Christie Medical Physics and Engineering Newsletter 70 May 2022

will be drawn on in a court of law in the event of related injury or death. It is of paramount importance that this serious risk is managed every single time new equipment is installed and there should be cooperation between employers to share the outcome of the testing before anyone starts to use or further perform quality assurance testing on the equipment.

The main issues identified in the report are in the following areas:

• Staffing (especially due to COVID absence) • Training (records, competency processes and review) • Effective communication and governance frameworks It is important to monitor incident trends (e.g. equipment, staff, time of day etc.) to identify themes which may require notification to the CQC. There was a significant reduction in exams over 2020 2021 due to COVID, which also resulted in fewer incident notifications being made when compared to previous years. 88% of the notifications came from NHS Trusts which isn’t unsur prising. The most common error resulting in notification to the CQC was incorrect patient. This mostly happened at the referral stage or where the operator failed to correctly identify them. The largest proportion of SAUE notifications came from diagnostic radiology; however, this may be due to the large relative number of exams when compared to nuclear medicine or radiotherapy. The highest sub modality notifications came from CT exams. The North West had the highest number of notifications geographically (1.2 per 100,000 people); however, this could be influenced by various factors such as reporting culture, guidance interpretation and/or operational delivery. There were two main areas highlighted which should be distinguished between before submitting notifications to CQC to ensure clarity and correctly reporting: Difference between clinically significant accidental and unintended exposures (CSAUE) and significant accidental and unintended exposures (SAUE). • Difference between clinical and regulatory audit •

Departments are reminded of the following requirements:

BS 7671:2018 + Amendment 2:2022 – this is the 18th Edition of Requirements for Electrical Installations (IET Wiring Regulations).

Also, the associated Guidance Note 7 on Special Locations.

BS EN 60601-1:2006+A2:2021 Medical electrical equipment. General requirements for basic safety and essential performance.

A useful pocket guide is available here:

https://medical-locations.co.uk/wp content/uploads/2019/04/Pocket-Guide-for-Medical Electrical-Installations-11-April-1.pdf This document also references Department of Health and Social Care guidance HTM 06-01: Health Technical Memorandum 06-01: Electrical services supply and distribution (2017 edition) (england.nhs.uk) [https://www.england.nhs.uk/wp content/uploads/2021/05/Health_tech_memo_0601.pdf]

Summary of CQC IR(ME)R Annual Report 2020-21 – Diagnostic Radiology

The CQC published their annual report based on findings from inspections and notifications between April 2020 and March 2021. The mains areas from this report, which relate to diagnostic radiology are summarised below. We would like to remind organisation ’ s board members to read the full document to ensure they understand current issues which are highlighted and take appropriate action. Please also see the full document for further analysis.

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