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