DESP New Common Pathway An Update Lynne Lacey National Programme - - PowerPoint PPT Presentation

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DESP New Common Pathway An Update Lynne Lacey National Programme - - PowerPoint PPT Presentation

Mar 25, 2024 50 likes •255 views

Diabetic Eye DESP New Common Pathway An Update Lynne Lacey National Programme Manager NHS Diabetic Eye Screening Programme David Taylor National QA Manager Young Person and Adult Screening Programmes (DESP and AAA) Part of Public Health

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Part of Public Health England

Diabetic Eye

DESP New Common Pathway

An Update

David Taylor National QA Manager Young Person and Adult Screening Programmes (DESP and AAA) Lynne Lacey National Programme Manager NHS Diabetic Eye Screening Programme

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Our Pre – NCP starting point

2 New Common Pathway Update – BARS 2014

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Why did we start the process?

Two stranded approach

A common pathway So we can measure like v like New measures of grading performance So we know grading is accurate and assesses risk of progression properly

3 New Common Pathway Update – BARS 2014

We set out to have accurate measures of programme performance

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Case finding v Screening

4 New Common Pathway Update – BARS 2014

Clinical View - Patient Centred Every decision correct Every decision acted upon Diagnostic Public Health View- Population Centred Best benefit –most people Cost effective Balance of sensitivity and specificity

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For Grader Performance - Sensitivity and Specificity

Sensitivity Finding the cases you need to Specificity Only finding the cases you need to

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Testing - Are we agreeing ?

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Plot of test results for 1215 Graders v College

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TaT developments 2014 -15

Remove confusion around its purpose Clear use as performance monitoring system Stakeholder Workshop June 2014

  • Development of reporting system
  • Development of statistical evidence for test size
  • Ensure full participation
  • Development of evidence for acceptable standards
  • Develop support mechanism for poor performance

Train all stakeholders in using it !

7 New Common Pathway Update – BARS 2014

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8 New Common Pathway Update – BARS 2014

At what granularity ?

  • Total Output – Service as a black box – funnel plots
  • Final Outcomes at grade level by regrading - R&Ms

correct

  • Individuals by comparison within a programme -- IGA
  • Test individuals and look at comparative performance

against a standard

What do we want to measure ?

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9 New Common Pathway Update – BARS 2014

Which is worst / unacceptable ?

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Weighted Influence

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TaT Participation

Register cleaned of “Guests” in 2013

  • 1385 FDG Registered Currently and 366 Trainees
  • 87% of regd FDG participate
  • 60% of regd Trainees participate
  • 1200 participate in a given month

Previous requirement was that all regular graders complete 6 x 20 per year min 10 x 20 achievable New requirement is intended to be that all complete 10 x 20 per year Early warning to expect this in 2013 but waiting gateway approval for final release RCOphth have supported this as good practice for

  • phthalmologists who grade regularly.

11 New Common Pathway Update – BARS 2014

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Whats next

12 New Common Pathway Update – BARS 2014

Training in Managing Grading Report Interpretation Guidance Support Guidance Performance Standards

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Part of Public Health England

Diabetic Eye

Lynne Lacey Programme Manager - NHS Diabetic Eye Screening Young Person and Adult Screening Programmes UK National Screening Committee/NHS Screening Programmes

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Grading Cows

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The journey

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Pathway Upgrade Progress

Upgraded Dates booked for upgrade

83 programmes 71 upgraded 12 scheduled

16 New Common Pathway Update – BARS 2014

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17 New Common Pathway Update – BARS 2014

Thursday 15 January 2014

  • PM and Failsafe officer each programme
  • QA, National programme
  • Software suppliers
  • Questions in advance
  • Registration on line

Post implementation event

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18 New Common Pathway Update – BARS 2014

  • Annual review
  • NDESP, QA, IEPP, UKNSC
  • NHSE, DoH
  • Published ~November
  • Basis of commissioning
  • Standardising service spec templates

Service Specification

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19 New Common Pathway Update – BARS 2014

  • Patient information – replacing DR and Laser leaflets
  • GP Information
  • Interim Standards
  • Standards Review

Information to support common pathway

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Contact Details

NHS Diabetic Eye Screening Programme dr.screening@nhs.net 0300 422 4468 http://diabeticeye.screening.nhs.uk/

20 New Common Pathway Update – BARS 2014