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HEALTHCARE DELIVERY


effectiveness to serve people. However, rather than looking at the mere turnaround time of the tests in the laboratory, we are looking at improving the whole process.”


Conclusions


Little will be achieved in reforming and improving pathology services unless laboratory management and policymakers work hand in hand. Pathology has to embrace new technologies, process management and automation to achieve greater throughput without loss of quality. Policymakers need to urgently and intelligently address the question of pathology funding, which common sense suggests should be reviewed upwards given the strategic trend towards a health system where we try harder to prevent people needing healthcare, rather than struggle against the inexorably rising tide of demand for healthcare.


The discussion summarised in this short


article underlines the fact that key improvements to laboratory processes can have a lasting impact on a patient’s acute care journey. Resorting to laboratory mergers should be the last, not the first, strategy – and only once initiatives to improve process and technology have been fully explored.CSJ


References


1 https://www.gov.uk/government/uploads/ system/uploads/attachment_data/file/499229/


Operational_productivity_A.pdf


2 https://www.rcpath.org/resourceLibrary/ 2016-06-28-letter-re-2016-17-financial- positions-to-chairs—-ceos-final-pdf.html


3 The Guardian, NHS ‘will miss £22bn efficiency savings target’, says thinktank, 23 Apr 2015


4 NHS England, National Pathology Programme: Digital First, Feb 2014.


5 Lewisham and Greenwich NHS Trust, Pathology Consolidation and tQuest Upgrade, 2016


6 UCLH, Ground breaking pathology partnership launched, 1 Apr 2015.


7 FOI request to NHS Improvement dated 16 June


2016 https://www.gov.uk/government/ uploads/system/uploads/attachment_data/ file/529840/FOI_Carter_Review_2016_ recommendations-trust_pathology _performance.pdf


8 Department of Health, Operational productivity and performance in English NHS acute hospitals: unwarranted variations, 5 Feb 2016.


9 NHS Improvement, NHS providers working hard, but still under pressure, 20 May 2016.


10 The Royal College of Pathologists’ response to Lord Carter’s report on operational productivity, February 2016.


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