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SAH pathways

28-day cancer pathways

End-to-end diagnostic pathways in urology, gynaecology and dermatology, with every patient seen and diagnosed within 28 days.

28-Day Prostate Cancer Pathway

A complete end-to-end prostate cancer pathway, from telephone assessment through MRI, biopsy and histopathology to MDT. Every patient is seen and diagnosed within 28 days.

21.9 daysaverage pathway completion, ahead of the 28-day national benchmark
SAH10,000+LATP procedures delivered across 14 NHS trusts

Patient touchpoints, day by day

Day 3
First attendance

Telephone Assessment Clinic with our clinical team.

Day 3
Booking into MRI

Handled end-to-end by the SAH internal admin team.

Day 7
MRI scan and reporting

MRI scan delivered with radiology reporting included.

Day 10–13
Follow-up clinic

Follow-up Telephone Assessment Clinic to review imaging.

Day 13
Booking into biopsy

SAH internal admin team schedules the procedure.

Day 18
Prostate biopsy

LATP biopsy performed, with all consumables provided by SAH.

Day 18
Courier

Tissue samples transported to the laboratory.

Day 21
Histopathology

Histopathology with full reporting.

Day 22
Patient back to trust

Patient data delivered to the trust.

Day 21.9
MDT attendance

Multidisciplinary team attendance where needed.

SAH’s end-to-end pathway delivery

GP referralTAC clinicMRI scan
and reporting
Follow-upProstate
biopsy
Histopathology
and reporting
Patient to Trust
& MDT
Treatment / discharge /
surveillance*
Start of 62-day RTT
Who does whatDelivered by SAHTrust responsibilityJoint: SAH & TrustCan be delivered by SAH

* SAH can provide certain treatments as well.

Typical patient volumes per 1,000 referrals

First consultation
1,000 patients · 100%
MRI scan & reporting
925 patients · 92.5%
Prostate biopsies
591 patients · 63.5%
Follow-ups
925 patients · 92.5%

Patient conversion rates based on NICE Prostate Pathway Future Guidance recommendations (NG131).

Delivered from our mobile units

Urology procedure mobile unit

Fully equipped mobile procedure room, inclusive of all necessary consumables, medical instruments and maintenance (water and energy).

Mobile MRI unit (1.5T)

Fully equipped mobile and modular MRI unit, inclusive of deployment and maintenance.

28-Day Gynaecology Pathway

A one-stop pathway for post-menopausal bleeding and suspected gynaecological cancers: ultrasound, hysteroscopy and biopsy in a single visit, with CT staging where malignancy is suspected. Patients are seen and diagnosed within 28 days.

28 daysevery patient seen and diagnosed inside the national benchmark
SAH5,500+hysteroscopy and colposcopy procedures across 4 NHS trusts, completely clearing their backlogs

Patient touchpoints, day by day

Day 3
First attendance

Telephone Assessment Clinic with our clinical team.

Day 3
Booking into hysteroscopy one-stop

Handled by the SAH internal admin team.

Day 7
Hysteroscopy one-stop

Transvaginal ultrasound and biopsy in one visit, consumables provided by SAH.

Day 10–13
Courier

Tissue samples transported to the laboratory.

Day 13
Histopathology

Histopathology with full reporting.

Day 18
Booking into CT

SAH internal admin team schedules staging where indicated.

Day 18
CT scan with reporting

Delivered at our mobile CT unit.

Day 21
Follow-up clinic

Histopathology and imaging results reviewed with the patient.

Day 22
Patient back to trust

Patient data delivered to the trust.

Day 26
MDT attendance

Multidisciplinary team attendance where needed.

SAH’s end-to-end pathway delivery

GP referralTAC clinicHysteroscopy one-stopHistopathologyCT scanFollow-up clinicPatient back to trustDischarge
Who does whatDelivered by SAHTrust responsibilityCan be delivered by SAH

Typical patient volumes per 1,000 referrals

First consultation
1,000 patients · 100%
Hysteroscopy one-stop
800 patients · 80%
CT scan & reporting
200 patients · 25%
Follow-ups
800 patients · 80%

Patient conversion rates based on SAH historical data.

Delivered from our mobile units

Gynaecology procedure mobile unit

Fully equipped mobile procedure room, inclusive of all necessary consumables, medical instruments and maintenance (water and energy).

Mobile CT unit

Fully equipped Canon CT Aquilion Prime SP (cardiac enabled) mobile unit.

28-Day Dermatology Pathway

A teledermatology-led skin cancer pathway covering biopsy, excision and histopathology, leading to minor ops and MOHs procedures. Patients are seen, diagnosed and advised on further treatment within 28 days.

28 daysseen, diagnosed and advised on treatment inside the benchmark
SAH11,000+minor ops (levels 1–4), 2WW and MOHs procedures across 6 NHS trusts

Patient touchpoints, day by day

Day 3–7
First attendance

Teledermatology clinic reviews the referral and images.

Day 7
Booking into surgical list

Handled by the SAH internal admin team.

Day 7–14
Skin biopsy or excision

Skin biopsy performed, consumables provided by SAH.

Day 14
Courier

Tissue samples transported to the laboratory.

Day 14–19
Histopathology

Histopathology with full reporting.

Day 19
Patient back to trust

Patient data delivered to the trust.

Day 19–25
Follow-up clinic

Histopathology review with the patient.

Day 26
MDT attendance

Multidisciplinary team attendance where needed.

SAH’s end-to-end pathway delivery

GP referralTeledermatology clinicSkin proceduresHistopathologyFollow-up clinicPatient back to trustDischarge / prescribing / surveillance
Who does whatDelivered by SAHTrust responsibilityCan be delivered by SAH

Typical patient volumes per 1,000 referrals

First consultation
1,000 patients · 100%
Skin procedure
650 patients · 65%
Follow-ups
650 patients · 65%

Patient conversion rates based on SAH historical data.

Delivered from our mobile units

Procedure mobile unit

Fully equipped mobile procedure room, inclusive of all necessary consumables, medical instruments and maintenance (water and energy).

Mobilisation

From introduction to first patients

A proven mobilisation sequence gets a fully-equipped unit live on your site, with utilities, water, IT and consumables included.

SAH introduced to trust or ICB
SAH site visit
Electrical utilities connected
Delivery of unit
Water and waste tank installed
Consumables and IT equipment delivered
First patients seen
End to end

Core services across every pathway

Everything between referral and discharge can be handled by SAH: clinical, administrative and logistical.

  • Patient referral from GP
  • Patient triage
  • Imaging services (CT, MRI, ultrasound) with our radiographers and sonographers
  • Radiology reporting
  • Telephone Assessment Clinics (TACs)
  • Ordering investigations
  • MDT attendance where necessary
  • Reviewing results
  • Biopsy planning
  • Discussion of the patient’s management plan
  • Discharging patients where appropriate
  • Performing biopsies where appropriate
  • Histopathology

Model a pathway for your trust

We'll map volumes, tariffs and timelines against your waiting list and show you the savings.