Reference 2017-474

REF:            2017-474

Subject:        Ophthalmology department

 

 

Request:

  1. Do you provide a service to see urgent/emergency ophthalmology patients? What do you call this service?

E.g. an Eye casualty/ rapid access eye clinic

 

  1. Is it a walk in service or booked 9-5 or other (please explain)?

E.g. 9-5 booked sessions Monday to Friday or walk in

 

  1. Do you have a telephone triage for new referrals? Who triages these calls and how?

E.g. Nurse prac, staff nurse, doctor other

 

  1. What type of staff work in your emergency clinic seeing patients? And how many are present per session?

E.g. 2 Nurse practitioners, 2 doctors, (1 trainee, 1 non-training grade doctor) and an optometrist

 

  1. How is consultant supervision provided? Do you have a Primary care consultant for eye casualty?

E.g. by the on call doctor, supervision from clinic, Primary care/emergency ophth consultant

 

  1. How many patients do you see on an average day, week & month?

 

  1. Are follow up appointments made in the same emergency clinic? What proportion per day are follow up patients?

 

  1. What do you use to record the examination of patients?

E.g. patient notes, eye notes, electronic/computer based patient records( please specify which one)

 

  1. If you have one, what is the tariff cost allocated to new and follow up patients seen as an emergency in the Ophthalmology department?

 

  1. Who sees and triages out-of-hours emergency patients? What is classified as out-of-hours?

E.g. One on call doctor with consultant cover 5pm-9am, cover provided by another unit, walk in 24hours same as day time service. Weekend cover provided by a trainee and consultant all day.

 

 

Response:

1. Do you provide a service to see urgent/emergency ophthalmology patients? What do you call this service?

E.g. an Eye casualty/ rapid access eye clinic

Yes

Acute referral clinic

Slots kept for acute patients in all general clinics to allow easier senior review

Also 2 stand alone acute clinics

 2. Is it a walk in service or booked 9-5 or other (please explain)?

E.g. 9-5 booked sessions Monday to Friday or walk in

No walk in service

If no availability patients seen OOH on ward till 7 pm

After this time pts seen in A&E

3. Do you have a telephone triage for new referrals? Who triages these calls and how?

E.g. Nurse prac, staff nurse, doctor other

Not telephone

GPs email in referrals

Optoms still use fax due to lack of secure email

Refs read by medical staff

 4. What type of staff work in your emergency clinic seeing patients? And how many are present per session?

E.g. 2 Nurse practitioners, 2 doctors, (1 trainee, 1 non-training grade doctor) and an optometrist

All medical staff.  All grades can see emergencies in general clinics standalone staffed by trainee and SAS

Have nurse currently undergoing ANP training with aim to support emergency care

 

 5. How is consultant supervision provided? Do you have a Primary care consultant for eye casualty?

E.g. by the on call doctor, supervision from clinic, Primary care/emergency ophth consultant

In general clinics supervision by cons in that clinic otherwise by on call

No primary care cons

 

 

 6. How many patients do you see on an average day, week & month? 60 slots per week

Ward attenders extra and numbers vary

 7. Are follow up appointments made in the same emergency clinic? What proportion per day are follow up patients?   FU should be in general or spec clinic when appropriate  where capacity allows

There should be no f/u in arc – doesn’t always happen

 8. What do you use to record the examination of patients?

E.g. patient notes, eye notes, electronic/computer based patient records( please specify which one)

Paper

 

 

9. If you have one, what is the tariff cost allocated to new and follow up patients seen as an emergency in the Ophthalmology department?  

 

 

 10. Who sees and triages out-of-hours emergency patients? What is classified as out-of-hours?

E.g. One on call doctor with consultant cover 5pm-9am, cover provided by another unit, walk in 24hours same as day time service. Weekend cover provided by a trainee and consultant all day.

Outside 9-5

on call doctor