Sheffield Local Optometric Committee

Sheffield LOC Meeting 9 September 2007

Present: Alex Gage, Sue Stentiford, Will Walters, Phil Banton, Robert Hughes, Jon Stokes, Ian Van Hoof.

In attendance: Pascale Quercioli

Apologies: Shirley Blundell, Gerry Cowley, Mike Daybell

Minutes of the last meeting
The minutes of the last meeting held on Tuesday 10 July 2007 were accepted as a correct record.

Matters arising
(i)*Children’s Eye Care:* Going into pilot (£50 per visit). Proposed pathway for when children fail their screening at school, which should be on the website. Pilots are taking place in 3 areas and it is a matter of putting it. Alex asked whether the nurses were happy and it is suggested that they had not been very helpful. The wider issue which cannot be resolved at the meeting if that how can one get a more efficient system in the first place. Sue suggested that the David Thompson method could be used and that she will bring the CD. However funding could be an issue.

(ii)*Diabetic Eye Screening:* Will Walters reiterated that the scheme is running well. Next meeting is on 11 October. The letter has been sent out to practices about DESP patients. Chris Branton said that his practice had received a letter from Chris Brand which seemed to accuse the practice of malpractice with out any evidence. Other practices were sent letters too. Robert Hughes commented that there was a complaint received by the Diabetic Eye Screening committee. It was felt that it is also staff at the front desk who are not trained to tell patients. Sue asked whether something could be incorporated in the system for the patient to sign evidencing that they had been given a choice. This should be discussed at the next meeting. It could be also suggested that the publicity for the scheme to the patient is too complicated and that something could do to simplify the information, perhaps using colours and graphic boxes. It is overall felt that there is an issue around staff training.

Alex Cage informed that meeting that he is in the process an NHS account for the LOC which can be accessed anywhere which could be used to forward relevant information of PCT business. To be discussed at the next meeting.

(iii)*Ophthalmology Joint Planning Group:* Alex Gage feels that this committee will not regenerate, but as things are progressing without the meetings. So the meetings are is on hold at the moment.

(iv)*Low Vision Group:* Shirley contacted the RSIB regarding referral work. Their response is that as they are very well resourced and do not want to open the floodgate. If there is a problem, we should ring them for help.Sue reported the numbers of people registered as bind is dropping and the people who are blind are not necessarily registered often because the consultants hare other things on their mind. This is a real problem and therefore the resources are therefore dropping. The question is a registered LVG practitioner is not able to register somebody blind at present. It is simply an administrative thing and the fact that historically consultants were supposed to register them.

(v)*Primary Care Trust:* Alex is no longer on the committee until the end of July and it is difficult to keep in touch and informed. A list should be put on the website of all new contacts at the PCT (Action????) Alex suggested there should be a link between the website and the PCT. Alex commented that the meeting with J Sobieraj was informative on both parts and that he had thanked Jan S by letter for attending.

(vi)*Website:* The fax number for the …… Referral was incorrect and has been corrected.

(vii)*Cataract Triage:* The thought is that two people are required to sift. A procedure must be instigated to share out the burden of work to make sure what we take on board is simple. Sue commented that this should be a paper protocol which could be picked up by e-learning. J Stokes asked if a lot of GPs were happy with this. As long as the protocol reduces their workload, it appears so.

1. NOC conference 25 & 26 October in Kenilworth: Sue asked whether committee members were attending. Sue explained that the LOC pays for members to attend the conference and overnight accommodation. People should book themselves and let the others know if they are going.
2. Sue showed a draft of universal referral form she obtained from a colleague in Wales. It is hoped that a Sheffield universal referral form could be devised on the model of the GS18 form, because there are so many different forms currently available.

Any Other Business
1. Sue stated that she felt there should be some clinical audit work taking place overall to prove that optometrists were following the correct procedure in all areas of NHS related work for the PCT. 2. The meeting was asked what they thought about diabetes screening being operated from a van in the community. Alex Cage to mention it at the next meeting, as it could take the pressure off for practices who see more diabetes patients that they want. A pilot scheme could be suggested for perhaps the over 60s.
3. David Shepherd’s practice had been taken over by Chris Carter (a DO) and Helen (?). Alex suggested that they should be offered the opportunity to join the committee once they have settled into the practice. Alex to invite them. Alex will also let them know about the protocol in place in Sheffield and about the website.
4. Jan Stokes to do a presentation to his staff about the GS18 form and will stress that there should always the optometrist name. There is a box for the name of the optometrist and that one could not reply to the referral unless there was a clear name.

Date for next meeting:

Tuesday 16 October,
Beauchief Hotel
Abbeydale Road at 7.30pm

Meeting closed at 9.30

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