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
A Northern English NHS Trust is looking for a Consultant Histopathologist to join their team at. They are considering either UK or overseas-trained doctors for a permanent contract type. The trust will support with CESR support for those who are looking to attain CESR and Specialist Registration. This is a high performing and friendly department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.
This is a great job for any overseas Pathologists looking for CESR-support and great career development in a beautiful part of England.
What is the NHS Foundation Trust like?
The NHS Foundation Trust offers top-notch hospital and community healthcare services to a population exceeding 400,000 individuals across several areas/ With two primary hospital locations boasting a combined total of 553 beds, and their hospitals situated approximately 15 miles apart - along with a community hospital, the Trust ensures comprehensive care coverage. Its extensive range of services and specialties includes Bariatric Services, Orthopaedics, Urology, Cardiology, Diabetes Care, Elderly Care, Emergency Care, Gastroenterology, Obstetrics and Gynecology, Radiology, Respiratory Medicine, Rheumatology, Stroke Care, Critical Care, Neonatology, Pain Services, and Pathology.
What is the department & team like?
The Histopathology Department is staffed by a dedicated team of consultants and junior doctors committed to delivering outstanding patient care. The team comprises experienced consultants and supportive junior doctors, ensuring comprehensive coverage and expertise in diagnosing a wide array of cases. The department is actively involved in the diagnosis and management of diverse histopathology and cytology cases, encompassing oncological, gastrointestinal, dermatological, and respiratory conditions, among others.
They offer a range of treatments tailored to meet the specific needs of each patient, with a focus on delivering timely and accurate diagnoses to support effective treatment plans. Equipped with advanced facilities and state-of-the-art technology, the department boasts modern laboratory equipment and diagnostic tools. These resources enable them to efficiently process and analyze histopathological specimens, facilitating prompt and precise diagnoses.
On average, the histopathology department handles a substantial volume of cases each year, covering a broad spectrum of pathology types. Through the collaborative approach and commitment to excellence, they strive to uphold the highest standards of patient care and contribute to advancements in diagnostic medicine.
Career Development & Opportunities Available
The Trust and Histopathology team are dedicated to supporting their doctors career development through. For example, the new appointee will have the opportunity for the development of teaching experience as they would be expected to undertake formal and informal teaching of trainees within the department, and participate with other consultants in teaching/lectures as part of the Trust’s postgraduate education program. There will also be the opportunity for the development of personal research interests through the Research and Development Department. Research is highly encouraged at this trust and is undertaken during SPA sessions. The new consultant will also be able to increase their experience in MDTs, as these are regularly held within the department.
Life in North East
The North East of the UK offers a diverse blend of rural and urban settings, providing both tranquility and vibrant city life. Residents can explore scenic landscapes such as the Northumberland Coast or enjoy cultural attractions in cities like Newcastle upon Tyne. The region boasts esteemed universities like Durham and Newcastle, along with quality schools. Transportation links are well-established, connecting the area to major cities and airports. Housing options vary from historic properties in market towns to modern developments in bustling urban centers, catering to diverse preferences and lifestyles.
AM I ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Histopathology
- Specialist European Qualification in Anatomic Pathology
- Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC), or be eligible for registration within six months of interview.
- An understanding of Clinical Governance
Non-EEA Candidates:
- FRCPath
- Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC), or be eligible for registration within six months of interview.
- An understanding of Clinical Governance
UK based applicants
- Full GMC registration
- Within 6 - 12 months of completing CCT
- An understanding of Clinical Governance
IMG Connect are proud to be representing NHS England in the recruitment of a paediatric & perinatal fellowship role, providing overseas pathologist the access to specialist registration / CESR in their field, without the need to enter specialty training. With the opportunity to work in either one or multiple of the UK\'s largest and most established NHS pathology departmetns, this Fellowship in Paediatric and Perinatal Pathology is ideal for either paediatric pathologists with extensive overseas experience, or young-aspiring pathologists with a strong interest and desire to train further in paediatric & perinatal pathology.
The Fellowship is designed as an 18 month training programme for international medical graduates who are experienced paediatric/perinatal foetal pathologists who are willing to work as consultants in this field in the UK. You will work and train in one or two of the NHS\'s largest and most renowned institutions.
Am I eligiible?
- Full FRCPath Histopathology is desirable
- FRCPath Part 1 is essential
- Current active duties in adult autopsy
- 5-years histopathology experience, including some performance of perinatal autopsies as well as adult autopsy.
- Pass in either IELTS or OET
Opportunity for a Consultant Histopathologist at a major University Hospital in the Northeast of Engalnd. The role offers the chance to contribute significantly to pathology services within a regional pathology hub, working with a skilled team of 12 consultants delivering a comprehensive cellular pathology reporting service to a diverse population across several towns, and totaling 1.6 million residents.
This role is particularly advantageous for overseas Consultant Histopathologists aspiring to establish themselves in the NHS. Suited for candidates with specialization in the European Economic Area (EEA) or experienced International Medical Graduates (IMGs) seeking completion of the Certificate of Eligibility for Specialist Registration (CESR), it provides a unique pathway for professional growth.
The Histopathology Department is a centre of diagnostic excellence, the department handles a diverse caseload, offering comprehensive care ranging from routine diagnostics to complex pathology.
Their main hospital is a major teaching and trauma center with 1,024 beds, a 24-hour acute admissions unit, and an emergency department. The Trust\'s dedication to research and development is evident through active participation in regional and national research programs and clinical trials. The Research and Effectiveness department within the Trust facilitates project coordination, supporting innovation. A specialized member of the research staff brings expertise in managing the pathological aspects of clinical trials.
The urban hub, offers residents a dynamic living experience with access to scenic parks, cultural attractions, quality schools, and Teesside University. Robust transportation links connect Middlesbrough locally and to major cities and airports. Housing options, from historic residences to modern developments, cater to diverse preferences, ensuring a vibrant urban lifestyle with green spaces and educational excellence.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Histopathology (essential)
- European Specialist Qualification in Anatomical Pathology
Non-EEA Candidates:
- FRCPath (essential)
- ???????Experience of working for Histopathology (essential)
UK based applicants
-
Experience of working in Histopathology (essential)
An excellent NHS Foundation Trust is inviting applications for the position of Trust Grade Specialty Doctor in Histopathology. This full-time role is ideal for experienced histopathologists looking to advance their careers within the UK’s esteemed NHS framework. This position offers the potential for highly experienced specialty doctors to progress to the specialist grade. The role promises a healthy work-life balance as it comes with no on-call commitments. The successful applicant will join a dedicated team of Consultant Histopathologists, a specialty doctor, and supportive secretarial and laboratory staff. The position includes access to CESR support programme.
Overseas applications from experienced Specialty Doctors and Consultants are welcomed.
What is the NHS Foundation Trust like?
The NHS Foundation Trust is a district general hospital trust managing three hospitals. The Trust serves the different towns, delivering a broad range of medical services. They are performing at a good level across their services and continuously provides huge opportunities and benefits to the way they deliver patient care. The Trust focuses on delivering excellent general hospital services, serving a population of approximately 750,000 with the help of more than 9,000 staff members. The hospitals have around 1,100 beds in total, offering services including General Medicine, General Surgery, Neurology, Rheumatology, Gastroenterology, Dermatology, Gynaecology, and Paediatrics.
The Trust achieved foundation status in 2005 and, in October 2020, merged two of its hospitals to create a new organization, establishing one of their hospitals as the emergency care site and another as the planned care site. The Trust remains dedicated to continuous improvement, striving to provide high-quality, patient-centered care across all its facilities.
What is the department & team like?
The Histopathology Department is a highly specialized unit. The department is staffed with a dedicated team of five full-time equivalent (WTE) Consultant Histopathologists and one Specialty Doctor. They are supported by a team of Biomedical Scientists (BMS) at various levels and trainees/associate practitioners, with secretarial staff providing essential administrative support.
Annually, the department processes approximately 22,000 surgical requests at one of their sites alone, with around 17% originating from GP users, and similar volumes reported at their other hospital. The department handles a wide range of cases including Urology, Colorectal, Breast, Upper Gastrointestinal, Dermatology, and Lung biopsies. The department is notable for being a Breast and Bowel Cancer Screening Centre, dealing with Head and Neck, Endocrine, Medical Liver biopsies, and Gynaecology among others.
Facilities at the department include an advanced processing laboratory, immunohistochemistry services, and limited molecular genetics capabilities. The department is fully accredited with ISO 15189:2012, ensuring high standards in diagnostic accuracy and patient care. Operating Monday to Friday from 08:00 to 17:00, the department is committed to continuous improvement and the integration of new technologies such as Digital Pathology to enhance service delivery.
Career Development & Opportunities Available
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, get involved in active research and many aspects of CPD. Participation in research and educational activities will be encouraged.
- Attractive salary and relocation package
- Training and development opportunities
- CESR support for those eligible
- Tier 2 Health and Care Visa (sponsorship for the whole family)
- Guidance regarding the CV and full interview preparation
- Assistance regarding the GMC registration, visa, accommodation and transportation by an experienced onboarding specialist
- Complete IMG Relocation service from start to finish of process
Nestled along England\'s picturesque south coast, the area offers a unique blend of urban amenities and coastal charm. Doctors enjoy proximity to both bustling city life and tranquil seaside retreats. Residents indulge in sailing adventures around harbour or stroll along its sandy beaches. The area boasts reputable schools and universities, nurturing young minds for future success. Transportation links are robust, with easy access to neighboring cities like Bournemouth and Southampton, as well as major airports. Housing options range from waterfront apartments to quaint cottages, catering to varied tastes and lifestyles. Poole epitomizes the quintessential coastal living experience.
Am I eligible for this role?
UK based candidates:
- Experience in Histopathology
- Experience in Histopathology
- FRCPath
- FRCPath
- Experience in Histopathology
A fantastic opportunity awaits Histopathologists seeking a fixed-term position. This Pathology Services provides support for CESR accreditation and facilitates entry into specialty training within the NHS. The department is both high-performing and supportive, particularly welcoming overseas doctors new to the NHS or UK-based doctors seeking career advancement. They deliver pathology services to their acute hospitals and local GPs, with some laboratories offering specialized services to the wider NHS and engaging in research studies. Serving 1.76 million patients and conducting 60 million tests, the partnership has resulted in 27,000 additional community phlebotomy appointments, improved turnaround times, and streamlined workflows.
The Pathology Service thrive on a dedicated workforce leveraging cutting-edge technologies, delivering exceptional clinical services centered on patient care.
What is the Pathology Service like?
The Pathology Services comprises four pathology laboratories. These laboratories are responsible for providing pathology services to both acute hospitals and local general practitioners. Additionally, certain laboratories within the network offer specialized services to the broader NHS and engage in research studies and trials. As part of a significant initiative within the NHS, pathology services in England are undergoing reorganization, transitioning into larger local network models. This restructuring has led to the establishment of 29 pathology units nationwide.
This development positions the pathology service as an exceptionally appealing workplace, situated at the forefront of NHS innovation and digitalization in pathology. Despite these advancements, this pathology service remains committed to delivering the latest tests and services, incorporating cutting-edge clinical science into modern patient care. Currently, they manage approximately 120,000 cases with a team of 36 consultants (augmented by some outsourcing), with the capacity to expand its consultant team to 40 full-time positions.
What is the department & team like?
The Pathology Service was established following the Lord Carter review of Pathology services in England, aiming to reduce overtesting, enhance resilience, and lower costs. amalgamates staff, services, and IT platforms from four trusts to enhance pathology quality in the Black Country, serving 1.4 million individuals and conducting 60 million tests annually. It underwent a comprehensive IT system overhaul to facilitate integrated services, embrace new technologies, and expedite laboratory results.
The pathology service operates three laboratories offering nationally accredited consultant-led pathology services. With state-of-the-art facilities and IT systems, they garnered commendation from Lord Carter for its efficiency and innovation in pathology. Notably, innovations showcased during Lord Carter\'s visit in 2021 included pre-barcoded tubes for sample tracking and digital automation in microbiology labs.
Lord Carter praised the service as a model of service integration and technological advancement, emphasizing the importance of technology, including artificial intelligence, in expediting diagnostics. He commended the leadership and dedication of the staff, highlighting their achievements and commitment to patient care. The evidence is there to be seen, as latest figures show they scored 92 per cent compliance on a dashboard provided by NHS Improvement, ranking it one of the best performing services in the country
Career Development & Opportunities Available
Career development opportunities are aplenty. The Centre is one of the highest performing centres in the UK, with excellent CQC scores, a fantastic leadership team, and highly advanced specialist reporting functions. All of this provides an excellent platform for anyone to excel and develop, whether it\'s a step towards specialisation in one anatomical area, or whether it\'s advancing yourself in the world of digital pathology, the right individual can really flourish here.
Digital Pathology and AI is a massive part of what the Group are doing, and part of what makes this opportunity so exciting. Working from home, working abroad, or taking on additional workload out of hours - digital pathology is taking off. They are the most advanced Digital Pathology Service in the UK, and this provides everyone with huge opportunity to grow and develop in a really exciting global field of pathology.
Life in the West Midlands
Based is a modern industrial city situated on the midlands. It is compact, with no boundary more than four miles from the centre and is approximately a 30-minute drive to Birmingham (15 miles), 1 hour 20 minutes to Manchester (60 miles). The city is an urban, multi-ethnic city with a population of around 250,000. The wider hospital catchment area has a population of in excess of 350,000. With more than 600 shops, bars, café and restaurants, the city is not only a great place to work but also somewhere to relax and enjoy. The city centre is just a 10-minute bus ride from the Hospital.
The nearby countryside of Staffordshire and Shropshire is delightful. To the north is Cannock Chase and to the west the Shropshire borders with attractions of Bridgnorth, the Clee Hills, the Long Mynd, Wenlock Edge, and the Severn Valley. South of Wolverhampton, the City of Worcester is easily accessible, and to the west north-Wales can be reached in just over an hour. The area has a large network of canals, the majority renovated, offering adjacent housing and popular for narrow boat holidays.
Am I eligible for this role?
To be eligible for this vacancy you will need the following:
EEA candidates:
- Recognised European Medical Degree
- Specialist Qualification in Histopathology
- IELTS or OET
Non-EEA candidates:
- FRCPath
- IELTS or OET
UK-based candidates:
- Within six months of CCT or CCT Holder
This is a great opportunity for any experienced histopathologist interested in specialisation, and with interest in digital pathology.