Surfing Waves Together Luke Anderson Living in Wales

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Surfing Waves Together Luke Anderson Living in Wales since 2008

Surfing Waves Together Luke Anderson Living in Wales since 2008

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

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

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

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

“Big Waves” -Kite Surfing Father

“Big Waves” -Kite Surfing Father

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

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

The Peak of the Glaucoma Wave • Increase of cases 44% glaucoma, 16% OHT,

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

The trough of the wave • A quarter of the work force is nearing

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.

“The first step towards fixing it is to know exactly how bad the situation

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

We can now report the size of the wave. “Stop Whining and show us

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

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

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

Community - Strawberry Place • Community Clinic in Gp practice • Run by nurse

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

Hospital - Singleton Where we led the care of sight threatening eye conditions •

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

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

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

A new way of managing glaucoma • Multi disciplinary working • New types of

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

New Treatments, New Pathways, New Roles

New Treatments, New Pathways, New Roles

What does this mean • Seeing the right patient • At the right time

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

Demand Capacity Modelling Swansea ON TARGET FOR April 2020 WITH THE HELP OF NURSE

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

Work should be enjoyable

Work should be enjoyable