1. Specialist Nursing Roles 28 th March 2012 Justin O’Neill MPhil, BSc, Dip HE, RN

2. ICATS Ophthalmology Integrated Clinical Assessment and Treatment Service 1 GP with a Specialist Interest 1.5 Ophthalmology Nurse Specialists

3. 2 Sites

4. Ophthalmology Nurse Specialists - Optimising cost effectiveness - Improve the patient’s experience - Maximising benefits to patients

5. Nurse led eye clinics Non-urgent cases: -Cataracts -Glaucoma -Diabetes -Inflammatory eye disease -Age-related eye diseases -Hereditary eye disease

6. Total Number of patients seen by Ophthalmology Nurse Specialist 2011-2012 New

7. Audit Post Cataract Surgery Audit (In progress) -Visual Acuity -Target Refraction -Refractive surprise Patient Satisfaction Survey -Location -Speed of Attention -Explanation of procedures -Confidence instilled.

8. Satisfaction survey 2008-2009 Patients comments and Suggestions Can you suggest any improvements that would improve the service? -Can't suggest any improvement to this service as it is already excellent. -The service I received was excellent. -I was happy with the overall service and can't think of any way of improving it. -Staff were pleasant and explained everything. -The nursing staff couldn’t have been better. Really good, knew their jobs and carried them out well. -Every aspect of my appointment and treatment was excellent and very importantly at my age of 83 it was just 5 miles from my home -More comfortable chairs especially for older people. Would you be happy to attend the Ophthalmology ICATS Clinic for future routine eye appointments? Yesn=94(100%)

9. Conclusion As the aging population continues to grow –age related eye diseases will increase. More demands on existing services. In Ophthalmology Specialist Nurses will continue to be an effective and efficient way of providing quality care.

10. Questions?