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Access To Eyecare: National Ophthalmology Workstream

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Presentation on theme: "Access To Eyecare: National Ophthalmology Workstream"— Presentation transcript:

1 Access To Eyecare: National Ophthalmology Workstream
Alex Bowerman Scottish Government, Access Support Team Scottish Vision Strategy Conference 18th March 2015

2 Challenging Times Waiting Times Pressures New Treatments
Aging population Workforce issues New: return capacity Flows & Bottlenecks Primary / secondary care interface

3 In Scotland we do many things really well …..
…just not everywhere… …and just not all of the time

4 Creating the Right Conditions and Profile Nationally & Locally
Articulating what ‘good’ looks like Clarifying the Focus – ‘what’ Empowering and working with stakeholders – ‘who’ Helping with the ‘how’ and avoiding re-inventing the wheel Building the culture and expectation across each Board and each Health Community

5 Addressing Core Capacity
Workforce Competencies and capacity Extending roles of Nurses, Optometrists and AHPs Information and Capacity Plans Booking Practices Managing queues and sub-specialty capacity Revisiting booking arrangements Understanding Capacity and Demand (locally, regionally and nationally) Managing ‘return slots’ successfully Primary/Secondary Care Pathways Managing Demand into Secondary Care Rolling out alternative models for surveillance Working together: shared care

6 Information and Capacity Plans Primary/Secondary Care Pathways
Start Small, Aim Big.. Lothian Dumfries & Galloway Greater Glasgow & Clyde Highland Forth Valley Fife Tayside Workforce Information and Capacity Plans Lothian Booking Practices Lanarkshire Forth Valley Dumfries & Galloway Lothian Greater Glasgow & Clyde Dumfries & Galloway Tayside Lanarkshire Primary/Secondary Care Pathways Ayrshire & Arran Borders Greater Glasgow & Clyde Forth Valley Grampian Highland Fife

7 Systematic Action Real time information to sub-specialty level to inform strategic and operational decisions Effective booking processes and training which acknowledge sub-specialty variation Flexible use of accommodation Job plans / clinic templates to reflect demands of each service Up-skill AHPs/nurses and extend roles Strengthen work across primary/secondary care (appropriateness of care settings) Reduce the number of appropriately assessed patients returning to 2° care for monitoring by senior medical staff Use modern technology to improve patient pathways Measure impact of successes

8 Embedding the Changes …..permanently
Patient Priorities Parity Partnership

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