Vascular Society (VS) have issued a joint statement following a successful meeting held 20th June 2019.  To see the full statement CLICK HERE

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Joint Statement from the British Society of Interventional Radiologists and the Vascular Society

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Joint Statement from the British Society of Interventional Radiologists and The Vascular Society

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RCR and BSIR response to GIRFT report for vascular surgery

The Royal College of Radiologists (RCR) and the British Society for Interventional Radiology (BSIR) welcome the publication of the Getting It Right First Time (GIRFT) programme reportfor vascular surgery and the drive to achieve efficiencies in delivery of services and improve the quality of patient care.

We welcome especially the recognition given to the need for an increase in the interventional radiology workforce who are essential to the delivery of vascular services, particularly in patients who need care urgently. The challenges in delivering seven-day services are all too familiar to radiologists, who already deliver this for diagnostic imaging in a very challenging environment of personnel and funding.

We concur that the formation of networks to deliver consistent standards of care across organisational boundaries is important. However, unlike vascular surgery, interventional radiology services more regularly deliver emergency and urgent care to patients, including treatment of sepsis, acute bleeding, obstetrics, renal replacement and trauma. While being supportive of the recommended NHS England model of hub and spoke networks, it is critical that these do not destabilise the ability to deliver urgent care to patients located outside the vascular networks.

One important objective of the GIRFT process is the efficient procurement of devices and consumables. We welcome progress in this regard with the implementation of the NHS Future Operating Model. However, the coding process and tariff reimbursement of interventional radiology procedures remains problematic for many trusts and we would welcome further tariff development beyond HRG4+. This would enable funding of the minimally invasive and innovative treatments which patients call for.

We agree that there is a need to improve the collection of outcome data. The national audit programme for interventional radiology procedures is incompletely delivered by the National Vascular Registry, which was adapted for interventional radiology procedures and requires modification. Work is continuing in this regard. Such registries are only as good as the data that is included, and trusts are urged to support the development of infrastructure and allow physicians sufficient time to record meaningful data.

There are now over 30 clinical leads for the GIRFT programme and we look forward to integration across those workstreams. The radiology GIRFT process is continuing and will inevitably explore effective cross-specialty partnerships, which we are confident will clarify the direction of travel.

We also hope the positive outcomes of the GIRFT process, which apply to England only, can be extended to the three devolved UK nations and we look forward to helping in that process.

1 Vascular Surgery: GIRFT Programme National Specialty Report [link]

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Provision of interventional radiology services, Second edition Sept 2019

Please click here to view the Provision of interventional radiology services, Second edition, Sept 2019.

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‘Top Tips’ for Reconfiguring Vascular Services

These ‘top tips’ are aimed at anyone, and everyone, involved in the reconfiguration of local vascular services to produce a united network of partner hospitals. They are based on practical experience of reorganisation and have been compiled from the experience of all disciplines within vascular services together with their commissioning and Public Health colleagues. 

Please click the link below to view download document.

 ‘Top Tips’ for Reconfiguring Vascular Services 

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Health Education England’s Learning Solution – Alpha phase complete and service assessment passed

Dear Colleagues

Please see below for an update on the progress of Health Education England’s Learning Solution project.  Many of you have been involved in the project at some point to date so we were keen to share with you the exciting milestone it has now reached.  

Health Education England’s Learning Solution – Alpha phase complete and service assessment passed

Health Education England’s (HEE) Learning Solution project has reached a new milestone by completing the alpha* phase of the development.  This phase culminated in passing all aspects of the service assessment giving permission for it to move onto the next part of the process, which is the beta* development phase.

HEE’s Learning Solution will provide access to a full range of resources, guidance and educational innovations across the NHS, social care and higher education which can also be shared, signposted, evaluated and developed. As well as helping to drive up quality, the Learning Solution will help promote and harness innovation and draw on the best practice, talent and projects within and beyond the NHS.

Neil Ralph, Health Education England’s National Programme Lead for the Technology Enhanced Learning Programme, said: “This is a very exciting and much anticipated project for HEE.  As well as being a resource for the wider health and social care workforce we believe it will support and feed into the work that is taking place right across HEE.”

The report from the 18 point Digital Service Standard assessment, which provides feedback and recommendations for the beta phase, can be found on the Digital Health blog.

For more information about the Learning Solution project visit www.hee.nhs.uk/tel

*Alpha and beta phases refer to the agile methodology being used for the development of the Learning Solution, which is commonly used in the development of digital products.

With kind regards

Alex

Alex Drinkall

Stakeholder Manager

TEL Programme and e-Learning for Healthcare

Health Education England 
2nd Floor | Stewart House | Russell Square | London | WC1B 5DN

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HYBRID FACILITIES

BSIR has been asked to advise on the development of so called hybrid facilities. These facilitate combined image guided procedures and open surgery. They may also be referred to as Interventional Radiology Theatres and others. A number of hospitals and organisations are investing substantial funds into such facilities, to improve the care of vascular, cardiac and trauma patients. Most will not find it financially viable to have more than one such suite.

BSIR was invited by the MHRA, to contribute to a Joint Working Group, which issued a report in 2010. This report was precipitated by a number of reports to the MHRA of EVAR (endovascular aneurysm repair) devices being placed in environments with poor imaging equipment. This was resulting in poor device placement, and high radiation doses to patients and operators. The subsequent report highlighted the need for improved facilities, and provided information intended to give details on the facilities that NHS and other organisations should aspire to provide. Of note, it was specifically stated that there was a need for back up imaging facilities in close proximity.

It was also recognised that, at the time, there was a preference for such facilities to be located close to a theatre environment (to allow for anesthetic and recovery areas). In the intervening time, Major Trauma Centres have developed, and the need to accommodate the rapid treatment of such patients. As a consequence of this, and other, changes there has been an expansion of the routine nature of delivery of anesthetic and recovery facilities outside theatre complexes. It has also become clearer that there is a pivotal role of Interventional Radiology (IR) in bleeding control. Trauma investigation and treatment (including image guided techniques) need to be co-located with Emergency Departments.

As a result, BSIR considers that, whilst the underlying principles of good imaging and environments remain current, requirements (and modern practice) of trauma care have changed the landscape of hybrid facilities. In the modern environment, these need to not just cater for EVAR delivery, but also trauma care. IR departments are generally located close to diagnostic radiology, CT scanners and Emergency Departments, ensuring safe and rapid patient treatment pathways. Such places offer considerable advantages in terms of back up imaging, power supply, power injectors and disposables, which are essential to the resilience for delivery of trauma care and combined image guided/open surgery. In many circumstances, these needs may outweigh other factors, making them more functional and economically viable if placed close to other IR and imaging facilities.

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E Referral Changes

Many RCR Fellows are routinely consulting with patients in an out-patients setting, particularly before and after interventional procedures.  Some of these referrals will be coming from consultant teams, others from GPs. Such out-patient activity is encouraged by the RCR and GMC, to allow patients to consult with an expert before undertaking invasive treatments, and to ensure appropriate aftercare. Radiology clinics, like any other, are subject to a tariff payment, should be programmed into routine work, and be available for booking via e-referral.

Fellows should be aware, that the NHS e-referral Roadmap states an expectation that there will be availability of online patient booking and that for 2017/2018 there is a CQUIN payment available to incentivize Providers to publish all services and appointment slots on the NHS e-Referral service. In addition, from October 2018, appointments not available to e-referral will no longer attract a payment tariff.

Therefore, we would encourage all radiologists to consult with patients undergoing elective interventions in out-patients, have these available on the Trust Directory of Services, attract the appropriate tariff income for your department, and ensure availability for e-Referral.

http://content.digital.nhs.uk/media/24761/NHS-e-Referral-Service-Roadmap-July-2017/pdf/e-RS_Roadmap_July_2017.pdf

http://content.digital.nhs.uk/referrals

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SEED GRANTS UK IO Practitioners Information

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