Traditionally, glass slides have been sent from the local site to the central site via postal systems or hospital transportation systems. Patients with testicular cancer diagnosed by local urological multidisciplinary cancer teams should be referred to the specialist supra-network team and the diagnostic slides made available for review. The UK National Institute for Health and Care Excellent (NICE) guidance “Improving Outcomes in Urological Cancer” recommended the establishment of supraregional specialized testicular cancer multidisciplinary teams (MDTs), serving a population base of 2–4 million and managing 50–100 new patients a year. Testicular germ cell tumour clinical services, including pathological diagnosis, are highly specialized and as such would seem to be an obvious specialty to benefit from DP and the subsequent ease of access to specialist review in-house and across a network. Overall, from the survey, the change was seen as universally positive for our service and highlights the importance of engagement of the whole team to achieve success. We highlight many of the benefits but also the challenges that must be overcome for such clinical transformation. Conclusion: Pathology networks, including highly specialised services, such as in this study, are ideally suited to be digitised. Whilst there were challenges, the transition to DP was regarded as worthwhile, and examples of benefits to patients are already recognised. DP was seen as a positive step forward for the departments involved, and for the wider germ cell tumour network, and was completed without significant issues. Results: The deployment enabled case sharing for the purposes of diagnostic reporting, second opinion, and supraregional review. We used a survey-based approach to capture the quantitative and qualitative experiences of the multidisciplinary teams involved. Methods: DP infrastructure (Philips) was deployed across our hospital network to allow full central digitisation with partial digitisation of two peripheral sites in the supraregional testis germ cell tumour network. Background: In this article we share our experience of creating a digital pathology (DP) supraregional germ cell tumour service, including full digitisation of the central laboratory.

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