Publications

Here you will find all UKOA publications which have been produced and released by the Alliance through collaborative working with our member organisations. Simply click the title to view the full content. If you have any questions about any UKOA publications please contact us via email at: ukoa@rnib.org.uk Thank you.

To see more about our projects register to join and gain access to much more information, all our resources and draft documents and to join our workstreams.


Cataract Surgery Consent Form >

Deep Anterior Lamellar Keratoplasty (DALK) Consent Form >

Descemet’s Membrane Endothelial Keratoplasty (DMEK) Consent Form >

Descemet’s Stripping Endothelial Keratoplasty (DSEK) Consent Form >

Intravitreal injections Consent Form >

Macular hole repair Consent Form >

Penetrating Keratoplasty Consent Form >

Retinal detachment repair Consent Form >

Trabeculectomy Consent Form >

Yag Laser Capsulotomy Consent Form >



Glaucoma Patient Standards

The standards have been developed by patients, patient charities and eye care professionals working together. They bring together key points from existing national guidelines in one document and cover the whole care pathway for those with glaucoma conditions. Those providing or commissioning care for these conditions should assess their services and, where the standards are not met, take action for improvement.

Patient Standards for Glaucoma September 2019

Executive Standard UKOA September 2019

A Patient Guide UKOA September 2019

UKOA Glaucoma: Supporting Patients Checklist


Patient Standards to increase support for eye clinic patients

We are delighted to announce the first national ophthalmology Patient Standards have been produced and published in collaboration with the RNIB. We invite all  NHS hospital providers of ophthalmic care in the UK to adopt these standards and to join the UKOA to work collaboratively  to provide sustainable and high quality care for patients with eye conditions.

Patient Standards (Sept 2018) >


Other publications from UKOA:

How did Moorfields Eye Hospital implement emergency and outpatient ophthalmology video consultation services during COVID-19? >

Glaucoma Risks and Virtuals > 

UKOA Procurement Guide – December 2019 >

Correct IOL implantation in cataract surgery quality standard> Feb 2018

Sunderland Eye Infirmary: A case study of high throughput cataract surgery> July 2018

Moorfields Eye Hospital Intravitreal Pathway>  August 2018

Bristol Eye Hospital and the enhanced multidisciplinary team case study> September 2019

NHS Fife – How To Develop A High Volume Jack and Jill Ophthalmic Theatre Service >


Coding Publications:

Please find below the links to our latest publications produced by UKOA in July 2018.

How Moorfields is addressing monitoring follow up patients

Moorfields has been developing a methodology to establish processes for PAS data to be inputted for the calculation of the HII and NHS Digital/ College recommended follow up delay target – that patients should be seen within 25% of their clinically desired appointment timescale. This has been discussed at UKOA meetings and in the EyesWise webinars. This document describes the journey so far and the accompanying training video soon to be available on the EyesWise hub shows how the trust has developed training materials for clinical clerks and receptionists to support this. http://uk-oa.co.uk/wp-content/uploads/2019/07/Case-Study-Moorfields-follow-up-and-PAS.pdf


Extending the role of non-medical health care professionals

The UKOA is delighted to share our first practice policy packs to support  extending the scope of practice for optometrists, nurses and orthoptists in key areas. These provide building blocks to safely develop advanced practice through training, competencies, protocols and risk assessments based on national guidance and advice from UKOA members experienced in delivering care in this way. Editable versions are available to member on request to adapt for their trust requirements.

UKOA Cataract clinics practice pack >

Paediatrics practice pack competencies >

UKOA Botulinum toxin injection practice pack >

UKOA YAG laser capsulotomy practice pack >

UKOA Paediatrics practice pack >

UKOA Non-Medical Intravitreal Injections practice pack >

UKOA Clinical practice pack for non-medical practitioners:  Corneal cross linking >

UKOA Glaucoma laser treatment practice pack >

Changing practice for the non-medical ophthalmic hospital workforce in the UK – a snapshot survey

Read the results from the Paper in Eye from UKOA non medical workforce survey that seeks to explore the working practices of non-medical registered HCP (nurses, orthoptists and optometrists) in hospital ophthalmology services under-taking expanded (extended, advanced) roles, and the associated governance, indemnity, training and supervision.

UKOA PERI-OPERATIVE & SURGICAL PRACTICE

UKOA Surgery and perioperative practice pack competencies and protocols >

Surgery and perioperative practice pack > 

UKOA PRACTICE PACKS

UKOA Glaucoma level 1 practice pack >

UKOA Glaucoma level 2 practice pack>

UKOA Glaucoma level 3 practice pack >

Digital Communications for Healthcare

Digital Communication between Primary and Secondary Care and Patients For Eye Care Services in London during COVID-19 Pandemic>

Cataract Guidance Documents

Guide How to deliver a high volume cataract theatre list >

Guide How to set up a one-stop cataract pre assessment clinic

Guide Designing effective perioperative data collection tools to support high flow cataract

Guide Perioperative management of patients with medical comorbidities

UKOA Sunderland Case Study June 2018

NHS Fife How to develop a high volume Jack and Jill Ophthalmic Theatre Service

Bristol Eye Hospital and the enhanced multidisciplinary team – a case study

UKOA National Meeting: Recovering and Transforming Eye Services: Successful Example of Imaging Hub Setup; Experience from the Independent Sector – Friday 25th March 2022

Thank you for your attendance at our UKOA Meeting on Friday 25th March!

We were delighted to invite our UKOA members to this virtual lunchtime meeting, as part of our monthly lunchtime meetings.

The session started with Clare Bailey who described the successful experience at Bristol of setting up and running a virtual clinic and imaging hub focused on medical retina and glaucoma patients, with a stream for corneal ectasia patients in the pipeline. This project initially made use of the Bristol Nightingale Hospital and has now become a permanent part of the Bristol Eye Hospital in an established location. The hub has truly transformed the way ophthalmology care is delivered in the city.

We then welcomed Tom Thorne who is the Head of Service Development at Newmedica, one of the largest independent sector providers of ophthalmic care. Tom described the way efficiency and good quality are harnessed to deliver safe care in an environment different to NHS-run hospitals.

A special thanks to all of our speakers for their participation and time to make this meeting lively and engaging with a fantastic set of talks.

There was plenty of time for questions and discussion and we thank our UKOA members for engaging and utilising the chat box.

Please find speaker slides and a video recording of our national meeting below:

UKOA Slide Deck – UKOA National Meeting: Recovering and Transforming Eye Services: Successful Example of Imaging Hub Setup; Experience from the Independent Sector>

UKOA National Meeting: Recovering and Transforming Eye Services: EPRs and workforce – Monday 21st February 2022

Thank you for your attendance at our UKOA Meeting on Monday 21st February!

We were delighted to invite our UKOA members to this virtual lunchtime meeting, as part of our monthly lunchtime meetings.

We heard a brief update on the progress of the national eye care recovery and transformation programme (NECRTP) with a focus on the emerging priorities for the next year.

We then welcomed colleagues from St Thomas Hospital, who shared with us how they have developed their ophthalmic electronic patient record (EPR) specifically to support their own pathway and service improvements. We also heard about a major project being undertaken in the South East region between the eye care and improvement teams and HEE to comprehensively plan and improve the whole pathway workforce.

A special thanks to all of our speakers for their participation and time to make this meeting lively and engaging with a fantastic set of talks.

There was plenty of time for questions and discussion and we thank our UKOA members for engaging and utilising the chat box.

Please find speaker slides and a video recording of our national meeting below:

UKOA Slide Deck – UKOA National Meeting: Recovering and Transforming Eye Services: EPRs and workforce>

UKOA National Meeting: Recovering and Transforming Eye Services: Cataract Pathways – Monday 24th January 2022

Thank you for your attendance at our UKOA Meeting on Monday 24th January 2022!

We were delighted to invite our UKOA members to this virtual lunchtime meeting, as part of our new shorter more regular meetings which we hope make it easier to access for busy colleagues.

We heard a brief update on the progress of the national eye care recovery and transformation programme (NECRTP) with a focus on the new priorities for rapid outpatient capacity release within this financial year.

We then welcomed colleagues from Devon and Exeter, who shared with us how they have developed a new tech system with information shared via mobile phones to facilitate integrating primary care optometrists into the cataract pathway, and a welcome return to the clinical team from East Lancashire who, supported by the GIRFT clinical fellow, described the detailed work locally which has now resulted in delivery of a new high volume cataract list.

A special thanks to all of our speakers for their participation and time to make this meeting lively and engaging with a fantastic set of talks.

There was plenty of time for questions and discussion and we thank our UKOA members for engaging and utilising the chat box.

Please find speaker slides and a video recording of our national meeting below:

UKOA Slide Deck – UKOA National Meeting: Recovering and Transforming Eye Services: Cataract Pathways>

UKOA National Meeting: Recovering and Transforming Eye Services in Dudley and Diagnostics Pathways – Monday 29th November 2021

Thank you for your attendance at our UKOA Meeting on Monday 29th November!

We were delighted to invite our UKOA members to this virtual lunchtime meeting, as part of our new shorter more regular meetings which we hope make it easier to access for busy colleagues.

We heard a brief update on the progress of the National Eye Care Recovery and Transformation Programme (NECRTP) with a focus on the emerging vision and plans for the future of diagnostics and high flow ophthalmology outpatient services.

We then welcomed colleagues from Dudley, who shared with us how they are tackling recovery and transformation for ophthalmology in a small district general hospital, looking at the many barriers to change, successes in overcoming and the remaining challenges, and how a team effort has helped to take this on.

A special thanks to all of our speakers for their participation and time to make this meeting lively and engaging with a fantastic set of talks.

There was plenty of time for questions and discussion and we thank our UKOA members for engaging and utilising the chat box.

Please find speaker slides and a video recording of our national meeting below:

UKOA Slide Deck – UKOA National Meeting: Recovering and Transforming Eye Services in Dudley and Diagnostics Pathways>

UKOA National Meeting: NECRTP, GIRFT and High Volume Cataract Surgery – Monday 25th October 2021

Thank you for your attendance at our UKOA Meeting on Monday 25th October 2021! 

We were delighted to invite our UKOA members to this virtual lunchtime meeting, the third of our new shorter meetings which we hope will make it easier to access for busy colleagues.

We heard an update on the progress of the national eye care recovery and transformation programme (NECRTP) and we welcomed Professor Tim Briggs – SRO, Dr Elena Bechberger – HVLC Programme Director and Graham Lomax from GIRFT, who shared with us an update on GIRFT HVLC Programme and new plans to support ophthalmology and to overcome some of the key barriers to change.

We then welcomed Dr Josh Wall – National Medical Director’s Clinical Fellow, NHSE/I / GIRFT and Bertie S Fernando – Clinical Director Department of Ophthalmology East Lancashire Hospital NHS Trust from Burnley, who provided an overview of excellent work to implement higher volume cataract surgery underway at their trust through detailed process mapping and working through each challenge with the wider trust team.

There was plenty of time for questions and discussion and we thank our UKOA members for engaging and utilising the chat box.

Please find speaker slides & a video recording of our national meeting below:

UKOA Slide Deck – UKOA National Meeting: NECRTP, GIRFT and High Volume Cataract Surgery>

UKOA National Meeting: Recovering and Transforming Eye Services in Hull – Monday 27th September 2021

Thank you for your attendance at our UKOA Meeting on Monday 27th September 2021! 

We were delighted to invite our UKOA members to this virtual lunchtime meeting, the second of our new shorter meetings which we hope will make it easier to access for busy colleagues.

We heard a brief update on the progress of the national eye care recovery and transformation programme (NECRTP) and we welcomed colleagues from Hull, who shared with us how they are tackling recovery and transformation for ophthalmology.

The first session with Hull covered their approach to outpatient care, looking at the whole service but with a particular focus on improving medical retina delivery; the second session covered the surgical pathway, including how they introduced the use of the femtosecond laser into the cataract pathway.

There was plenty of time for questions and discussion and we thank our UKOA members for engaging and utilising the chat box.

Please find speaker slides & a video recording of our national meeting below:

UKOA Slide Deck – UKOA National Meeting: Recovering and Transforming Eye Services in Hull > 

 

UKOA National Meeting – Recovering Eye Services: National Support & Local Delivery – Thursday 22nd July 202

Thank you for your attendance at our UKOA Meeting on Thursday 22nd July 2021!

This was our first virtual lunchtime meeting which was the start of some new shorter meetings which we hope will make it easier to access the meetings for busy colleagues.

We heard an update on the progress of the national eye care recovery and transformation programme (NECRTP) which is now moving rapidly and working actively with all regions and systems. In particular, the national team took a closer look at an area raised a number of times by members – how to influence and gain support for eye service change and business cases from trust senior managers and executives who have many competing priorities or little knowledge of the world of ophthalmology.

We welcomed colleagues from Frimley Park, who shared with us how they fared during the pandemic, how they are tackling recovery and moving to transformation, their successes and how they are dealing with ongoing challenges in their ophthalmology service, with time for questions and discussion.

Please find speaker slides & a video recording of our national meeting below:

UKOA Slide Deck: Recovering Eye Services: National Support & Local Delivery >

UKOA National Meeting: After COVID – Looking to Recovery and Beyond – Wednesday 14th April 2021

Thank you for your attendance at our UKOA Meeting on Wednesday 14th April 21!

This meeting focussed on moving beyond the lockdown to recovery and transformation. We heard about the restart of the new expanded NHSEI eye transformation programme, the various new workstreams which aim to tackle long standing barriers such as digital connectivity, workforce, commissioning and finance. We also discovered more about the so-called “digital methodology” led by NHSX as part of the programme, in which a bottom up, agile and user centred approach moves beyond recovery to develop truly transformative change.

Everyone is seeking to understand how to bring primary care optometrists into the eye care pathways to create capacity and reduce unnecessary hospital attendances. Whilst we await novel commissioning solutions from the national programme, we heard from colleagues about how hospital eye services can work better with primary care optometrists within the current commissioning arrangements. A number of members were in in touch about concerns on the medico-legal implications if patients have been harmed from delays or decisions made to manage the pandemic situation. We heard expert colleagues on how to understand and manage this risk. Finally, we heard a quick update on the UKOA financial situation, new terms of reference and future plans.

Please find the > UKOA Terms of Reference for 2021- 2022 here and provide any comments by Wednesday 12th May as mentioned in the UKOA meeting.

Please find speaker slides & a video recording of our national meeting below:

 

UKOA Meeting: Maintaining High Efficiency Ophthalmic Services during COVID-19 – Friday 11th December 2020

UKOA Members,

Thank you for your attendance at our UKOA Meeting on Friday 11th December 2020!

In this meeting we brought together colleagues from the GIRFT programme and London elective surgical hub project, to examine how they have driven significant change to the way cataract surgery is delivered across the whole of London. We heard from some of the eye units involved in delivering these pathways and also looked at how cataract surgical delivery is changing in other areas of the country in response to COVID-19.

We also caught up on progress of the NHS England and Improvement Eye Care Restoration and Transformation Programme and gathered feedback on the draft terms of reference of the UKOA following on from the session at the last meeting about how members want the UKOA to function now and in the future.

Please see speaker slides below:

London Elective Surgery Recovery and Transformation Programme – Alison Davis & Amanda Quincey >

Anaesthetists and High Volume Cataract Hubs – Michael Swart & Chris Snowden > 

Cataract Pathway Deconstructed – Steven Harsum >

Bristol – The Journey to Efficient Elective Cataract Lists – Johannes Keller >

The Croydon Cataract Hub – William Tucker (awaiting slide deck) > 

Moorfields – The Cataract Drive – Louisa Wickham & Merel Reinink >

Transforming NHS Outpatient Care – Guy Mole >

We look forward to our next UKOA meeting in March 2021.

UKOA National Meeting – Wednesday 4th December 2019

UKOA Members,

Thank you for your attendance at our UKOA National Meeting on Wednesday 4th December 2019!

It was a lively meeting where attendees and speakers had the opportunity to interact and discuss various topics. We began with how hospital eye services and community optometrists work together and communicate with regard to making and managing referrals and how to make that better from both sides.  We also heard from hospital and community professionals about their experiences as well as Colleges of Optometrists and Ophthalmologists and the AOP.

In our regional update section, Bristol Eye Hospital discussed their extremely successful and long established multidisciplinary workforce model including advanced non-medical practice and how they make that work. The West of Scotland described their comprehensive large scale ophthalmology transformation programme, the successes they are achieving and some of the areas of challenge they are tackling.

In our supporting patients session, following on from the last meeting’s presentation on the Greater Manchester ophthalmology pathways, we heard how the third sector has been incorporated into those pathways to promote seamless integration of support and care into clinical services and the challenges of ensuring that, once registered, patients received the care and support they need in a timely manner. We also had the opportunity to discuss with the Macular Society how to improve clinical staffs ability to help patients with macular disease and how we can help staff counsel patients and direct them to reliable sources of information and support beyond the hospital setting.

Please click here for the Presentation Slides for this meeting >

We look forward to our next UKOA meeting in March

UKOA Quarterly Meeting: Wednesday 11th September 2019

UKOA Members,

Thank you for your attendance at our UKOA Quarterly Meeting on Wednesday 11th September. It was a great meeting where attendees and speakers had the opportunity to interact and discuss ophthalmology solutions.

Please click here for the Presentation Slides for this meeting >

We look forward to our next UKOA meeting in December.

UKOA Quarterly Meeting – June 2019

UKOA Quarterly Meeting June 2019_final presentation

UKOA Quarterly Meeting Slides – March 19

UKOA Slides March 19

Sharing Best Practice Event Agenda – Glasgow

WoSOSR OA Joint Spring Meeting 1 March 19 – Agenda

Sharing Best Practice Presentation – Bournemouth

http://uk-oa.co.uk/wp-content/uploads/2019/02/UKOA-Southwest-Presentation.pdf

UKOA Quarterly Meeting – 6th December 2018

UKOA colleagues,

We had a well-attended and lively meeting yesterday and have attached the slides which you can look at for any details. We discussed a UKOA cataract efficiency tool now being developed to clearly benchmark your list productivity accounting for training and case complexity. You can let us know now how you would like that to provide a report. We also heard about a commercial AI software system which learns from your trust data to optimise list use. We discussed training and how to develop extended role working for non-medics. We discussed the new ECLO framework and UKOA will help to update and then promote it. We also outlined conclusions about our strategy and plan if work for the next year.

We need you to:

  1. SHARE OUR RESOURCES: Tell your trust colleagues about our work, encourage them to register as members on our website, use our resources and join workstreams.
  2. PROCUREMENT: *We need your suppliers data to understand national purchasing models. Please return your letters of authorisation (link below) if you have not. It can be signed by anyone in a position to agree to share data with NHS Supply Chain e.g. clinical lead, procurement lead, theatre lead or manager. Your data will be confidential.
  3. EXTENDED ROLES SURVEY: *Complete the non-medical staff extended roles survey which was sent to all trusts via the lead orthoptists (link below)
  4. INTRAVITREAL POLICY: Share the attached draft intravitreal policy and guidelines (link below) for non-medical intravitreal injections with relevant staff and provide feedback to us. It would be made available for trusts to edit for local use if helpful.
  5. PHACO PACK SPECIFICATION: *Discuss the attached national phaco pack specification with your cataract surgeons and theatre staff. Would you use it? Is anything missing or wrong? We will then go out to tender as with the intravitreal packs
  6. RNIB PUBLICATION: ECLO Quality Framework Review the DRAFT and send us any feedback by email (link below).
  7. REGIONAL SHARING BEST PRACTICE EVENTS: Consider inviting us to work with your local GIRFT  hub to hold a regional meeting for you and surrounding trusts to support you to tackle your particular issues.

 As  always get in touch if any queries or suggestions at uk.oa@nhs.net

You can view all details of the event below;

 

 

29th October 2018: Sharing Best Practice Event: The Ophthalmic Electronic Patient Records System

The Ophthalmic Electronic Patient Records System

Hosted by Blackpool Teaching Hospitals NHS Foundation Trust.

Thank you to the team at Blackpool for hosting our latest event covering the approach and requirements for the EPS. The feedback received from attendees has been excellent and we are please to be able to now share the slide pack for your information.

As ever, if you have any feedback on the event or if you are interested in holding a regional event in your trust, please contact us via email on uk.oa@nhs.net 

 

UKOA Quarterly Meeting – 20th September 2018

Please find below the Agenda, slides and meeting notes from our recent quarterly meeting at Friends House, London.

13th June – Quarterly Meeting

Please find below the presentation and notes from our June Quarterly meeting;

Presentation

Meeting Notes

9th May 2018 – Coding Workshop, London

4th April 2018 – Sharing Best Practice Workshop, London

7th March 2018 – Sharing Best Practice Workshop, Manchester

20th February 2018 – Procurement Actions Update

6th December 2017 – Quarterly Meeting

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