1. Electronic referral with Digital images Electronic referral with Digital images Eyecare Integration Scotland Eyecare Integration Scotland Roshini Sanders ( National Clinical Lead) Roshini Sanders ( National Clinical Lead) Peter Carson ( Optometry Scotland) Peter Carson ( Optometry Scotland) John Legg ( RNIB) John Legg ( RNIB) RNIB Scotland - Technology for Life RNIB Scotland - Technology for Life Glasgow 2013 Glasgow 2013 Glasgow May 2013 Glasgow May 2013

2. Introduction Introduction Eyecare Integration Project Eyecare Integration Project Patient and Service benefits Patient and Service benefits Patient Survey Patient Survey Community Optometry Service Community Optometry Service Live demonstration -OCT Live demonstration -OCT

3. Eyecare Integration Business Case ( 2009 – 2011) Eyecare Integration Business Case ( 2009 – 2011) £6.6 million awarded to ophthalmology/optometry following three business case submissions £6.6 million awarded to ophthalmology/optometry following three business case submissions 54 referral forms condensed to five electronic forms 54 referral forms condensed to five electronic forms IT connection finalised – VPN (virtual private network) IT connection finalised – VPN (virtual private network) Integration of 14 scottish healthboards, 900 optometry practices and general practices Integration of 14 scottish healthboards, 900 optometry practices and general practices

6. Referral Letter Referral Letter

7. Referral form with diagram

8. “ A picture speaks a thousand words”

9. A C D B

10. Ophthalmology – Edinburgh 1830 Ophthalmology – Edinburgh 1830

11. OPD - Glaucoma OPD - Glaucoma

12. NHS 24

13. Scottish General Ophthalmic Services contract (GOS) £98 million/annum £98 million/annum 2 million eye tests/annum 2 million eye tests/annum 5% sent to hospital (150,000) 5% sent to hospital (150,000) 1 million/annum postgraduate education 1 million/annum postgraduate education

14. National Optometry IT survey – Scotland 2013 National Optometry IT survey – Scotland 2013 80% response rate 80% response rate 83% have broadband 83% have broadband 98.3% perimetry 98.3% perimetry 98% retinal camera 98% retinal camera 16.5% OCT (60) 16.5% OCT (60)

15. Eyecare - Scottish Patient Survey Eyecare - Scottish Patient Survey 100 patients between ages 45 – 95 100 patients between ages 45 – 95 Free Annual eye tests – 20% unaware Free Annual eye tests – 20% unaware Glaucoma – 30% unaware of treatments Glaucoma – 30% unaware of treatments Diabetes eye screening – 60% unaware Diabetes eye screening – 60% unaware Macular Degeneration – 50% unaware of treatment Macular Degeneration – 50% unaware of treatment

19. Real potential patient benefits Real potential patient benefits Service delivery redesign Service delivery redesign Better use of primary and secondary care resource Better use of primary and secondary care resource Education benefits Education benefits Continuous real time refinement process Continuous real time refinement process Summary

20. “ The best connected E yecare in the world ” Vision for Scotland