Planned Care Ophthalmology Work Plan
Rollout a national Ophthalmology electronic patient record (EPR) to enable access for optometrists delivering the Community Glaucoma Service (CGS)
Rollout the EPR across 3 additional Health Boards in partnership with NES Technology (the delivery partner).
Ensure the plan is on track to deliver agreed outcomes.
Monitor and manage project spend.
Ongoing engagement with Health Boards to ensure rollout of the hospital based EPR and cloud based community project. This includes regular meetings and monitoring to ensure the agreed outcomes will be achieved.
Data migration of glaucoma legacy patient level information into the EPR for 3 Health Boards, with support from the Medical Devices Unit (MDU).
Lead collaboration with the MDU, PHS and multi-disciplinary colleagues to explore the potential for a dashboard reporting system. This will include looking at patient safety, capacity planning, and performance measures that could be incorporated into the dashboard.
Work with the National Ophthalmology Data Set (NOD) Programme and other partners to deliver high quality patient level outcomes to support patient safety and holistic care.
Ensure that PROMs are included in the data capture.
Clinically-led peer reviews across hospital eye services
Complete initial on-site clinically-led ophthalmology peer reviews across all NHS Scotland Boards with ophthalmology services.
Ongoing follow-up meetings with all Boards to progress the recommendations and actions from their peer review visits.
Ongoing monitoring of overall adoption of recommendations in relation to best practices and evidence-based guidance to help inform the peer review process.
Produce a report on best practices based on findings from peer-review meetings.
Increase the efficiency and productivity of cataract surgical throughput in line with guidance from the Royal College of Ophthalmologists
Work with PHS to develop a cataract repository from baseline data that can be used to monitor improvement.
Carry out ongoing monitoring of Board cataract activity via anonymised surgical data.
Work with the Cataract Sub-Specialty Delivery Group to promote Immediate Sequential Bilateral Cataract Surgery (ISBCS) when clinically appropriate, and in line with professional guidance, to reduce the number of trips to hospital eye services and assist with environmental targets.
Reduce unwarranted variation and avoidable referrals through Focus on Referral Management (FORM)
Update existing optometry referral pathways from primary to secondary care via multi-disciplinary groups.
National adoption of updated cataract referral form for referrals from community optometrists to hospital eye services (HES).
Develop a short life working group to update remaining electronic referral pathways.
Ensure patient level outcomes available across cataract surgery and Long Term Condition management
Identify opportunities to publish patient-level outcomes and PROMs.
Submit article of on ophthalmic workforce review for publication.
Consider opportunities to develop and publish additional articles.