Eye Health Stakeholder Meeting for worcestershire

1. Eye Health Stakeholder Meeting for worcestershire At Worcester Hospital on the 8th November 2013 Suresh Munyal LEHN chair (interim)

2. What is the point of today • To explain LEHN (Local Eye Health Network) • You already have Eye Health Network Regular Meetings (Ophthalmology Commissioning Meetings) • To clarify core members requirements of the LEHN two additions needed please.

3. Local Professional Networks Sir Bruce Keogh, NHS Medical Director and Jane Cummings, Chief Nursing Officer told me to say: • “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.”

4. Purpose of LPNs • 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

5. This Network’s Benefits • To provide clinical advice to commissioners and providers • Support focussed and prioritised improvement activities • Support seamless 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

6. More Network Benefits • 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.

7. The Network must support commissioners where required • 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

8. The Network must support providers • 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

9. In Summary for Patients, Commissioners, and Providers To mutually agree and assist in implementing policies, pathways and continuously improve patient outcomes in collaboration with CCGs.

10. For example - Herefordshire Result: • Started about 5 years ago • 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) • Continuing education and accreditation

11. In Worcestershire • Worcestershire already have a fruitful and collaborative approach • We can expect reducing budgets and increasing patient numbers – ref “Call To Action” (looking at increasing demand, technology and dissatisfaction from longer waiting times.)

12. In Worcestershire my work is done – no setting up needed • Common goals and priorities. Done • Core members - Done • Defined National and Local priorities – In progress • Improving systems and pathways – In progress • Ongoing sustainability and improvements – In progress • Involvement of Patient group – To do • Involvement of Public Heath Consultant to aid prevention and self management advice – To do

13. Common Goal(s) “I have a dream - to see a local eye health service which is patient centred, high outcome, equal across the area, regardless of the socio-economic, ethnic, behavioural, eye disorder or geographic background of the patient, which is sustainable and continuously improving – in line with national and local policies” This is already becoming a reality Worcestershire

14. National and local Priorities • 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

15. Thank you allQuestions are welcome

16. Contact Details http://www.networks.nhs.uk/nhs-networks/local-eyecare-professional-network-for-arden Or Suresh.munyal@nhs.net