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Statement by the Optical Confederation and the College of Optometrists

Guidance on record keeping

The Optical Confederation has received a number of enquiries about guidance issued by some NHS regions and LOCs regarding record keeping. While we understand and share the desire to improve standards, this is not, in our opinion, the way to achieve improvement. Any local guidance should simply direct people towards the comprehensive guidance that is already issued by the College of Optometrists alongside guidance issued by ABDO, AOP and FODO.

Local variations and additions to existing, national guidance can lead to confusion over the required standards, and potentially to errors. A particular concern is that local guidance may be misrepresented as the peer standard, which could have implications for any issues referred to the GOC or civil proceedings. 

The Optical Confederation and the College of Optometrists agree that local record keeping advice that goes beyond directing people to the existing guidance issued by national bodies should be avoided. 

Professional Duty of Candour - new FODO CET packs available for members


Following on from our successful workshop at Optrafair earlier this year, we are delighted to now make available this new peer discussion CET pack on the Professional Duty of Candour, which has been approved for 3 GOC CET credits for both optometrists and dispensing opticians. 

This training will enable participants to explore the implications of the Professional Duty of Candour for optical professionals on day-to-day practice, focusing on regulation and guidance, managing and communicating with patients when things have gone wrong, and record keeping. Discussions are based around four scenarios covering different aspects of candour. 

The new packs include the following resources:

  • Professional Duty of Candour at a Glance
  • Briefing Sheet and Instructions for Facilitators
  • Scenarios
  • Notes for Participants
  • Sign in Sheet
  • Reflection and Learning Sheet – Facilitator & Participants
  • Participant Feedback Sheet

These packs are available to FODO members by contacting Rajan at Rajan@fodo.com for myGOC log-in details. You should also contact Rajan if you want any further information about FODO CET. 

Vouchers at a Glance 2018 - Updated June 2018 Edition


FODO, on behalf of the Optical Confederation, has published an updated edition of 'Vouchers at a Glance'. 

The earlier April 2018 edition provided the recommended minimum sight test intervals for people with diabetes, as given in the College of Optometrists’ guidance. This differs slightly from the intervals agreed with NHS England and has caused some confusion as a result.

The reissued June 2018 edition reflects the NHS England memorandum of understanding. In addition, a note has been added to clarify the position for Northern Ireland.

We hope you find this new version a useful reference guide, and would like to apologise for any confusion caused.  

To download the updated June 2018 edition of Vouchers at a Glance, click here


More high street eye services will reduce avoidable blindness


The Optical Confederation, of which FODO is an active member, today called on health chiefs to take to take immediate action to end delays and reduce avoidable sight loss.

This echoed the call made today by the All-Party Parliamentary Group (APPG) on Eye Health and Visual Impairment for urgent action following its report into capacity. Moving non-emergency services into high-street optical practices could solve the crisis, the Optical Confederation (OC) insists.

OC Chair, Fiona Anderson, said: “All eye experts are agreed this is an avoidable crisis and that the current eye health system is failing patients on grand scale. All that is needed is positive leadership and decisive action to end this appointment lottery.

“Moving routine and non-emergency eye health services into optical practices will allow the hospital sector to concentrate on the most urgent and complex cases and reduce avoidable sight loss.”

The APPG's report follows its inquiry into capacity issues in eye care, and the findings are being launched at a Parliamentary reception for MPs today. The inquiry and its calls for urgent action are also being supported by key organisations including Royal National Institute of Blind People (RNIB) and the Royal College of Ophthalmologists. The inquiry received evidence from 557 patients and 111 organisations.

For the full Optical Confederation press release, including details of the findings of the report and the Optical Confederation's written submission to the APPG inquiry, click here.

NHS England pilot new post payment verification system

 

The Optical Confederation, of which FODO is an active member, is working with NHS England and the NHS Business Services Authority (NHSBSA) to develop a new method of post payment verification (PPV) of GOS claims.

NHS England and the NHSBSA are piloting this new PPV method in Wessex, West Yorkshire and Harrogate, to gain a better understanding of the level of errors made in claims and provide assurance to NHS England that contractor claims are appropriate.

For the full Optical Confederation statement, as well as links to guidance on the PPV pilot schemes, click here

FODO Chair Lynda Oliver re-elected for second three-year term

 


FODO Chair Lynda Oliver (Outside Clinic) was unanimously re-elected for a further three years at the FODO Annual General Meeting in London today.

Paul Carroll (Specsavers Optical Group); Stephen Hannan (Optical Express); William Stockdale (Optimise); and Giles Smith (Haines & Smith Opticians) were also re-elected as Directors, having stood again after having stood down on rotation.

Sarah Joyce (ASDA) and Stuart Burdett (Vision Express) also joined the Directors Board, filling vacancies following the resignation of Omar Hassan (Vision Express) and retirement of Eddie Watson (Boots). All Directors were elected for a period of three years.

At the AGM, Lynda Oliver formally launched the FODO Annual Review 2017/18 during her Chair’s address, a full transcript of which can be seen here

Optical Confederation wholeheartedly endorses NAO report conclusions showing unacceptable Capita and NHS England service to primary care practitioners

 

The Optical Confederation 'wholeheartedly endorses the conclusion of an NAO report published today (17 May) that the service to primary care practitioners from Capita and NHS England has fallen a long way below an acceptable standard'. As an active member of the Optical Confederation, FODO strongly supports this position. 

The report found that ‘NHS England did not know enough about the services it inherited to set achievable service specifications and performance standards from the start of the contract.' There were also a lack of appropriate performance measures – for example, simply measuring if payments were made on time but not if they were accurate.

The NAO called on NHS England to determine whether all current services within the PCSE contract are best delivered through that contract or whether some should be taken in-house by NHS England, and to consider the operational readiness of each service before agreeing to the implementation of any further transformation change.

Optical Confederation Chair Fiona Anderson said: “As the NAO points out, value for money is not just about cost reduction. Yet these poorly managed changes have been driven by the desire for savings, not the need to improve primary care services. The report highlights that the optical payments service is still unreliable. Indeed, once again this month payments due are being delayed to hard working practitioners struggling to provide essential and sight saving NHS care.

“It is only to be hoped that the Public Accounts Committee will pick this up to ensure that lessons are learned, that the sector will be listened to this time, and that we can now work jointly to deliver the much-needed modernisation of the GOS system, with properly agreed plans, timescales and support for the NHS front-line.     

“NHS England, Capita and more importantly patients cannot afford another fiasco on this scale.”

To read the Optical Confederation's full statement, click here. The NAO report, 'NHS England’s management of the primary care support services contract with Capita' can be found here

 

 

 

 

Data Protection Bill and GDPR

 

The General Data Protection Regulation (GDPR) will come into force on 25 May. The Data Protection Bill, which is still going through Parliament, updates data protection laws in the UK and supplements the GDPR.

Overview of concerns

The Optical Confederation, of which FODO is an active member, and other bodies representing primary care providers have serious concerns that the Bill, as currently drafted, defines all primary care providers as ‘public authorities’, which will require them to appoint a statutory Data Protection Officer (DPO) purely on that basis.

The GDPR itself only requires an organisation to appoint a DPO if it is a genuine public authority, or processes sensitive data, such as healthcare data, “on a large scale”. This requirement was not intended to capture primary care providers as a matter of course, and in the case of providers that don’t process data on a large scale, is simply not needed.

Amendment

Liberal Democrat MP Christine Jardine has tabled an amendment which, if passed, would exempt primary care providers from the Bill’s definition of ‘public authorities’, and therefore the blanket requirement to appoint a DPO. This has been supported by Labour MP Julie Cooper. Larger primary care providers that process sensitive patient data on a large scale will be required to appoint a DPO under the GDPR, regardless of the Bill, and this amendment will not change that.The amendment is due to be considered as the Bill goes to report stage on 9 May.

Tweet your MP

We are calling on members to help build support for the amendment by tweeting the following and tagging your MP in the tweet:

‘[.tag name] I am a constituent and I’m calling on you to support amendment 19 to the #DataProtectionBill , to prevent small primary care providers from the unnecessary requirement to appoint a DPO. A briefing with further information can be found here: https://tinyurl.com/y7qzh8sr

Key points to note:

  • You can find out or confirm who your MP is by entering your postcode on the Parliament website.
  • It is important to include the full stop before the MP’s twitter handle, to enable others to see the tweet.
  • The tweet includes a link to a briefing with further information, which can be found here.

The full text of the Bill can be found here: https://publications.parliament.uk/pa/bills/cbill/2017-2019/0190/18190.pdf

Amendment 19

Clause 7, page 5, line 24, at end insert—

“(1A) A primary care service provider is not a “public authority” or “public body” for the purposes of the GDPR merely by virtue of the fact it is defined as a public authority by either—

(a) any of paragraphs 43A to 45A or paragraph 51 of Schedule 1 to the Freedom of Information Act 2000, or

(b) any of paragraphs 33 to 35 of Schedule 1 to the Freedom of Information (Scotland) Act 2002 (asp 13).”

Annual Strategy Meeting 2018 - FODO commits to expanding primary eye care, integrating ophthalmic services and pushing for lower VAT on optical goods

 

FODO looks ahead with confidence and energy, committing to more primary eye care, integrating ophthalmic services across boundaries to meet public needs and push for lower VAT on optical goods to help patients.

At its annual strategy meeting, 23-24 April 2018, the FODO Group Board and industry leaders met to review eye health needs and to plan how FODO will support its members expand primary and community services to meet growing demand for high-quality eye health services both within and outside hospitals.

The event was launched with a review of the growing application of artificial intelligence in eye care, led by Professor James Wolffsohn of Aston University, followed by forensic analysis of the operating environments and trends for eye health both within and outside the NHS, in the Irish health service and across sensory impairment. 

To view a full summary of the discussion points, click here

Department of Health freezes GOS fees for third consecutive year

 

The Government has announced today that it is freezing GOS fees for the third year running. This comes as extremely disappointing news for the optical sector, particularly in light of the more generous offers being seen recently in other areas of NHS health provision.  

The Optometric and Fees Negotiation Committee (OFNC), for which FODO provides the secretariat, has issued a press release in response to the news, which can be read here. In it, the OFNC calls the announcement “completely unacceptable” for the profession amid rising costs of running optical practices, and makes clear that the so-called ‘negotiated settlement’ amounts to a real terms cut to a key public service.

Speaking in her role as OFNC secretary, FODO Director of Policy and Strategy Ann Blackmore also criticised the lack of funding for IT connectivity:

“OFNC have stressed the urgent need for the Department and NHS England to find funding for IT connectivity in the coming year. The short-sighted rejection of previous bids and lack of risk assessment means that patients’ eyesight is at risk from the withdrawal of fax machines for urgent referrals. NHS Mail will be a temporary fix but the NHS drive to be paperless means the problem will return in spades unless there is investment in the optical sector.” – Ann Blackmore

For more information or advice, please contact Ann@fodo.com or call 020 7298 5156.

Spring Statement - FODO welcomes Government commitment to tackle 'scourge' of late payments


Tuesday, 13 March 2018

Responding to this afternoon’s Spring Statement by Chancellor of the Exchequer Philip Hammond, Federation of (Ophthalmic and Dispensing) Opticians (FODO) Chief Executive David Hewlett, said:

“Growth in the economy is always welcome news for health care.  We also welcome the Chancellor’s promise to eliminate the ‘scourge’ of late payments. Let us hope this also applies to the NHS, where the catastrophic failure by NHS England and Capita to deliver NHS optical payments has had serious consequences for our members and needs to be addressed by the Government with the utmost urgency.”

In January earlier this year, FODO co-signed an Optical Confederation letter to NHS England, calling for urgent action to address these failings to fulfil contractual obligations. For more information, click here.

David Hewlett added: “Other changes announced in the Spring Statement, including the frequency of business rate valuations and the funding of apprenticeships for small businesses, will also affect FODO members.  We will be studying these proposals closely and advising our members accordingly later in the week.”

[ENDS]

FODO CET Sessions at Optrafair





FODO is running three CET sessions at this year’s Optrafair (14-16 April) in Birmingham, where also be exhibiting.

These are shown below: 

The Duty of Candour and How to Apply it in Routine Practice Saturday
 

Saturday 14 April, 11.45 – 12.45 PEER DISCUSSION 
Leader: Richard Edwards 

Details: Following publication of the GOC Standards in 2016, the profile around the Duty of Candour has risen. Understanding what this means for optometry and how to comply with the changes is key. Supporting the launch of FODO’s easy reference guide ‘Candour at a Balance’, in this interactive peer discussion, Richard Edwards uses case studies to explore key discussion points, encouraging delegates to think about and test how they meet new regulator expectations.

Information Governance and Management 
Saturday 14 April, 15.30 – 16.30 DISCUSSION WORKSHOP 
Leader: Bhavina Patel 

Details: Data protection rules are changing at a rapid pace, with real implications for optometry. Under new regulations, expectations regarding information governance have risen dramatically.  In this discussion workshop, Bhavina Patel uses case scenarios to allow delegates the opportunity to discuss the effect of the changes amongst peers and to find out whether they are compliant with the changes. Learn what all the fuss is about and pick up some tips along the way.

Consent in Routine Practice 
Sunday 15 April, 10.30 - 11.30 PEER DISCUSSION 
Leader: Richard Edwards 

Details: Following publication of the GOC Standards in 2016, the profile around the Duty of Candour has risen. Understanding what this means for optometry and how to comply with the changes is key. Supporting the launch of FODO’s easy reference guide ‘Consent at a Balance’, in this interactive peer discussion, Richard Edwards uses case studies to explore key discussion points, encouraging delegates to think about how they meet new regulator expectations.

All of the sessions are worth 3 CET points and will be held at the ABDO CET theatre (B40). 

Please note: There is no registration, with places being allocated on a first-come, first-served basis. We do hope to see as many FODO members as possible at these events. 

OFNC seeking NHS eReferral grant for optical practices

 

  

The Optometric Fees Negotiating Committee (OFNC) has been in negotiations with NHS England to secure funding to provide IT connectivity between optical practices in England and the rest of the NHS.  It had been hoped that this could come from an underspend elsewhere in primary care which has been widely reported in the media.  Unfortunately at the last minute this proved not to be possible. 

Trevor Warburton, OFNC Chair, said:  "It is extremely disappointing that we have not been able to secure funding to connect optical practices with the NHS this year. However, NHS England do now seem to accept that investment in this area is needed, which is progress, and have committed to continue working with us on this in 2018-19, although no budget has yet been allocated. It is essential that NHS England do now work with us to deliver on this long overdue modernisation."

Ann Blackmore, OFNC Secretary added: “NHS England have confirmed that the requirement for all primary care referrals to be electronic from October will not apply to optical practices. Nevertheless, however we look at it, this change is likely to result in  more work for some practices and GPs which could have been avoided Looking ahead  our shared aim with NHS England must be to develop a simple and straightforward system of IT connectivity as soon as possible and we will continue to press NHS England hard on this.

ENDS
 

Notes to editors:

  1. The Optometric Fees Negotiating Committee (OFNC) is the community eye health equivalent of the BMA’s and BDA’s General Practice Committees and community pharmacist’s pharmaceutical services negotiating committee (PSNC). It is the recognised negotiating body for fees for the professions. Its members include the ABDO, the AOP, the BMA, and FODO.
  2. The Chair and secretariat to the OFNC are provided by AOP and FODO.
  3. The current membership of OFNC is Trevor Warburton (Optometrist, AOP – Chair OFNC), Henrietta Alderman (AOP CEO), Richard Edwards (Optometrist, FODO), Claire Slade (Optometrist, FODO), Gordon Ilett (AOP), Ian White (Optometrist AOP), Simon Longstaff (OMP BMA), Kim Fowler (BMA), Professor Nagasumbramanian (OMP BMA), Sir Anthony Garrett (CEO ABDO), David Hewlett (CEO FODO). Secretary: Ann Blackmore (FODO).
  4. Further information can be obtained from the secretary at Ann@fodo.com or on 020 7298 5156.

Short Interview with new BCLA President Keith Tempany

 

[Pictured: Keith Tempany] 

FODO’s James Turner spoke recently to Keith Tempany about his priorities as the new BCLA President after the organisation recently moved into its new home at Gloucester Terrace, joining FODO, the FMO and ABDO. Here’s what Keith had to say…

James: “Hello Keith and a warm welcome from FODO members - many of whom already know you as a pioneering and highly-respected member of the optical community.  

“You gave an inspiring call to action in your presidential address on 21 September 2017. Could you set out the main issues you discussed again for FODO members?”

Keith: “Sure. There have been a number of revolutionary moments affecting the contact lens world over the last 40 years, and I believe the next of these will be centred around myopia control. This is currently a huge ticking time bomb for public health that very few people are aware of. What’s more, the idea that there is a so-called ‘safe myopia’ has been blown out of the water by Ian Flitcroft’s *paper on the aetiology of the condition. It’s now clear that even low-level myopia carries health risks and we have to understand that the more myopic people become, the greater the risk of sight-threatening effects.

“Timing is everything in tackling this challenge and we should be looking to step in with treatment from a younger age than we are currently. This means having conversations with young parents, especially where one or two of them are myopic themselves. For these individuals, we should be making sure we see their children at six months, whether or not they are not showing signs of short-sightedness.

“Even for parents with no history of myopia, we really should be seeing their children before they start school, as those between the ages of six and seven who present with a less plus prescription than they should have are at greater risk of developing myopia further down the line. Studies have shown that it is the year of two before becoming myopic that the eye changes shape the quickest. In cases where a child does become myopic, we need to be proactive, as most of the damage is done between the ages of 6-13. After then it can be too late. Despite an awareness of myopia and the risks, actions are being taken too late. We need to be more on the ball. If we in the optical community don’t believe all of the research on myopia, we at least need to have the conversation.

“What’s clear is that myopia is too massive a problem for one organisation to solve. And so, optical bodies need to come together to educate the public and to provide a unified voice and a unified strategy. We all have a duty of care, and myopia control is part of this. Although we still don’t know very much about myopia, we know far too much to sit back and do nothing. It hasn’t reached the public in a big way yet, but it will”

James: “What is your view of the contact lens sector – what does it do well, and how can it be better?

Keith: “The industry-led education in the sector is excellent and the BCLA is a big part of this.  However, as a sector, we need to be comfortable talking to patients after eye examinations and offering them all possible options, including contact lenses. Contact lenses can be life-changing. We hear it so many times from many individuals, but it’s worth remembering. 

“We also need to get more comfortable fitting children with contact lenses. Even for an adult, a contact lens fitting might seem like a daunting prospect, so it’s no surprise that children may feel apprehensive. To serve children effectively, the fitting needs to be a continuation of care based on trust. For instance, it’s really helpful before starting out with any treatment, to get a good understanding of the child’s individual likes and dislikes and to tailor the first session with a child accordingly. If you get a lens on the eye that’s a bonus, but it’s really just about building a rapport with the child at that stage, and most importantly, establishing trust.

“To do this, it helps to speak to children not from up high, but at their eye level and to use short sentences and phrases. This is a communication skills challenge, especially given that it’s also part of an ongoing conversation between the optician and the parent, as well as the child. The patient is the priority, of course, and we want them to feel able to ask questions and not feel intimidated.  An example we’ve seen of making it fun for children is in using dyes. Instead of just telling a child that you’re going to put dye in their eye, which can understandably make them nervous, you can instead tell them that you’re going to use drops that they won’t feel to give them yellow dragon eyes for a few minutes. It’s just one example, but I’ve seen it done myself, and children love it. This sort of approach really helps to break the ice.

“When it comes to talking to parents, the approach is obviously slightly different, and there’s a fine balance between making them aware of risks and yet not overly scaring them - we can explain about the risk of vision loss without the need to show lots of nasty pictures, for example. Fitting lenses is not difficult. What is a challenge is the communication process.”

James: “Is the Opticians Act (as amended 12 years ago) still fit for purpose?”

Keith: “When it was written, the optical marketplace was totally different from how it is now. The scope of eye care professionals has changed a great deal since then and will continue to change in the near future. A review is absolutely necessary, and any new Act should be future-proofed in order to protect patient safety in years to come. It would also need to promote fairness in the industry to ensure that no grey areas could be exploited.” 

James: “What are the current priorities for the BCLA and your presidency?”

Keith: “It’s funny, I never thought I would be President. When I first joined the BCLA Council almost ten years ago, I was really pleased just to be able to give something back to a profession that I loved, and I feel the same way now. And so, I don’t want to just turn up and chair meetings, I really want to see real change take shape during my tenure. For me that chiefly concerns the control of myopia. By the end of my time here, I want the issue to be out there in the public domain and also for the optical profession to be raised up a notch or two in the public consciousness.

Dry Eye Disease is also really important for the BCLA. In fact we have recently completed a dry eye accreditation and will be doing the same for myopia management this year, so I would really encourage practitioners to get up to speed on the subject - not just contact lenses but also the anterior surface.”

James -“Finally, if you have one message for FODO members, what would it be?”

Keith: “Join the BCLA! Come to our conference, keep up to date with the anterior surface and contact lenses and let us help you grow your business!” 

FODO would like to thank Keith Tempany and the BCLA for this interview and wish Keith every success for his Presidency and with the myopia campaign.

For more information, contact James Turner james@fodo.com, or Cheryl Donnelly CherylDonnelly@bcla.org.uk .

*Ian Flitcroft’s paper, entitled ‘The complex interactions of retinal, optical and environmental factors in myopia aetiology’ can be found here: https://www.ncbi.nlm.nih.gov/pubmed/22772022

Optical Confederation and LOCSU response to Capita profit warning

 

The Optical Confederation, of which FODO is an active member, and LOCSU has said the Government and NHS England “must prepare to step in” if Capita continues to let down NHS primary care contractors.  This follows Capita’s profit warning and share price drop on 31 January 2018.

Optical Confederation Chair, Fiona Anderson said: “Our members have already been suffering for two years because of Capita’s failure to deliver a primary care support service in England. We wrote to Simon Stevens only last week to set out our members’ continuing anger and frustration at Capita’s failure to improve and our complete lack of confidence in Capita. We said then that unless things turn around immediately, the time has come for NHS England to find another service provider.

“Today’s news underlines the need for NHS England and the Government to prepare to step in and make sure the vital care that our members and other NHS contractors provide to patients is properly supported – whatever Capita’s financial problems.  As we’ve seen with Carillion, it is ultimately up to the Government to make sure the failings of private service providers don’t damage the NHS.”

 

Winners of the Irvine Aitchison Memorial Fund announced

 

 

 
Wednesday 24 January 2018

(Pictured Left-Right – Asad Javed, Huma Batha)

The two bursary winners of the Irvine Aitchison Memorial Fund (IAMF) which supports students to work with Vision Aid overseas have been announced.

Huma Batha, 20, from City University and Asad Javed, 21, from the University of Bradford have been picked and will be heading off to Africa next summer for two weeks.

They will be supported by Vision Aid Overseas to provide training to local eye care workers, to establish Vision Centres where patients can access eye care services and to support outreach services in rural communities.  

Both students were in London for interviews on Wednesday 6 December 2017 and will head off on their assignment to Africa in summer 2018. The exact location has not been chosen yet, however for the last two years it has been in Zambia.

Huma Batha said:

“I’m thrilled to have been selected for this bursary. The opportunity to take my skills to a country that urgently needs them is thrilling and a privilege.”

Asad Javed added:

“With so many people in developing countries needing support with protecting their eyesight, I cannot think of a better way to give something back than spending some time working with them.”

The volunteers are crucial to Vision Aid Overseas and help them to achieve their mission to fight poverty by transforming access to eye care and affordable glasses in Africa.

For more information on Vison Aid Overseas visit www.visionaidoverseas.org

Ends

 

Notes to editors

Irvine George Aitchison MA, LL B(Cantab), FSMC, FBOA, Barrister-at-Law, led a distinguished life of wide ranging interests.  He had been President of the Ski Club of Great Britain and of the Alpine Ski Club and was held in wide esteem in many circles both within and outside optics.  In 1911 he assumed responsibility for the firm of Aitchison & Co. and in 1927 took over the ailing Dollond & Co. on which he built the foundations for the optical group Dollond & Aitchison.  He was an active member of the Society of Opticians Executive Committee until his death in 1965.  He played a prominent part in promoting the Opticians Act 1958 and was a founder member of the General Optical Council.

In 1966 the members of the Society of Opticians formed the Irvine Aitchison Memorial Fund (a registered educational charity) to commemorate its first chairman.  In 1985 the members of the Society joined the newly formed Federation of (Ophthalmic and Dispensing) Opticians (FODO) and the Society ceased to exist.  The Trustees of The Irvine Aitchison Memorial Fund are grateful to FODO for providing office and secretarial services for this Fund.

Irvine Aitchison’s sense of adventure, combined with an unfailing demand for high standards in education, led The Trustees to form an arrangement with Vision Aid Overseas to allow two students a chance to join a Vision Aid Overseas assignment. 

 

FODO signs Optical Confederation letter calling on NHS England to take urgent action to address Capita failures

 

Monday 22 January 2018

FODO has today signed an Optical Confederation letter (Monday 22 January 2018) written to Simon Stevens, Chief Executive of NHS England, calling for urgent action to address the ongoing failure of Capita to fulfil their contractual obligations. 

The letter highlights the “utter frustration, dissatisfaction and anger” at the continuing failure of the Primary Care Support England (PCSE) service delivered by Capita for NHS England. Echoing a similar letter from the British Medical Association (BMA), the Optical Confederation Chief Executives describe the situation as “completely unacceptable”, pointing out that Capita has failed to deliver on promises to rectify the situation dating back as far as April 2016. 

The optical sector has “no confidence” in Capita, which has failed to manage the ophthalmic payments service to an acceptable standard, to execute the processing and payment of CET schemes within expected timescales for the second year running, and to manage and process Performers List and GOS contract applications. 

In light of these failures, the Optical Confederation has formally requested that unless a “cast iron guarantee” be provided by the end of the financial year (April 2018) that the backlog of payment issues will be resolved by the end of June and that the service will be operating at the required standard by that point, then the contract should be taken away from Capita. The Optical Confederation recognise that this would involve significant upheaval, but nevertheless believe that it would be in their members’ best interests.  

The letter is signed by the Chief Executives of Optical Confederation member bodies, the Association of British Dispensing Opticians (ABDO), the Association of Optometrists (AOP), the Federation of Ophthalmic and Dispensing Opticians (FODO) and the Clinical Director of the LOC Support Unit (LOCSU).   

You can read the full letter here.

 

Data protection law in the UK is changing - essential, new advice for those working in the optical sector

New data protection laws which come into force in the UK on 25 May 2018 – will impact the optical sector.   

To help those working in the sector, the Optical Confederation, of which FODO is an active member, has published an initial guide to these important changes, aimed at optical practices, manufacturers, suppliers, distributors and practitioners. It includes a breakdown of what optical businesses need to do to comply, when the new rules come into effect.   

The guidance, published on our website, explains what is changing and what steps you should take now.

Optical Confederation Chair, Fiona Anderson said: “These changes will affect everyone working in the sector. Even though some of the new rules are still not clear, people are understandably eager to know what they should be doing in their business and professional roles. The Optical Confederation knows that demand is high for guidance on this topic and we’ve produced initial advice that sets out what people can do now to prepare for these changes”.            

With a Bill currently going through the UK Parliament and because the Information Commissioner’s Office (ICO) has not completed its guidance on the General Data Protection Regulation, some of the detailed changes have not yet been finalised. The Optical Confederation will publish updated guidance periodically, as the rules are confirmed.

The guidance can be found here.

 

FODO welcome updated NICE glaucoma guideline supporting greater role for optometrists

 

Updated guidance published today by the National Institute for Health and Care Excellence (NICE), ‘Glaucoma diagnosis and management’, clarifies the role optometrists can play in the diagnosis and management of glaucoma patients.  


Welcoming the new guidance, FODO Chief Executive, David Hewlett, said:

“This updated guideline is extremely helpful. The updated Intraocular Pressure (IOP) recommendation brings England and Wales more into line with Scotland and the pathway diagrams are extremely clear. Most importantly, the guideline should enable the NHS to plan services across primary and secondary care to make better use of all available capacity.”

FODO Clinical Adviser, Professor Steve Taylor, added:

“Optometrists will welcome this new guidance, which makes clear their clinical role in the diagnosis and management pathway for Chronic Open Angle Glaucoma (COAG) and Ocular Hypertension (OHT). It allows for the greater use of their core competences in managing patients outside hospital, and sets a more rational IOP referral threshold. I hope the guidance will now lead to universal implementation of NHS funded glaucoma referral and care services.”  

This is an update of the 2009 guideline on Glaucoma – ‘Glaucoma: diagnosis and management COAG and OHT’.  It sets a new, higher IOP threshold for referral - bringing England more into line with Scotland - and establishes a blueprint for universal referral refinement services based on community optical practices. It also includes new information on: guideline committee and scope; methodology; case finding, diagnosis and monitoring; service models; prognostic risk tools; and the treatment of OHT.

To access the updated guideline, click here

 [ENDS]

Notes to Editors   

1. The Federation of (Ophthalmic and Dispensing) Opticians is a leading professional membership and insurance organisation that represents primary care eye health providers in the UK and Ireland and offers bespoke and targeted advice to our diverse business and individual membership. We represent the interests of opticians, optometrists and other optical professionals and businesses at the highest level of national policy debate.

2. For more information please contact:
James Turner
Communications and Public Affairs Officer
T: 020 (0)20 7298 5125
james@fodo.com

Website
http://www.fodo.com/

Twitter
https://twitter.com/FODO1  
@FODO1

Facebook
https://www.facebook.com/FederationofOpticians/
@FederationofOpticians

LinkedIn
https://www.linkedin.com/company/3105155/

New cataracts guidance for the NHS will improve patient care


FODO welcomes the new NICE guideline ‘Cataracts in adults: management’, which represents an important step in improving patient care and outcomes in the NHS.

Commenting on the new guideline, FODO Chief Executive David Hewlett said: 

“This guideline helpfully summarises the longstanding views of clinicians and professional bodies and should help to prevent non-evidence based rationing of care for NHS patients. We also welcome the recognition of the multidisciplinary and team-based nature of modern healthcare, as well as new models of care. ”

Key elements of the guideline include:

  • ruling out inappropriate and non-evidence based managerial rationing
  • tackling unwarranted variations in NHS practice
  • not using visual acuities as the only indicator for surgery
  • giving proper consideration to second eye surgery
  • clarity about what the NHS cannot afford to provide, even where this is clinically effective
  • emphasising multidisciplinary team work and the role of other health professionals such as optometrists, nurses and technicians in the pathway including pre-surgery and follow-up care
  • advice on preventing and managing complications and the responsibilities of all team members in ensuring safety and good outcomes
  • an emphasis on good patient communications, including explanations of possible risks and outcomes.

FODO will also play its part in the recommended research in order fill the evidence gaps for the 

ENDS

Notes to Editors   

1. FODO - the Federation of (Ophthalmic and Dispensing) Opticians and Ophthalmology Providers - is an influential membership association across the UK and the Republic of Ireland. We represent eye health and ophthalmology providers, optometrists, opticians, ophthalmologists and eye care staff.  We wide expertise in health systems, health economics, healthcare markets, legal defence, regulation and negotiations.

We believe that maintaining eye health, correcting vision and preserving sight is essential for health living, achievement, well-being at all ages as well as for healthy and active ageing.

We are committed to working with others to fight eye health, for patients and for visually impaired people, and to advance the professions and the sector within the UK, Ireland, Europe and globally.

Our members provide over 85 per cent of optical market activity in the UK, 55 per cent in the Republic of Ireland and the majority of community eye care in both countries.

2. For more information please contact:
James Turner
Communications and Public Affairs
T: 020 (0)20 7298 5125
james@fodo.com 

 

World Sight Day 2017 - Eye care organisations worldwide unite to reduce avoidable blindness and 'Make Vision Count'


FODO is joining with eye care organisations the world over today in pledging to cut the prevalence of avoidable blindness and ‘Make Vision Count’.

The call from the International Agency for the Prevention of Blindness (IAPB), the alliance of eye care organisations, comes with the release of data yesterday from the Vision Loss Expert Group (VLEG) in Lancet Global Health, showing that decades of declining ‘avoidable blindness’ is plateauing, and is projected to increase.

The paper warns that an ageing and growing population, combined with an increase in Myopia and Diabetic Retinopathy could potentially lead to a tripling in blindness by 2050. Uncorrected Refractive Errors, Cataracts and Age-related Macular Degeneration and Glaucoma were the main causes of blindness or Moderate and Severe Visual Impairment (MSVI) in 2015, the paper also reveals.  

The IAPB has also updated its ‘Vision Atlas’ to feature prevalence maps for every country from 1990 to 2015 and projections to 2020. It also examines progress towards meeting World Health Organization Global Action Plan targets to reduce avoidable vision impairment by 25% by 2019. 

FODO Chief Executive David Hewlett said:

“The updated IAPB Vision Atlas is a great new resource for highlight the huge amount of work still to be done to improve access to eye care across the world and reduce avoidable blindness. It’s time to step up to the task and Make Vision Count!”

For further information and access to online resources, see the World Sight Day campaign website




(Pictured - FODO Board)

Patient Survey - NHS Treatment Delays Survey for Ophthalmology Patients


The All Party Parliamentary Group (APPG) on Eye Health and Visual Impairment is running a patient survey on experiences of delays in accessing NHS hospital-based ophthalmology services.  This is part of the evidence gathering for their inquiry into NHS hospital ophthalmology capacity.  (FODO CEO David Hewlett is on the Expert Advisory Group Steering Group for the inquiry.)  

Please encourage any patients who you think might be interested to respond - the survey can be accessed here, or if they prefer patients can ring in with their experiences to the campaigns hotline on 020 7391 2123. 

The deadline for submissions is 20 October 2017.

Breakthrough standards for refractive surgery have been launched today

Breakthrough standards for providers and clinical teams offering refractive surgery, and which propose new protections for UK patients, have been launched today.

These new standards are intended to ensure patients get the highest quality of care across the board. They are patient-focussed, including new checks and balances on the way a patient’s consent is sought for refractive procedures.

The standards have been defined by a group of leading ophthalmic surgeons and other experienced eye care professionals, along with input from a wide range of stakeholders, including regulators, professional bodies, providers, eye care charities as well as individual patients.

David Hewlett, Chief Executive of FODO, said:

“Eye health needs are expanding rapidly and ophthalmology, optometry and optics are changing to meet new demands. Increasingly professionals are employed or contracted to work in multi-professional teams to meet patients’ growing needs and expectations. These breakthrough standards clearly point the way forward.”

David Teenan, a leading ophthalmic surgeon and a member of the Expert Panel that produced the standards, said:

“These standards will be welcomed by surgeons, optometrists and other clinicians as a pioneering development for the sector. They offer a guide to best practice which is based on the latest ophthalmic research and clinical evidence. This represents a significant step forward that will help clinicians collectively and consistently achieve and deliver to their patients the best quality outcomes.”

The General Medical Council’s Guidance for doctors who offer cosmetic interventions - recognising that it had been developed for doctors only - suggested that the basic principles might provide a helpful framework for other professions. These standards build upon that framework for all professionals and providers, especially those working in multi-professional clinical teams.

The standards have been launched by FODO, ABDO, ACLM and FMO – members of the Optical Confederation, representing community eye care providers. Consultation on the initial draft ran from 2 February 2017- 7 April 2017.


The Multi-Disciplinary Professional Standards for Refractive Surgery Providers and Clinical Teams are available to view and download here.

Fodo logo    Association of British Dispensing Opticians logo    The Association of Contact Lens Manufacturers logo  FMO logo

Performers List videos for pre-reg optometrists launched

 

New resources to help pre-registration optometrists navigate the NHS England Ophthalmic Performers List application process and obtain their OPL number as quickly as possible after qualifying have been launched by LOCSU and the Optical Confederation, of which FODO is an active member.

Included in the new section on the LOCSU website dedicated to Performers List applications is a step-by-step video guide for pre-reg optometrists applying to the NHS England Performers List and a separate video explaining how to complete the NPL1 application form.

Launching the new help, Katrina Venerus, LOCSU’s Clinical Director who has spent several months supporting NHS England and PCSE on Performers List issues, explained that it has become clear to her that many pre-reg optometrists find the NPL1 application form difficult and the whole process confusing. “The aim of the video guides is to make the process as easy as possible for applicants and more efficient for everyone involved.” she said.

Venerus added: “One of the steps PCSE have taken to streamline the process is to offer appointments for face-to-face document checks in London from 17­–27 July 2017 for pre-registration optometrists who are sitting the College OSCEs. I strongly recommend optometrists take up this opportunity to speed up their application if they can.”

Hassnain Safdar, LOCSU’s pre-registration ambassador welcomed the support being provided for his pre-reg colleagues. “From speaking to friends and colleagues who qualified in the past 12 months, I know the Performers List application process has been extremely challenging for many of them. It is fantastic that LOCSU has published these videos to help us get through it. It’s also great that we can have the face-to-face appointment while in London to complete that part of the process.”

Safdar added: “My advice to anyone in the pre-reg community who is applying to the NHS England list is follow the videos as the help means you can’t go wrong.”

LOCSU’s dedicated website page can be accessed via this link: http://www.locsu.co.uk/pcse/applying-to-the-nhs-england-performers-list

Step-by-step video guide for pre-reg optometrists applying to the NHS England Performers List: https://www.youtube.com/watch?v=LHL988RLACg

Video explaining how to complete the NPL1 application form: https://www.youtube.com/watch?v=3dVNo4zlj5w 

Optical Confederation response to the General Election Manifestos

 

The Optical Confederation, of which FODO is an active member, welcomes the priority given to health in all party manifestos.  The need to modernise and deliver more care outside hospital and closer to home to meet the growing health care needs is urgent and now long overdue. This needs to be driven forward with vigour if the NHS is to meet the nation’s needs, even with increased resources.

Nowhere is this more urgent than in eye care where 20 people a month are needlessly losing their sight because of hospital pressures, and shifting services out-of-hospital and improving quality of life have not been prioritised by any of the political leaders yet.

FODO Annual Review 2016/17

Our Annual Review for 2016/17 has just been released and was launched at the recent Optrafair event. The review looks at FODO’s work over the past financial year covering:

 

  • FODO’s Chair and CEO reports
  • Detailed policy and support update
  • Our work in Ireland, Scotland, Wales, Northern Ireland, and Europe
  • NCHA’s role in the hearing sector
  • Finance review and accounts
  • Our Board and staff

A copy of the Annual Review is available below or you can order copies by emailing optics@fodo.com.

Annual Review 2016/17

The Royal College of Ophthalmologists publishes refractive surgery standards guidance for ophthalmologists

The Royal College of Ophthalmologists (RCO) have published guidance on refractive surgery standards for surgeons. The new standards are expected to be implemented by 1 June 2017.

David Hewlett, Chief Executive of FODO and Optical Confederation member said:

“Having commented substantively on earlier drafts, we look forward to studying this guidance and any new evidence with interest. In the meantime we are consulting on guidance for providers and wider multi-disciplinary teams which is where the majority of safe and high-quality refractive surgery now takes place. Multi-disciplinary working is also the way of the future and we are looking to fill this current gap in support for providers and other professions engaged in surgery.”

David Hewlett continues: “We are very supportive of an agreed refractive surgery dataset and an agreed, independent data and analysis repository so that we can continuously learn, improve and become more patient-focussed across the refractive surgery sector as a whole. We are also consulting on further patient protection measures for the rare occasions when trust breaks down, which we would expect all providers and regulators to support, to make refractive surgery across the board as safe and successful as it can be.”

Government Freezes Sight Test Fees

 

The Government has today announced its intention to freeze NHS sight test fees in England for the second year in a row, leaving them at 2015-16 levels for 2017-18. Optical vouchers, which provide help to patients on low incomes and to children who need spectacles, have also been frozen. The continuing education & training (CET) grant will however increase by 1% and the grant to train pre-registration optometrists by 1%.


Mike George, Chair of the Optometric Fees Negotiating Committee said:

“We are extremely disappointed that NHS sight test fees have been frozen for a second year in a row. We appreciate the financial challenges facing the NHS and we understand that all parts of the health sector need to play their part in addressing that challenge. But there is no way we can advise the profession to accept such an offer which is clearly not in their long term interests and more importantly is not in the best interests of patients.”


He continued, “It is particularly frustrating that the NHS sight test – which is a very cost effective part of the NHS – continues to be underfunded, while at the same time NHS England is failing to make greater and more effective use of community optical practices to deliver primary eye care, which could help significantly to address the pressures on GPs and hospital ophthalmology departments and would provide better, more convenient care to patients.”


Ann Blackmore, OFNC Secretary said: “Year on year our members are facing real increases in their costs – largely as a direct result of government policies and contract requirements – which the government refuses to recognise. And on top of that they have been expected to cope with the administrative and financial chaos resulting from the incompetence of Capita and NHS England in delivering primary care support services. We will be looking now to government to provide compensation to the sector for this fiasco as a matter of urgency.


It is to our members’ credit that they have continued to provide a full range of services to patients across the country despite these challenges – but this will become increasingly hard to do. The real terms cut in voucher values will be particularly hard on many patients.”

Lynda Oliver confirmed as new Optical Confederation Chair

 

Following the decision to rotate the Chair amongst its members, following Chris Hunt’s retirement in October 2016, at its meeting on 21 March, the Optical Confederation (OC) Leaders’ Group – the governing partnership of the Confederation – unanimously asked Lynda Oliver to continue in the role of Optical Confederation Chair until October 2017.

Lynda Oliver said: “This is a great honour and I am delighted to take on this role with the support of my Optical Confederation colleagues. We are making good progress on the big strategic issues which will help all our members more than any of us could do alone.”    Lynda Oliver

 

The chair is to rotate annually between the five OC members, so Lynda will be succeeded from October 2017 to October 2018 by Fiona Anderson, President of the Association of British Dispensing Opticians (ABDO). 

At their meeting, the Leaders’ Group also considered collective strategic approaches to a variety of issues, including the General Optical Council’s (GOC) review of the education and training, the Government’s anticipated green paper on reform of the UK health regulators, which will include the GOC, and the issue of low General Ophthalmic Services (GOS) fees and grants. They also agreed an Optical Confederation public affairs strategy for the coming political session. 

FODO response to GOC strategic education review

Following the General Optical Council's (GOC) call for evidence on their strategic education review, we’ve provided our response. The GOC have stated the main aim of the review is to ensure that education programmes and qualifications leading to GOC registration equip students to meet patients’ future needs, as technological change and the increased prevalence of enhanced services are altering the roles that optometrists and dispensing opticians play in delivering eye care.

We believe there will be three main drivers which result in the needs of patients changing:

  • Demographic changes
  • Advances in treatment – both clinical and technological; and
  • Patient expectations 

We fully support the joint Optical Confederation’s response and this submission provides FODO’s further views. You can read our full submission below.

FODO response to GOC strategic education review