South Manchester Diabetic Retinopathy Screening Service

Various issues

SMDRSS

• Good news• Bad news• Information

SMDRSSGood news

• We are doing well as a screening programme

SMDRSSCoverage

SMDRSSProportion with DR

SMDRSSReferrals

SMDRSSR3 Referrals

SMDRSSM1 Referrals

SMDRSSExcluded

SMDRSSUngradeables

• Target is <7%• 16 graders are >10%

Reduce to <10% and we are on target

SMDRSSPerformance / numbers

SMDRSSQueues

• All short and within target• Results letters

98.5% <3wks (targets 70% / 95%) 99.6% <6wks (target 99%)

SMDRSSBad news

• 2 graders removed Failure to meet final C&G deadline

SMDRSSBad News

• One practice removed Misuse of login Inappropriate grading 250 episodes regraded (TW+RB) 46 recalled for further screening

SMDRSSConsequences

• PCT Investigating Governance issues Data issues Professional issues Affects contractor and locum Reported to all PCTs with GOS

contracts / perfomance list

SMDRSSLogons

• Do not share logons Zero tolerance

SMDRSSPhotographers

• If the grader doesn’t take pics Photographer must have logon

SMDRSSQualifications

• Photograhpers will need C&G Assistant

May only take pics with grader present Needs Unit 6

Optometrist May take pics without grader Grader must be able to grade within 3

days Must spot and flag R3 for urgent grade Needs units 6 & 7

SMDRSSQualifications

• Practices pay for photographers C&G

Target is end of 2012

SMDRSSCosts

• C&G Registration Unit 6: £176.00• C&G Registration Unit 6&7: £196.00• Practical assessment: £300.00 (6

+/-7)• Written assessment unit 6 £100.00• Written assessment unit 7 £100.00• Failure of the practical assessment will

require a return visit which would also be charged.

• So total costs are £696 for 2 units and £576.00 for one.

SMDRSS

Thank you