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Providing the full range of Local Enhanced Services: The case of Manchester Karen O’Brien Associate Director Primary Care Commissioning Background • NHS Manchester • Success with other Contractors • Demographics • OptomEyes The Why! • • • • Current financial pressures, i.e. secondary care demand Access Primary Care Development Relationships Ethos: • To reduce the number of inappropriate referrals to secondary care for the confirmation of diagnosis and enable prompt treatment. • To ensure the patient pathway is as short as possible whilst offering choice of service access. The How! • Engagement with LOC • Business Case for PCT • Development of Service Specification – Accreditation • Procurement, Contract award, monitoring and payment • Contract Performance What have we commissioned? Better care Better patient experience Better value for money Glaucoma Referral Refinement Service Aims: • To identify patients with glaucoma - measurement of intraocular pressure , examination of the optic nerve or/and any changes in the discs, and including a visual field test from an optometry practice commissioned to provide this service for the appropriate patient referral. • Confirm the risk of disease and thus improve the accuracy of referrals. • 11 practices providing this service Cataract Referral Refinement Service Aims: • To identify patients with cataract that requires surgery • To reduce the number of inappropriate referrals to secondary care. • To ensure the patient pathway is as short as possible whilst offering choice of service access. • 44 practices accredited Diabetic Retinal Screening Service aim: • To obtain from the Provider a screening and grading service for diabetic retinopathy using digital based photography, in line with the National Screening Programme Model • 36 practices with a Manchester contract providing a service to approximately 23,000 patients with diabetes • Service commissioned over five PCTs with approximately 60,000 patients with diabetes Ocular Hypertension Service Aims: • To confirm the measurement of Intraocular Pressure (IOP) for patients. • To identify patients with an *IOP >21mmHg* and within scheme limits by an accredited optometrist, from an optometry practice commissioned to provide this service for the appropriate patient referral for the diagnosis of suspected ocular hypertension (OHT). • 41 practices accredited Challenges • Communication • Accreditation • Documentation • Remuneration • Workload Reality Check! • Opportunities - other enhanced services • The White Paper • GP Consortia Thank you • • • • Local Optometric Committee & Liaison Group Manchester Royal Eye Hospital NHS Manchester – Optometry Team All the optometrists providing excellent services Contact details: • [email protected] • [email protected] • [email protected] Any Questions?
