Serious eye disorders

Structure

Evidence of local arrangements to ensure that adults with late AMD (wet active) have monitoring for both eyes.

Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example, service specifications and local protocols for monitoring appointments for adults with late AMD (wet active).

Process

a) Proportion of adults with late AMD (wet active) who have a monitoring appointment scheduled.

Numerator – the number in the denominator who have a monitoring appointment scheduled.

Denominator – the number of adults with late AMD (wet active).

Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example, patient records and appointment systems.

b) Proportion of scheduled monitoring appointments for adults with late AMD (wet active) that are cancelled or delayed by the hospital.

Numerator – the number in the denominator that are cancelled or delayed by the hospital.

Denominator – the number of scheduled monitoring appointments for adults with late AMD (wet active).

Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example, patient records and appointment systems.

c) Proportion of hospital appointments for adults with late AMD (wet active) that occur within 25% of their intended monitoring period, including rescheduling of hospital cancellations and non-attendance by adults with late AMD (wet active).

Numerator – the number in the denominator that occur within 25% of their intended monitoring period.

Denominator – the number of monitoring appointments scheduled, including those rescheduled after hospital-initiated cancellation and non-attendance by adults with late AMD (wet active).

Data source: NHS England's Elective care transformation programme: Transforming elective care services: ophthalmology includes an indicator in this area. Local data collection, for example, clinic attendance and cancellation records.

Outcome

Loss of vision (changes to visual acuity) in adults with late AMD (wet active).

Data source: Database audit – National Electronic AMD Audit feasibility report contains: mean change in visual acuity between baseline and month 12 (figure 7), percentage of eyes losing ≥3 LogMAR lines between baseline and month 12 (figure 8), visual acuity change from month 3 to month 12 (figure 10) and percentage of patients retaining visual acuity of 70 letters/LogMAR visual acuity of 0.3 or better (at 1 year; figure 11). Data, collected from 40 centres dating from January 2012 to December 2013 (8 had low numbers and the data were excluded), were last collected in 2016. Available from the Royal College of Ophthalmologists' National Ophthalmology Database Audit.