Diabetic Retinopathy Screening Service Soarian Patients 2013 Mike

Diabetic Retinopathy Screening Service Soarian Patients 2013 Mike Black

Diabetes burden – 10 Nov 2013 • Total diabetic population aged 12 and over on Soarian (KPI 0) = 283, 381 • Eligible population after suspensions (KPI 0) = 244, 244 • Number of individuals attending screening at least once (KPI 2 Uptake rate) = 79. 4% • Referral to Ophthalmology = 4039 - 3. 9%

DRS Did Not Attend rates (As of 11 Nov 2013) (KPI 1 Invitation rate) – (KPI 2 Uptake Rate) • last 12 months – 19. 8% • Last 18 months - 17. 2% • Last 24 months – 15. 2%

es fri m Du ey kn Or nd es Isl la Sh et rn te s ay er rd Bo w llo Ga es W an d nd la gh Hi y lle Va Fif e e n id ys ra an pi Ar Ta & rth Fo re hi rs Ay am Gr n hi re ks ar La n ia th Lo sg ow la r. G te ea Gr Eligible Population 60000 50000 40000 30000 20000 10000 0

National Average - DRS Population by gender 180000 160000 140000 Population 120000 100000 80000 60000 40000 20000 0 Total Population (TP) Eligible Population (EP = TP–TS–PS+TU) Permanently suspended (PS) Temporarily suspended (TS) Temporarily unavailable (TU) female not known / not available 122035 105343 7461 11143 1912 152945 131970 9279 13435 1739 62 20 42 0 0 not specified / indetermin 5 0 0 other 14 0 0

National Average - Invitation rate Vs Uptake by gender 120. 00% 100. 00% Population 80. 00% 60. 00% 40. 00% 20. 00% Percentage Invited Percentage Attended female 96. 70% 77. 00% male 97. 00% 78. 50% not known / not available 0. 00% 15. 00% not specified / indetermin 0. 00% other 0. 00%

Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Gender 4. 00% 3. 90% 3. 80% 3. 70% 3. 60% 3. 50% 3. 40% 3. 30% 3. 20% 3. 10% Female Male National Average 3. 7%

National Average - DRS Population by age groups 80000 70000 60000 Population 50000 40000 30000 20000 10000 0 Total Population (TP) Eligible Population (EP = TP–TS–PS+TU) Permanently suspended (PS) Temporarily suspended (TS) Temporarily unavailable (TU) 12 -14 883 853 25 12 7 15 -24 4912 4379 412 180 59 25 -34 8104 6283 1194 710 83 35 -44 16633 13916 1488 1358 129 45 -54 39547 34597 2260 2952 262 55 -64 62701 55275 3195 4734 503 65 -74 73264 64617 3503 5919 775 75 -84 53300 45903 2926 5577 1106 8514597 11498 1762 2061 724

National Average - Invitation rate Vs Uptake by Age 120. 00% 24. 4% 14. 7% 100. 00% Population 80. 00% 60. 00% 40. 00% 20. 00% Percentage Invited Percentage Attended 12 -14 96. 90% 77. 50% 15 -24 95. 80% 66. 30% 25 -34 94. 60% 60. 20% 35 -44 95. 10% 65. 20% 45 -54 96. 70% 72. 40% 55 -64 97. 80% 79. 00% 65 -74 98. 10% 83. 40% 75 -84 96. 50% 81. 20% 8591. 10% 72. 50%

Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Age 12. 00% 10. 00% 8. 00% 6. 00% 3. 7% 4. 00% 2. 00% 0. 00% Age 12 - 14 15 -24 25 -34 35 -44 45 -54 55 -64 65 -74 75 -84 85 - national Average 3. 7%

National Average - DRS Population by Ethnicity 160000 140000 120000 Population 100000 80000 60000 40000 20000 0 Black Not not Bangla Black Chines Indian Record Caribe given deshi African ed Total Population (TP) 7619 305 738 97 745 2264 63196 Eligible Population (EP = TP–TS–PS+TU) 859 240 495 69 619 1775 55596 Permanently suspended (PS) 6727 48 210 21 73 345 2716 Temporarily suspended (TS) 69 21 44 8 65 175 5722 Temporarily unavailable (TU) 36 4 11 1 12 31 838 Other Mixed Asian Black White Origin 1203 968 164 6552 11357 911 646 126 5833 9608 221 275 32 177 822 94 58 8 604 1144 23 11 2 62 217 Other White Pakista Un- White Scottis ni known Irish British h 38841 3768 39 963 136242 34777 3137 5 847 121790 1269 254 34 62 3515 3410 429 1 68 12658 615 52 1 14 1721

National Average - Invitation rate Vs Uptake by Ethnicity 120. 00% 100. 00% Population 80. 00% 60. 00% 40. 00% 20. 00% Black Not Other not Banglad Black Other Caribea Chinese Indian Recorde Other Mixed given eshi African Asian Black White n d Origin Percentage Invited 77. 50% 93. 70% 94. 20% 98. 20% 96. 40% 97. 30% 96. 20% 96. 60% 103. 90%101. 30% 96. 50% Percentage Attended 62. 60% 69. 60% 66. 90% 75. 40% 78. 70% 73. 90% 75. 30% 70. 10% 72. 10% 73. 80% 79. 90% 73. 10% Other Pakistan Un- White i known Irish Scottish British 96. 50% 95. 50% 80. 00% 95. 30% 96. 80% 77. 80% 74. 20% 60. 00% 76. 20% 79. 60%

na tio Na ge 7% h tis 3. n i sh Iri ot Sc ra ve la te hi W w -k no Un an kis t Pa iti sh Br n te hi igi Or r. W te hi he r. W Ot he Ot d n ck la r. B he ixe r. M he Ot Ot r he sia r. A he Ot Ot d de an di ec or t. R No In in es e Ch n ea ib n i sh ca fri ar ac k. C Bl k. A ac Bl de en giv ng la Ba no t Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Ethnicity. 10. 00% 9. 00% 8. 00% 7. 00% 6. 00% 5. 00% 4. 00% 3. 7 % 3. 00% 2. 00% 1. 00% 0. 00%

NHS Grampian - DRS Population by Deprivation Quintile 8000 7000 6000 Population 5000 4000 3000 2000 1000 0 Total Population (TP) Eligible Population (EP = TP–TS–PS+TU) Permanently suspended (PS) Temporarily suspended (TS) Temporarily unavailable (TU) --2025 593 1410 39 17 1 1816 1670 57 94 5 2 3589 3335 89 184 19 3 6467 5931 158 419 41 4 6862 6227 199 465 29 5 6525 5918 218 428 39

NHS Greater Glasgow - DRS Population by Deprivation Quintile 30000 25000 Population 20000 15000 10000 5000 0 Total Population (TP) Eligible Population (EP = TP–TS–PS+TU) Permanently suspended (PS) Temporarily suspended (TS) Temporarily unavailable (TU) --3683 2117 1427 181 42 1 23997 21933 376 2242 554 2 11077 10048 174 1129 274 3 7419 6635 144 869 229 4 6947 6231 93 781 158 5 8406 7529 110 1017 250

National Average - DRS Population by Deprivation Quintile 70000 60000 50000 Population 40000 30000 20000 10000 0 Total Population (TP) Eligible Population (EP = TP–TS–PS+TU) Permanently suspended (PS) Temporarily suspended (TS) Temporarily unavailable (TU) --19020 6882 11609 710 181 1 56804 51739 997 4946 878 2 57144 51780 1050 5030 716 3 53051 47704 1128 4958 739 4 48844 43333 1142 4945 576 5 40198 35895 875 3989 561

National Average - Invitation rate Vs Uptake by Deprivation Quintile 120. 00% 100. 00% Population 80. 00% 60. 00% 40. 00% 20. 00% Percentage Invited Percentage Attended --92. 40% 70. 90% 1 96. 10% 74. 10% 2 97. 10% 77. 20% 3 97. 20% 78. 40% 4 97. 60% 80. 50% 5 97. 30% 81. 30%

Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Deprivation Quintile 6. 00% 5. 00% 4. 00% 3. 7% 3. 00% 2. 00% 1. 00% 0. 00% … 1 2 3 4 5 National average 3. 7%

National Total DRS Eligible population for the last 12 months and next 12 month trend 246000 244000 242000 240000 238000 236000 National Total 12 month ahead trend 234000 232000 230000 228000 226000 Oct Nov Dec Jan-13 Feb Mar Apr May June July Aug Sept Oct

To summarise • Attendance rates for younger people are lower. • Attendance rates for social deprivation areas are lower. • Attendance rates for ethnic minorities are lower. • All of the above groups have higher risk factors – Such as - Type 1, genetic disposition to DR, poor glycaemic controls, poor blood pressure controls (SDS 2012)

Conclusion • DRS collaborative in Scotland needs to make extra efforts to target specifically those regular non-attenders for screening. These individuals have a proportionately higher risk of sight threatening DR. In particular, ethnic minorities, young patients or patients from a poorer socio-demographic area.

Finally Thank You