1. Lisa Barker Primary Eyecare Development Manager lisabarker888@gmail.com Lisa Barker Feb 20151

2. Setting the Scene 13 Practices will be providing the service covering the geographical footprint of Scarborough & Ryedale CCG The service has been commissioned as a single provider service i.e. the contract is with PENYH however subcontracts are awarded to each practice able to meet the quality assurance required. The subcontract is available to all practices who agree to meet the compliances required Each practitioner is required to complete the WOPEC Cataract distance learning package. For post operative assessment they will also need to attend a session at Scarborough hospital The administration of the system uses Optomanager – an IT infrastructure provided by Webstar Health. Lisa Barker Feb 20152

3. NHS IG Toolkit compliance Quality in Optometry – NHS standard contract Data Protection Act registration Adequate IT infrastructure Robust Data Reporting monthly in accordance with the commissioner Lisa Barker Feb 20153 To comply with the Standard NHS Contract

4. CCG Contractor LOC Lisa Barker Feb 20154 Memorandum of understanding Subcontract agreement(s) How does the Single Provider Model Work ?

5. Patients must be over 18 years Patient must NOT be under the care of an NHS Trust ophthalmologist for any other active ocular condition Patients must be registered with a GP practice in the Scarborough & Ryedale CCG area. Lisa Barker Feb 20155 Patient Eligibility

6. Lisa Barker October 20146 Constitutional Right to Choice ?

7. Lisa Barker Feb 20157 Do patients have a choice of provider? Under the NHS constitution: Patients have the right to choose the hospital that they are referred to. This legal right lets them choose from any hospital offering a suitable treatment that meets NHS standards and costs.

8. Lisa Barker Feb 20158 How can you offer choice ? Use the patient information leaflet to look at other providers. Use NHS choices website to make an informed decision. Utilise Optomanager to refer to the hospital of choice. www.nhs.uk Scarborough & York Trust are currently experiencing some capacity issues, and this will lead to a delay in surgery, however patients can still be referred into the services.

9. Lisa Barker Feb 20159 Quality Requirement ThresholdMethod of MeasurementConsequence of breachMonthly or annual application of consequence Applicable Service Specific- ation All assessment sent to second care within 48 hours99%Activity and Performance reportAs set out in General Conditions 9 MonthlyService spec 1 as per Schedule 2 Part A User satisfaction survey All patients to be invited to complete a patient experience questionnaire. A minimum of 35% of patients using the service to complete the questionnaire 90%Activity and Performance reportAs set out in General Conditions 9MonthlyService spec 1 as per Schedule 2 Part A Patient seen within 7 working days of referral. Excluding patient choice 95%Activity and Performance reportAs set out in General Conditions 9MonthlyService spec 1 as per Schedule 2 Part A DNA rates for Post Op Cataract & OHTLess than 3%Activity and Performance reportAs set out in General Conditions 9MonthlyService spec 1 as per Schedule 2 Part A Discharge written report sent to GP within 3 days of100% within 3 daysActivity and Performance reportAs set out in General Conditions 9MonthlyService spec 1 as per Schedule 2 Part A Key Performance Indicators

10. Lisa Barker Feb 201510 Payment Cataract Pre-Op £53.00 Cataract Post-Op £34.50

11. Lisa Barker Feb 201511 Questions ?