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Sandwell and West Birmingham Solihull Eye Care Services Launch
Evening Webster Health - Gian Celino
Guest Speakers Birmingham LOC Sandwell LOC Solihull LOC Webster
Health - Gian Celino We are launching 3 schemes
simultaneously:
Introduction We are launching 3 schemes simultaneously: Cataract
IOPRR MECS Introduction Questions as we go
We will be throwing a lot of information around give it some time
Questions as we go CCG Practice PEC(HoWM) Ltd LOC Webstar
Contract awardedcompetitive tenderprocess Clinical Governance
Requirements PEC (HoWM) Ltd are responsible for all practice
owners. Directors Charles Barlow Ian Hadfield Peter Rockett Peter
Bainbridge Dan Saunders David Stevens This makes us pretty tough on
compliance. The LOC communicates with PEC (HoWM) Ltd both giving
and receiving feedback. CCG Practice PEC(HoWM) Ltd LOC Webstar Your
commitment Information Governance Accreditation Infection
control
Safeguarding Patient care the right care at the right time [follow
the protocols] Everything is done via Webstar, Optomanager
Software
Everything is done via Webstar, Optomanager Software. Eliminating
administration, generating insight The package of web platforms
called OptoManager has been developed for Local Optical Committee
Support Unit (LOCSU) by Webstar Health. The technology virtually
eliminates manual administration of optical services, helps with
data collection and generates insightful performance reports. The
Services Sandwell and West Birmingham Cataract IOP repeat
measures
MECS Birmingham Cross City Birmingham South Central Solihull Who is
entitled to these services
The services are commissioned for patients registered with either a
Sandwell and West Birmingham CCG GP or a Solihull GP We will only
pay for appropriately registered service users. We will not pay for
people who just live in Solihull, Sandwell or Birmingham. it all
depends on who their GP is not their postcode Who is entitled to
these services
So a patient whose GP is in Birmingham Cross City or Birmingham
South Central CAN NOT be seen under the MECS service You will have
to manage through GOS /private sight test and any additional
private services you provide. You are advised to fully explain any
fees before providing additional private services Cataract Referral
Pathway
Reduce unnecessary referrals to the hospital eye service and
provide amore cost effective service with a greater number of
patients beingmanaged within the primary care setting. Requires
dilation appointment, separately or at the same time as eye
examination Patient Self Assessment Questionnaire Patient
Information Leaflets Cataract Referral Patient meets eligibility
Offer Choice of provider Complete record online and Optomanager
will Fax referral to chosen provider and copy to GP for information
You can print off the record and referral for your records IOP
Repeat Measures Service
Referral refinement has been shown to reduce onward referrals by as
much as 77% The IOP repeat measures service provides primary care
repeat readings to deflect unnecessary referrals to secondary care.
Patients who are identified as having IOP > 21 mmHg and no other
signs of glaucoma during a GOS or private sight test will have
immediate slit lamp GAT or Perkins tonometry assuming the
optometrist is contracted to provide the service. Minor Eye
Conditions Service (MECS)
Purpose of Service Using the skills of primary care optometrists to
triage, manage andprioritise patients presenting with an eye
condition, To deal with recent onset eye problems that are not
appropriate forsight tests and to reduce referrals by GPs and
Optometrists tosecondary care Experience elsewhere shows 70-80%
deflection It is no good seeing patients and referring most anyway
This will be monitored closely Minor Eye Conditions Service
(MECS)
Patient care will be improved by: Reduction in unnecessary
referrals to eye casualty clinics thussupporting CCGs and NHS
trusts to manage ophthalmology capacity More cost-effective care
Speedier access to care Care closer to home in a more convenient
setting Easier access for patients through self-referral Retention
of patients in primary care where possible Reduction in antibiotic
prescribing MECS You will need to provide Triage [staff training,
forms available]
Same day appointments 48 hour appointments Report to GP.generated
Referral if required MECS Triage Take care Flashes and Floaters in
particular VA Dilate
Check for Schafers sign and record Indirect exam, 8 directions of
gaze, wide field Volk Careful record Give F & F advice sheet
Give drops advice sheet MECS is for All (relatively urgent) minor
eye conditions
BUT Not for: Wet AMD found during ST Refining referrals from a ST
(e.g. glaucoma/cataract) But can use for F & F F & F stable
for >3m 2nd incident of F & F within 1 month of 1st (follow
up) Repeated dry eye within 4 months of 1st MECS Repeated removal
of lashes within 4 months of 1st MECS Where a sight test would be
more appropriate Take care Yet more not for More not for
Adult squints Longstanding diplopia Repeat field tests AMD
Previously identified Severe eye conditions needing HES Herpes
Zoster Tumours Yet more not for Where other enhanced serviced are
appropriate Cataract referral Cataracts post-op Repeat IOP Diabetic
retinopathy MECS outcomes GP report Treat and discharge Reassure
and discharge [patient leaflets available] Follow up Refer to GP
Routine referral Urgent referral Emergency referral Direct referral
to eye casualty clinic
If your patient requires Eye A&E or fast track Wet AMD Make
sure everyone in the practice has a copy of the protocol from
Sandwell and West Birmingham NHS trust City Hospital For A&E
Telephone first Triage options are same day or urgent clinic 24/48
hours Patient contact details (telephone numbers) and brief
referraldetails . Give patient a copy to take with them. Fax Wet
AMD to the fast track clinic *If you dont have an appointment you
must find them one elsewhere
Important Points Record all MECS patientcontacts on practice record
card. All patients must be seen by optometrist: Within 24hrs for
urgent Within 48hrs for routine Optometrists must, within reason,
be able to offer a MECS examinationwithin 48 hours of the day that
the appointment has been requested(excluding weekends and public
holidays) unless it is for routineassessment. *If you dont have an
appointment you must find them one elsewhere Optomanager
demonstration
This service would not be possible without Webstar Health Gian will
run through how Optomanager works Part 2 Quality Issues and
Auditing
A full Audit trail will be established so that detailed analysis of
outcomes etc. can be monitored. Outliers will be asked to explain.
Patient Satisfaction Questionnaire must be completed Therapeutics
Topical Eye Formulary
We must bear in mind that GPs are rightly, very concerned about
costs of their drug budget. if you know a patient is going to
request a prescription from their GP,Please initially choose first
line ocular lubricant. For patients using a dry eye preparation
long term, and where allergic response may be a problem, then
recommend a suitable preservative free lubricant. Preservative free
products using a bottle with a microbial filter or a wine bag type
design generally work out cheaper to supply and use than do single
dose preparations. Hycosan is generally available on prescription.
Communications Will provide Leaflets & Posters to GP
Surgeries
Pharmacies NHS111 Yourselves Anything else we can afford Birmingham
LOC website Sandwell LOC website Solihull LOC website The Company
website To do List Nhs.net MECS email Testing MECS MECS software
tweaks
oh! and the contracts Launch Date 1st March 2016 How to Start 1.
Register with Webstar 2. Book the OSCE quick! (dates to be
confirmed) 3. Certificates ready to upload onto Webstar 4.
NHS.nets? (To be confirmed) OSCES Most have already completed
these
Thankyou for your support and patience More sessions in the process
of being organised. BUT If you havent completed or even started
your MCQs get signedup more details in your pack LOCSU training
provided by WOPEC
Request your unique WOPEC authorisation code from Ian Hadfield, You
will receive anwith full instructions which include Go to the WOPEC
websiteand choose to either Register or Login. In the green Code
box on the websites homepage enter your code. This will be made of
two parts, a prefix (example: LOCSU) and a code (example: ). Next
steps Once you have passed the MCQs you will then be required to
sit the OSCE exams for MECS To find out when the next OSCEs are,
please contact The OSCES are comprised of five 5 minute stations
which are designed to assess whether a practitioner is able to
reasonably and safely perform a MECS clinical examination. Getting
signed up with Webstar
Once fully accredited, pleasewith the followinginformation: Name of
accredited optometrist Practice where you will be working If the
practice does not already hold a subcontract with PEC [HoWM] Ltd
the owner will need to apply [certain conditions are mandatory]
Both the practice and each of the optometrists will need to
register to useOptomanager Clinical Governance Requirements on
Practices
QiO GOS contract [Level 1] at start of scheme QiO NHS Contracts all
3 sections and audits Accreditation Requirements through WOPEC
Safeguarding Certificates (adult and children) needs completion by
1st March 2016 Public Liability Certificate if you have not
receivedinstructions on what to do Performance KPIs The system
records the time
Reports are done quarterly Activity levels for each service by
month Activity levels by each practice per month Number of
referrals by practice N.B Patients to be seen within 30 minutes of
appointmenttime Non compliance what does it mean for you
Must complete the sub contractor requirements Must complete the
patient record on line You wont be paid if it is not completed The
CCG needs to spend its money wisely so we have to check and take
action if you are an outlier. Common outliers in other services are
Doing too many referring more than the average or not enough Not
having available appointments In your packs Contract & Protocol
Key Points Pathways
Service Specifications Managing Performance Complaints policy
Complaints about MECS must follow PEC (HoWM) Ltd policy Must be
reported via IT Information leaflets Prescribing policy Patient
Questionnaires Much more on line Fees and Finances Subcontractors
Receive MECS 50.00 Cataract 30.00
IOPRR 1st Reading 20.00 IOPRR 2nd Reading25.00 The Directors and
Staff In particular: The awesome PETER ROCKETT
Thanks to LOCSU WEBSTAR THE LOCs HAYLEY ROWBOTHAM The Directors and
Staff In particular: The awesome PETER ROCKETT You, the
sub-contractors Also a big thankyou to those who supported us on
the night Charles Barlow and Peter Bainbridge for meeting and
greeting and their assistants you know who you are Paul Sidhu for
the website Thank You Katrina Venerus managing director LOCSU for
all the behind the scenes stuffand for coming to the second city to
join us for the launch. And most important you Together we will be
AWESOME