1. Eye Care Group Project Updates 2016. Cardiff and Vale UHB
Dr Graham Shortland
Medical Director Cardiff and the Vale UHB

2. Bold Improvement Goals 1.
Embed the culture of continuous learning as part of this transformation
Use a consistent language that resonates with everyone in each setting across system i.e. from primary care, the community and to wider stakeholder e.g. council, third sector and other public service staff
Ensure that engagement outside of the hospital is at the core of the BIG programme and embedded in the way of working

3. Bold Improvement Goals 2.
Lead by example by demonstrating values through behaviours
Support ongoing measurement and sharing of outcomes to support performance management and delivery against the agreed initiatives. Therefore communicate incremental success as it happens ensuring that there is good evidence to support this
Follow through on promises

4. What are the guiding principles for this work?
Better outcomes for patients, staff and the system
Harm
Waste
Variation

5. Structure BIG Three Eye Care Delivery Group BIG Programme Board
BIG 3 Steering Group
Musculoskeletal Care Delivery Group
Eye Care Delivery Group
Finance Working Group
Wider engagement through BIG Room

6. Development of Eye Care Group ECG
Collaboration of professionals
Primary and Secondary care
Social services
Rehabilitation
Voluntary sector
Executive Director Chair

7. Next Steps for C+V UHB BIG 3
Three areas, Cataract, Occuloplastics and AMD
Safe and sustainable eye care services are a national priority for Wales.
Improvement for patients not to come to harm
Big 3, elimination of unwarranted clinical variation, reducing waste and harm
For patients new and follow up treatment as well as implementation of revised clinical pathways

8. ECG Projects (C&VUHB)
Cataract Post-op discharge service into the community re-launch in April 2016.
GP awareness of Eye Health Examination Wales
Referral guidelines produced for all GP practices and GP OOHs
Primary Care Lead Optometrist attending Locality/Cluster meetings
207 electronic cataract referrals to the EHEW Optometrists since April 2016.
GP Receptionists are aware of what can be referred to Optometrists.
Training provided to North Locality for receptionists on referring to Optometrists.

9. ECG Projects (C+V UHB)
Glaucoma follow up to the Community, launched August 2016
Communication campaign for eye care ongoing for social media.
£15k training funds for Optometrists from WG, workforce opportunities
Visit to School of Optometry/Ophthalmology October 2016
Glaucoma follow up won’t see results for a year as follow up for patients is after a year.
For example, on communication, kids going back to school, has your child had an eye test?
4 places medical retina, 2 independent prescribing courses, 2 Professional Certificate Glaucoma & Professional Higher Certificate.
Opportunities for clinics to be run though different workforce streams

10. Conclusion Change has been slow Good solid foundation.
Eye Care Groups are pivotal to change.
Sustainable First Class service.