Background to this inspection
Updated
4 April 2019
The registered provider’s head office is based in Warwick, Warwickshire and commenced service in 1989. The provider registered in 2016. The Maidstone location was registered in August 2017.
The service provides diagnostic screening tests using PET-CT scanning equipment for patients aged 18 years and above.
The service has had a registered manager in post since registering with the CQC in August 2017.
Updated
4 April 2019
This service provides diagnostic imaging services using positron emission tomography–computed tomography (PET-CT) to the local community. Alliance Medical Ltd. (AML) provides PET-CT imaging at Maidstone Hospital through a national contract commissioned with NHS England as well as through private referrals.
The service was originally delivered by AML from August 2015 using a mobile unit. The static Maidstone PET-CT Centre opened at the beginning of September 2017 following an AML programme to transfer mobile services to static units throughout the country to improve patient experience and improve integration with local trusts.
The service uses a PET-CT scanner that has advanced software and technology which improves the detection of small lesions leading to improved patient outcomes.
Patients were referred primarily, but not exclusively, from Kent Oncology Centre in collaboration with Maidstone and Tunbridge Wells NHS Trust, East Kent Hospitals University Foundation Trust, Medway NHS Foundation Trust and Dartford and Gravesham NHS Trust. Local Governance was monitored through regular meetings with the Administration of Radioactive Substances Advisory Committee (ARSAC) holder (a specialist licensed radiologist) in Maidstone Hospital. A dual policy agreement was in place which ensured that the unit complies with both AML's overarching policies while considering the Trust's local requirements. The service was also supported by the Maidstone and Tunbridge Wells NHS Trust Medical Physics Team who provided a Radiation Protection Advisor, a Medical Physics Expert and Radioactive Waste Advisor.
The Unit Manager was also responsible for another PET-CT Centre and was supported by a Clinical Lead Radiographer/Technologist at the site who supervised the clinical staff. A team of administrators provided booking, administration and reception duties. Patients were only referred by consultants who were specialists in their field, predominantly oncology, together with cardiac patients as required.
The unit was open Monday, Wednesday and Thursday 7:30am to 7:30pm and Tuesday and Friday 8am to 6pm. To ensure sufficient capacity was available to enable patients to be scanned within the contracted time frame the unit was supported by a mobile PET-CT scanner up to twice a month when required.
Updated
4 April 2019
The provision of PET-CT scanning services, which is classified under the diagnostic imaging and endoscopy core service was the only core service provided at this service. We rated this core service as good overall.
- People were protected from avoidable harm and abuse. The service supported people to keep themselves safe and secure.
- People’s outcomes and feedback about the effectiveness of the service described it as consistently good.
- People were supported and treated with dignity and respect, and were involved as partners in their care.
- People’s needs were met through the way services were organised and delivered.
- The service was consistently well managed and led. The leadership, governance and culture promoted a delivery of high-quality, person-centred care.