How Effective Are We Sue Cobbold Suffolk PCT DESS

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How Effective Are We?Sue CobboldSuffolk PCT
DESS

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Introduction. Data used from four consecutive
years of diabetic eye screening in the former
Suffolk West PCT area. Mobile screening unit in
a semi-rural area, replacing an adhoc hospital
based service which saw approx 30 of eligible
patients.
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How representative? UK population
60,209,500. Top 40 towns with population of over
150,000 only account for 30.04 of UK
population. Above average population aged over
45. Mean age for the area 39.34 National mean
age 38.65
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Low Non-white ethnic minority 2.79 (National
average 8.67) High Other white groups
5.78 (National average 2.59) Total ethnic
minority 9.41 (National average 12.61)
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2 - 5
8 - 11
5 - 8
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8 - 11

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Comparison showing increase in patient numbers
against rate of increase.
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Projected increase in diabetic population.
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Rate of uptake and numbers registered
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Percentage outcomes year by year.
80.00
70.00
60.00
50.00
2003
2004
40.00
2005
2006
30.00
20.00
10.00
0.00
R0
R1
R3 already
R3 new
R3 Total
seen
referrals
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National Screening Committee suggest Equipment
more sophisticated/sensitive. Data gathered
from one team consistently using the oldest
equipment CR6/Canon D30. Staff gaining
expertise in recognising diabetic
retinopathy. 2003 2006, four different staff
members, all trained from scratch. Progression
from R0 to R1 100 patients images were
retrospectively examined. Only 2 were found to
be false positives
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Lifestyle. Aging population and duration of
disease. More younger people diagnosed with Type
2 diabetes and have poor compliance. Possible
delay between onset and diagnosis.
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Breakdown of years screening by PCT.
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Service objective 1 Reduce the number of new
registrations of Blind and partially sighted. VA
6/60 or worse in the better seeing eye. VA 6/18
or worse in the better seeing eye Minimum
standard 10 within 5 years Achievable standard
40 within 5 years Suffolk West 37
reduction in referral for sight threatening
diabetic retinopathy over 4 years.
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How effective are we? Screening programmes
successfully fulfil their role of the early
detection of sight threatening diabetic
retinopathy. Other disciplines must now engage
to reverse the current trend of increasing
R1s. Type 2 are usually looked after in Primary
Care National organisations could play a role in
bringing this aspect into the arena of
treatment at primary care level.