1. South Manchester Diabetic Retinopathy Screening Service Retinopathy Screening Service Various issues

2. SMDRSS Good news Good news Bad news Bad news Information Information

3. SMDRSS Good news We are doing well as a screening programme We are doing well as a screening programme

4. SMDRSS Coverage

5. SMDRSS Proportion with DR

6. SMDRSS Referrals

7. SMDRSS R3 Referrals

8. SMDRSS M1 Referrals

9. SMDRSS Excluded

10. SMDRSS Ungradeables Target is <7% Target is <7% 16 graders are >10% 16 graders are >10%  Reduce to <10% and we are on target

11. SMDRSS Performance / numbers

12. SMDRSS Queues All short and within target All short and within target Results letters Results letters  98.5% <3wks (targets 70% / 95%)  99.6% <6wks (target 99%)

13. SMDRSS Bad news 2 graders removed 2 graders removed  Failure to meet final C&G deadline

14. SMDRSS Bad News One practice removed One practice removed  Misuse of login  Inappropriate grading  250 episodes regraded (TW+RB)  46 recalled for further screening

15. SMDRSS Consequences PCT Investigating PCT Investigating  Governance issues  Data issues  Professional issues  Affects contractor and locum  Reported to all PCTs with GOS contracts / perfomance list

16. SMDRSS Logons Do not share logons Do not share logons  Zero tolerance

17. SMDRSS Photographers If the grader doesn’t take pics If the grader doesn’t take pics  Photographer must have logon

18. SMDRSS Qualifications Photograhpers will need C&G Photograhpers will need C&G  Assistant  May only take pics with grader present  Needs Unit 6  Optometrist  May take pics without grader  Grader must be able to grade within 3 days  Must spot and flag R3 for urgent grade  Needs units 6 & 7

19. SMDRSS Qualifications Practices pay for photographers C&G Practices pay for photographers C&G  Target is end of 2012

20. SMDRSS Costs C&G Registration Unit 6:£176.00 C&G Registration Unit 6:£176.00 C&G Registration Unit 6&7:£196.00 C&G Registration Unit 6&7:£196.00 Practical assessment:£300.00 (6 +/-7) Practical assessment:£300.00 (6 +/-7) Written assessment unit 6 £100.00 Written assessment unit 6 £100.00 Written assessment unit 7£100.00 Written assessment unit 7£100.00 Failure of the practical assessment will require a return visit which would also be charged. Failure of the practical assessment will require a return visit which would also be charged. So total costs are £696 for 2 units and £576.00 for one. So total costs are £696 for 2 units and £576.00 for one.

21. SMDRSS Thank you