Reducing the delays to glaucoma treatment at Torbay Hospital


30 Second Summary

This project assessed if the Glaucoma pathway increased treatment delays and blindness risk. The model showed reducing visual field check times had little impact on waiting times, but adding a second Photo & Scan machine nearly eliminated queues for this part of the pathway.

Discrete Event Simulation (DES)
Opthalmology
NHS
NHS 10-year plan shifts: Sickness to Prevention
Authors
Affiliations

Maria Moloney-Lucey

Devon County Council

Hayley Lewis

NHS South, Central and West CSU

The aim of this project was to use modelling approaches to assess whether the current configuration of the Glaucoma pathway at Torbay Hospital was increasing delays in treatment, and thus increasing the risk of blindness.

The modelling found that reducing the amount of time visual field checks took (which were perceived to be a bottleneck) had little predicted impact on waiting times. The model also found that adding a second Photo & Scan machine virtually eliminated queues for this part of the pathway.

Note10-year plan Alignment

SHIFT - Sickness to Prevention: reducing delays in the glaucoma treatment pathway to lower the risk of preventable, irreversible vision loss through earlier and timelier intervention.