In his presentation “How to Go Digital”, Rahul Deb described the journey towards implementing digital pathology systems within the NHS. Deb began by outlining the fundamental components of a digital pathology system, distinguishing between Laboratory Information Management Systems (LIMS) and Image Management Systems (IMS). He emphasised that digital transformation is not merely about replacing microscopes with digital screens; rather, it fundamentally alters laboratory workflows, impacting every stage from specimen processing to reporting.
Deb recounted the collaborative efforts involved in building a business case for digital adoption, highlighting the importance of understanding existing laboratory processes and securing buy-in from all stakeholders. He noted that change management is particularly challenging in healthcare due to its inherently risk-averse culture. Winning support, he argued, requires identifying champions at every level, including executive sponsors and senior consultants. Contrary to common belief, Deb observed that more experienced consultants often adapt more readily to digital systems than their younger counterparts.
The presentation detailed the tangible benefits of digital pathology, such as improved recruitment and retention of consultants, enhanced efficiency in multidisciplinary team meetings, and more consistent turnaround times for case reporting. Deb shared practical examples from his own department, illustrating how digital systems streamline workflows and make the workplace more attractive to new recruits.
Procurement and tendering emerged as complex processes, with Deb describing the challenges of specifying requirements, evaluating vendor claims, and integrating LIMS and IMS. He stressed the need for flexibility and innovation, as well as the importance of clear communication and detailed planning.
Deb also addressed the dual workflow challenge, where analogue and digital systems must coexist during the transition period. He discussed the intricacies of training and validating doctors, comparing the approaches of the College of American Pathologists and the Royal College of Pathologists, and advocating for consultant-driven validation.
In conclusion, Deb reflected on the ongoing need for standardisation, continuous improvement, and cross-team collaboration. He acknowledged the frustrations and unexpected hurdles encountered but maintained that the opportunity to transform pathology practice and improve patient safety makes the journey worthwhile. The work to refine and advance digital pathology continues, promising lasting benefits for both clinicians and patients.
