1. Improving The Patient Experience
One Stop Cataract Pre-Operative Assessment Clinics
Mary Morris
Ophthalmology Support Manager
Princess of Wales Hospital

2. Original Pathway for Patients Requiring Cataract Surgery
Patient referred by GP / optician
Seen by consultant in the eye clinic and listed for cataract surgery if appropriate
Return for a pre-operative assessment [POA] with the nurse practitioner
Surgery date given
3x hospital visits per patient

3. Original Clinic Template
Consists of 8 new patient appointments

4. Why Change?
To reduce the amount of visits to the eye clinic for patients
Reduce costs to the patient and the hospital
Improve patient experience – less stress
Reduce burden on family members
Decrease number of episodes patients dilated and suffer vision reduction
Gives a more streamlined and efficient service

5. One Stop Pre-Operative Assessment Cataract Clinics
Patient referred by GP / optician
Seen by the nurse practitioner for discussion and examination of the eye
Seen by consultant and listed for surgery if appropriate on same day
Surgery date given
2x hospital visits per patient

6. One Stop Pre-Operative Assessment Clinic Template
Consists of 6 new patient appointments +
4 one stop patients alongside consultant regular clinic
Capacity increased by 2 patients per clinic

7. Comments from Patients
“Very happy with all service given”
“Very satisfied with the attention given”
“Very helpful and kind”

8. Challenges Faced Staff reluctant to change practice
How to collect patient reported outcome measures with electronic patient record
Need to change grading form to identify patients suitable for the one stop pre-operative assessment cataract clinics

9. Negatives Old Pathway New Pathway
Increased cost of patient transport to the HB
Increased burden on patients and family to attend multiple hospital visits
New Pathway
Not all patients are suitable for this pathway

10. Positives Old Pathway New Pathway
Patients will have more time to think of questions for nurse / consultant
New Pathway
Reduce visits to the hospital for patients
Reduce travel costs for patients and Health Board
Increase capacity and reduce waiting times
Patients available to come at short notice for surgery

11. Future Development Get other consultants on board with new pathway
Increase clinic numbers for one stop patients

12. Thank You