10 Staff survey 2025: You said … we did Staff feedback from the staff survey leads to meaningful change. Since last year’s survey the Community Diagnostic Centre introduced a monthly staff newsletter sharing employee and team successes and updates. In addition, BAME staff in the CDC pharmacy team completed the WITH:STAND programme. Plus, the September audit day in admissions is being used to introduce new inter team buddy systems. Pharmacy have improved consistency and equity of access to development opportunities. Pathology have established dedicated team meetings and supported more flexible working where possible. Radiology nursing has introduced daily team huddles, roster redesign and staff listening sessions. Imaging workshops are championing key actions important to staff. HPB and liver transplant inpatients test change An audit on 9 West ward at RFH identified the routine use of coagulation screens in HPB and liver transplant inpatients where a full coagulation profile was not always clinically required. Following a review of practice, the team has implemented a change to order INR/PT testing only, unless a full coagulation screen is clinically indicated. The change was communicated to clinical teams and embedded into routine practice. As a result, coagulation screen requests have reduced by over 50%, improving the appropriateness of testing while reducing unnecessary investigations. Given the cost of an INR/PT test is approximately one third that of a full coagulation screen, the initiative is expected to deliver annual savings of £32,000. Five-year milestone for the Community Diagnostic Centre Finchley Memorial Hospital Diagnostic Centre (CDC) has celebrated its fifth anniversary. Since it opened in the summer of 2021 the CDC has carried out more than 619,000 tests and scans and seen more than 540,000 patients. In the past year alone – to July – 158,000 patients were seen and 191,000 tests or scans were done. That’s equivalent to approximately 432 patients every day. Five years ago the CDC launched with just seven staff and equipped to carry out seven different kinds of test. Now it has approximately 169 staff who carry out 25 different tests. The most recent additions to the roster include audiology, additional echo, plus transnasal endoscopy and capsule sponge tests. Orderset review While ordersets are valuable tools that support efficient and consistent test requesting, they also require regular review to ensure alignment with current clinical practice. A review of Emergency Department ordersets across BH and the RFH led to the refinement of six ordersets, This work has improved the quality and appropriateness of test requesting, reduced waste, and supported more effective use of laboratory services. The initiative is projected to deliver annual savings of more than £500,000 across the trust. Similar orderset reviews have also been undertaken in other specialties, including gastroenterology, hepatology and respiratory medicine, helping to embed high-value, evidence-based care organisation wide.
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