Oxfordshire Local Optometric Committee

Chairman's Report 2014Paul Jewitt

David Spicer Sally Spicer

Apologies

Apologies for absence Chairman’s Welcome Minutes of LOC AGM 2013 Chairman’s Report Treasurer’s Report LOC companies Alan Tinger and Richard Knight Proposals

1. To increase the statutory levy 1.50 %2. To create a LOC company

Election of Officers Any other business Date and venue for next AGM

Agenda

Lecture Program ◦ Aim for 3 lectures, one workshop on 2 peer reviews

Raising the profile and awareness of Optometry Services in Oxfordshire

◦ Rather than spend to much money on specific promotions for Oxfordshire we are going to try use the PR team to co-ordinate the promotions of the College and AOP.

Building a good foundation with the newly formed NHS England and OCCG

Improve pathways for primary care Ophthalmology. Local Professional Networks.

Aims for 2013………

2013 Recap……Lecture Program

Date DOCET & CET Subject Lecturer Sponsor/Funding

Tuesday 26th February 2013  

C- 20031/OD 1 pt 

The Role of the Optometrist and DO in Dyslexia 

Prof Bruce Evans DOCET

Monday 11th March 2013

EV 10214C-20198 O 2pts

Peer Review Dr Andrew MorganDr Deborah Lea  

No DOCET

Tuesday 7th May 2013

C-315403pts O 

Casualty Discussion Workshop 

Stella Hornby, Paula Hedges, Tamsin Greenway, L Jugar 

DOCET

Tuesday 22nd October 2013

C‑32423 1 pt O Tips on how to diagnose Glaucoma 

Mr John Salmon DOCET

Monday 18th November 2013 

C 32988 3 pts O

Peer Review Dr Andrew MorganDr Deborah Lea 

No DOCET

Monday 3rd December 2013  

C-33829 1 pt O DO

Update on AMD Referral and Treatment in Oxfordshire

Miss Susan Downes DOCET

Tuesday 25th February 2014 AGM/Lecture7pm 

C-34456 EV-164911 pt O DO CLOEV-16491EV 16491

BCLA Contact Lens lecture -New Contact Lenses for Difficult Eyes

Dr Caroline Burnett-Hodd, BCLA

DOCET

Lecture Program ◦ Aim for 3 lectures, one workshop on 2 peer reviews

Raising the profile and awareness of Optometry Services in Oxfordshire

◦ Rather than spend to much money on specific promotions for Oxfordshire we are going to try use the PR team to co-ordinate the promotions of the College and AOP.

◦ ENGAGEMENT GROUP Building a good foundation with the newly formed NHS

England and OCCG Improve pathways for primary care Ophthalmology. Local Professional Networks.

Aims for 2013………

Lecture Program ◦ Aim for 3 lectures, one workshop on 2 peer reviews

Raising the profile and awareness of Optometry Services in Oxfordshire

◦ Rather than spend to much money on specific promotions for Oxfordshire we are going to try use the PR team to co-ordinate the promotions of the College and AOP.

Building a good foundation with the newly formed NHS England and OCCG

Improve pathways for primary care Ophthalmology. Local Professional Networks.

Aims for 2013………

◦ NHS England (Thames Valley Area Team) is the successor organisation to Oxfordshire PCT, Buckinghamshire PCT, Berkshire West PCT and Berkshire East PCT

◦ Manage the quality assurance of General Ophthalmic Services (GOS) contracts

◦ The “subcontact” TVPCA for GOS claims and PPV visits

◦ Responsible for LEHN

NHS England

1. Procedure for the assurance of general ophthalmic services (GOS) contracts

The document highlights the process that NHS England will follow to reduce

inappropriate variations in practice and support improvement in the quality of contracted services provided by optometrists. These measures are: Consideration of a self-assessment checklist which is completed by contractors

every three years to demonstrate contract compliance and any quality improvement programme. Where contractors identify non-compliance they will agree an action plan with the AT to rectify the situation. A copy of the checklist is contained in the document

Carrying out practice visits. The document contains a checklist for ATs to use

when carrying out visits

Consideration of key performance indicators.

NHS EnglandManaging the quality assurance

2. Procedure for the approval of applications for general ophthalmic services contracts The document describes the process NHS England shall follow when processing applications for GOS contracts. The procedure contains: • The standard information to be provided within an application NHS

England policies and procedures for eye care services www.pcc-cic.org.uk © Primary Care Commissioning 2013 2• A process for approving premises, equipment, record keeping

facilities, staffing arrangements and identifying required standards are not met

• The minimum standard for equipment required to undertake additional services

• Information about how to tailor contracts when necessary.

NHS EnglandManaging the quality assurance

3. Procedure for the variation of general ophthalmic services contracts The document details how NHS England shall process requests to vary a general ophthalmic services contract. The procedure focuses on the most common contract variation requests and the approach ATs shall follow: • Partnerships, which includes individual to partnership and vice versa,

and death in service of a partner • Director changes in a corporate body • Relocation of premises • 24-hour retirements. A generic variation template is contained within the document, which can be used by ATs for any other variation request.

NHS EnglandManaging the quality assurance

4. Procedure for the termination of general ophthalmic services contracts The document provides the process that NHS England shall follow when terminating a GOS contract for the following reasons: • Death in service of a contract with an individual • Termination of a contract by a contractor • Insolvency. The document also provides information about checks to be carried out before terminating a contact. It should to be read in conjunction with the procedure for the assurance of general ophthalmic services contracts, which provides examples of termination notices.

NHS EnglandManaging the quality assurance

The Area Team has decided to implement this requirement in alphabetical order by county. This means that Berkshire Ophthalmic practices will be the first contactors required to submit this checklist. They will be followed by Buckinghamshire in 2014 and Oxfordshire in 2015. This process and timeline has been discussed and agreed with the Local Ophthalmic Committees (LOCs) for Berkshire, Buckinghamshire and Oxfordshire.

To make this submission you will be asked to visit the Quality in Optometry (QiO) website www.qualityinoptometry.co.uk. This is a national quality assurance tool website used by ophthalmic practices to self-assess their compliance with their contract and to improve the quality of the services they provide. It is recommended that you start to look at this checklist as soon as possible, as even though you do not have to submit your checklist at this time, you should still aim to be compliant with the GOS contract.

Visit selection process

Based upon the NHS England policy, visits will be carried out using the following criteria: 

1. Where there has been a change of GOC-registered partner or director in the past 12 months

2. Practices where there are concerns about contract delivery e.g. Activity concerns, levels of seriousness of complaints, untoward incidence, performance issues, post payment verification (PPV) or other concerns.

3. A random selection of practices based on 5% of the total number of contracts in the area team.

NHS EnglandManaging the quality assurance

PPV and GOS claims ◦ TVPCA◦ PPV visits◦ Guidance letter about remote “visits”

LEHN◦ NHS England to appoint Chair who is ultimately responsible to

the Clinical Director of NHS England◦ LOC was requested to sit on the appointment panel◦ Very string candidates for the post.◦ Fran Ramsey was appointed Chair in February 2014

NHS England

1. Ophthalmology redesign group.2. CCG locality group meeting

IOP referral refinement: New LES for April

OHT monitoring Agreed to put on hold (advise from Glaucoma commissioning guidance) ◦ CONSULTANT LED SERVICE: Engage with CCG to ensure that any new pathway is consultant

led and has clear parameters for re-referral to hospital.

Cataract pre and post operative care◦ Not a priority for the GP’s at present…. To be discuss later.

PEARS/ACES◦ Setting up working group at present.

Diabetic Retinopathy◦ Run Independently by ODESS

OCCG engagement

Electronic referrals and NHS net. ◦ NHS net accounts for optometrists◦ Design of a electronic GOS18◦ Works side by side with paper format

GOS 18 redesign◦ To assist GP’s in clarity of referrals◦ Helping signpost to the correct Clinic◦ Aid and encourage communication between GP’s and

Optometrist and improve relationships Integration into DocMan

Other Primary care topics on the Agenda

Commissioned by OCCG Contract to LOC Company LOC Company to Sub-contract Service Specs

◦ IOP repeat ◦ Visual Field repeat ◦ IOP and Visual field repeat from non accredited

optometrists. (100% of all referrals)Meeting to launch March 31st 2014

NEW IOP Contract

Apologies for absence Chairman’s Welcome Minutes of LOC AGM 2012 Chairman’s Report Treasurer’s Report LOC companies Proposals1. To maintain statutory levy at current level of 1.25% Election of Officers Any other business Date and venue for next AGM

Agenda

Proposal to increase the contribution by 0.25%

To create a LOC company as a vehicle to commission services from the OCCG or other organisations

Proposals for 2014

Oxfordshire LOC structure and contacts

Peer Review Subcommittee Andrew Morgan,

Deborah Lea,

Enhanced Services SubcommitteePaul Jewitt- IOP referral RefinementAndrew Morgan-Diabetic Screening

Fran Ramsey will be assisting from September 2012

Treasury SubcommitteeFran Ramsey

AdministrationCaroline Collingridge

Engagement SubcommitteeSheila ParekhPenny Heath

GOS subcommitteePaul Jewitt

Education DepartmentSam Gamble

Kathy Gabbatiss,

Hospital SubcommitteePatsy Terry

Chair Paul (replace by Jan 2015) Vice Chair vacant CCG lead Paul (replace by Jan 2015) 2 Clinical leads

◦ Diabetes Andrew/Nimish◦ IOP Paul (replace by Jan 2015)

GOS subcommittee Paul (replace by Jan)015

Succession plan

Membership: min.6 elected members equally split between contractors and performers

Voting: all local contractors can vote for LOC contactors and all local performers can vote for LOC performers

Term of office:3 years of all members and 1 year for Chair, Vice-chair and Treasurer.

Finance:Statutory levy and LOCSU contribution should be

agreed at AGM. Business plan should be presented.

Refresher….LOC Constitution

Position Nominee Performer/Contractor

Proposed by

Seconded by

Chair  

Paul Jewitt P    

Treasurer 

Fran Ramsay

P    

Vice Chair

Vice treasurer 

       

NOMINATIONS

Position Nominee Performer/Contractor

Continuing to Serve on Committee

General Committee Penny Heath(DO)

P   

General Committee Andrew Morgan C   

General Committee Deborah Lea C   

General Committee James Whittenbury C   

General Committee Sam Howard 

P  

General Committee David Spicer C   

General Committee(DRRS)

Nimish Desai C   

General Committee Sheila Parekh 

P  

General Committee John Edwards 

C  

General Committee Kathy Gabbatiss 

P  

General Committee  

Shireen Bharuchi P  

General Committee OEH Patsy Terry P  

General Committee  

Leanne Tourret C  

General Committee Arron Brown 

P  

General Committee Jon Pedley 

P  

    

   

Caroline Maile LOC members Nimish Consultants OXON OPTOMETRISTS

Thank you