About our pathways

TOHETI aims to show how imaging technology can be used more effectively as a diagnostic and therapeutic tool across a range of common patient pathways.

By addressing whole pathways rather than focussing on small, piecemeal change, TOHETI asks ‘are we enabling the right imaging test to be done at the right point in time to ensure maximum patient and health economic benefit?’ Redesign of pathways aims to identify and remove inefficiencies.

TOHETI supports and enables staff in their everyday work across Guy’s and St Thomas’ Clinical Imaging and Medical Physics Directorate, to impact widely across the Trust and local community. Five research studies (headache, colon cancer, scaphoid fractures, lung cancer and acute chest pain) and service improvement work (breast cancer, uterine fibroids and prostate cancer) are engaging across the different clinical specialties, emergency medicine, primary care, patients, families and carers.

The programme also explores 24/7 working, open access, direct access to interventional radiology, radiographer training and reporting and changing radiologists’ working practices. A key consideration is the development and enabling of workforce capability to deliver new ways of working alongside the increasing demand for imaging throughout the healthcare system.

TOHETI is also introducing the advanced technologies of PET-MR and MR-guided High Intensity Frequency Ultrasound to King’s Health Partners. By harnessing these cutting edge technologies, TOHETI aims to enable imaging potential to be fully realised for patient benefit, to help improve and personalise care.