Aneurin Bevan University Health Board - Wales Council Blind

Aneurin Bevan University Health Board - Wales Council Blind

Aneurin Bevan University Health Board Outcomes and Accessibility Care Closer to Home Care Closer to Home Glaucoma Ophthalmic Diagnostic and Treatment Centres Blaenavon,

Newport (2), Ebbw Vale, Newbridge and Monmouth Wet AMD - Age-Related Macular Degeneration delivered at Ysbyty Ystrad Fawr (YYF), Nevill Hall Hospitals and at Specsavers Newport Health Board - Background Serves a population of 639,000 10,474 new outpatients added to the outpatient list each year 4,875 treatments per annum

Approximately 23,000 follow-up patients Glaucoma Ophthalmic Diagnostic Treatment Centres (ODTCs) Demand of 1,299 new and 2,324 FU glaucoma patients each year Six ODTCs in place first one set up in 2016 Undertakes pressure tests, fields, and stereo discs for stable glaucoma Initially follow-up patients but now seeing new patients aim for 630

new per year Capacity for 3,500 patients each year in ODTCs 2016/17 seen 1851 FU 97% patient satisfaction Wet AMD Integrated Programme Wet AMD responsible for more than half of registered severe sight impairment in UK demand for AMD is 10,547

In 2015 the mean days for patients to be seen was 39.8 which has been reduced to 20.3 in 2017 more room for improvement Wet AMD ODTC opened in Newport Specsavers September 2016 September 2016 August 2017 5,978 patients seen Referral refinement system in situ Benefits of new service model Increase in capacity across whole system allowing specialists to treat

those in greatest need Continual reduction in waiting times working towards 10 days Workforce plan to maximise efficient clinical care nurse injectors Referral refinement system Optometrists Greater education and support to patients Care delivered by a fully integrated work force including secondary care, primary and the third sector

Next steps: Review demand and capacity for all pathways within service Look at evolving roles of optometrists and orthoptists Wet AMD Expansion workforce Review Eye Care Liaison Officers capacity (ECLO)

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