NHS patients throughout the West Midlands are to benefit from a digital pathology programme, designed to help reduce cancer backlogs, transform services, and improve the speed and accuracy of cancer diagnosis.
As one of the largest digital pathology programmes in Europe, the West Midlands Cancer Alliance initiative covers a population of 5.8 million people across four NHS pathology networks and 17 NHS trusts.
Delivered in partnership with medical imaging technology provider Sectra, the programme will help to tackle cancer backlogs by providing pathologists with the digital tools needed to better collaborate, share expertise and capacity, prioritise urgent cases and manage growing demand across the entire region.
The work signals the biggest change for the region’s pathology services in more than a century. Technical go-live is now complete, meaning pathologists will start the transition from using microscopes and glass slides, to having instant access to high resolution digital images of tissues for patients across a large geographical area.
Professor Neil Anderson, NHS Midlands regional pathology clinical lead and chief scientist at University Hospitals Coventry and Warwickshire NHS Trust, said: “This is one of the most significant events in the last century around how our pathologists work and how that could lead to cancer pathway improvement. The earlier you can detect cancer, there is the potential for better the outcomes for patients. This technology speeds up the process and reporting through the Pathology Departments, but also allows teams to work between hospitals enabling them to report on images from anywhere in the region which will support faster, better cancer diagnosis.
“Working on the same platform from Sectra, we will be able to more easily share second opinions, without the need to package and transport slides across different laboratories, which can cause substantial delay. And our new digital platform will help us to explore AI to rapidly triage patients.
The programme has seen the deployment of a picture archiving and communication system, or PACS, across the region’s pathology networks. This has been provided by Sectra following contract signing last year.
Sometimes referred to as an enterprise imaging solution, the PACS allows healthcare professionals to access, view and analyse diagnostic images with a variety of tools, and to collaborate in real-time with colleagues as they report on those images, regardless of their location. This means pathologists can more easily work together at a distance, or at home without the need to transport physical slides. The PACS has been used by NHS radiologists for years and is now helping to transform pathology services at a time when hundreds of millions of pounds is being invested by the government into modernising diagnostics.
Phil Williams, NHS England’s head of digital transformation for the Midlands, said: “The significance and scale of this programme is enormous. Bringing four pathology networks together on one platform allows for mutual support and image sharing throughout a huge geographical area, where there are multiple trauma centres, millions of patients and increasingly in-demand pathology services. The technology we have deployed is an enabler for sharing reporting capacity across the West Midlands – giving us the tools on which we can accelerate strategic long term service transformation that is already underway to allow NHS services and professionals to work together around the needs of patients.
The four pathology networks that have completed deployment of the PACS are:
- Black Country Pathology Service – covering The Dudley Group NHS Foundation Trust, The Royal Wolverhampton Trust, Sandwell and West Birmingham NHS Trust, and Walsall Healthcare NHS Trust.
- Birmingham and Solihull – covering Birmingham Women’s and Children's NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust, and The Royal Orthopaedic Hospital NHS Foundation Trust.
- South Midlands Pathology – covering University Hospitals Coventry and Warwickshire NHS Trust, South Warwickshire University NHS Foundation Trust, George Eliot Hospital NHS Trust, Wye Valley NHS Trust, and Worcestershire Acute Hospitals NHS Trust.
- North Midlands, South Cheshire, Shropshire, Telford and Wrekin – covering University Hospitals of North Midlands NHS Trust, The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, The Shrewsbury and Telford Hospital NHS Trust, Mid Cheshire Hospitals NHS Foundation Trust, and East Cheshire NHS Trust.