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Digital Imaging 2016 Conference: Radiology Information Systems & PACS - Delivering the Paperless and Filmless Hospital

Today’s conference on Radiology Information Systems and PACS examined how to work with digital imaging, radiology information systems and PACS to deliver the national ambition of a paperless and filmless NHS.

The conference addressed national developments, new models of radiology care including an update from the radiology vanguard site which emphasized a move towards a collaborative clinical network approach, getting the most out of RIS and PACs through effective workflow and systems design, and how to integrate them with other Trust systems and Electronic Patient Records.

The conference also focused on improving the clinical end user experience, interoperability standards, sharing radiology images across organisations, information governance, the role of specialty systems, and the role of information systems in moving towards a 7 day service and delivering real time bedside imaging to improve patient care.

The conference opened with a supplier showcase which included five 10 minute presentations from key Radiology Information Systems & PACS suppliers. Suppliers included:

  • McKesson
  • PACSHealth LLC
  • Rivendale Systems Limited
  • Soliton IT
  • Intelerad

The chairman for the day Dr Tony Newman Sanders Chief Clinical Information Officer & Consultant Radiologist Croydon Health Services NHS Trust, followed the show case with a presentation on Delivering the Paperless and Filmless Hospital. In his presentation Dr Tony Newman discussed:

  • the role of RIS and PACS in delivering the goal of a paperless NHS: integration with Electronic Patient Record Systems
  • supporting a 7 day health service
  • further opportunities for redesigning radiology services: including extending services to  weekends and out of hours, and home reporting
  • what the future holds: new generations of PACS and imaging informatics

Dr Tony Newman Sanders Chief Clinical Information Officer & Consultant Radiologist Croydon Health Services NHS Trust Full Presentation Click Here

In his presentation Dr Tony Newman Sanders stated:

"The DICOM standard is an extremely successful standard, very robust"

"Is RIS dead? No, is very much alive and kicking at the moment. Still crucial to diagnostic workflow"

"Need to maximise benefits of integration and support patient pathways"

"Increase late evening and weekend working, not just about the radiographer, need the admin and clerical staff there"

"What holds for the future? Terminology will change. Open source is gaining momentum"

Tony Newman-Sanders read Medicine at Gonville and Caius College, Cambridge and the Royal London Hospital.  He trained in General Medicine at Bart’s, in Renal Medicine and then in Clinical Radiology at St Mary’s Hospital, Paddington. He was appointed Consultant Radiologist at Mayday Healthcare NHS Trust (now Croydon Health Services) in February 1998.  He oversaw the establishment of the MRI Unit and has since developed and continues to lead the musculoskeletal imaging service.

He was appointed Clinical Director for Diagnostics and Cancer Services in 2007 and in 2009, became Clinical Director for Emergency Services. He was Medical Director at Croydon Health Services from 2011-2013. He is a former secretary of the MR Radiologists Association and a former Committee member of the RCR PACS and Teleradiology Special Interest Group and IT advisor to the Professional Support and Standards Board until 2015. Since 2006 he has been National Clinical Advisor to the Connecting for Health (now HSCIC) Picture Archiving and Communications Systems (PACS) Programme. In 2010 he established and Chaired the Informatics Committee of the National Imaging Clinical Advisory Group. He was a member of the Department of Health project looking at 7 day working in Diagnostic Imaging and was invited to sit on the DH Information Strategy workshops. Since February 2014 he has been Chief Clinical Information Officer for the South London Academic Health Science Network (Health Innovation Network) and for the South London CLAHRC (Collaboration for Leadership in Applied Health Research and Care).  In 2016 Tony was appointed the first Medical Director of the Health Innovation Network. He represents the AHSN Network on Strategic Clinical Reference Group of the National Informatics board. He is also the CCIO for Croydon Health Services an integrated NHS Trust providing acute and community services to the people of Croydon.

The conference continued with presentations on Delivering the National Integrated Medical Imaging Solution to the Republic of Ireland: Procurement and implementation lessons, Demand and capacity management in radiology, and Speciality Radiology and PACS: Cardiology and Oncology.

Christopher Fincken Chair The UK Council of Caldicott Guardians continued the day with a presentation on Information Governance and digital image sharing. In his presentation Christopher Fincken discussed in-depth:

  • information governance and image sharing
  • enabling access to health records by diagnostic professionals
  • implications of patient access to digital records
  • current issues and moving forward

In his presentation Christopher Fincken stated: 


  1.  With Valid Consent (For Consent to be valid they must have mental capacity) ALWAYS ask the Patient unless there are good reasons not to.
  2. When required by Law (Mandatory)
  3. When there is a legal gateway (Permissible)

“When No one knows, It’s not clear, No one can agree:- Ask the Caldicott Guardian!”

Caldicott Principles (revised 2013)

  1. Justify the purpose(s)
  2. Don’t use personal confidential data unless it is absolutely necessary
  3. Use the minimum necessary personal confidential data
  4. Access to personal confidential data should be on a strict need-to-know basis
  5. Everyone with access to personal confidential data should be aware of their responsibilities
  6. Comply with the law
  7. The duty to share information can be as important as the duty to protect patient confidentiality. Health and social care professionals should have the confidence to share information in the best interests of their patients within the framework set out by these principles. They should be supported by the policies of their employers, regulators and professional bodies.

The day continued with presentations on The integration of medical imaging with the whole EPR: towards real time bedside imaging and Image and Data Migration and Management.

Future conferences of interest:

Caldicott Guardians: National Annual Conference
Tuesday 3 May 2016 
Cavendish Conference Centre, London


Delivering a Paperless NHS: Intelligent Electronic Document Management in Healthcare
Monday 14 March 2016
ICO Conference Centre, London


11 February 2016


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