Due to the transition to Epic at GSTT and Kings, existing electronic links for requesting and receiving Radiology reports ended on 5th October 2023 when Epic went live. A new electronic requesting system (ICE) has been deployed and directly links between EMIS and Epic. It allows requests to be made instantly, and reports to be viewed as soon as they’re authorised.
For GSTT and KCH, the ICE go-live date was October 5. Following a robust clinical review, a decision has been made to delay the ICE go-live for the Lewisham and Greenwich NHS Trust (LGT). Patient safety remains our primary concern and we are keen to ensure configuration is finalised and secure ahead of switching over to ICE for LGT. In the interim please continue to use your current radiology referral process for LGT and we will share a revised timeline in the coming weeks.
What is ICE?
ICE is an electronic requesting system that is linked to EMIS. It allows requests to be made instantly, and reports to be viewed as soon as they’re authorised. ICE also enables digital clinical decision support which assists in the appropriate selection of examinations. The ICE system offers enhanced security and shows patient demographics in context in EMIS.
IRMER regulations underpinning NMR imaging requests
The implementation of ICE has highlighted that we need to move towards a more robust clinical governance system to ensure we are meeting regulatory and CQC requirements in relation to Non-Medical Referrers (NMRs) requesting imaging scans.
To support this implementation, SEL has developed a SOP which details compliance with IRMER regulations for NMRs in GP practices. The SOP states that within six months all NMRs and (within a year) GPs will need to have completed the IRMER training course outlined in detail here. The training video can be accessed here and you’ll need to contact selicb.beth@nhs.net to confirm completion and receive the certificate. There will be a local audit process to confirm this. This timeframe takes into account the current pressures on primary care and overall patient safety considerations.
Where can I find more information?
We’d encourage you to watch this 8 minute training video which provides a straightforward demonstration of ICE. You can also read this FAQ guidance document. If you experience any issues at go-live, please contact your IT lead in the first instance to ensure that you’ve been set up correctly and each practice has a super user identified.
A FAQ document has been created to address questions you may have.
If you have any further questions, the central ICE Project Team are contactable via SELGPordercomms@rbht.nhs.uk
Information for patients
Patient information sheets have been created by GSTT and KCH to assist patients requiring radiology exams.
Business continuity
A business continuity plan is in place that details what practitioners should do if they’re unable to access ICE to request radiology tests at GSTT and KCH.