Devon LOC Road Shows 2018 October 2018

Quality in Optometry (QiO) Verification Visits 18 practices across the South West were chosen for a QiO visit Phase 1 visits which took place over the summer. An Optometric Advisor accompanied an NHS England representative. The purpose of the visit was to verify the QiO self assessment declaration Unfortunately we have found that in many cases it did not. The next slides show the common areas of concern.

QiO verification visits - findings Practices have ticked the QiO assurance form as being compliant to an indicator but was unable to substantiate their response Freedom of Information Act / statements for patients. Standard Operating Policies Registered with the Information Commissioner for Data protection

QiO verification visits - findings Safeguarding –practices did not how to obtain details of who to contact for Child Protection / Vulnerable Adults concerns.  (This is available on local authority web sites). Gift registers had not been created. Having documents on display in the practice – often hidden or too low down for patients to read easily.

QiO verification visits – findings - Complaints Not having an up to date complaints procedure t and contact details were not on show in practice for patients to see and know who to contact if they wished to raise a complaint. We often found that details given were for PCTs not NHS England.  PCTs disbanded in 2013! NHS England contact details are: For the attention of the Complaints Manager NHS England PO Box 16738 Redditch B97 9PT Or Phone 0300 3112233 Or email england.contactus@nhs.net

QiO verification visits - findings Health & Safety and Fire Risk Assessments not carried out. Completed but not written up when they should have been (more than 5 employees)

QiO verification visits - findings No sinks in consulting rooms.  Some even lacked soap and paper towels. Patient records not locked away. Out of date medicines. Medicines not locked away. Medicines stored in a fridge along with food stuffs. No waste provider and waste being carried from one site to another without being registered as a carrier. Clinical testing equipment – items missing from the requirement list.  Practices having to source missing equipment.

Record card keeping Following the QiO visits we found that some help was needed with patient record card keeping. An aide memoire was created and circulated in August to give help and guidance.

General Contracting Issues Contract Applications Many applications submitted do not include all the required supporting documentation; those most commonly missing are: CVs for Directors, Company Secretaries, Chief Executives of corporate bodies, individual applicants and partners of a partnership application Two references for each of the above Delays and time spent in endeavouring to obtain these documents can, and do, prevent us issuing a contract document within the projected processing time of 12 weeks.

Optometry bulletin An Optometry bulletin is emailed from the NHS England Optometry team (South West South) on a regular basis. This contains contact details, useful information and contractual issues. If you do not receive a copy and would like one please let us know. england.optometrysouthwest@nhs.net

Useful contacts Practices should be receiving alerts from NHS England. If you are not please contact alerts.scwcsu@nhs.net PCSE (Primary care support England) look after the performers list. For any changes please contact pcse.performerlists@nhs.net NHS England Optometry team (South West South) email address england.optometrysouthwest@nhs.net NHS England Optometry team (South West South) web site https://www.england.nhs.uk/south/info-professional/eye- health/south-west/

Primary Eye Devon Update Deborah Bill. Clinical Governance and Performance Lead.

Update to include Current Services Across Devon Specific services to this area DBS requirements Patient satisfaction survey

Current Enhanced services offered in devon Diabetic Screening Glaucoma Monitoring IOP Refinement MECS Cataract follow up

Iop Refinement Available throughout Devon Currently 92 Practices enrolled in NEW Devon catchment and 121 practitioners. There is a requirement to be registered with PED which includes a QIO subcontractors service agreement etc. This is the same for all enhanced services.

Who needs a DBS Check? Optometrists? Dispensing Opticians? Optical Assistants? Reception staff? All staff need at least a standard DBS according to the Government Website: https://www.gov.uk/find-out-dbs-check

DBS Requirement

New PED Website www.pedevon.co.uk

Patient Questionnaire  

Patient Questionnaire

Questions & Contact Details debbie@pedevon.co.uk Glaucoma monitoring. Cataract follow up. IOP refinement. pedevon1@nhs.net MECS. Diabetic screening. jonathan@pedevon.co.uk Company secretary. kate@pedevon.co.uk Administration duties.