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National Ophthalmology Database Audit

The Royal College of Ophthalmologists (RCOphth) has been commissioned by Health Quality Improvement Partnership (HQIP) to manage the National Ophthalmology Database (NOD) Audit as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).

The NOD Audit will prospectively collect, collate and analyse a standardised, nationally agreed cataract surgery dataset from all centres providing NHS cataract surgery in England & Wales to update benchmark standards of care and provide a powerful quality improvement tool. In addition to cataract surgery, electronic ophthalmology feasibility audits will be undertaken for glaucoma, retinal detachment surgery and age related macular degeneration (AMD).

Building on the achievements of the RCOphth NOD Project, the audit will utilise validated and risk (case complexity) adjusted measures of quality which discriminate between centres and surgeons. Initially these will be based on legacy (historic) EMR data up to 2014. All EMR databases with national dataset compliant data will be eligible for data submission. The prospective phase of the audit will commence data collection in September 2015, for which centres will be provided with data collection tools for participation. These will include a web based tool for optometrists to return visual acuity and refractive data. Relevant aspects of the audit will be submitted for peer reviewed publication in medical journals.

Following appropriate local information governance permissions data from electronically enabled units are remotely extracted to a secure server within the NHS firewall. Data are pseudonymised, checked for errors as far as possible and descriptive analyses produced. Summarised data are presented on the audit website, www.nodaudit.org.uk such that contributors are able to view data from their own centre in the context of aggregated data from all centres. Contributors are also able to use these data for personal audit with benefits in terms of appraisal and revalidation.

For more information, please visit www.nodaudit.org.uk or contact the Professional Standards Department via noa.project@rcophth.ac.uk