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: hoppyone07@outlook.com