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Bsol Cluster LEN

Bsol Cluster LEN. Current position with CCGs. Commissioning eye care services. The sight test will be commissioned by the NHSCB Local enhanced services will transition from PCTs to CCGs or possibly NHSCB LAT CCGs will be commissioning eye care services From NHS trusts From other providers

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Bsol Cluster LEN

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  1. Bsol Cluster LEN Current position with CCGs

  2. Commissioning eye care services • The sight test will be commissioned by the NHSCB • Local enhanced services will transition from PCTs to CCGs or possibly NHSCB LAT • CCGs will be commissioning eye care services • From NHS trusts • From other providers • From optometrists and GPs with special interests • AQPs • QIPP implementation • Diabetic retinopathy screening services will come under the public health LAT Team to National standards

  3. The LEN’s responsibilities will be to effectively engage and support our CCGs so that any pathway redesign work is reflected in their Joint Strategic Needs Assessments (JSNAs) and contributes towards the CCGs achieving their national and local objectives. • Pathway redesign work is time consuming and complex. The redesign work is across primary, secondary and community care with impacts on social care and voluntary organisations. The co-ordination work required to implement and maintain care pathways is considerable. We will need to agree with CCGs the level of support required for this work

  4. The following slides for each CCG show a graphic depicting where secondary care activity is currently commissioned Further information is provided about the identified personnel and current status and work in progress

  5. Current Bsol CCGs • NHS Sandwell and West Birmingham 115 GP practices and 527,800 population • NHS Birmingham South and Central 48 practices and 242,400 population • NHS Solihull 32 practices and 234,200 population • NHS Birmingham Cross City 101 practices and 589,300 population • NHS North East Birmingham 19 practices and 131,400 population

  6. NHS Solihull CCG Clinical lead Dr Arturo Lupoli CCG Manager Sarah Johnson Current LES Cataract Choice; IOPRM Work in Progress input into HoEFT ophthalmology group aiming to reduce workload currently looking at referral triage; transferred/shared care; Option appraisal ready to go to next CCG board for community service provision

  7. NHS Birmingham South and Central CCG Clinical lead to be appointed ad hoc Dr Ash Vora CCG manager Sapna Shannon Director of clinical commissioning Richard Mendelssohn Current LES Cataract choice; IOPRM Work in progress ?cataract referral pathway review lead by UHB? Open to talking about QIPP agenda initiatives

  8. Birmingham Cross city ccg Clinical lead CCG manager Perminder Paul Current LES Cataract Choice; IOPRM Work in progress input into HoEFT ophthalmology group aiming to reduce workload currently looking at referral triage; transferred/shared care; community service provision

  9. North East Birmingham CCG Clinical lead Dr C Broomhead CCG manager Current LES Cataract Choice; IOPRM Work in progress input into HoEFT ophthalmology group aiming to reduce workload currently looking at referral triage; transferred/shared care; community service provision

  10. NHS Sandwell and West Birmingham CCG Clinical lead Dr S Chawla CCG manager Liz Green Current LES Cataract choice, IOPRM Work in progress establishing Tier 1 services in primary and optometry care Tier 2 community ophthalmology services Tier 3 secondary care ophthalmology and specialist services

  11. Key functions • providing regional clinical leadership for domains 1-3 of the NHS Outcomes Framework; • supporting the regional and area teams to provide clinical input to direct commissioning and CCG oversight; • supporting the Medical Director to undertake the statutory Responsible Officer (RO) role in the Region (inc. c8,000 GPs) and for medical staff employed by the regional team; • providing professional and clinical leadership including: • - across the LAT medical director • network; • - establishing, developing and • managing clinical senates and • clinical networks; • - providing and quality assuring • clinical advice; and • - addressing professional • performance issues (responding • to service failure, complaints, • untoward incidents and poor • performance in primary care). • The LEN in collaboration with LAT will be able to provide support and strategic input into the CCG QIPP agenda through the workstreams • Quality of clinical advice to CCGs and LATs will be assured as part of the regional medical director’s responsibilities [see left]

  12. Clearly a need for ongoing conversations once CCG authorisation is completed in the next few months Thankyou

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