Slide 1: Access To Eyecare:
National Ophthalmology Workstream
Alex Bowerman , Scottish Government, Access Support Team
Slide 2: Challenging Times
 Waiting Times Pressures
 New Treatments
 Aging population
 Workforce issues
 New: return capacity
 Flows & Bottlenecks
 Primary / secondary care interface
[Diagram of person sinking in quick sand]
Slide 3: In Scotland we do many things
really well …..
…just not everywhere…
…and just not all of the time
Slide 4: Creating the Right Conditions and
Profile Nationally & Locally
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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
Slide 5: Addressing Core Capacity
Diagram showing 4 circles interlinking with the text:
 Workforce
o Competencies and capacity
o Extending roles of Nurses, Optometrists and AHPs
 Booking Practices
o Managing queues and sub-specialty capacity
o Revisiting booking arrangements
 Information and Capacity Plans
o Understanding Capacity and Demand (locally, regionally and
nationally)
o Managing ‘return slots’ successfully
 Primary / Secondary Care Pathways
o Managing Demand into Secondary Care
o Rolling out alternative models for surveillance
Slide 6: Start Small, Aim Big..
Diagram showing 4 circles interlinking with the text:
 Workforce
o Fife
o Highland
o Firth Valley
o Dumfries and Galloway
o Greater Glasgow and Clyde
o Lothian
o Tayside
 Booking Practices
o Lanarkshire
o Dumfries and Galloway
o Lothian
 Information and Capacity Plans
o Lothian
o Forth Valley
o Greater Glasgow and Clyde
o Dumfries and Galloway
o Tayside
o Lanarkshire
 Primary / Secondary Care Pathways
o Ayrshire and Arran
o Borders
o Greater Glasgow and Clyde
o Forth Valley
o Grampian
o Highland
o Fife
Slide 7: Systematic Action
 Real time information to sub-speciality level to inform strategic and
operational decisions
 Effective booking processes and training which acknowledge subspeciality 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
degree care for monitoring by senior medical staff
 Use modern technology to improve patient pathways
 Measure impact of successes
Slide 8: Embedding the
Changes…..permanently
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Patient
Priorities
Parity
Partnership