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