1. Surfing Waves Together
Luke Anderson
Living in Wales since 2008

2. “Why do you want to go there?”
English people

3. “The welsh are nicer than the English people”
–Irish Mother

4. “Big Waves”
-Kite Surfing Father

5. “A wave of eye disease coming”
“The perfect storm”
“A wave of eye disease coming”
–Welsh Ophthalmologists

6. The Peak of the Glaucoma Wave
Increase of cases 44% glaucoma, 16% OHT, 18% glaucoma suspects over 20 years
Older patents with multiple pathologies
50% in community undetected. Now better technology to find these cases

7. The trough of the wave
A quarter of the work force is nearing retirement.
85% of hospitals report doing waitlists to meet demand.
67% of units are using locum consultants.

8. “The first step towards fixing it is to know
exactly how bad the situation is.”
How big is the wave?
Mr Gwyn Williams

9. We can now report the size of the wave.
“Stop Whining and show us your data”
–Mike Austin Chair of OSAG

10. “Who is going to surf the Wave ”
–Ophthalmic common core competencies framework

11. Community - Strawberry Place
Community Clinic in Gp practice
Run by nurse practitioners and techs
OHT, Glaucoma suspect and mild-mod Glaucoma
Data sent electronically for virtual review by a specialist

12. Where we led the care of sight threatening eye conditions
Hospital - Singleton
Where we led the care of sight threatening eye conditions
Consultant led clinics
Techs
Nurse practitioners
Optometrists
Orthoptists
Eye Clinic Liaison officers

13. Backlog Reduction - with the help of inhouse optoms
A sustainable service in 2020

14. A new way of managing glaucoma
Multi disciplinary working
New types of surgery- Minimally Invasive glaucoma
Selective Laser Trabeculoplasty

15. New Treatments, New Pathways, New Roles

16. What does this mean Seeing the right patient At the right time
In the right place
Being given treatment by the right practitioner

17. Demand Capacity Modelling Swansea ON TARGET FOR April 2020
WITH THE HELP OF NURSE PRACTITIONERS AT STRAWBERRY PLACE
WITH THE HELP OF CERTIFIED OPTOMETRISTS IN CONSULTANT LED CLNICS
Wonderful Managers

18. Work should be enjoyable