The Joint strategic need assessment for eye health is ongoing. This project is intended to inform the Health and Wellbeing board of local challenges in eye health. The data group has been working to bring together information from various sources to be used to inform the project, there has been some difficulty in collecting data.
Royal Preston Library is currently carrying out a literature search which will be used to form a literacy review of local and national need. In November, a prioritisation event was held to share and discuss the data collected and to use this to prioritise work going forward. There is hope that this project will be completed in draft by April 2019.
Eye Health Week
National eye health week occurs w/o 24-30th September. NHS England sent information to GPs, Dentists, Pharmacies and Optometrists as well as posters and advertising materials. Talks were held in local libraries by optometrists and local charities ran many activities to promote the week. We are aware that planning for this need to be early to ensure the maximum impact. Discussions have been held to consider rerunning the school colouring competition from previous years, improving on the problems encountered in the past. The school vision screening service will help with our engagement with schools. We also hope to have more talks by local optometrists in libraries on a wider scale.
Child Post Vision Screening
It has been agreed that to achieve this service, engagement with CCGs is essential. We have been liaising with leads from 5 CCGs to discuss the pathway and have had broad agreement that this is worthwhile. We are now working with the CCG’s to gather data around the pathway and develop a more detailed plan to inform the commissioners.
Work is ongoing to develop a transformation plan to outline the local and national ambitions for better eye health delivery. CCG’s have given agreement to data sharing which will inform the document in addition to the work of the JSNA and other national initiatives and evidence.
Integrated Care System
The Lancashire and South Cumbria STP is currently in transition into an integrated care system. This movement allows a system wide approach to health delivery with the integration of local government, NHS England and other stakeholders working together to deliver better healthcare. Discussion is ongoing as to governance structures and frameworks and it is yet unclear where eye health will sit within the structure of the ICS.
Primary Care Networks
Within Lancashire and South Cumbria 41 Primary Care Networks have been formed.
Although in their infancy, these are groups of GPs who are working together to find solutions to local problems. It is hoped that as the networks develop more stakeholders will be included to develop a localised forum for decision making, this includes Optometrists. As these networks are currently immature more detail is to follow in time.
Optometry Workforce Survey
NHS England Elective Programme is currently working with the Get It Right First Time (GIRFT) and Rightcare teams to review Acute data on waiting lists, 18 weeks, lost to follow-up etc. A part of this work is to carry out an ‘Optometry Workforce Review’. This will be used to understand the workforce and capacity opportunities within local optometric practices and will inform the outcome of the HII. NHS England holds some data on practices though the contacting process although this is limited. It is most likely that, in order to find more detailed information, a short questionnaire will be sent to contractors although this has yet to be finalised.