2 Who are the CCG?Responsibility for buying local health services transferred as of 1st April 2013 from Primary Care Trusts to groups of local clinicians known as Clinical Commissioning Groups (CCGs)North East Hampshire and Farnham CCG has been formed to plan the provision of healthcare for the 220,000 people registered at GP practices in Rushmoor, Farnham and parts of east Hart council areasWe have 24 member GP PracticesAnd a budget of £230 million
3 What do we commission?The CCG, with its constituent membership of 24 GP Practices, invests approximately £230m annually in health and care services for this population, including:Planned hospital care – Outpatients, Elective operationsUrgent and emergency care – A&E, non-elective operationsRehabilitation careCommunity health servicesMental health and learning disability services
4 How does this affect you? As well as commissioning Hospital based Ophthalmology services we are also able to commission Local Enhanced Services from Primary Care Contractors such as yourselves … and that’s why we have invited you here today!
5 Local Ophthalmology services We anticipate that by the end of the 2013/2014 financial year our CCG will have spent £4.8 million on Ophthalmology services at Frimley Park Hospital.Ophthalmology is our third most expensive elective (planned) speciality.Ophthalmology service redesign is a key priority for the Planned Care team in 2014/2015
6 What are we spending money on? Type of serviceApproximate costDay cases£1,700,000Telephone appointments£20,000First Outpatient appointments£536,000Follow up Outpatient appointments£1,358,000Outpatient procedures£1,073,000
7 Ophthalmology service redesign Utilisation of primary care Optometric experience and skillsUtilisation of local service contracts and expansion of existing Local Enhanced Services:Wet ARMD referral (Surrey Optometrists)Direct Cataract referral (Surrey Optometrists)IOP referral refinement (Hampshire Optometrists)Redesign in collaboration with the Frimley Park Hospital OphthalmologistsRedesign in collaboration with Guildford and Waverley CCG and Surrey Heath CCGUtilisation of best practice and national guidance
8 What ideas do we have? Scheme How can you be involved? Glaucoma Refinement level 1aMultiple providersGlaucoma Refinement level 1bStable Glaucoma Monitoring*Specialist providers operating through a hub and spoke model in each localityPre-cataract assessment*4 week post-cataract assessment*Primary Eyecare Assessment and Referral scheme* Requires agreement from local Ophthalmologists
10 Next stepsThe LOC will support us in developing service specifications to share with youGlaucoma Refinement due to launch AprilPEARS scheme scoping to commenceStable Glaucoma, pre and post cataract assessment due to launch autumn/winterBy the end of the 2014/2015 financial year we hope to have significantly improved the community based Ophthalmic services available to our patients