{
Background PCT Open Tender in 2011 30% Ophthalmology OP Services Multiple Bidders THH won the bid Hillingdon Ophthalmology Services 30% HES COS 70%
Required Activity Activity Year 1 Year 2 Year 3 Year 4 Year 5 First OP 2,284 2,353 2,423 2,496 2,571 Follow up 4,276 4,404 4,536 4,672 4,812 Total 6,560 6,757 6,960 7,168 7,383
COS Specific Conditions Watery eye / Dry eye / Red eye Blepharitis / Eyelash problem Floaters / flashing lights Retinal lesions / Blurred vision / Field defects Stable Glaucoma / OHT Cataract (Triage) Some suitable Paediatric Ophthalmology Some urgent provision Suitable Minor Ops
Key Performance Standards • Triage: • Routine within 2 working days • Urgent within 4 ‐ 8 hours • Consultation: • Suitable Urgent within 48 hours • Suitable Routine within 4 weeks (95%) • Referrals for surgery with PPwT form (100%) • Suitable Minor Ops : 98% within COS
Key Performance Standards • Admin: • Letters within 4 working days (100%) • Acceptable DNA rate 9% • Consultant involvement 70% • Choice: 75% (year 1) to 90% (year 3) • Patient Satisfaction: • 90% satisfied (minimum 40% response rate)
How did we start? • F4P Exercise • Process Mapping • Key areas critical to COS Referral Management & Triage Clinical Care Pathways Clinic set-up Clinic specific staff skill-mix Effective use of EPR
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