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Diabetic Eye Screening Programme
Retinopathy is one of the most common cause of sight loss in people of working age
Service Base
Trust wide service Cover 100 GP surgeries Established 20 years ago from voluntary
contribution
National requirement
All diabetics (47,500) to be offered annual screening New referrals to be screened within 3 months (NDESP Standard) Images captured, graded and results sent within NDESP guidelines and
time frame Detailed quarterly KPI’s and annual reporting
R3 Urgent (2 weeks) M1 and R2 Routine (13 weeks) Unassessable (14 weeks)
The Challenge
Resources2009 2013
Graders 3 8Screeners 5 7Failsafe officer 0 1Admin 2 4Van 4 6
Training and Development
Positive feedback via patient surveys and service users
Positive training via Multi-Disciplinary Teams
Monthly test and training
Mandatory national qualification
Systematic Failsafe
Timeline tracking of all referred patientsAudits around the 19 NDESP Quality Standards
Exclusions categories:
Mentally/Physically impaired. Under 12 years of age
Suspensions:
Under Ophthalmology, Opt outs.
Contact Failsafe Officer for more information on exclusions
Administration
DESP working in partnership with GP surgeries to improve uptake
DNA
Cancellations
Service improvement
Annual screening targets are now in place
2009 2015 Screening per day 23 26 -
35
Grading per day 45 70
Service Improvement and Growth
Screening population 34,500 47,500 6.6% growth
2009 2015Weekly screening 700 1100Screening interval 15 months 12 monthsNDESP Standards failed all 19 metDNA rate 20% 12% approx.
Patients registered severely sight impaired 2012-13 is 24% lower than 2010The 2009 NSC Workbook stated its aim was to reduce blindness due to DR within 4 years: Standard 10 % Achievable 40%
Key to success
Both the DESP management and CCG/LAT fully committed
Good Clinician & Manager partnership Work-force accountable and empowered Good support from colleagues across all sites and
service users
Future plans
OPDR/Digital Surveillance – In place
Resources secured, Keep screening in the community
Summary
• Diabetic Eye Screening is a success
Prevention is better than cureIf you have any question or queries please contact Paul at: [email protected]