Presentation on theme: "EYECARE about the HEALTH and WELLBEING of the people of XXXX"— Presentation transcript:
1 EYECARE about the HEALTH and WELLBEING of the people of XXXX Optometrist, BSc(Hons), MCOptomMember of XXXX Local Optical CommitteeAdd name of Health & Well Being Board area + LOC
2 What is an Optometrist?A primary health care professional with a specialist training in the eyes who can:assess and correct defects in visiondetect ocular disease, injury or abnormalitytreat eye diseases within their competencedetect some disorders of general health which can manifest within the eye
3 Attaining qualification A three-year undergraduate study at University leading to a BSc, and/or a BCOptom.Minimum of a one-year post-graduate qualification working under supervision with assessments and a final Objective Structured Clinical Examination (OSCE) through the College of Optometrists.
4 Regulation By the General Optical Council (GOC) Registration on the Opticians Register is compulsory for optometrists to practice with an annual renewalSpecialist ocular therapeutics registersThere is a voluntary register for Dispensing Opticians with a separate register for dispensing opticians who can fit contact lenses
5 Continuing professional development Continuing Education & Training (CET) is:Regulated by the GOCMandatory over a 3-year cycleCompulsory peer reviewInvolves a diverse range of competenciesCollege of Optometrists set standards & have developed various higher qualifications e.g:Independent prescribingGlaucoma
6 What can Optometrists do? Refraction: assessment and correction of myopia (short-sight), hypermetropia (long sight), astigmatism (rugby ball shaped corneas) etcPresbyopia - loss of ability to focus on near visual tasksSquint/lazy eyesAssess whether or not vision is adequate for driving - DVLA requirements
7 What else can Optometrists do? Assess binocular visionAssess colour visionFit Contact Lenses (CLs) (Optometrists or Dispensing Optician CL fitters)Assess suitability for Low Vision AidsProvide domiciliary eye care (additional service)VDU assessments
8 What sort of eye disease can Optometrists detect? Examples are:Age Related Macular Degeneration (AMD)GlaucomaDiabetic retinopathyCataractsRetinal/vitreous detachmentsDry eyesMention signs of hypertension, cardio/vascular disease & other system diseases (only part of the body where blood vessels can be viewed without surgery) even brain tumours & neurological diseases.
9 The importance of Eye Health 1.8 million people live with sight loss in the UK (Future sight loss UK, RNIB 2008)By 2020 this will increase by 22%Almost 4 million by 2050Ophthalmology accounts for 8th highest level of programme spend in England and is rising
10 The importance of Eye Health In 2010/2011 there were 6,365,308 out- patient attendances in England4.5 million GP consultations/year include an eye problemDirect cost around £26 billion/yearThis is set to increaseOver 50% of sight loss is preventable
11 Age and Eye HealthPrevalence of many of the main causes of sight loss increase with ageGiven current demographic trends, we are likely to see increasing levels of avoidable sight lossSignificant impact on future demand on health and social care services64% of people certified as visually impaired (VI) are over 75 year olds and 32% year oldsSOURCE: NATIONAL STATISTICS 2008,COUNCIL TABLES- BLIND AND PARTIALLY SIGHTED, PB1
12 Local picture of XXXXPredictions of the number of people in XXXX usingPOPPI (Projecting Older People Population Information)PANSI (Projecting Adult Needs & Service Information)XXX people with serious visual impairment in XXX who require help with daily activitiesThis will slowly increase over the next few yearsAdd name of area & figures for those with a serious visual impairment + those who require help with daily activities
13 Some suggested solutions Since 2004, the DoH has been trying to encourage the delivery of more routine and minor emergency eye care outside hospital in community optical practices.The aim is to free up hospital capacity to cope with increasing demand from both the ageing population and new technologies e.g. wet AMD treatments.
14 What eye care can be provided in the community? Minor Eye Conditions ServiceSome Glaucoma ServicesPre & Post Operative Cataract ServiceChildren’s Vision ServiceLow Vision ServiceEye Care Services for Adults & Young People with a Learning DisabilityLOCSU pathways for all of these services available on website;
15 Benefits of Community Eye Care services Supports national and local strategic prioritiesCommunity rather than hospital careEvidence based practicePatient choiceCare closer to home
16 Referral to Ophthalmology in XXXX GP- xxxxOther - xxxxCost of first ophthalmology out-patient attendance in 2014 = £118.13TOTAL REFERRALS TO OPHTHALMOLOGYxxxxSOURCE INFORMATION DEPARTMENT THE ROTEHRHAM NS FOUNDATION TRUST 2012Add figures where required
17 What can Health & Wellbeing Boards do? Make eye care and prevention of sight loss a priority for public healthEncourage Early InterventionEncourage Clinical Commissioning Groups to increase the impact of their eye care commissioning strategy
18 Eye Health and Health & Wellbeing Boards Health and wellbeing strategies that address some general public health issues also impact on eye health and support prevention of sight loss. The following are examples of links between public health and sight loss:SmokingObesityDiabetes
19 Smoking and Eye Health Age-Related Macular Degeneration (AMD) As strong as the link with lung cancerDoubles the riskDevelops at an earlier ageStopping smoking reduces the riskTreatment options for AMD are limitedCataractsDiabetesSmoking: The link between smoking and age-related macular degeneration (AMD), the UK's leading cause of sight loss, is as strong as the link between smoking and lung cancer. Smoking causes harm to the tissues of the eye. Research has confirmed the harmful effects of smoking on eyesight, particularly in the development of AMD and cataracts. Smokers not only double their risk of developing AMD, they also tend to develop it earlier than non-smokers do. Treatment options for AMD are limited. It has been shown that stopping smoking can reduce the risk of macular degeneration developing. While cataracts are treatable and therefore do not lead to blindness, they remain a major cause of sight loss in the UK. Furthermore, smoking makes diabetes-related sight problems worse.
20 Obesity and Eye Health Diabetic retinopathy increase risk of developing type 2 diabetesAge-related macular degeneration (AMD)obesity may increase the risk of developing dry AMDalso increases the speed of progression of AMDDry AMD is likely to impede the ability to carry out daily activities such as driving, reading a newspaper or watching televisionCataractscan double the risk of developing cataracts
21 Diabetes and Eye Health Diabetic RetinopathyGood blood sugar control and good blood pressure control substantially reduce the risk of sight-threatening diabetic retinopathy.Strategies that seek to prevent diabetes and improve the quality of diabetes care will help prevent avoidable diabetes related sight loss.
22 Other costs of Visual Impairment Mental HealthHigher incidence of mental health issues in those suffering from sight loss.FallsHigher incidence of falls due to poor vision, cataracts etc.
23 We can help you to work with Health and Social Care providers How can the LOC help?We can help you to work with Health and Social Care providersEncourage a multi-disciplinary approachEarly interventionQuality, Innovation, Patient centred, Patient satisfaction, Patient choiceImprove efficiency and reduce costs
24 Current Community Eye Care Services List all the community eye care services currently available in your area
25 The LOC aimTo work with the Health & Wellbeing Board and other partnership organisations to help deliver high quality and accessible eye careIntegrating service delivery with othersGPSOphthalmologistsOrthoptistsNursesSocial Care personnel
26 Referencesme-budgeting-guidance/sight loss data toolics/Pages/sight-loss-datatool.aspxpathways/