News and Secretary's Reports
Key points from the North Yorkshire Local Optical Committee meeting
North Yorkshire Local Optical Committee
West Yorkshire & Harrogate Planned Care Programme
The Planned Care Programme in West Yorkshire and Harrogate includes regions: Calderdale, Wakefield, Leeds, Bradford and Harrogate. They have five projects: diabetic retinopathy, glaucoma, cataract, AMD and children’s services, of which they want each LOC to lead on one of them. They will have meetings for ‘Do Once and Share’ to find a conclusion and then commission this. No one else will have a discussion or say on how it will run.
North Yorkshire LOC secured the AMD project. Interestingly, Bradford and Calderdale areas reported 50% of all suspect Wet AMD referrals are false positives. This is thought to be as patients are referred for new Amsler distortion without other signs.
A meeting of the 5 Chairs is being held on 31stJuly 2019 as there is a query on what is covered by core skills not requiring any additional training verses the governance required to check optometrists maintain these core skills. Sarah Smith offered to attend this meeting on Darryl’s behalf as she also works in Harrogate.
LOC Company (PENYH) Update
The LOC Company is doing well overall, invoicing a healthy income per month.
Lisa Barker has a meeting with East Riding CCG to discuss post op cataract and MECS in the Hull and East Riding areas. (MECS would be new to Hull).
North and North East Lincolnshire are keen to discuss what services are possible.
Bedfordshire’s report for the pilot year created a very positive six-figure cost saving result.
Commissioners are to conduct an audit following information that some stores in Harrogate and Ripon are referring patients directly to NewMedica for cataract surgery rather than referring through the Choice Office. Referral via Choice is to offer patients the choice of where they have surgery which is what the CCG expect in this area. The LOC Company holds a contract with NewMedica but does not endorse this activity.
York MECS and Healthcare Business Solutions (HBS)
The triaging service that used to be available for routine referrals via Choice to the HES are now being sent (from non-MECS accredited Opticians) from the Choice Office to any MECS accredited Optician locally to be seen on MECS first or rejected back to Choice to be sent onto the HES; thus taking more time.
In other parts of the country, some Opticians have been told to pay back huge amounts of money to the NHS for issuing and claiming for small prescription vouchers that were not justified.
NHS audits are conducted online now whereby justification is sort for the reason for NHS claims.
Next LOC meeting
The AGM will be held on Tuesday 22ndOctober 2019 at the Crown Hotel, Boroughbridge. A 6.30pm buffet for 7pm start and then the LOC meeting will follow afterwards.