Understanding the RCPath Points System for Histopathology in the NHS
- August 29, 2024
Many overseas pathologists wonder how UK reporting patterns are structured within the NHS. One of the key benefits of working as a histopathologist in the NHS is the use of the RCPath points system. But what does this actually mean?
What is the RCPath Points System?
The RCPath points system is used by the Royal College of Pathologists (RCPath) in the UK to measure the workload of pathologists. The system assigns points to different activities based on their complexity and the time required to complete them. This helps in workload planning and ensures that tasks are distributed fairly among pathologists. You can read more about the points system via the RCPath publicised document here.
Here's a summary of some key features, focusing on histopathology, cytology, and autopsy practice. You can also find the most recent updates on this via the RCPath website here.
| 1 - 5 Minutes | 1 Point |
| 6 - 10 Minutes | 2 Points |
| 11 - 20 Minutes | 3 Points |
| 21 - 30 Minutes | 5 Points |
| 31 - 50 Minutes | 8 Points |
| > 50 Minutes | 12 Points |
Points Allocation:
- Histopathology: Different types of specimens are assigned specific points based on the complexity of the examination. For example, simple biopsies might be assigned fewer points, while complex surgical resections would have higher points.
- Cytopathology: Points are allocated based on the type of cytology specimen, such as fine needle aspirations or exfoliative cytology.
- Post-Mortem Examinations: Autopsies are assigned points depending on the type (e.g., routine or complex cases).
Workload Management:
- Daily/Weekly Limits: The system sets recommended daily or weekly points totals to prevent overworking and ensure manageable workloads.
- Job Planning: Pathologists' job plans are often based on achieving a certain number of points per session or week, balancing clinical duties with other responsibilities like teaching or research.
Fair Distribution:
The system aims to distribute cases evenly among pathologists by assigning points based on workload rather than just the number of cases. This helps maintain fairness within pathology departments.
Adjustments:
- Complex Cases: Cases requiring additional time or expertise, such as those needing second opinions or further testing, may have adjusted points.
- Special Circumstances: Adjustments can also be made for special circumstances, such as when pathologists are in training or dealing with new techniques.
What is the Purpose and Benefit of the RCPath Points System?
Ultimately, every decision in the NHS is made with the aim of improving patient experience and care—a central theme of all work within the NHS.
The RCPath points system benefits patient outcomes in the following ways:
- Standardisation of Reports and Quality: Provides a standardised way to measure and compare workloads across different institutions and pathologists.
- Efficiency of Reporting and Staff Workload: Helps in resource allocation, ensuring that pathologists are not overburdened and that the quality of work is maintained.
- Transparency Among Colleagues: Offers transparency in workload expectations and aids in discussions around job planning and workload distribution.
The RCPath points system is a structured approach to ensuring that pathologists’ workloads are balanced, manageable, and fair, contributing to better patient care and job satisfaction.
If you would like to read more about how staffing and workload for pathology departments are assessed and managed by the Royal College, an updated version of the RCPath Best Practice Recommendations is due for publication soon.
Your IMG Consultant is happy to assist with any negotiations related to your job plan to ensure your experience is taken into account.
For more information on NHS doctor benefits and pay arrangements in the UK, take a look at our IMG Resources library.
Relevant Jobs
Eligibility for these roles:
- Specialist Registration in Histopathology with the GMC - this is essential and candidates cannot be considered without this.
- Strong experience reporting histology in cardiothoracic pathology
A leading NHS hospital in South West England is looking for a Consultant in Histopathology with an interest in general histopathology and non-gynae cytology, with opportunities to develop a special interest. The Histopathology department consists of a team of highly experienced consultants, supported by middle-grade doctors. This Histopathology job is open to both international and UK-based applicants, though those with FRCPath or equivalent qualifications are particularly encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
FRCPath or equivalent qualification and CCT within 6 months of interview (or international equivalent) with experience in general histopathology and non-gynae cytology are required for this role, and The salary will be between the standard NHS Consultant pay scale, with salary dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide high-quality histopathology and non-gynae cytology diagnostics.
- Participate in MDT meetings and offer expert histopathological opinions.
- Engage in teaching and mentorship of junior doctors and medical students.
- Contribute to audit, governance, and quality assurance initiatives.
LIFE IN SOUTH WEST ENGLAND
This hospital is located in a thriving town in South West England, offering urban living with access to quieter rural surroundings. The region provides excellent schools, strong transport links to major cities, and a variety of recreational activities, including beaches, national parks, and cultural festivals.
Historically, the area is known for its medieval landmarks, natural beauty, and rich cultural heritage, making it an excellent location for both professional and personal life.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure, and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role, including:
- Document gathering and checking
- COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
Cellular Pathology Services
The Cellular and Anatomical Pathology Department encompasses histopathology, cytopathology, neuropathology, and anatomical pathology. Annually, it processes approximately 38,000 surgical biopsies, 2,000 non-cervical cytology samples, and conducts around 1,100 postmortem examinations.
The department is staffed by a multidisciplinary team, including consultant pathologists, biomedical scientists, and technical specialists. Services provided involve diagnostic evaluations of tissue samples to identify diseases such as cancer and precancerous conditions, utilizing techniques like special stains, immunocytochemistry, electron microscopy, and molecular methods. The department\'s facilities are equipped to deliver timely and accurate diagnoses, with most straightforward biopsies reported within 14 working days.
Eligibility
Working arrangements can be discussed openly, with an understanding that flexible working and full off-site reporting is accepted and offered for those requiring so, and with specialist registration NHS consultant experience are invited to apply.
A teaching hospital in Scotland is looking for a Consultant in Cellular Pathology with an interest in gastrointestinal and/or hepatobiliary pathology. The pathology department comprises a team of 15 consultants and is supported by a team of specialty trainees and biomedical scientists. This Cellular Pathology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCPath are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
FRCPath or equivalent and at least five years of training in pathology are required for this role. Anyone with an interest in gastrointestinal and/or hepatobiliary pathology should apply. The salary will be between £107,144 - 142,369, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide diagnostic histopathology and/or cytopathology services, with a focus on gastrointestinal and hepatobiliary pathology.
- Participate in multidisciplinary team meetings, ensuring quality case discussion and consensus.
- Contribute to the training and supervision of pathology trainees and biomedical staff.
- Engage in continuous service improvement and audit activities to maintain high-quality standards.
LIFE IN SCOTLAND
This hospital is located in a vibrant city by a major river, offering a mix of urban and rural living. Popular areas for living include both lively city neighborhoods and tranquil countryside settings.
The region boasts excellent schools, convenient transport links to major cities, and leisure activities including hiking, cycling, and cultural venues like museums and concert halls.
Historically, this area has been a center for innovation, with a strong reputation for industries ranging from life sciences to creative technology.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
- Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
- Document gathering and checking
- COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
Eligibility for these roles:
- Specialist Registration in Histopathology with the GMC - this is essential and candidates cannot be considered without this.
- Strong experience reporting histology in one or multiple organ systems