Radiology Service – Betsi Cadwaladr University Health Board Audit year: 2016 Date issued: June 2017 Document reference: 238A2017 This document has been prepared as part of work performed in accordance with statutory functions. In the event of receiving a request for information to which this document may be relevant, attention is drawn to the Code of Practice issued under section 45 of the Freedom of Information Act 2000. The section 45 code sets out the practice in the handling of requests that is expected of public authorities, including consultation with relevant third parties. In relation to this document, the Auditor General for Wales and the Wales Audit Office are relevant third parties. Any enquiries regarding disclosure or re-use of this document should be sent to the Wales Audit Office at
[email protected]. The team who delivered the work comprised Tracey Davies, Philip Jones and Katrina Febry. Contents Overall, we concluded that day-to-day operations are well managed, but increasing demand, workforce challenges, poor IT systems, aging equipment and weak strategic planning present risks to future service delivery. Summary report Background 4 Our main findings 7 Recommendations 8 Detailed report Factors affecting patient experience Out-of-hours access to radiology services is limited but waiting times and reporting times are generally good. Audit arrangements are comprehensive and there is an effective culture for learning from incidents 10 Demand and capacity issues affecting service performance Demand for radiology services is generally beyond local control and despite workforce challenges, productivity is higher than average. Problems with IT systems inhibit more effective appointment booking 26 Extent to which radiology services are well managed Site-level management arrangements are clear, although there is no overall strategic plan for radiology and senior staff lack confidence in directorate management arrangements.