Transcript Name of presentation - Local Optical Committee Support Unit

EYECARE about the HEALTH and
WELLBEING of the people of XXXX
XXXX
Optometrist, BSc(Hons), MCOptom
Member of XXXX Local Optical Committee
What is an Optometrist?
• A primary health care professional with a
specialist training in the eyes who can:
– assess and correct defects in vision
– detect ocular disease, injury or abnormality
– treat eye diseases within their competence
– detect some disorders of general health which
can manifest within the eye
Attaining qualification
• A three-year undergraduate study at
University leading to a BSc, and/or a
BCOptom.
• Minimum of a one-year post-graduate
qualification working under supervision
with assessments and a final Objective
Structured Clinical Examination (OSCE)
through the College of Optometrists.
Regulation
• By the General Optical Council (GOC)
• Registration on the Opticians Register is
compulsory for optometrists to practice with
an annual renewal
• Specialist ocular therapeutics registers
• There is a voluntary register for Dispensing
Opticians with a separate register for
dispensing opticians who can fit contact
lenses
Continuing professional development
• Continuing Education & Training (CET) is:
– Regulated by the GOC
– Mandatory over a 3-year cycle
– Compulsory peer review
– Involves a diverse range of competencies
• College of Optometrists set standards & have
developed various higher qualifications e.g:
– Independent prescribing
– Glaucoma
What can Optometrists do?
• Refraction: assessment and correction of
myopia (short-sight), hypermetropia (long
sight), astigmatism (rugby ball shaped
corneas) etc
• Presbyopia - loss of ability to focus on near
visual tasks
• Squint/lazy eyes
• Assess whether or not vision is adequate for
driving - DVLA requirements
What else can Optometrists do?
• Assess binocular vision
• Assess colour vision
• Fit Contact Lenses (CLs) (Optometrists or
Dispensing Optician CL fitters)
• Assess suitability for Low Vision Aids
• Provide domiciliary eye care (additional
service)
• VDU assessments
What sort of eye disease can Optometrists
detect?
Examples are:
• Age Related Macular Degeneration
(AMD)
• Glaucoma
• Diabetic retinopathy
• Cataracts
• Retinal/vitreous detachments
• Dry eyes
The importance of Eye Health
• 1.8 million people live with sight loss in
the UK (Future sight loss UK, RNIB 2008)
• By 2020 this will increase by 22%
• Almost 4 million by 2050
• Ophthalmology accounts for 8th highest
level of programme spend in England and
is rising
The importance of Eye Health
• In 2010/2011 there were 6,365,308 outpatient attendances in England
• 4.5 million GP consultations/year include
an eye problem
• Direct cost around £26 billion/year
• This is set to increase
• Over 50% of sight loss is preventable
Age and Eye Health
• Prevalence of many of the main causes of sight
loss increase with age
• Given current demographic trends, we are likely
to see increasing levels of avoidable sight loss
• Significant impact on future demand on health
and social care services
• 64% of people certified as visually impaired (VI)
are over 75 year olds and 32% 18-74 year olds
SOURCE: NATIONAL STATISTICS 2008,COUNCIL TABLES- BLIND AND PARTIALLY SIGHTED, PB1
Local picture of XXXX
• Predictions of the number of people in XXXX
using
• POPPI (Projecting Older People Population
Information) www.poppi.org.uk
• PANSI (Projecting Adult Needs & Service
Information) www.pansi.org.uk
• XXX people with serious visual impairment in
XXX who require help with daily activities
• This will slowly increase over the next few years
Some suggested solutions
• Since 2004, the DoH has been trying to
encourage the delivery of more routine and
minor emergency eye care outside hospital in
community optical practices.
• The aim is to free up hospital capacity to cope
with increasing demand from both the ageing
population and new technologies e.g. wet
AMD treatments.
What eye care can be provided in the
community?
•
•
•
•
•
•
Minor Eye Conditions Service
Some Glaucoma Services
Pre & Post Operative Cataract Service
Children’s Vision Service
Low Vision Service
Eye Care Services for Adults & Young People
with a Learning Disability
Benefits of Community Eye Care services
• Supports national and local strategic
priorities
• Community rather than hospital care
• Evidence based practice
• Patient choice
• Care closer to home
Referral to Ophthalmology in XXXX
• GP- xxxx
• Other - xxxx
• Cost of first ophthalmology out-patient
attendance in 2014 = £118.13
• TOTAL REFERRALS TO OPHTHALMOLOGY
xxxx
SOURCE INFORMATION DEPARTMENT THE ROTEHRHAM NS FOUNDATION TRUST 2012
What can Health & Wellbeing Boards do?
• Make eye care and prevention of sight
loss a priority for public health
• Encourage Early Intervention
• Encourage Clinical Commissioning
Groups to increase the impact of their
eye care commissioning strategy
Eye Health and Health & Wellbeing Boards
• Health and wellbeing strategies that
address some general public health issues
also impact on eye health and support
prevention of sight loss. The following are
examples of links between public health
and sight loss:
– Smoking
– Obesity
– Diabetes
Smoking and Eye Health
• Age-Related Macular Degeneration (AMD)
– As strong as the link with lung cancer
– Doubles the risk
– Develops at an earlier age
– Stopping smoking reduces the risk
– Treatment options for AMD are limited
• Cataracts
• Diabetes
Obesity and Eye Health
• Diabetic retinopathy
– increase risk of developing type 2 diabetes
• Age-related macular degeneration (AMD)
– obesity may increase the risk of developing dry AMD
– also increases the speed of progression of AMD
– Dry AMD is likely to impede the ability to carry out
daily activities such as driving, reading a newspaper or
watching television
• Cataracts
– can double the risk of developing cataracts
Diabetes and Eye Health
• Diabetic Retinopathy
– Good blood sugar control and good blood
pressure control substantially reduce the
risk of sight-threatening diabetic
retinopathy.
– Strategies that seek to prevent diabetes and
improve the quality of diabetes care will
help prevent avoidable diabetes related
sight loss.
Other costs of Visual Impairment
• Mental Health
Higher incidence of mental health issues
in those suffering from sight loss.
• Falls
Higher incidence of falls due to poor
vision, cataracts etc.
How can the LOC help?
• We can help you to work with Health
and Social Care providers
• Encourage a multi-disciplinary approach
• Early intervention
• Quality, Innovation, Patient centred,
Patient satisfaction, Patient choice
• Improve efficiency and reduce costs
Current Community Eye Care Services
The LOC aim
• To work with the Health & Wellbeing Board
and other partnership organisations to help
deliver high quality and accessible eye care
• Integrating service delivery with others
– GPS
– Ophthalmologists
– Orthoptists
– Nurses
– Social Care personnel
References
• http://www.dh.gov.uk/health/2012/09/program
me-budgeting-guidance/
• www.vision2020uk.org.uk
• www.rnib.org.uk/datatool sight loss data tool
• http://www.rnib.org.uk/aboutus/Research/statist
ics/Pages/sight-loss-datatool.aspx
• http://www.commissioningforeyecare.org.uk/
• http://www.locsu.co.uk/enhanced-servicespathways/
Thank you for listening