BCU-CP-61407- Provision of CBCT Service

BCUHB are seeking providers to provide Cone Beam Computed Tomography (CBCT) imaging and associated reporting across the 3 regions of the healthboard in West, Central & East areas, thus will be on an individual patient basis. BCUHB do not currently have the required equipment to do this service in house, hence the need to outsource.

This service will support safer care provided to Oral Rehabilitation, Orthodontic, Restorative Dentistry and Maxillofacial patients. BCUHB is now seeking to appoint a provider to deliver a CBCT service within Maxillofacial /Orthodontic/Restorative services.

The service provider will work closely with Department of Restorative Dentistry, Orthodontics and Oral and Maxillofacial Surgery, whilst the service is hosted in Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, the requirement is to serve patients from Wrexham and Bangor Hospitals (Pan BCU) The service provider will provide the service on request, (likely monthly referrals). Expected delivery targets: referrals actioned and appointed within 10 days; reporting delivered to the referrer within 10 days of scan date being sent to the reporter.

The data will be transferred in a secure manner as defined in the most contemporaneous Royal College of Radiologists document "Standards for the provision of teleradiology within the United Kingdom" (currently second edition), The desirable way for the images to be provided to BCU would be for the imaging device connects directly to the BCU Philips PACS node. However, before any imaging takes place, the patient must already have a visit created in the BCU Soliton Radiology Information System (RIS), and therefore the site would need a computer connected to BCU Network Running the BCU soliton RIS Software.

The imaging device should then use a dynamic worklist to pull up the correct patient details (this means the operator selects the patient from a pre-populated list rather than typing in the information manually). This helps avoid errors and ensures that only studies for BCU patients are sent to the BCU PACS.

No other images or studies from outside patients should be sent to the BCU PACS node, only those that match patients already registered in the BCU RIS. The encrypted message system must allow multiple PACS team members to access the files so the workload of uploading can be shared.

Each image transfer must include full patient details: NHS number, date of birth, full name, address, and the study date without chasing other sources for this information. This information is crucial so the BCU team can create the corresponding visit in RIS and ensure the images are correctly matched and uploaded to the patient’s record.

Overall management for the service will be the responsibility of BCUHB The Services will be delivered at a safe and clean environment, with imaging conducted according to the specification. BCUHB will provide patient records; imaging request form with patient-specific scanning requirements; prostheses (if necessary); secure file exchange portal. All images will be available electronically in conjunction with a report, in the format described above.