Part 1 to be completed by the applicant Forename:

Transcription

1 ACCEA FORM A (Application Form) Employer-Based Award CLINICAL EXCELLENCE AWARDS SCHEME APPLICATION FORM 2012 Round It is the consultant s responsibility to ensure that this form is fully completed all boxes to be completed Surname: Mataka Employer(s) name(s) with number of sessions per employer (Lead NHS employer first) UniversityHospitals of Morecambe Bay NHS Foundation Trust 11PA Contract Part 1 to be completed by the applicant Forename: Professional Title: Gregory Dr List of consultant appointments in date order November Present UniversityHospitals of Morecambe Bay NHS Foundation Trust Application type: Level applying for: New CEA Level 2 Accredited Specialties (main first) Breast Radiology General Radiology Upper Gastro-Intestinal Radiology Year appointed to the consultant grade 2011 Primary Medical Qualification (Date and Institution) MBChB University of Liverpool 2002 Current level CEA LEVEL 1 Year awarded 2015 Ethnic origin African GMC/GDC Reg No Work tel (Direct Line) gregory.mataka@mbht.nhs.uk Subsequent Qualifications (Date and Institution) FRCR 2009 MRCS Ed 2005 Preferred address for correspondence Radiology Department Royal Lancaster Infirmary Ashton Road Lancaster LA1 4RP You cannot fill this form out without using the Guide to the Scheme, to which you must adhere strictly PERSONAL STATEMENT Give up to four examples that summarise your achievements. These should be since your last award. (Box limited to 1350 characters). I predominantly work in the Breast Screening Unit with almost 50% Consultant Vacancies. I have been amenable with my Job Plan and have increased my Breast Imaging commitments in order to ensure the continued delivery of a safe and high quality service. I have maintained a higher than nationally predicted productivity in film reading and clinic assessments whilst achieveing good cancer detection rates with a high positive predictive value. I take pride in my work and audit my practice to increase the quality of the service that I provide. I undertook an audit to evaluate my recall practice in mammographic film reading. This audit resulted in a change in my practice. This has resulted in a reduction in my recall rate in the latest Film Reader Quality Assesment Data. There was no associated reduction in cancer detection rate. I was appointed as the Programme Director of the Breast Screening Programme in March I have overseen several initiatives to improve the quality of the service we provide, improve the audit culture and maintain productivity in a service with significant Consultant and Radiographer workforce deficiencies. I enjoy teaching and training and receive excellent feedback for teaching session delivered to a wide range of audiences such as foundation year trainees, Radiology Trainees and Mammographers. 1

2 JOB PLAN List agreed programmed or other activities relevant to the NHS. The Plan should itemise the number of remunerated direct clinical care PAs, the number of remunerated supporting PAs (SPAs), the number of other remunerated sessions / PAs for activities described in this application with a description of what these are, and also list unremunerated activities. (Box limited to1350 characters). I have an 11 Programmed Activity (PA) contract which is split into 6.5 Direct Clinical Care PAs and 3.5 Supporting Professional Activities (SPA). 2 of the SPA's are allocated to the role of Programme Director. My direct clinical care time is split between Breast imaging and General Radiology. Within Breast Imaging I lead breast screening assessment clinics, one stop breast symptomatic clinics, breast screening mammogram reporting and Breast MDT participation. In General Radiology I have weekly Duty Radiologist, MRI & CT lists. I also have an interest in Upper GI Imaging and participate in providing Radiology cover for the Upper GI MDT and Inflammatory Bowel disease MDT. I am involved in weekly teaching sessions for our radiology trainees. Domains If you are applying for levels 1-9 you can include additional information for Domain 3 OR Domain 4 OR Domain 5. Please provide additional information for one domain only. DOMAIN 1: DELIVERING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters). My productivity far exceeds national expectations in mammographic film reading with 9600 mammograms read ( National target Minimum of 5000). My cancer detection rate is consistently high with a rate of 9,2 per 1000 ( National target 4.0 per 1000). This has contributed to the breast screening programme achieving a small invasive cancer detection rate for cancer less than 15mm of 3.79 ( National target 2.8/1000). Despite vacancies of Consultant Radiologists, the Breast Screening Service met its productivity key performance indicators in the second qaurter of this year with 97% of women being sent their results within two weeks (National target 90%). A survey of patients attending for an assessment clinic within the breast screening unit demonstrated that patients were experiencing a high level of care with 98% of patients extremely likley or likely to recommend our breast screening assessment centre to their friends and family if they need similar care or treatment In my General Radiology Practice my reported discrepancy rate is 0.1% which is markedly below the Royal College of Radiologists acceptable discrepancy rate of 10%. I regularly attend discrepancy meetings to to learn from discrepancies and improve my clinical practice. DOMAIN 2: DEVELOPING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters) I introduced a Vacuum assisted Biopsy (VAB) Service for excison of Indeterminate lesions in This percutaneous procedure replaced open surgery for benign lesions reducing morbidity associaciated with surgery. I performed an audit to assess the quality of this service to ensure efficacy was similar to Surgery. All the patients have had repeat mammograms for at least 1 year with some patients having two year follow up. Up to date there has been no evidence of recurrent disease on follow up mammograms. The VAB service has now enabled the breast screening service for the first time to meet the key performance indicator to minimise the rate of open surgical benign biopsies 1.42 ( National target - less than 1.5 per 1000) An audit performed on the positive predictive value and negative predictive value of Advanced Practitioners in a symptomatic clinic for breast abnormalities with a low level of clinical suspicion (P1 or P2) demonstrated that advanced practitioners had concordant findings with a Consultant Radiologist. This will enable Advanced practitioners to discharge patients without requiring Consultant Radiologist Supervision greatly improving waiting times within clinics and improving the patient experience. 2

3 DOMAIN 3: MANAGING AND LEADING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters) If a candidate at any national level completes form F to illustrate their leadership and management achievement it is not necessary to fill in domain 3; simply enter see form F. I have repatriated the MRI high risk screening service from University Hospital of South Manchester (UHSM). The service was sub optimal with patients having screening mammograms locally but having to travel to UHSM for Screening MRI. This resulted in long delays between the two examinations ( Mean wait 19 days) and a long wait from examination to result ( Mean wait 18 days). The MRI High risk screening service is now performed locally with both the mammogram and MRI performed on the same day. This reduces patient time for travel and greatly reduces the wait between examination and result reducing anixiety in this group of patients. The Breast Screening Unit reviewed the way it provided information to patients with Learning disabilities. These clients have a low rate of uptake for breast screening examinations. We now send specific literature for screening invitation and assessment clinics to clients with learning difficulties. The information is now more pictorial based to help clients familiarise themselves as to what they may expect to encourage attendance for screening episodes. In collaboration with the commisioners we have non recurrent funding for a health promotion officer who will be looking at ways in which the breast screening service can encourage women to attend and increase the uptake rate for the programme. DOMAIN 4: CONTRIBUTING TO THE NHS THROUGH RESEARCH AND INNOVATION (see Guide) (Box limited to 1350 characters) If a candidate at any national level completes form D to illustrate their research achievement it is not necessary to fill in domain 4; simply enter see form D. The breast Screening service has had a high recall rate for prevalent (1 st Screening mammograms) compared with national standrads. I performed an audit of my practice to assess if I could reduce my personal recall rate. Following the audit I realised that there was a certain type of abnormality that I recalled that usually had a benign assessment result. I have since changed my practice and this has resulted in a drop in my personal recall rate 5.6 ( national target less than 10%) in the latest Film reader Quality assesment data. The Breast screening service has now also achieved a drop in recall rate for prevalent women to 8.94 for the first time in 4 years. As a film reader I have participated in the CO-Ops trial by the University. This Trial looked at the effect of changing case order with regard to cancer detection. The breast screening unit participates in the Mammo 50 trial which is a multi-centre, randomised, controlled, phase III trial of annual mammography versus 2 yearly for conservation surgery patients or 3 yearly for mastectomy patients Within the last 5 years, indicate how many publications you have had, how many of these were in peer reviewed journals and list the 3 most important ones. No other text is allowed. (Text limit 1350 characters) G Mataka. Double reporting of patients discharged from the assessment clinic: the North Lancashire and South Cumbria experience. Breast Cancer Research 2013, 15(Suppl 1):P36 A J Maxwell, G Mataka, S Whiteside. Ultrasound-guided vacuum-assisted percutaneous excision of breast papillomas: results of longterm follow-up Breast Cancer Research 2013, 15(Suppl 1):P29 Maxwell AJ, Mataka G, Pearson JM. Benign papilloma diagnosed on image-guided 14 G core biopsy of the breast: effect of lesion type on likelihood of malignancy at excision. Clin Radiol Apr;68(4):

4 DOMAIN 5: CONTRIBUTING TO THE NHS THROUGH TEACHING AND TRAINING (see Guide) (Box limited to 1350 characters) If a candidate at any national level completes form E to illustrate their teaching and training achievement it is not necessary to fill in domain 5; simply enter see form E. I am actively involved in the training of Radiology trainees that rotate through our department. This involves teaching physics, CT, MRI and Plain film interpretation and performing ultrasounds. I have been repeatedly invited to be a Mock Examiner on a FRCR IIB Examination preparation course held at the Royal College of Radiologists in London. I continue to deliver Radiology based lectures to the Foundation year 1 teaching programme. My lecture on the interpretation of Chest Xrays recieves extremely favourable feedback. I am a mentor for Mammographers undergoing University based Advanced practice. Verification of Completion I declare that to the best of my belief this information is accurate and I am not aware of any disciplinary or professional conduct and performance issues against me Full Name Signature : Gregory Toindepi Mataka (The applicant needs to print a hard copy, which needs to be signed and retained.) Assessment by domain For each of the domains please indicate your assessment of the candidate in terms of contribution to work for the primary employer and the wider environment of health care locally, eg in the SHA or Deanery. You are not asked to judge national or international contributions, for which ACCEA will receive advice separately. X No contribution in this domain U Has not delivered contractual obligations at a level expected C Delivers contractual expectations at a level expected P Some aspects of delivery have been clearly over and above expectations E Outstanding delivery of service Domains Please give your reasons if you have marked any domain U, P or E (box limited to500 characters) 4

5 GIVE YOUR ASSESSMENT OF THE CANDIDATE OVERALL FOR THIS LEVEL OF AWARD (Please give your reasons for your assessment of the candidate box limited to 500 characters) a) Is the consultant to the best of your knowledge working to the standards of professional and personal conduct required by the GMC and/or the GDC? Has the consultant during the last 12 months b) had a formal appraisal c) agreed his/her job plan d) fulfilled his/her contractual obligations e) complied with the private practice code of conduct? f) Are you aware of any actual or potential disciplinary or professional proceedings inside or outside the Trust? If the answer to (a-e) is No or the answer to (f) is Yes, further details must be supplied. (Box limited to about 500 characters) Name of person completing this form: Position Held: I, as Chief Executive, certify that the contents of Part 2 are accurate. The comments represent the considered opinion of the employer. Chief Executive Name: Direct Line tel: Direct address: Date: Chief Executive of: Signed by Chief Executive Note to Chief Executive: Please sign personally and date the copy which the candidate will retain. 5