Clinical Council for Eye Health Commissioning Community Ophthalmology Framework
Eye conditions such as age-related macular degeneration (AMD) and glaucoma will increase as the population ages. The number of patients receiving treatments for AMD in the Hospital Eye Service is already nearing capacity and those patients with glaucoma require life-long follow up. This means that the current service model is becoming unsustainable. To tackle this problem the Clinical Council for Eye Health Commissioning has designed the Community Ophthalmology Framework.
We hope that this guidance will assist those who commission cataract services and those who provide care for patients with cataract. We hope too, that it will help patients and members of the public to understand and contribute to the debate about how cataract services should be provided in the future. Developed using NICE accredited guidance process.
The Royal College of Ophthalmologists is the guardian of excellence in ophthalmology. It aims to set standards in all aspects of the delivery of ophthalmic care in the interests of patients and the public. Guidance is provided under various topics and is reviewed regularly. The guidance is intended to inform both ophthalmologists and those managing eye services. A summary of the information contained in the Ophthalmic Services Guidance Chapters that should be considered by commissioners and providers of ophthalmology services is also available Ophthalmic Service Guidance Chapters: Advice for Commissioners and Services Providers.
Quality Standards Development Tools
The College’s Quality Standards Group has produced a suite of simple self-assessment tools for the following clinical services:
- Quality Standard for A&E Urgent Care Services
- Quality Standards for Services to Patients with Learning Disabilities
- Quality Standards & Quality Indicators for Ophthalmic Care and Services for Children and Young People
- Quality standard for people with sight loss and dementia in an ophthalmology department
- Quality Standard for Adnexal Services
- Quality Standard for Cataract Services
- Quality Standards for Cornea Services
- Quality Standard for Glaucoma Services
- Quality Standard for Medical Retina Disease Services
- Quality Standard for Neuro-ophthalmology Services
- Quality Standard for Vitreoretinal Services
- Quality Standards for Diabetic Retinopathy Services
A set of documents suggesting realistic ratios for patient follow-up visits compared to new patient visits for cataract surgery, glaucoma, diabetic retinopathy, and AMD patients is currently under development. The purpose of this document is to help commissioners understand that this view is inadequate and to aid conversations between commissioners and ophthalmologists.
Joint Guidance from The Royal College of Ophthalmologists and The College of Optometrists
These guidance documents recommend how to improve services in four key areas: glaucoma, urgent eye care, age-related macular degeneration and low vision. It shows how commissioning community services delivering urgent eye care can reduce the number of people attending hospital casualty services at a time when they are struggling to meet demand.
Commissioning better eye care: Glaucoma
Ocular Public Health Network – provides information and evidence for anyone who wants to make the case for eye health as part of the local public health planning process.
• Sign up to NHS Networks at www.networks.nhs.uk
• You can then access the Ophthalmic Public Health Network athttp://www.networks.nhs.uk/nhs-networks/ophthalmic-public-health-network
NHS Information Centre: NHS Comparators an analytical service for commissioners and providers. It helps improve the quality of care delivered by benchmarking and comparing activity and costs on a local, regional and national level. NHS Comparators pulls together:
- activity and costed data through the Payment by Results (PbR) tariff from the Secondary Uses Service (SUS)
- information from The Quality and Outcomes Framework (QOF)
- GP practice demographic population profile data
NHS Right Care – The Right Care programme is focused on increasing value – value for patients and value for commissioners. The programme is targeted at clinicians, commissioners and patients. NHS Right Care Resources Centre
Public Health Outcomes Data Tool see section 4.12 1-1v on preventable sight loss
RNIB Sight Loss Data Tool (March 2013): The RNIB has published a Sight Loss Data Tool on its website. It gives information about sight loss, CVI and registration for each region & local authority in England.