Future Commissioning of Eye Care Services

1
Plenary

• Future Commissioning of Eye Care Services
• John Hearnshaw
• Specialist PCCA, Eye Care
• NHS Primary Care Contracting

2
Eye Care Pathways

• Developed in 2004 by the national Eye Care
  Services Steering Group
• Report still on the Eye Care - Strategic
  Commissioning webpage
• Pathways for
• Cataract
• Low Vision
• Age Related Macular Degeneration
• Glaucoma

3
Local Enhanced Services

• Cataract monitoring pre- and post-extraction
• Low vision services
• Stable glaucoma monitoring
• Referral refinement and/or assessment
• Red eye/acute anterior segment
• Diabetic retinopathy screening

4
Key Players

• Optometrists
• Dispensing opticians
• Ophthalmologists
• And potentially
• Orthoptists
• Ophthalmic nurses

5
Developing Effective Working Relationships

• The LOC
• Independent optometrists and practices
• Bringing in the nationals
• Joint ventures
• Franchises
• Wholly owned branches

6
Why Bother Commissioning Community Eye Care
Services?

• It is not a political must-be-done
• It is not a Healthcare Commission annual
  healthcheck requirement
• It provides high quality near patient services
• It reduces inappropriate referrals to secondary
  care
• It provides job enrichment for optometrists