HDD-ITT-50170 Provision of Glaucoma Ophthalmic Diagnostic Treatment Centres (ODTC)

Hywel Dda University Health board has established a framework agreement for primary care optometric practices to provide glaucoma ODTC services within the health board.Currently, in HDUHB there are around 7500 patients (new and follow ups not booked) waiting for glaucoma appointments within secondary care. Covid has resulted in increase in those on the waiting list and decreased secondary care capacity. However, there is a geographically spread primary care optometric workforce, many with required qualifications and specialist equipment required to act as ODTCs.Clinical risk stratification is currently under way to determine whether these patients need to be seen in; consultant Hospital Eye Services (HES), general HES, primary care optometric practice based ODTC, or primary care optometric practice-based data capture.Around 1,456 patients will be suitable for primary care optometric practice ODTC.The aim of this framework agreement is for the primary care based ODTCs, is to increase the numbers of patients with glaucoma, OHT, or suspect disease, seen closer to home, in a timely manner within the primary care optometric setting. This will decrease secondary care waiting lists and free up capacity within the secondary care setting, allowing patients that are suitable only for secondary care to access the most appropriate HES clinic in a timely manner.

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