Short Life Working Group and Beyond Alex Bowerman Programme Director Scottish Government, Access Support Team

Dimensions of Quality

Ophthalmology Short Life Working Group Autumn 2012 – Autumn 2013 Direct response to clinicians New treatments available for previously untreatable conditions (i.e. Age-related Wet Macular Degeneration) Concerns about capacity for return out-patient appointments Medical workforce vacancies in Ophthalmology

Real-time information to sub-specialty level Booking processes acknowledging sub-specialty variation Flexible use of accommodation Consultant job plans (match supply with demand) Up-skilling AHPs / nurses (I.V. injections) Enhanced working across primary/secondary care Reducing the number of patients monitored in secondary care Diagnostic Report’s Recommendations (published December 2013):

Next Phase – National Framework for Change Managing demand into secondary care Managing queues and capacity Standardising booking processes Communicating with patients Managing return slots successfully Introducing alternative models for surveillance Extending roles of nurses and AHPs Optimising community optometrists’/orthoptists’ remit Strengthening tertiary/local service networks

Next Phase - Interventions Additional GJNH capacity Information analysis and capacity modelling Spread good practice to normal practice Optimise systems and processes Transforming Outpatients Programme Change packages Testing other approaches to Flows & Pathways Local engagement plans

Next Phase – Implementation Scotland’s 3 step improvement framework Systematic approach to Board engagement Partnership Working Establishing pace and profile Articulating what ‘good’ looks like Driving specific actions and timelines Embedding change - everywhere