Clinical Governance

The optometric professional bodies and the LOC encourage practices to undertake clinical governance activity as this is good professional practice.

There is an excellent toolkit ‘Quality in optometry Toolkit’ (QiO) to assist practices achieve the desired objectives for clinical governance activity.

However, unlike the other primary care contractors there is no requirement in the new contract (August 2008) for optometrists to provide evidence of clinical governance activity to NHS England and CCG’s other than information to demonstrate they comply with contractual and legal requirements.

If a practice undertakes to provide enhanced services they may be required to provide clinical governance information but this should be taken into account when the fee for the service is agreed.

The Quality in Optometry Toolkit has been updated to reflect the new GOS contract. Level 1, now reflects the requirements for Contract Monitoring. It contains useful information to enable you to prepare for a Contract Monitoring visit. There is a checklist of areas together with help links and links to further information. Level 2 will enable practices to fulfil requirements for enhanced services. Level 3 covers advanced clinical governance activities for those who wish to use this.

The Quality in Optometry toolkit is a valuable tool for practices and will record clinical governance activity as well as act as source of information.


What’s New?

Thu 01 March 18 | Optometrist Vacancies - Southampton Eye Unit, University Hospital Southampton NHS FT
The Optometry department would like to recruit 2 enthusiastic and motivated Optometrists to join our expanding service.  The posts will involve working within the glaucoma service and eye casualty, under Ophthalmologist supervision, as well as a variety of core optometric roles.  These could include providing paediatric and adult refractions, post-op cataract and corneal cross linking clinics.  Also, low vision assessments and medical contact lens fitting.  Due to the expanding services we are looking at new ways to see patients and run clinics so there will be some work in peripheral clinic settings as well as virtual clinics and occasional Saturday clinics.  This is a fantastic opportunity to work within this regional center of excellence and join an expanding team of 23 Ophthalmologists and 7 Optometrists, Specialist Nurse Practitioners, Orthoptists and support staff.  The posts are permanent, 5 days (37.5 hrs) per week and will include occasional Saturdays.  Previous experience would be beneficial, but full training will be provided.  The successful candidates will be qualified, GOC registered, with a good work ethic and willing to go the extra mile to provide the best service for the patients.   Further details can be found at  http://jobs.uhs.nhs.uk/job/v963508


Fri 23 February 18 | Direct Referrals to Solent Medical Services & University Hospital Southampton
It has been brought to the attention of the Hampshire LOC that practices in the Southampton area are referring Southampton City GP patients to GPs via GOS 18 for further referral to HES when there is no longer a requirement. You are reminded that the NHS Standard Contract for GOS states:
  1. Where the Contractor or an ophthalmic practitioner employed or engaged by it to perform the Contract is of the opinion that a patient whose sight has been tested pursuant to clause 30— 31.1. shows on examination signs of injury, disease or abnormality in the eye or elsewhere which may require medical treatment; or 31.2. is not likely to attain a satisfactory standard of vision notwithstanding the application of corrective lenses, it shall, if appropriate, and with the consent of the patient— 31.3. refer the patient to an ophthalmic hospital, which includes an ophthalmic department of a hospital, 31.4. inform the patient’s doctor or GP practice that it has done so, and 31.5. give the patient a written statement that it has done so, with details of the referral.
Southampton City CCG have re-confirmed that any Southampton City GP patients should be referred directly to the appropriate service whether it is a MECS Practice, Solent Medical Services (SMS) or UHS. Specifically in respect of SMS, they will see Southampton registered patients for:
  • Suspected glaucoma/OHT, with an intra-ocular pressure >21mmHg <35mmHg with normal optic nerve head and visual field
  • Suspected cataract
  • Vitreo-retinal pathology including floaters
  • Ocular surface pathology (including dry eyes and blepharitis and chronic red eye conditions)
  • Insertion of punctual plugs for dry eyes
  • Macular pathology except wet AMD (macular degeneration) conditions - wet AMD patients are to be urgently referred on to UHS
Details on how to refer to SMS are available on the Hampshire LOC website at http://hampshireloc.org.uk/referral-guidelines/
Wed 20 December 17 | Safeguarding Training for Opticians
Dorset and Hampshire Safeguarding Board run a series of safeguarding courses and Primary Care Commissioning Support at NHSE are looking into the courses being run for the primary care contractors.  At present they offer a series of courses that are run during the day.  These courses are topic specific.  The courses cover level 1, Level 2 and level 3.  The course materials will be available on the safeguarding boards website. Can you let Primary Care Commissioning Support (details below) know if you  would be interested in attending safeguarding training and what levels you would be interested in.   When is the best time to hold the training events?  ie a whole day, half day session in either morning or afternoon or evening only.   How much notice would needs need when the training sessions are organised.? Please email your thoughts as soon as possible so that they can look into arranging the training sessions.   Contact details: Helen Wardle Primary Care Commissioning Support  South Region (Wessex) NHS England Oakley Road | Southampton | Hampshire | SO16 4GX Telephone 0113 824 9850 Email Helen.wardle@nhs.net

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Business Manager: Ian Silk (07808) 658143 | Postal Address: c/o Spire Business Solutions, Unit 21, Portway Business Centre, Old Sarum, Salisbury SP4 6QX