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Prevention of Avoidable Sight Loss

Prevention of Avoidable Sight Loss. Challenges and Opportunities in Scotland - Today and Beyond Gozie Joe Adigwe Preventions Officer RNIB Scotland. What is the case for prevention?. 50% of sight loss - avoidable, up to 150,000 Aging population - across UK, more so in Scotland

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Prevention of Avoidable Sight Loss

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  1. Prevention of Avoidable Sight Loss Challenges and Opportunities in Scotland - Today and Beyond Gozie Joe Adigwe Preventions Officer RNIB Scotland

  2. What is the case for prevention? • 50% of sight loss - avoidable, up to 150,000 • Aging population - across UK, more so in Scotland • Increasing ethnic diversity • Stubborn persistence of health inequalities - deprivation and accessing services are key • Cost - personal, social, economic

  3. Key Statistics - Population • Over the last 100 years the proportion of Scotland's population aged under 15 has fallen from 32% to 16% while the proportion aged 65 and over has increased from 5% to 17%. • www.scotlandscensus.gov.uk/en/censusresults/bulletin.html. • Between 2010 and 2035 those aged 75 and over are projected to increase by 82%. The estimated 820 centenarians in Scotland in 2010 is projected to increase to 7,600 by 2035. • The proportion of Scotland‘s population which is of pensionable age is projected to increase by 2.9 percentage points between 2010 and 2035, compared with a 1.7 percentage point rise for the UK. • National Records of Scotland. Written submission.

  4. Key Statistics - EthnicityBlack minority ethnic groups, Census Data, Scotland Numbers by Health Board • Glasgow - 88,464 • Orkney - 156 • Lanark - 11,500 • Lothian - 46, 899 • Western Isles - 245

  5. Key Statistics - Deprivation • 41% of Glasgow datazones - bottom 15% of most deprived areas in Scotland • On income-based measures, Pakistanis/Bangladeshis and Black African households in Scotland have higher rates of poverty than other ethnic groups • ' ..Although the policy encouraged more people to have eye tests, or have more regular eye tests, there are notable differences across socio-economic groups... As a result inequality in eye care utilisation has actually risen...' • Utilisation of eye-care services: The effect of Scotland’s free eye examination policy, D Hickey

  6. Key Statistics (cont.)

  7. Diabetes Diabetes • There are now more people living with diabetes in Scotland than coronary heart disease - circ 248,000. • There is an increased prevalence of non-insulin-dependent Type 2 diabetes in people of South Asian origin - 16.5% compared with 4.7% in the White population. • 19.3 per cent of people initially diagnosed with Type 2 diabetes already had signs of retinopathy. Prevention? • Promote understanding risk factors and links between diabetes and sight loss. • Targeted, long term approach with a focus on ethnicity, deprivation and undiagnosed disease. • Truly collaborative approach to enhance the reach of eye health messages. • Service commissioners study local demographics to target prevention effectively.

  8. Opportunities • Increase eye health as a public health priority - Primary prevention • Targeted health campaigns - innovate and collaborate • Holistic approach to 'at risk' groups including referrals to income maximisation services, housing, vision and emotional support - Secondary prevention • Finding different ways to get data and analyse it - Electronic referral between optometry and ophthalmology • Consider further development of community optometry role -

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