Diabetic retinal screening in Shetland

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Diabetic retinal screening in Shetland

• An over view of the local service
• Kathleen Carolan, April 2006

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Why has the diabetic retinopathy screening
programme been developed?

• Diabetic retinopathy is the major cause of
  blindness in the 30-65 age group in the UK at the
  present time.
• Regular (annual) screening for retinopathy
  detects those at risk before visual symptoms
  occur and when treatment outcome is optimal.
• Treatment can prevent blindness in 90 of those
  at risk if applied early and adequately
• It is a requirement of all Health Boards in
  Scotland that an accredited DRS service is in
  place and available to all eligible patients.

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What happens at the screening examination?

• Digital images are taken using a fundus camera.
• The procedure (taking the images) is painless.
• If the patient has small pupils then drops will
  be instilled to dilate the pupils. This can make
  the eyes water/stings.
• Eye drops mean that the patient cannot
  drive/operate machinery for up to 6 hours after
  the screening (due to blurred vision).
• Patient leaflets are sent out with the invite
  letter to tell them about the screening and
  possibility of drops.

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Retinal image of a right eye
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Retinal fundus camera operator
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DRS service current process for administration
management
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DRS service current process for managing
call/recall and onward referral
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DRS service changes to the way we call/recall
patients in the future
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SCI Network System

• http//training.diabetes.scot.nhs.uk

User name training Password train2005
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Roll out plan (pre August 2006)

• Offer appointments to patient currently not seen
  in Lerwick, (including 12-18 year olds).
• Offer appointments to Levenwick Scalloway
  Practices (during May/June/July).
• Train HCA to provide 10 screening hours per week
  (extra capacity to manage programme in Year 1
  also reqd).
• Look at model for providing one off mobile
  clinic in north mainland to ensure equity of
  access.
• Ensure that all patients are validated and
  accessible to the SOARIAN system via SCIN.

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Roll out plan (post August 2006)

• Offer appointments to all remaining patients not
  seen at previously available mobile and static
  clinics by March 2007 (this will mean that
  patients can be offered appointments at their
  convenience and in any Practice order).
• Continue to review capacity (screening/admin
  time), activity (volume of patients seen) and
  quality issues (process for DRS) within the
  service.

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For further information

• Contact
• Kathleen Carolan
• Tel [phone] (ext 3188)
• Kathleen.carolan_at_shb.Shetland.scot.nhs.uk