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Surfing Waves Together

Surfing Waves Together. Luke Anderson Living in Wales since 2008. English people. “Why do you want to go there?”. –Irish Mother. “The welsh are nicer than the English people”. -Kite Surfing Father. “Big Waves”. –Welsh Ophthalmologists. “The perfect storm” “A wave of eye disease coming”.

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Surfing Waves Together

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  1. Surfing Waves Together Luke Anderson Living in Wales since 2008

  2. English people “Why do you want to go there?”

  3. –Irish Mother “The welsh are nicer than the English people”

  4. -Kite Surfing Father “Big Waves”

  5. –Welsh Ophthalmologists “The perfect storm” “A wave of eye disease coming”

  6. The Peak of the Glaucoma Wave • Increase of cases 44% glaucoma, 16% OHT, 18% glaucoma suspects over 20 years • Older patents with multiple pathologies • 50% in community undetected. Now better technology to find these cases

  7. The trough of the wave • A quarter of the work force is nearing retirement. • 85% of hospitals report doing waitlists to meet demand. • 67% of units are using locum consultants.

  8. “The first step towards fixing it is to know exactly how bad the situation is.” How big is the wave? Mr Gwyn Williams

  9. We can now report the size of the wave . “Stop Whining and show us your data” –Mike Austin Chair of OSAG

  10. –Ophthalmic common core competencies framework “Who is going to surf the Wave ”

  11. Community - Strawberry Place • Community Clinic in Gp practice • Run by nurse practitioners and techs • OHT, Glaucoma suspect and mild-mod Glaucoma • Data sent electronically for virtual review by a specialist

  12. Hospital - Singleton Where we led the care of sight threatening eye conditions • Consultant led clinics • Techs • Nurse practitioners • Optometrists • Orthoptists • Eye Clinic Liaison officers

  13. Backlog Reduction - with the help of inhouse optoms A sustainable service in 2020

  14. A new way of managing glaucoma • Multi disciplinary working • New types of surgery- Minimally Invasive glaucoma • Selective Laser Trabeculoplasty

  15. New Treatments, New Pathways, New Roles

  16. What does this mean • Seeing the right patient • At the right time • In the right place • Being given treatment by the right practitioner

  17. Demand Capacity Modelling Swansea ON TARGET FOR April 2020 WITH THE HELP OF NURSE PRACTITIONERS AT STRAWBERRY PLACE WITH THE HELP OF CERTIFIED OPTOMETRISTS IN CONSULTANT LED CLNICS Wonderful Managers

  18. Work should be enjoyable

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