AI and Digital Systems - FOI Response Register

1. Who provides your Radiology PACS (Picture Archiving and Communication System), and when is this due for replacement?

NHS Shetland currently use Carestream PACS via the NHS Scotland national framework. Following a successful tender process done by NHS Scotland, there is an active programme of work to implement a new national PACS over the next couple of years. NHS Shetland are waiting on finalised timelines of the schedule, but the local implementation will take place after the new NHS Grampian RIS is implemented.

2. Who provides your Radiology Information System (RIS), and when is this due for replacement?
   
   NHS Shetland make use of NHS Grampian’s RIS through a shared agreement. Following a successful tender process by NHS Grampian, there is an active project to replace the RIS with a scheduled go-live date of Oct/Nov 2025

3. What was the total number of emergency admissions across your Health Board in the most recent full year?

During 2024 there were 1534 Inpatient Emergency Admissions.

4. Does your Health Board currently use any AI-based software in radiology (e.g. for image analysis, triage, diagnosis, or workflow support)?

No

If yes, please specify the name(s) of the AI system(s), the clinical area(s) they are used in (e.g. fracture detection, chest X-ray, and mammography), and the supplier, whether they are integrated into PACS or RIS, and the procurement route (e.g. direct award, framework, third party).

5. Are any AI systems currently being piloted or under evaluation in radiology? If so, when are these pilots expected to conclude?

No

6. Does your Health Board use any enterprise AI platform or orchestration layer (e.g. Blackford, Aidoc, Sectra Amplifier, and Philips AI Manager)?

No

7. Are any AI solutions in use within Emergency Departments? If so, please specify their name, supplier, use case, and whether they are in active use, under trial, or part of a research project.

No

8. Have these AI systems been procured by the Health Board, or are they part of a trial, pilot, or research agreement?

Not applicable

9. Do you currently use outsourced reporting services for radiology examinations? If yes, who is the provider, and what was the annual cost of this service in the last financial year?

Medica services are used for MRI examinations. Yearly costs are unknown at this moment as their services have only started.

10. Does the Health Board have a dedicated AI Working Group? If so, please provide a contact name and details.

Not at the moment.

11. Please provide the name and contact details (email and job title) for the Clinical Lead for Radiology and the Clinical Lead for Emergency Medicine.

Radiology: Lucy Wilson shet.xray@nhs.scot

Emergency Medicine: Kirsty Brightwell kirsty.brightwell2@nhs.scot