The Real Cost of Retinal Screening

1
The Real Cost of Retinal Screening
Nick White Head of Medical Photography,
Illustration Retinal Screening
2
The programme in Brighton
3
The programme in Brighton

• Established in 1988

4
The programme in Brighton

• Established in 1988
• Referrals from GPs and Diabetes Centre

5
The programme in Brighton

• Established in 1988
• Referrals from GPs and Diabetes Centre
• Non-Myd Polaroid camera using Trop 1

6
The programme in Brighton
7
The programme in Brighton

• Established in 1988
• Referrals from GPs and Diabetes Centre
• Non-Myd Polaroid camera using Trop 1
• Medical Photographers

8
The programme in Brighton

• Established in 1988
• Referrals from GPs and Diabetes Centre
• Non-Myd Polaroid camera using Trop 1
• Medical Photographers
• Ophthalmologists (in their spare time)

9
The programme in Brighton

• 1400 Patients 1994-1995

10
The programme in Brighton

• 1400 Patients 1994-1995
• Increased to 2000

11
2000 patients
12
2000 patients

• 0.56 WTE MTO3 (later Band 5)

13
2000 patients

• 0.56 WTE MTO3 (later Band 5)
• 4 clinics (average No. seen 12)

14
2000 patients

• 0.56 WTE MTO3 (later Band 5)
• 4 clinics (average No. seen 12)
• Admin 0.541 WTE (AC3 )

15
2000 patients

• 0.56 WTE MTO3 (later Band 5)
• 4 clinics (average No. seen 12)
• Admin 0.541 WTE (AC3 )
• Ophthalmology input ) 0.056 WTE consultant

16
2000 patients

• Drops

17
2000 patients

• Drops
• Postage (x4 per patient)

18
2000 patients

• Drops
• Postage (x4 per patient)
• Envelopes

19
2000 patients

• Drops
• Postage (x4 per patient)
• Envelopes
• Paper

20
2000 patients

• Drops
• Postage (x4 per patient)
• Envelopes
• Paper
• Ink cartridges

21
2000 patients

• Drops
• Postage (x4 per patient)
• Envelopes
• Paper
• Ink cartridges
• Maintenance of equipment

22
2000 patients

• Drops
• Postage (x4 per patient)
• Envelopes
• Paper
• Ink cartridges
• Maintenance of equipment
• Misc
• Consumables

23
2000 patients

• Cost per patient 20.50

24
What have we missed?
25
What have we missed?

• Overheads
• Maintenance
• Depreciation
• Space
• Lighting
• furniture

26
What have we missed?

• External overheads
• Car parking
• Rooms
• Petrol
• Space
• Broadband
• Pt. Transport

27
What have we missed?

• Support
• I.T.
• HR
• Insce.
• Vans
• HR
• Equipment

28
What have we missed?

• Training
• External courses
• BARS
• CG
• Study leave

29
What have we missed?

• Ophthalmic input
• Training
• MDT meetings
• Grading arbitration
• Access
• Slit lamp bio
• Referral grade

30
What have we missed?

• Impact on other health professionals
• Data extraction
• Reception staff
• DSNs
• Info coding
• Bulk catch up on ifo
• Hospital cars

31
What have we missed?

• Cost to patients
• Transport
• Work
• More than one visit

32
What have we missed?

• Travel

33
What have we missed?

• National costs
• NSC
• Regional costs
• QA
• Meetings
• Co-orinator

34
What have we missed?

• Cost to the planet
• Consumables
• Redundant equipment
• CO2

35
What have we missed?

• Shall we stop now?