Optimising access and provision of interventional radiology service to patients by utilising a new referral system

Abstract

Implementing a streamlined Interventional Radiology (IR) service in the UK has been a challenge. This study aims to review a set of changes introduced in IR at a tertiary centre, including a new referral process and the designation of IR clinical nurse specialists. A new process of referring patients to IR using a single generic referral pathway was implemented, replacing an order dropdown-based system. A qualitative survey was designed and distributed as a single-use web link in order to assess the satisfaction and impact of this new process. Responses were based on Likert scale and pertained to perceived qualities of the new referral process. Data analysis was performed to identify specialty and grade-specific trends and possible differences amongst groups. Findings from 98 respondents revealed a strong overall satisfaction with the new referral method and support for its continuation. Subgroup analysis by specialty, concluded medical specialties rated the new referral system more favourably than surgical specialties across all aspects: time efficiency, ease of use, peri-procedural support and overall user experience. The new system also increased departmental productivity with an increase in the number of patients treated by 11.2%. Micro-policy changes within individual IR departments such as the replacement of a request-based referral system to one which puts IR’s in control of vetting and patient flow is one of many changes that reinforce the transformational phase of this specialty. Micro-policy changes within IR departments are key in the progression and widespread recognition of the specialty.