We were in a difficult position in terms of reporting capacity. We had lots of cases where we simply didn’t have pathologists able to report.
Scott Gable, Cellular Pathology Service Manager at Cardiff and Vale University Health Board
Cardiff & Vale University Health Board (UHB) faced rising histopathology workloads and limited reporting capacity, requiring a partner who could deliver consistent turnaround times and high-quality reporting. The Health Board sought transparency, subspecialist expertise, and reliable communication.
Diagnexia now provides predictable reporting performance, improved workflow visibility, and a responsive partnership aligned with the organisation’s digital ambitions. The collaboration strengthens daily operational resilience while supporting Cardiff & Vale’s transition toward a fully digital diagnostic service.
Challenges Faced by Cardiff & Vale UHB
Before collaborating with Diagnexia, Cardiff & Vale University struggled with:
Reporting Capacity Gaps:
National consultant shortages and increasing case volumes.
Unpredictable Outsourcing Performance
Providers overcommitting and unable to meet agreed workloads.
Manual Operational Workarounds
Manual triage of cancer-positive cases and limited digital workflow support.
Barriers to Digital Adoption
Legacy systems and SNOMED mismatches complicating integration and slowing progress toward full-slide imaging.
WHY CHOoSE DIAGNEXIA
Digital is a prerequisite, but we still have that capacity deficit in reporting, so the requirement for outsourcing isn’t going to go away. We’re seeing 9% growth year-on-year.
Scott Gable concluded by outlining the future of the relationship with Diagnexia
A Partner-Led Reporting Solution
Diagnexia worked with Cardiff & Vale to stabilise reporting capacity through a clearly defined, subspecialist-led outsourcing model focused on predictability, transparency, and operational alignment.
Key elements of the intervention included:
Defined, Dependable Reporting Capacity
Diagnexia absorbed variable reporting workload, ensuring consistent, dependable turnaround times.
Transparent Communication & Capacity Planning
Clear visibility of what could be delivered, and when, enabling
Cardiff & Vale to plan workloads with confidence.
Subspecialist-aligned Case Allocation
Cases routed to appropriate subspecialists across Diagnexia’s
network, supporting complex case types without delay.
Operational Groundwork for Digital Integration
Early collaboration on SNOMED mapping with the ability to also
provide flagging for cancer-cases & aligning with the Trusts LIMS
Operational Impact & Measurable Outcomes
Following implementation, Cardiff & Vale saw measurable improvements in reporting performance, service predictability, and operational efficiency.
REPORTING PERFORMANCE:
Over a 12-month period, across multiple subspecialties including GI, gynaecology, and skin:
- 99% of referred cases reported within 5 days
- Around 1.5 days Mean turnaround time
Subspecialty mean TATs: GI 1.0 days, gynae 0.81 days, skin 1.35 days
When I asked for data at short notice, it was there immediately. That kind of responsiveness really helps us manage the service.
Scott Gable shared
When I asked for data at short notice, it was there immediately. That kind of responsiveness really helps us manage the service
Scott Gable
A MODEL FOR CAPACITY DRIVEN DIAGNOSTIC PARTNERSHIP
Diagnexia’s partnership with Cardiff & Vale University Health Board shows how a transparent, subspecialist-led partnership can stabilise reporting capacity and improve workflow predictability.
Diagnexia’s partnership model demonstrates how predictable, subspecialist-led capacity can stabilise services today while supporting future digital transformation.
Work with us
If you’re facing similar challenges in your healthcare institution, contact us to learn how they can tailor their services to meet your needs.
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