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Diabetic Retinopathy Screening Services in Scotland: Recommendations for Implementation

DescriptionReport setting out the actions to be taken in Scotland to provide diabetic retinopathy screening for all people with diabetes by March 2006.
ISBN0-7559-0754-X
Official Print Publication Date
Website Publication DateJuly 24, 2003

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DIABETIC RETINOPATHY SCREENING SERVICES IN SCOTLAND: RECOMMENDATIONS FOR IMPLEMENTATION

A REPORT BY THE DIABETIC RETINOPATHY SCREENING IMPLEMENTATION GROUP

JUNE 2003

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Diabetic Retinopathy Screening: Contents

Foreword by the Minister for Health and Community Care

Executive Summary

Para. No

Introduction

1-10

Overview of the screening process

11-14

Patients and the public

15-23

Local developments

24

Staffing

25-38

Training

39-42

Grading

43-44

Cameras and image transmission

45-51

Software to support diabetic retinopathy screening

52-64

Quality assurance and standard setting

65-74

Impact on ophthalmology services

75-83

National support and monitoring

84-92

Patient information

93-97

Research

98-101

Funding requirements

102-107

Conclusions

108

Annex
A References and Further Reading
B Membership of Diabetic Retinopathy Screening Implementation Group
C Number of People with Diabetes and Number Receiving Diabetic Retinopathy Screening
D Diabetic Retinopathy Screening Implementation Timetable
E Scottish Diabetic Retinopathy Grading Scheme 2003
F Summary of HTBS Recommendations
G SCI-DC - Scottish Care Information Diabetes Collaboration
H NHSScotland Board Survey
I Glossary
J Organisations and Contacts

Figures, Tables and Boxes
Figure 1 Overview of the diabetic retinopathy screening process
Figure 2 System overview showing how the components of retinopathy screening interact
Table 1 Referable Grades (including patients already attending ophthalmology)
Box 1 Diabetes Clinical Standards defined by NHS Quality Improvement Scotland
Box 2 Diabetic retinopathy screening programme standard letters
Box 3 Responsibility for funding components of the diabetic retinopathy screening programme
Box 4 Indicative fees for optometry services to support the DRS programme

Supplementary Documents

  • Standards Document (NHS Quality Improvement Scotland Diabetic Retinopathy Screening Standards Working Group) Publication of draft Standards: May 2003

  • DRS Manual for NHS Boards (First edition) (National Services Division) Expected publication date: September 2003

  • Training Handbook for Retinal Screeners Expected publication date: June 2003

  • National patient information leaflet (in English) Expected publication date: June 2003

NOTES

NHS Quality Improvement Scotland was established on 1 st January 2003, joining together five bodies - Clinical Standards Board for Scotland (CSBS), Health Technology Board for Scotland (HTBS), Clinical Resource and Audit Group (CRAG), Nursing & Midwifery Practice Development Unit (NMPDU), and Scottish Health Advisory Service (SHAS). During an interim period NHS Quality Improvement Scotland work will be taken forward in three strands:

  • Setting of standards/quality indicators, and monitoring and inspecting performance, incorporating the work of SHAS and CSBS.

  • Health technology assessment, incorporating the work of HTBS.

  • Nursing, midwifery and allied health professions practice development, and the support of clinical effectiveness, incorporating the work of NMPDU and CRAG.

For the period up to the end of 2002, this report refers to the old names. From January 2003, the report refers to NHS Quality Improvement Scotland.

A note about registers and clinical management systems The terms register and clinical management system are often used interchangeably. This report adopts the following terminology: A clinical management system is the software which supports the clinical management of patients. A diabetes register is a list of people with diabetes and is a product of the clinical management system.