1. Community Wet AMD Service
Craige Wilson
Assistant Director of Operations

2. Wet AMD Service
Patients accessing the Cwm Taf service receive their new appointment within 2-3 weeks
Patients are assessed in a “one stop” consultant led clinic
Follow up visits scheduled at 4 week intervals
Patients are currently waiting 6-8 weeks for a follow up

3. Wed AMD Service Wet AMD service is based at Ysbyty Cwm Rhondda (YCR)
All patients attend YCR for initial consultation, treatment and follow up on a one stop basis.
Estimated that approximately 40% of patients who attend these clinics for a follow up appointment do not require an injection

4. AMD Cycle
Presentation
Confirmation
Active
Mature
Stable

5. Community Service
Successful submission to Welsh Government to establish pilot
Community service will release capacity at YCR
Keir Hardie Health Park clinic accommodates follow up patients from Merthyr Tydfil and the Cynon Valley
Suitable patients are those in the “mature” phase of treatment cycle (no treatment in previous three attendances)

7. Community AMD Service LogMAR VA OPHTHAL TECH (10 mins) OCT MEDICAL
PHOTOGRAPHER
(20 mins)
Slit Lamp Examination
OPTOMETRIST

9. Governance Arrangements
Results of the clinical assessment and decision from the optometrists reviewed virtually by a consultant in the first month
This ensured compliance with the clinical pathway and provide any feedback necessary to the optometrist.
Currently the consultants review 10% of the caseload randomly as part of ongoing quality assurance of the service.

10. Impact Service commenced on July 1st 2016
Potential of up to 20 patients per week utilising community clinic at KHHP
Released capacity at YCR will facilitate a reduction in the follow up intervals
Reduced travel time for patients
Formal evaluation – Welsh School of Optometry

11. Future
Potential to establish similar facilities in other locality settings
Potential to screen out false positive patients
Potential to establish a injection service for “active” patients in the same setting (GP / nurse / other)