When South Tees CCG and Hartlepool and Stockton CCG (HAST CCG) decided to move their existing community services onto the NHS Standard Contract, they worked closely with the LOC and LOCSU Optical Lead Zoe Richmond, to revisit the pathways and introduce added value.
The use of a tailored OptoManager module was negotiated so that the outcomes of the services could be measured and compared against national standards. Combined, the value of the multiple contracts covering MECs, cataract referral, low vision and IOP RR, between the CCG and the 40 plus practices involved in the three-year deal, will be worth between more than £200,000.
Working with Optical Lead Poonam Sharma to explain the benefits of the LOC Company model to Commissioners was the start of a process of increased collaboration in Oxfordshire which resulted in an expansion of the IOP Repeat Readings service (Level 1a) and the re-launch of the service under an LOC Company contract in April. The service now includes visual fields repeats and Level 1c to manage referrals from non-participating and out of areas practices.
Supported by LOCSU and Optical Lead Charles Barlow, Primary Eyecare Arden, Herefordshire & Worcestershire gained their first success as a company in a competitive tender launched by South Worcestershire and Wyre Forest CCGs. The Commissioner was looking for a single provider to deliver IOP Repeat Readings, cataract post-op and PEARS, all of which were currently provided by individual optical practices across the Worcestershire LOC area. Community monitoring of stable glaucoma was also to be included within the new service. The Regional LOC Company, with a network of over 40 practices willing to provide the service, was announced as the preferred bidder for the service in February 2014.
After some discussion during the mobilisation phase, it was agreed with the Commissioner that the LOC Company would commence with the existing pathways from April, whilst a model for community monitoring of patients with stable glaucoma was developed with the local hospital trust. The service is valued at around £300,000 per annum.
North Essex CCG has awarded individual contracts for a General Referral Refinement and Paediatric Referral Refinement on a one-year basis with the fees yet to be confirmed.
North Yorkshire & Humber
Covering East Riding CCG, the LOC Regional Company has been awarded AQP status for a CORRS pathway (MECs and Glaucoma Repeat Readings and Glaucoma Referral Refinement) on a year-long basis worth a predicted £100,000.
Kent & Medway
Two Kent CCGs have commissioned pathways worth an estimated total of more than £180,000. Individual contracts worth around £100,000 combined, have been awarded by Medway CCG to practices that have agreed to provide PEARS. In addition to this the Kent & Medway LOC Company has been awarded a contract to deliver a Glaucoma IOP Repeat Readings service worth a predicted £84,000 by Canterbury and Costal CCG.
Lambeth, Southwark & Lewisham
The Lambeth, Southwark & Lewisham Minor Eye Conditions Service was recommissioned in April to help reduce unnecessary referrals to secondary care in cases where the eye condition can be managed in a primary care setting. Patients can be referred to the service by their GP or walk into participating opticians.
Optometrists can prescribe a range of medications available at number of local participating pharmacies.
The recommissioned scheme is run through individual contracts with practices.