1. Mark Thornton Janice Ash-Miles Paul McCoubrie Ali Vosough
MRI PROSTATE
Mark Thornton
Janice Ash-Miles
Paul McCoubrie
Ali Vosough

2. NBT activity
Feb 15 to Feb 16
902
Feb 16 to Feb 17
1216 ( 35%increase)

3. Could the scans be done more cheaply?
PROSTATE MRI
Could the scans be done more cheaply?
Can NBT Radiology continue to increase the apparently loss-making work?

4. Tariff Pelvic MRI plus addition for giving gadolinium
Reimbursed by CCG = £163 or £176

5. Cost to perform multiparametric prostate MRI
NICE guidance suggests the cost to perform and for a specialist consultant report is £316

6. Operating Loss 2015/2016 902X£140 £126,280 2016/2017 1216x£140
£170,240

7. Could the scans be done more cheaply?
PROSTATE MRI
Could the scans be done more cheaply?
Can NBT Radiology continue to absorb the cost of such loss-making work?

8. Where do we go? Predicted local increase in requests
Long term MRI follow-up
Absolute scanner capacity
CCG support for appropriate reimbursement
New Nationally agreed mpMRI tariff?

9. Simple work is profitable