THE FIRST EYE HEALTH

STAKEHOLDER MEETING FOR THE

ARDEN AREA At The Coventry City Health Centre on the

17th October 2013 at 6.15pmSuresh Munyal LEHN chair (interim)

What is the point of today To explain LPN eye health or

LEHN (Local Eye Health Network)

To entice you to be a core member of this LEHN

OR a non-core LEHN member.

Who is present today ?

Local Professional NetworksSir Bruce Keogh, NHS Medical Director and Jane Cummings, Chief Nursing Officer told me to say:

“Clinical networks are an NHS success story. Combining the experience of clinicians, the input of patients and the organisational vision of NHS staff. They have supported and improved the way we deliver care to patients in distinct areas, delivering true integration across primary, secondary and often tertiary care.”

Purpose of LPNs Support the implementation of national

strategy and policy at local level – place specific

Work with key stakeholders on local priorities

Provide local clinical leadership, with accountability to NHS CB Chief Professional Officers, via Area Teams

Characteristics of LPNs A small, clinically-led group with the

commissioning team at its core More clinicians can have a say in the

service improvement and design There is engagement with the wider

community of practitioners, practice owners and others involved in providing services

Network Benefits To provide clinical advice to commissioners

and providers Support focussed and prioritised improvement

activities Support clinical handover between

providers Improve consistent care across the eye health

system - regardless of the entry point Support learning, dissemination and spread of

improvement – for example ongoing education and new recruit training

More Network Benefits Patient engagement is core Reduced fragmentation of the services Improve system resilience and

sustainability Facilitate measurement and

benchmarking Entry point for other bodies- ie HWBs (health

and well being boards), PHE (public health England), LETb (local

education and training board), HEE (health education England) etc.

The Network must support commissioners

Needs assessment via JSNA, HWB, Healthwatch and AT Ongoing Service Reviews Prioritisation of services- nationally &

locally Setting standards and providing service

models Planning capacity and predicting demand Monitoring and evaluation NOT: Performance management or

contract sanctions or termination

The Network must support providers

Specific programmes to improve outcomes

Sharing resources and reducing risk Data sharing, benchmarking, setting

standards Different perspectives and views will

improve local services Commissioners and providers may

require Career and professional development

In Summary for Patients, Commissioners, and Providers

To mutually agree and

implement policies, pathways and continuously improve patient outcomes in collaboration with CCGs.

It works in Herefordshire In Herefordshire there are regular eye

health stakeholder meetings attended by: Senior CCG representative Consultant Ophthalmologists Optometrists Orthoptist Eye nurse Dispensing optician Soon to add a member for HWB and

patient group

Herefordshire Result: Collaboration high Costs are controlled by using cheaper

community clinicians for simpler work Easy access to care for patients Constant policy of change and

improvement Constant measuring and refinement Lower waiting times e.g. 6 weeks vs 14

weeks (ref. NHS choices) Continuing education and accreditation

So, can we go further with this in Arden? Definitely, Yes!

We already have World Class Ophthalmologists. We have amazing optometrists, orthoptists, eye

nurses, social workers and support. We have equipment, consulting rooms,....... But we can expect reducing budgets and

increasing patient numbers – ref “Call To Action”.

So Now to work:1. Set common goals2. Volunteer Core members3. Request Non-core group members4. Define National priorities5. Local priorities6. Improving systems and pathways7. Ongoing sustainability and

improvements

1. Common Goal(s) “I have a dream - to see a local eye health

service which is patient centred, high outcome, equal across the area, regardless of the socio-economic, ethnic, behavioural, eye disorder or geographic background of the patient, which is sustainable and continuously improving – in line with national and local policies”

Does everyone here (as stakeholders) share this dream? If not, how should we modify it?

Meetings Year One – 3 monthly Subsequent meetings 4 monthly or as

agreed The first meeting of the Arden Eye Health

Revolution is 14th Nov. 2013 If a core member cannot attend, they can

nominate a colleague from their team as proxy.

All agendas and minutes will be on the network website

2. Core members – volunteers please?

Senior Commissioning Manager Secondary care Ophthalmologists and

Optometrist– each hospital Primary Care Optometrists and

Ophthalmologists Public Health specialist Patient group representative Orthoptist Eye Nurse

Characteristics of a Core Member

Blue Sky Thinker Trailblazer An Off Piste Skier A “Yeabut!” blocker An Influencer A Weeble (wobble but don’t fall down) No Maveriks please

3. Non-Core group Similar to core group Voluntary sector Support core members as necessary Patients and public HWB representation Any one interested in improving Eye

Health in Arden

4. Initial National Priorities or Functions

Local needs assessment and annual plan NHS sight tests and domiciliary services are

predominantly demand-led, hence more emphasis on quality assurance

Focus on improving services in line with 5 national eye health pathways: ocular hypertension monitoring service; glaucoma; referral refinement; low vision service for adults;

People with a Learning Disability (adults) Work to reduce avoidable visual impairment –

glaucoma, AMD, Cataract and DR

Contact Details

http://www.networks.nhs.uk/nhs-networks/local-eyecare-professional-network-for-arden

OrSuresh.munyal@nhs.net

Thanks to Jane Kempton and Jag Tomlinson for their support and

Amy Nixon for arranging the venue and invitations

Thank you all for attending and completing the LEHN

application

Questions are welcome