Transcript The First Eye Health Stakeholder Meeting for the

At The Coventry City Health Centre on the
17th October 2013 at 6.15pm
Suresh Munyal LEHN chair (interim)
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To explain LPN eye health or LEHN
(Local Eye Health Network)
To entice you to be a core member of
this LEHN
OR a non-core LEHN member.
Sir Bruce Keogh, NHS Medical Director and Jane
Cummings, Chief Nursing Officer told me to say:
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“Clinical networks are an NHS success story.
Combining the experience of clinicians, the input of
patients and the organisational vision of NHS staff.
They have supported and improved the way we
deliver care to patients in distinct areas, delivering
true integration across primary, secondary and
often tertiary care.”
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Support the implementation of national
strategy and policy at local level – place specific
Work with key stakeholders on local priorities
Provide local clinical leadership, with
accountability to NHS CB Chief Professional
Officers, via Area Teams
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A small, clinically-led group with the
commissioning team at its core
More clinicians can have a say in the service
improvement and design
There is engagement with the wider
community of practitioners, practice owners
and others involved in providing services
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To provide clinical advice to commissioners and
providers
Support focussed and prioritised improvement
activities
Support clinical handover between providers
Improve consistent care across the eye health system regardless of the entry point
Support learning, dissemination and spread of
improvement – for example ongoing education and
new recruit training
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Patient engagement is core
Reduced fragmentation of the services
Improve system resilience and sustainability
Facilitate measurement and benchmarking
Entry point for other bodies- ie HWBs (health and well
being boards), PHE (public health England), LETb (local education and training
board), HEE (health education England) etc.
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Needs assessment via JSNA, HWB, Healthwatch and AT
Ongoing Service Reviews
Prioritisation of services- nationally & locally
Setting standards and providing service
models
Planning capacity and predicting demand
Monitoring and evaluation
NOT: Performance management or contract
sanctions or termination
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Specific programmes to improve outcomes
Sharing resources and reducing risk
Data sharing, benchmarking, setting standards
Different perspectives and views will improve
local services
Commissioners and providers may require
Career and professional development
To mutually agree and implement
policies, pathways and continuously
improve patient outcomes in
collaboration with CCGs.
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In Herefordshire there are regular eye health
stakeholder meetings attended by:
Senior CCG representative
Consultant Ophthalmologists
Optometrists
Orthoptist
Eye nurse
Dispensing optician
Soon to add a member for HWB and patient
group
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Collaboration high
Costs are controlled by using cheaper
community clinicians for simpler work
Easy access to care for patients
Constant policy of change and improvement
Constant measuring and refinement
Lower waiting times e.g. 6 weeks vs 14 weeks
(ref. NHS choices)
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Continuing education and accreditation
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We already have World Class
Ophthalmologists.
We have amazing optometrists, orthoptists, eye
nurses, social workers and support.
We have equipment, consulting rooms,.......
But we can expect reducing budgets and
increasing patient numbers – ref “Call To
Action”.
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Set common goals
Volunteer Core members
Request Non-core group members
Define National priorities
Local priorities
Improving systems and pathways
Ongoing sustainability and
improvements
“I have a dream - to see a local eye health
service which is patient centred, high outcome,
equal across the area, regardless of the socioeconomic, ethnic, behavioural, eye disorder or
geographic background of the patient, which is
sustainable and continuously improving – in
line with national and local policies”
Does everyone here (as stakeholders) share this
dream? If not, how should we modify it?
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Year One – 3 monthly
Subsequent meetings 4 monthly or as
agreed
The first meeting of the Arden Eye
Health Revolution is 14th Nov. 2013
If a core member cannot attend, they can
nominate a colleague from their team as
proxy.
All agendas and minutes will be on the
network website
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Senior Commissioning Manager
Secondary care Ophthalmologists and
Optometrist– each hospital
Primary Care Optometrists and
Ophthalmologists
Public Health specialist
Patient group representative
Orthoptist
Eye Nurse
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Blue Sky Thinker
Trailblazer
An Off Piste Skier
A “Yeabut!” blocker
An Influencer
A Weeble (wobble but don’t fall down)
No Maveriks please
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Similar to core group
Voluntary sector
Support core members as necessary
Patients and public
HWB representation
Any one interested in improving Eye Health in
Arden
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Local needs assessment and annual plan
NHS sight tests and domiciliary services are
predominantly demand-led, hence more emphasis
on quality assurance
Focus on improving services in line with 5 national
eye health pathways: ocular hypertension
monitoring service; glaucoma; referral refinement;
low vision service for adults;
People with a Learning Disability (adults)
Work to reduce avoidable visual impairment –
glaucoma, AMD, Cataract and DR
http://www.networks.nhs.uk/nhsnetworks/local-eyecareprofessional-network-for-arden
Or
[email protected]