Diabetic Retinopathy Screening Service Soarian Patients 2013 Mike Black.
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Transcript of Diabetic Retinopathy Screening Service Soarian Patients 2013 Mike Black.
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%
Greater
Glasgo
w
Lothian
Lanark
shire
Grampian
Ayrshire
& Arra
n
Taysi
deFif
e
Forth
Valley
Highlan
d
Dumfries
and Gall
oway
Borders
West
ern Isl
es
Shetl
and
Orkney
0
10000
20000
30000
40000
50000
60000
Eligible Population
female male not known / not avail-able
not specified / indeter-min-
other
Total Population (TP) 122035 152945 62 5 14
Eligible Population (EP = TP–TS–PS+TU) 105343 131970 20 0 0
Permanently suspended (PS) 7461 9279 42 5 14
Temporarily suspended (TS) 11143 13435 0 0 0
Temporarily unavailable (TU) 1912 1739 0 0 0
10000
30000
50000
70000
90000
110000
130000
150000
170000
National Average - DRS Population by genderPo
pula
tion
female male not known / not available not specified / indetermin- other
Percentage Invited 0.967 0.97 0 0 0
Percentage Attended 0.77 0.785 0.15 0 0
10.00%
30.00%
50.00%
70.00%
90.00%
110.00%
National Average - Invitation rate Vs Uptake by genderPo
pula
tion
Female Male National Average 3.7%3.10%
3.20%
3.30%
3.40%
3.50%
3.60%
3.70%
3.80%
3.90%
4.00%
Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Gender
3.7%
12-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-
Total Population (TP) 883 4912 8104 16633 39547 62701 73264 53300 14597
Eligible Population (EP = TP–TS–PS+TU) 853 4379 6283 13916 34597 55275 64617 45903 11498
Permanently suspended (PS) 25 412 1194 1488 2260 3195 3503 2926 1762
Temporarily suspended (TS) 12 180 710 1358 2952 4734 5919 5577 2061
Temporarily unavailable (TU) 7 59 83 129 262 503 775 1106 724
5000
15000
25000
35000
45000
55000
65000
75000
National Average - DRS Population by age groupsPo
pula
tion
12-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-
Percentage Invited 0.969 0.958 0.946 0.951 0.967 0.978 0.981 0.965 0.911
Percentage Attended 0.775 0.663000000000001
0.602 0.652 0.724 0.79 0.834 0.812 0.725
10.00%
30.00%
50.00%
70.00%
90.00%
110.00%
National Average - Invitation rate Vs Uptake by AgePo
pula
tion
14.7%24.4%
Age 12 - 14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85- national Average 3.7%0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Age
3.7%
not given
Bangladeshi
Black African
Black Caribea
n
Chinese Indian Not Recorde
d
Other Other Asian
Other Black
Other Mixed Origin
Other White
Other White British
Pak-istani
Un-known
White Irish
White Scottish
Total Popula-tion (TP)
7619 305 738 97 745 2264 63196 1203 968 164 6552 11357 38841 3768 39 963 136242
Eligible Popula-tion (EP = TP–TS–PS+TU)
859 240 495 69 619 1775 55596 911 646 126 5833 9608 34777 3137 5 847 121790
Perma-nently sus-pended (PS)
6727 48 210 21 73 345 2716 221 275 32 177 822 1269 254 34 62 3515
Tempo-rarily sus-pended (TS)
69 21 44 8 65 175 5722 94 58 8 604 1144 3410 429 1 68 12658
Tempo-rarily un-avail-able (TU)
36 4 11 1 12 31 838 23 11 2 62 217 615 52 1 14 1721
10000
30000
50000
70000
90000
110000
130000
150000
National Average - DRS Population by EthnicityPo
pula
tion
not given
Bangladeshi
Black African
Black Caribea
n
Chinese Indian Not Recorde
d
Other Other Asian
Other Black
Other Mixed Origin
Other White
Other White British
Pak-istani
Un-known
White Irish
White Scottish
Per-centage Invited
0.775 0.937 0.942 0.982 0.964 0.964 0.973 0.962 0.966 1.039 1.013 0.965 0.965 0.955 0.8 0.953 0.968
Per-centage At-tended
0.626 0.696 0.669000000000001
0.754 0.787 0.739 0.753 0.701 0.721 0.738 0.799 0.731 0.778 0.742 0.6 0.762 0.796
10.00%
30.00%
50.00%
70.00%
90.00%
110.00%
National Average - Invitation rate Vs Uptake by EthnicityPo
pula
tion
not give
n
Bangla
deshi
Black A
frican
Black C
aribea
n
ChineseIndian
Not Reco
rded
Other
Other Asia
n
Other Blac
k
Other Mixe
d Orig
in
Other W
hite
Other W
hite Briti
sh
Pakist
ani
Un-known
White
Irish
White
Scottish
National
avera
ge 3.7%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
10.00%
Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Ethnicity.
3.7%
--- 1 2 3 4 5
Total Population (TP) 2025 1816 3589 6467 6862 6525
Eligible Population (EP = TP–TS–PS+TU) 593 1670 3335 5931 6227 5918
Permanently suspended (PS) 1410 57 89 158 199 218
Temporarily suspended (TS) 39 94 184 419 465 428
Temporarily unavailable (TU) 17 5 19 41 29 39
500
1500
2500
3500
4500
5500
6500
7500
NHS Grampian - DRS Population by Deprivation QuintilePo
pula
tion
--- 1 2 3 4 5
Total Population (TP) 3683 23997 11077 7419 6947 8406
Eligible Population (EP = TP–TS–PS+TU) 2117 21933 10048 6635 6231 7529
Permanently suspended (PS) 1427 376 174 144 93 110
Temporarily suspended (TS) 181 2242 1129 869 781 1017
Temporarily unavailable (TU) 42 554 274 229 158 250
2500
7500
12500
17500
22500
27500
NHS Greater Glasgow - DRS Population by Deprivation QuintilePo
pula
tion
--- 1 2 3 4 5
Total Population (TP) 19020 56804 57144 53051 48844 40198
Eligible Population (EP = TP–TS–PS+TU) 6882 51739 51780 47704 43333 35895
Permanently suspended (PS) 11609 997 1050 1128 1142 875
Temporarily suspended (TS) 710 4946 5030 4958 4945 3989
Temporarily unavailable (TU) 181 878 716 739 576 561
5000
15000
25000
35000
45000
55000
65000
National Average - DRS Population by Deprivation QuintilePo
pula
tion
--- 1 2 3 4 5
Percentage Invited 0.924 0.961 0.971 0.972 0.976 0.973
Percentage Attended 0.709 0.741 0.772 0.784 0.805 0.813
10.00%
30.00%
50.00%
70.00%
90.00%
110.00%
National Average - Invitation rate Vs Uptake by Deprivation QuintilePo
pula
tion
… 1 2 3 4 5 National average 3.7%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
Referable Result Rate to Ophthalmology (KPI 13) from DRS for the last 24 months by Deprivation Quintile
3.7%
Oct Nov Dec Jan-13 Feb Mar Apr May June July Aug Sept Oct226000
228000
230000
232000
234000
236000
238000
240000
242000
244000
246000
f(x) = 1015.08791208791 x + 231211.692307692
National Total DRS Eligible population for the last 12 months and next 12 month trend
National Total 12 month ahead trend
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