The Northern Ireland Diabetic Eye Screening Programme (NIDESP) is undergoing a modernisation project to ensure that it remains a sustainable service and continues to improve in line with national standards. In our blog this week, Dr Rachel Doherty, Consultant in Public Health Medicine at the Public Health Agency, tells us why it is so important for patients to get screened and encourages members of the public and professionals to give feedback on proposals to change how the service is delivered...
The importance of diabetic eye screening
Diabetic eye disease is one of the leading causes of blindness in people of working age in the UK. The Northern Ireland Diabetic Eye Screening Programme (NIDESP) aims to detect diabetic eye disease at an early stage and prevent sight loss in those with diabetes aged 12 years and over in Northern Ireland. It is important for patients with diabetes to attend a diabetic eye screening test as this is not routinely covered as part of a normal eye test with an optometrist.
Modernising the Diabetic Eye Screening Programme
As part of the modernisation project, the model for delivering the screening programme has been reviewed.
This work has been led by a Project Board and Project Team with representatives from a variety of backgrounds including those that work in the screening programme, those involved in wider diabetes and ophthalmic care, a service user and representatives from Diabetes UK (NI) and the Royal National Institute for the Blind (RNIB).
The Project Board would like to hear your views and feedback on proposals to change how the service is delivered. These are being sought through a public consultation that is taking place over 12 weeks from 7 January to 29 March 2019.
Further details, including the consultation document, summary and a link to the consultation questionnaire are available at pha.site/DESPconsultation
At present the NIDESP is delivered via a mixed model. In the Western Health and Social Care Trust (HSCT) area, screening is delivered at six fixed health and social care sites. In all other areas of Northern Ireland (Belfast, South Eastern, Southern and Northern HSCT) a mobile service is provided by screener/graders, who visit approximately 280 individual GP practices to host screening.
Why review the current model?
There are several drivers for change including the challenge of the increasing size of the population requiring diabetic eye screening, which has almost doubled in the last decade. We also need to improve the programme’s ability to meet the nationally recommended standard of a 12-month screening interval. That means 12 months between consecutive screens being completed.
The current mobile model relies heavily on delivering screening at individual GP practices. With increasing pressures on primary care this mobile model is unlikely to be sustainable into the future and change is necessary to ensure we are meeting recommended standards.
In line with the rest of the UK, the Diabetic Eye Screening Programme in Northern Ireland must be able to introduce visual acuity testing as well as the variable screening interval which has been recommended by the UK National Screening Committee.
A variable screening interval would reduce the frequency of screening to once every 24 months for those at lower risk of diabetic eye disease and requires confidence of being able to maintain the screening intervals. Change is needed to implement these improvements.
How you can get involved
This consultation process offers an opportunity for all those who are interested to consider and comment on the three shortlisted models for service delivery. The programme is seeking feedback from services users and their carers, professionals, and the public on the advantages and disadvantages of these options, and which key issues should be taken into consideration when implementing a new model.
Responses can be completed on the Citizen Space consultation website at https://pha.site/DESPconsultation
If you require the documents in another format or language please contact the Public Health Agency on 028 9536 1655 or alternatively email firstname.lastname@example.org
Written responses should be sent to: Consultation on Future Model for NI DESP, Public Health Agency, 9th Floor, Linum Chambers, 2 Bedford Square, Belfast, BT2 7ES.
Several engagement events are also taking place. These include information sessions which are open to the public and all other interested parties. These will provide individuals/groups with an opportunity to book a 30 minute appointment to meet with a small panel from the DESP modernisation project team to discuss the consultation, provide feedback and seek clarification on any issues.
These will be held on:
To arrange an appointment at one of these engagement events please phone 028 9536 1655 (Monday to Friday 9am–5pm) or email email@example.com
We look forward to hearing from you!
Dr Rachel Doherty
Consultant in Public Health Medicine
Public Health Agency
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