Attachment 2

Draft Minutes of Vision UK Ophthalmic Public Health Committee

6 December 2017, 12:00 – 15:00

New Council Room, 4th Floor, The Royal College of Ophthalmologists, 18 Stephenson Way, London, NW1 2HD

Present:

PDParul Desai (Chair), The Royal College of Ophthalmologists

CBCatey Bunce, Certificate of Visual Impairment Committee

DSDarren Shickle, Faculty of Public Health

DPDavid Parkins, The College of Optometrists– teleconf

JPJanet Pooley,Optometry at NHS Education for Scotland –teleconf

JBJohn Buchan, The Royal College of Ophthalmologists (delegating for Jugnoo Rahi) (arrived 12:55)

MBrMatt Broom, Vision UK

ODOlivier Denève, The College of Optometrists

PBPeter Black, Optical Confederation (delegating for David Hewlett)

RCRaymond Curran, Integrated Care Health and Social Care Board, Northern Ireland – teleconf (left 13:50)

RKRichard Knight, Local Optical Committee Support Unit (LOCSU)

RWRichard Wormald, The Royal College of Ophthalmologists

RMcRowena McNamara, British and Irish Orthoptic Society (BIOS) (delegating for Jignasa Mehta)

In Attendance:

CLChristopher Leak, Moorfields Eye Hospital (observer)

KVKeith Valentine, Vision UK (arrived 12:35 and left 14:45)

TKTayyaba Kamal (Secretary), Vision UK

Apologies:

David O’Sullivan, Directorate of Health Policy / Welsh Government

Jignasa Mehta, British and Irish Orthoptic Society (BIOS) (Rowena McNamara delegating)

Jugnoo Rahi, The Royal College of Ophthalmologists (John Buchan delegating)

Veronica Greenwood, British and Irish Orthoptic Society (BIOS)

1.Welcome and apologies for absence (PD)

  • All were welcomed to the meetingand introductions were given.
  • Apologies were received.

2.Declarations of interest (PD)

  • There were no declarations of interest.

3.Notification of any other business (PD)

  • There were fournotifications of any other business:

i)Vision UK / Future of committees from KV

ii)Certificate of Vision Impairment from CB

iii)London Assembly from PD

iv)Thanks to The Royal College of Ophthalmologists from PD

4.Minutes of the last meeting, 13 September 2017 (PD)

  • Page 6, first bullet point for item (d) Question 5 ‘sight test’ should be changed to ‘eye examination’.
  • (Post note meeting: Page 4 and 5, item (a) Questions (1), (3) and (5) – JB highlighted question (2) is different to questions (1) and (5) as it is a health economics question. Answering this question could be useful for advocacy, i.e. How much resource should be directed towards preventing the preventable component of sight loss? Comment to be added minutes as post meeting note.)
  • The minutes were otherwise approved.

Actions:

4.1TK:Amend minutes and circulate to all.

5.Matters arising

  • Item 6.1.1 from 13 September 2017, Public health priorities for eye health, Beyond 2020 research questions – Feedback these priorities to Keith Valentine, CEO of Vision UK. Meeting is due in December.
  • Item 6.2.3 from 13 September 2017, Public health priorities for eye health, Portfolio of indicators – Add portfolio to feedback on priorities to Keith Valentine. Meeting is due in December.
  • All other actions were either covered on the agenda or complete.

5.1Information currently collected on optometric services (RK) (Attachment 4)

  • This paper was received. It related to data collected on commissioned optometric services. Data from practices using the Optomanager software is returned and reposited in the Data Warehouse. It currently provides 4 core report suites as presented in the paper.
  • There was a discussion around considering reporting on data quality: coverage, accuracy,identifying and handling missing data etc.;and embedding this at this early stage, to demonstrate robustness of the data.
  • The value of satisfaction data was discussed together with the challenges and the approaches for collecting it.
  • The resource was welcomed by the OPHC as addressing a gap in the quality of optometric services as they expand in scope.

5.2Updated on Optometry Quality Assurance Scotland (JP) (Attachment 5)

  • This paper was received.
  • The Scottish Data Warehouse is pending. Its aim is to provide feedback and information about a professional’s practice, using routine data sources fed back to the practitioner.
  • JP was congratulated on the comprehensive approach which includes competency assurance, CPD and audit.
  • Capturing patient satisfaction is being considered and an appropriate method being developed.

6.Portfolio of indicators (All)(Attachment 6)

  • PD’s review and revised draft of the Portfolio of Indicators (Attachment 6)was received and discussed.
  • The recommendations for amending or retiring existing indicators were agreed; as were the recommendations for new indicators.
  • For the Consultation, the Indicators will be presented to align to the steps in a patient's care pathway; rather than the traditional health sector settings.
  • The devolved nation-specific perspectives would be added as these are agreed within the respective nations (after the consultation).
  • The need to ensure the visibility and “ownership”of the Portfolio was raised. Access to it is opaque on all member organisation websites as well as on the VisionUK website. Without this visibility it is not accessible, and it is not used.

6.1Additional categories of indicators

  • No suggestions were received.

6.2Specific new indicators

  • The recommendations in revised Draft were agreed, but the following from the discussions are noted:
  • % generic PGA prescribing – this would involve both Trust and primary care (GP) prescribing which are available, but may be challenging to access. NICE had identified this recommendation as one that could mitigate against the likely costs for implementing the Glaucoma Guideline. Feedback from the consultation would highlight issues with access to relevant data sources.
  • Commissioning Referral, Monitoring,and Post-op Pathways– these relate to processes that need to be specifically commissioned in order to enable practice to meet NICE recommendations.e.g. the post-op Cataract pathway should facilitate data returns to the National Ophthalmic Database for the National Cataract Audit.
  • Post meeting correspondence on Post-op Cataract Pathway (JB and PD)– concerns around the implied effectiveness in a community setting by NICE Guideline and thereby its inclusion in Portfolio. But as above, this indicator has a wide scope and aims to ensure that all the recommendations for this pathway are met. An acknowledgement to the number of models operating in practice should be reflected in the final draft for consultation.
  • Registration of Blind and Partially Sighted– to complement CVI audit data and PHOF Indicator (Broad Indicators).
  • There were two suggestions for specific new indicators which whilst important were not taken forward:
  • Vision assessment (not screening) for children with special needs in special school– difficulties incapturing this group as they may not all attend special schools. DP –an alternative approach may arise from the outputs of the GOS Working Group
  • Vision assessment in falls pathways– uncertainties around data source for the relevant information.

6.3Indicators to be amended

  • recommendations in revised Draft agreed.

6.4Indicators to be retired

  • recommendations in revised Draft agreed.

6.5Underlying evidence base / policy for indicators

  • Nil to add.

Actions:

6.1PD / All:PD to update Portfolio and circulate to all for comments.

6.2All:Send suggestions to PD on who to include in consultation on Portfolio and ideas for dissemination.

7.Implications of NICE guidelines (All) (Attachment 7)

  • Clinical Council for Eye Health Commissioning NICE Guideline Implementation Template was received.
  • MBr informed NICE’s Quality Standards Advisory Committee are recruiting members. MBr offered to circulate information for those interested (see attachment item 7).

Actions:

7.1MBr:Circulate information on becoming member of NICE Advisory Committee.

8.LOCSU ‘healthy practices’ – making every contact count (RK) (Attachment 4)

  • A report from RK was received.
  • This approach is being rolled out across Greater Manchester as part of the wider redesign of health services.
  • RM –BIOS also taking this approach and providing information materials accordingly.

9.Work plan

  • PD requested suggestions for items to be included on the work plan be sent to her.
  • DS proposed development of a public health strategy.

Actions:

9.1All:All to send PD suggestions for items to be included on the work plan.

10.Any other business

10.1Vision UK / Future of committee (KV)

  • KV explained Vision UK do not have the resources of UK Vision Strategy or England Vision Strategy.
  • Vision UK is currently in the process of setting priorities for the new financial year commencing April 2018.
  • We need to ensure the committees work efficiently as Vision UK is small, smart and useful.
  • PD highlighted that for most members, their term of office is coming to an end and not many members can be replaced.
  • PD requested any comments about the future of the committee or its membership to be sent to her.

Actions:

10.1(a)All:Send PD comments about membership as most members term of office is ending and not many can be replaced.

10.2Certificate of Vision Impairment (CB)

  • CB informed the Certificate of Vision Impairment (CVI) data for 2016/17 is locked so is not yet ready for analysis.
  • There has been a good uptake of data being entered from the new CVIs.
  • There are two publications in the BMJ open about children and CVIs due to stroke which shows a small but significant increase.
  • CB offered to send the notes from the CVI group meeting.

Actions:

10.2(a)CB:Circulate notes from CVI group. (See attachment item 10.3.)

10.3 London Assembly Report on Eye Health – (PD)

  • This report was published on 5 December 2017. The Royal College of Ophthalmologists hosted the London Assembly for the its launch.
  • The report calls for a strategic London-wide approach for planning and provision of eye health services and care; integration of eye health into broader public health activities; recognition of challenges for mental and physical health and well being, employment, mobility, social inclusion for people with sight impairment/ sight loss.
  • PD, DP, HL, KV – gave evidence to the Health Committee prior to the development of this report.

10.4 Thanks to The Royal College of Ophthalmologists (PD)

  • PD informed future meetings will not be held at The Royal College of Ophthalmologists as they will now be charging for room hire.
  • PD thanked The Royal College of Ophthalmologists for all their generous hospitality over the years.

Date of next meeting

  • 13March 2018, 11:30 – 14:00 (Note: meeting time changed from 12:00 to 15:00) at Pocklington Hub, 4th Floor, Entrance D, Tavistock House South, BMA House, Tavistock Square, London, WC1H 9LG (closest station Euston) –

Summary of Actions Table

Item / Date / Action / Member
4.1
(06/12/17) / Amend minutes and circulate to all. / TK
6.1.1
(13/09/17) / Matters Arising
Public health priorities for eye health, Beyond 2020 research questions
Feedback these priorities to Keith Valentine, CEO of Vision UK. / PD
6.2.3
(13/09/17) / Public health priorities for eye health, Portfolio of indicators
Add portfolio to feedback on priorities to Keith Valentine. / PD
6.1
(06/12/17) / Portfolio of indicators
PD to update Portfolio and circulate to all for comments. / PD / All
6.2
(06/12/17) / Send suggestions to PD on who to include in consultation on Portfolio and ideas for dissemination. / All
7.1
(06/12/17) / Implications of NICE guidelines
Circulate information on becoming member of NICE Advisory Committee. / MBr
9.1
(06/12/17) / Work plan
All to send PD suggestions for items to be included on the work plan. / All
10.1
(06/12/17) / Any other business
10.1Vision UK / Future of committee
Comments to PD on the future of the committee and its membership. / All
10.2(a)
(06/12/17) / 10.2 Certificate of Vision Impairment
Circulate notes from CVI group. (See attachment item 10.3.) / CB

1