Article

Can digital pathology help tackle NHS staff shortages?

The NHS, like healthcare systems worldwide, is experiencing acute staff shortages.
'Digital pathology could help the NHS cope with staff shortages'

The NHS, like healthcare systems worldwide, is experiencing acute staff shortages.1  In fact, staffing is the number one concern for clinical leaders across the world.2 One of the worst affected clinical areas is pathology. The Royal College of Pathologists estimates a staffing shortfall of 25% – which they warn could impact sample processing time and patient diagnosis.3

 

There are various reasons for staff shortages, including demographic shifts and the COVID–19 pandemic. The solution? Digital pathology solutions could replace much of the work pathologists perform, says the Royal College of Pathologists.3 As well as freeing up pathologists to focus on patients, it can optimise workflows and release lab resources.

 

How can digital health solutions reduce the impact of staff shortages?

 

Digitalising pathology services reduces the pressure on pathologists and empowers them to prioritise the patients that matter.

Digital health solutions – including digital pathology – have been shown to reduce the time it takes staff to perform routine duties, low-value tasks, and administration.4,5

Roche’s lab-ready solution is designed by pathologists and combines advanced diagnostic hardware and software to provide clinical insights with digital precision. Digital pathology has many benefits, including:

More precise sample slides

Digital pathology slide scanners, like Roche’s VENTANA range of whole-slide scanners, can scan slides in less than 60 seconds, capturing high-resolution, high-quality images. Automated slide scanning can improve turnaround times and reduce pressure on pathologists.

Full automation

From sample preparation to results interpretation with random access operation

Optimising workflows

Integrated digital pathology systems, including slide scanners, software and processes, transform lab workflows – automating manual tasks and optimising the workspace.

Better Data management

Digital pathology systems provide real-time tracking of all samples, enabling secure viewing and sharing from anywhere.

Interested to learn more, or to schedule a demo? Please complete this form, and a team member will be in touch.

How digital pathology is transforming cancer care at the Ellis Fischel Cancer Center

Digital pathology systems are already changing how pathologists and histology labs work, delivering benefits throughout the healthcare system.

 

The Ellis Fischel Cancer Center at the University of Missouri oversees oncology treatment decisions for four speciality tumour boards. Since 2018, the centre has used Roche’s digital solution to support decision-making and document management.6 The new digital solution transferred the work of twelve people to one nurse navigator. Using the latest digital platform has cut overall staff preparation time by 50% and saved the four tumour boards $300,000.4,5

The new digital solution proved to be especially useful during the COVID-19 pandemic. The system enabled clinicians to work remotely, continuing their life-changing work from a safe and convenient space. The Ellis Fischel Cancer Center team replaced outdated, paper-based processes with digital solutions and is experiencing the benefits. As well as learning new ways of working, the organisation has had to embrace new workflows, as Dr Richard Hammer, Vice Chair of Clinical Affairs, explains:

 

I would endorse more technology rather than less as ways to overcome some of the staff shortages. There are still some silly things that are being done, like faxing. People still fax paper. Why would you do that? And you have to walk over to the fax machine and get it when it can just show up on your computer. So, there's a lot of technology that can be implemented. Some of it is not so hard. It's really about change management and embedding these digital solutions into the day-to-day workflows of the hospital.

 

You can read more about how Roche’s navify platform is powering efficiencies at Ellis Fischel Cancer Center.

Unlocking digital pathology with a partner

 

The successful implementation of digital pathology systems is a partnership between the clinical organisation and a provider who can unlock the benefits. Organisations investing in digital pathology should seek a partner that provides a comprehensive and integrated solution that incorporates hardware, software, and support. Embedding change in histology laboratories is a challenge ­– but the NHS can’t continue to work in the same way it always has done. Digital health solutions like digital pathology can help manage complexity, reduce administrative costs, streamline workflows, and reduce the burden on skilled professionals.

 

While technology has enormous potential, there are clear boundaries. Digital pathology systems won't replace pathologists but can free them up to focus on the patients and the cases that demand the most attention. Digital systems like that used at Ellis Fischel Cancer Center enable pathologists to work flexibly, freeing them from the need to travel to a workplace, physically scan slides, and attend in-person multi-disciplinary meetings.

 

Digital pathology systems enable experts to focus on what matters most: providing and delivering the best possible care for patients.

References

  1. World Health Organization. (2022) Available from https://iris.who.int/handle/10665/362379 [Accessed: 31 January 2024]

  2. The Physicians Foundation. (2023). Available from https://physiciansfoundation.org/research/the-physicians-foundation-2022-physician-survey-part-3/ [Accessed: 31 January 2024]

  3. World Health Organization. (2021). Report available from  https://www.who.int/health-topics/health-workforce#tab=tab_1 [Accessed January 2023]

  4. American Association of Colleges of Nursing. (2022). Article available from https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortage  [Accessed January 2023]

  5. Woolhandler and Himmelstein. (2014). Int J Health Serv 44, 635-42.

  6. Medical Economics. (2021). Article available from https://www.medicaleconomics.com/view/top-challenges-2021-1-administrative-burdens-and-paperwork [Accessed January 2023]

  7. Roche. (2022). Webinar available from https://www.youtube.com/watch?v=wl9rjtRJC4s [Accessed January 2023]

  8. Hammer et al. (2021). Health and Technology 11, 525-533

  9. Bombardieri and Zhavoronkova. (2022). Article available from https://edition.cnn.com/2022/07/20/opinions/nursing-shortage-covid-hospitals-bombardieri-zhavoronkova/index.html [Accessed January 2023]

  10. Roche. (2022). Website available from https://diagnostics.roche.com/global/en/products/instruments/cobas-infinity-poc-ins-6818.html [Accessed January 2023]

  11. Roche. (2022). Website available from https://diagnostics.roche.com/global/en/products/instruments/cobas-pulse-system.html [Accessed January 2023]

  12. Roche. (2022) Website available from https://www.navify.com/products/navify-tumor-board/ [Accessed January 2023]

  13. Berlin, De Smet and Sodini. (2017). Article available from https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/why-agility-is-imperative-for-healthcare-organizations [Accessed January 2023]

  14. Pathologists, T. R. C. of (2023) COVID-19 and the pathology workforce, Homepage. Available at: https://www.rcpath.org/discover-pathology/public-affairs/covid-19-and-the-pathology-workforce.html#:~:text=Although%20recruitment%20into%20histopathology%20has,being%20compounded%20by%20the%20pandemic. (Accessed: 29 November 2023).