The Scheme performs External Quality Assessment for Consultant Histopathologists in General Histopathological practice and also has an educational element.
Due to the extraordinary national circumstances, the scheme management has taken the decision to delay issue of the next round of slide circulations. We plan to send out the next circulation in September (Round n). We will be issuing results for our recent round (Round m), and sending out end of year participation certificates soon.
By delaying the start of the next round we will relieve the pressure on participants who are struggling to provide vital clinical services. The situation will be reviewed regularly and we will let you know if anything changes.
The team are still available. If you have any queries or concerns relating to the Scheme and any of the previous circulations, please contact us in the usual manner.
Please stay safe and well
Prof J Schofield Mrs G Donald
Scheme Organiser Scheme Manager
Features of the Scheme
- Interpretive EQA scheme
- 10 scoring cases sent each round
- 9 different organ systems per round (so one organ system will be duplicated each round)
- 2 educational cases per round (if available)
- 3 rounds per year
- Glass slide circulations, but digital images also available
- Free text answers submitted, reflecting clinical practice
- Differential diagnoses permitted, reflecting confidence in diagnosis
- Option of opt-out of organ systems not seen in clinical practice
- Determination of “correct” answer open to all participants via consultation process, not selective “expert” committee
- CPD points awarded
- ISO17043:2010 accredited, fulfilling ISO15189:2010 clause 184.108.40.206. Click here for the published scope of accreditation
- Approved RCPath EQA interpretive scheme
- Participation restricted to GMC registered histopathologists so that expertise is not diluted
If you are interested in joining the scheme, which is hosted by Maidstone and Tunbridge Wells NHS Trust, please contact the EQA office on the email below.
EQA Scheme Management Office Cellular Pathology, Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ
Telephone: 01622 225738 Email: mtw-tr.EQA@nhs.net
Scheme Organiser: Professor John Schofield, MB BS FRCPath
Scheme Manager: Mrs Gill Donald
Scheme Administrator: Miss Amanda Cowie and Louise Knowler
Scheme Quality Manager: Mrs Helen Dasley
The South East England General Histopathology EQA Scheme is a consensus based External Quality Assessment scheme approved by the Royal College of Pathologists based on the guidance “Principles and Guidance for Interpretive External Quality Assessment Schemes in Laboratory Medicine” RCPath 2017 (G153), and accredited to ISO17043:2010. The Scheme performs External Quality Assessment for Consultant Histopathologists in General Histopathological practice and also has an educational element. Three times each year, ten cases are circulated that are representative of a routine workload together with two slightly more difficult / unusual cases of educational value which are not scored. Participation in the South East England General Histopathology EQA Scheme is open to any consultant pathologist or Associate Specialist within Essex, Kent, Surrey, Sussex or South London, but consideration will be given to applicants outside the area on a case by case basis, including overseas. Long-term locum pathologists are also able to participate, subject to the payment of the current subscription rate.
How does the scheme work?
There are three circulations each year beginning January, May and September. Laboratories are arranged into groups with an order of circulation within each group. Ten cases are circulated representative of a typical diagnostic workload. These cases are contributed from participants working in UKAS 15189:2012 accredited laboratories. Two cases are also circulated that are more unusual and are for educational purposes only. These cases are clearly identified and are not used for personal analysis.
How the scoring works
- Each submitted diagnosis for a case is scored based on the percentage of respondents offering the same diagnosis.
- This is refined at the consultation stage, where suggestions for merging synonym diagnoses are sought. It is important that you participate in the consultation process.
- Personal scores are based on the submitted confidence level for the proffered diagnosis. A perfect score is only achievable if 10 points were allocated to a single (correct) diagnosis.
- For further detail, see the EQA Scoring Protocol
Current Round: Slide images, circulation lists and response forms
Earn 2 CPD points for answering the general cases
Earn 1 CPD point for answering both educational cases
Earn 1 CPD point for completion of the case consultation
Please take care of the slides whilst in your care ensuring they are not marked with anything, kept out of direct sunlight and labels not removed.
Should you have any problems with the slides when they arrive, or whilst they are with you, please telephone the EQA office straight away.
Round m is now closed (Thursday 27th February 2020)
Preliminary Case Analysis:
Please use this document to list your suggested merges and to make any comments. This should be returned to the EQA Office as soon as possible. The deadline for receipt is Friday 27th March 2020.
Previous Rounds - including links to digital slides
- Round l Final case analysis form Round l (links to slides within case analysis document)
- Round k Final Case Analysis Round k (links to slides within case analysis document)
- Round j Final Case Analysis Round j (links to slides within case analysis document)
- Round i Final Case Analysis Round i (links to slides within case analysis document)
- Round h Final case analysis Round h (links to slides within case analysis document)
- Round g Final case analysis Round g (links to slides within case analysis document)
- Round f Final case analysis Round f (links to slides within case analysis document)
- Round e Final case analysis Round e (links to slides within case analysis document)
- Round d Final case analysis Round d (links to slides within case analysis document)
- Round c Final case analysis Round c (links to slides within case analysis document)
- Round b Final case analysis Round b (links to slides within case analysis document)
- Round a Final case analysis Round a (links to slides within case analysis document)
- Round ZZ Final case analysis Round ZZ (links to slides within case analysis document)
- Round YY Final case analysis form YY v2 (links to slides within case analysis document)
- Round XX Digital slide images XX Final case analysis Round XX
- Round WW Digital slide images WW Final case analysis Round WW
- Round VV Digital slide images VV Final case analysis Round VV
- Round UU Digital slide images UU Final case analysis Round UU
Earn more CPD points - Case Submission
Earn more CPD points by sending us a new case – 1 for each sent – 12 duplicate slides per case please. Download the Case Submission Form and Guidelines
Scheme Advisory Panel
The scheme advisory panel consists of representatives for each region. They meet to discuss scheme issues. Please contact them with any suggestions for improvement to the scheme or other issues. Surrey Dr L Fulford – East Surrey Hospital – Laura.firstname.lastname@example.org Sussex Dr I Hawley – The Conquest Hospital – Ian.email@example.com Kent Dr N Bagla – William Harvey Hospital – Nipin.firstname.lastname@example.org London Dr M Moonim – St Thomas’ Hospital – Mufaddal.email@example.com Essex Dr M Sundaresan – Southend University Hospital – Maryse.firstname.lastname@example.org
We endevour to run this scheme to your complete satisfaction. If you have a concern, please contact the EQA scheme office mtw-tr.EQA@nhs.net in the first instance. If this does not resolve your issues and you wish to make a formal complaint, this will handled in compliance with the MTW Trust complaints policy and procedure. Click here for the Complaint Flowchart
Thank you to all those who have taken the time to respond to our surveys.
Participant survey – AGM – March 2019
Participant survey – Case Submission – September 2018
Participant survey – Digital image survey – March 2018
Participant survey – General survey – November 2017
Participant survey – complaints and appeals – July 2017
Participant survey – new case submission – March 2017
Participant survey – website & digital slides – November 2016
Participant survey – results suspected collusion – July 2016
Participant survey – results on AGM attendance – March 2016
Participant Survey – results on use of digital slides – July 2015