Diabetic Retinopathy Screening Service Wales (DRSSW)

Transcription

1 Paper reference Diabetic Retinopathy Screening Service Wales (DRSSW) Purpose of Document: Diabetic Retinopathy Screening Service for Wales is hosted by Cardiff and Vale University Health Board. Welsh Government has initiated discussions around moving the service to be under the governance and management of. Cardiff and Vale University Health Board and have initiated a project to scope the potential opportunities and risks involved to move Diabetic Retinopathy Screening Service to the management and governance of. To document provide background, outline of the project and updates the board on the progress and expected timescales. Board/Committee to- (Please indicate) To decide- Paper will outline recommendations or issues to be approved by the Board or Committee. To discuss- Board or Committee will be asked to discuss and scrutinise the paper and provide feedback and comments. To inform- Board or Committee will be asked to note the X paper for information only Other relevant information N/A Next Steps To finalise the work as outlined (baseline report and action plan) so that there is robust information on which to base a recommendation of whether DRSSW should transfer to the governance and management of Screening Division,. The recommendation will require agreement from Board, Cardiff and Vale University Health Board and the Minister for Health and Social Services Link to commitment and priorities for action: (please tick which commitment(s) is/are relevant)

2 29 13 Priorities for action Make a proposal for organisational responsibility for the diabetic eye screening programme Author: Dr Sharon Hillier, Deputy Director of Screening Division, Public. Date: 15 January 2014 Version: 1 Sponsoring Executive Director: Dr Quentin Sandifer, Executive Director of Public Health Services Who will present: (If appropriate) Dr Quentin Sandifer, Executive Director of Public Health Services Documents attached: (If appropriate) Date of meeting: 30 January 2014 Committee/Groups that have N/A received or considered this paper: Paper providing information about project to explore whether DRSSW should move from being hosted by Cardiff and Vale University Health Board, to be under the governance and management of Screening Division, Link to standards for health services Link to risk register Equality impact assessment Financial implications Not relevant as service is not currently managed by Not relevant as service is not currently managed by Equality impact assessment will be undertaken as part of the project. There are financial implications and these will be described as part of the project. Service engagement user There is a communication plan as part of the project and this includes identified stakeholders. A bulletin has been sent out to explain the project and a webpage set up with a generic address for any queries. Date: 15 January 2014 Version: 1 Page: 2 of 10

3 29 13 Project to explore whether DRSSW should move from being hosted by Cardiff and Vale University Health Board, to be under the governance and management of Screening Division,. Author: Dr Sharon Hillier Deputy Director Screening Division Public Health Wales on behalf of the Project Team Date: 7 January 2014 Version: 1 Purpose and Summary of Document: To provide background and update the board on the progress and expected timescales of the project. Sponsoring Executive Director: Dr Quentin Sandifer, Executive Director of Public Health Services Who will present: Dr Quentin Sandifer, Executive Director of Public Health Services Documents attached: N/A Date: 15 January 2014 Version: 1 Page: 3 of 10

4 1 Background The Diabetic Retinopathy Screening Service for Wales (DRSSW) is an all Wales service designed to detect sight threatening diabetic retinopathy at an early stage before visual loss occurs, ensuring early treatment and preventing loss of vision in 70-90% of people with sight threatening diabetic retinopathy. The Service was commissioned by the Welsh Assembly Government in July 2002 as part of a risk reduction programme and an important element of delivering the Diabetes National Service Framework. Diabetic Retinopathy Screening Service for Wales is hosted by Cardiff and Vale University Health Board. Welsh Government has initiated discussions around moving the service to be under the governance and management of. Screening Division,, manages all population based screening programmes in Wales. Cardiff and Vale University Health Board and have initiated a project to scope the potential opportunities and risks involved to move Diabetic Retinopathy Screening Service to the management and governance of. 2 Outline of Project 2.1 Initiation of Project Groups A Project Board has been established with representation from Welsh Government, DRSSW,, Cardiff and Vale University Health Board, other Health Boards and Diabetes UK Cymru. The Project Board is chaired by Dr Quentin Sandifer, Executive Director of Public Health Service and has met twice (12th September and 16 December). The Project Initiation Document and terms of reference were agreed at the first meeting. A project team has been established with representation from DRSSW and Screening Division and Ann-Marie Donaghy from Screening Division is the project manager. The work is lead by Dr Sharon Hillier, Deputy Director Screening Division working closely with Andrew Crowder, Head of Programme, DRSSW and Rhys Blake, General Manager of Screening Division. Date: 15 Jan 2014 Version: 1 Page: 4 of 10

5 2.2 Project Objectives The project is split into 3 phases. Phase 1, to undertake the initial scoping and information gathering to identify potential benefits and risks to DRSSW and Screening Division of move. Ensure appropriate governance in place while in project phase. Phase 2, the external quality assurance review of DRSSW to be undertaken; baseline assessments of cross programme functions including infrastructure, administration and IT; financial review of DRSSW and costing of programme for the future. Phase 3 (depending on recommendation made), to undertake the necessary work to ensure that there is a safe and effective transfer of governance and that DRSSW is supported by cross programme functions and fits into the Screening Division s governance structure. To complete transfer of programme delivery and associated governance to Screening Division, Pubic. The outline timelines for the project are detailed in Appendix 1 3 Progress The Project is currently in Phase External Quality Assurance Review The External Quality Assurance review was undertaken by the NHS Diabetic Eye Screening QA Team on the 10 th October 2013 and the final report was received by the board on the 16 th December. A consistent theme noted throughout the report was the professionalism of the DRSSW staff. The report noted that the uptake of the identified diabetic population to the screening programme was good at 81% and that the quality of the grading was high. There were also areas for improvement noted in the report around the identification of the entire eligible population, failsafe, sustainably providing an annual screening cycle to all patients and ensuring that there is evidence of good follow on care for at risk patients referred into health boards. The Board has tasked the project team to put together an action plan over the next six weeks to address the recommendations identified in the report. Date: 15 Jan 2014 Version: 1 Page: 5 of 10

6 3.2 Baseline report The baseline report is currently being developed and a proforma has been agreed and is being completed for the different aspects of the programme. The aim of the baseline report is to explore the detail around processes needed to inform the recommendation. The report will aim to describe the strengths, weaknesses, opportunity and risks of moving DRSSW. The full baseline report is aimed to be completed by the end of January. 3.3 Financial assessment The current budget for the programme is 6.3 million of which 2.45 million is allocated directly to Health Boards for ophthalmology referrals. An important aspect of this project is to assess the financial risk to Public if DRSSW was transferred. The assessment will need to include whether any additional funding would be required to implement the recommendations from the External Quality Assurance, and if so quantify the likely additional resource required initially and on a recurring basis. 3.4 Communication A communication plan has been developed and regular monthly bulletins have been sent out to staff of both screening division and DRSSW via . A wide stakeholder list has been developed and an initial bulletin has been sent out in Jan 2013 explaining the project. A webpage to host the bulletin and initial documentation is being developed. A generic address has been established to provide a mechanism for feedback from stakeholders. 3.5 Definition of Governance of the Programme At the Project Board on the 16 th December a paper was received which proposed the governance arrangements of the programme if DRSSW was to be managed by. The board approved in principal that the DRSSW screening programme would be responsible up to the point that a patient is identified with referable diabetic retinopathy and confirmation of acceptance of referral has been received from the relevant Health Board. This definition will be used to scope the project and it has been agreed that work to review the service level agreements for the hospital eye services will be lead by Welsh Government, with support from Public as appropriate. Date: 15 Jan 2014 Version: 1 Page: 6 of 10

7 4 Next steps To finalise the work as outlined (baseline report and action plan) so that there is robust information on which to base a recommendation of whether DRSSW should transfer to the governance and management of Screening Division,. The recommendation will require agreement from Board, Cardiff and Vale University Health Board and the Minister for Health and Social Services. Date: 15 Jan 2014 Version: 1 Page: 7 of 10

8 Appendix 1 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Project Initiation (July - Aug) Establish Project Board & hold first meeting Establish Project team Establish project infrastructure Undertake Stakeholder Analysis Creat and Maintain Risk Log Produce Detailed Project Plan Publish Communication Plan Project Assessment Commission EQA of programme (proposed date 10 th October 2013 MILESTONE Produce response and action plan for report findings Undertake Baseline assessment of Programme Infrastructure

9 Undertake Baseline assessment of Programme pathways Undertake financial audit and produce report Undertake programme benchmarking Review public and professional information Produce report and recommendation to transfer or not Put proposal from project board to Minister and boards of PHW &C&V MILESTONE Implementation Produce Intergration plan (by function) to implement on transfer Provide 90 day notice for TUPE Transfer Initiate service transfer Service and public communications Date: 15 Jan 2014 Version: 1 Page: 9 of 10

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