NHS Bassetlaw Clinical Commissioning Group - Community Ophthalmology Clinical Assessment and Treatment Service

The purpose of the Bassetlaw Ophthalmology Clinical Assessment and Treatment Service (CATS) is to improve access and patient experience of common ophthalmic conditions, promote awareness and understanding to improve self-care and treatment for patients with long term ophthalmic conditions and improve the health and well-being of Bassetlaw residents.

The Ophthalmology CATS will possess clinical autonomy and a reputation for the delivery of a high quality and clinically safe service.

The service will operate as two parts: A specialist-led service offering triage, assessment and treatment of a range of ophthalmic conditions.

Patients will be referred into the service from other health professionals typically the patient's registered GP or their optometrist.

A service which offers diagnosis and management of patients with; cataracts, glaucoma / suspected glaucoma, YAG, general / oculoplastics, medical retina, macular conditions & wet AMD.

Management of patients defined as "stable" will reflect the national guidance set out with the NICE guidance and SYB CfO policy.

The Bassetlaw Ophthalmology CATS will: Provide a "One Stop Shop" service for patients with common (non-urgent / sight threatening) ophthalmic conditions.

The CATS will provide patient centred consultations that will deliver diagnostic tests and interventions at the point of contact.

This method of "One Stop Shop" will ensure patient care is effectively delivered through a minimum number of patient contacts.

Follow up ratios will need to exceed an average of 1:1 Provide ongoing glaucoma care within community settings Provide simple procedures as detailed in the Appendix, in a safe clinical environment Provide an expert multidisciplinary opinion for patients referred by their GPs or optometrists, offering an alternative to direct referrals to an outpatient consultant clinic Screen for remedial conditions and refer patients as appropriate Wet age-related macular degeneration injections Conduct clinical assessment, organise diagnostic investigations, provide advice and treatment; inform and educate patients and GPs Facilitate referral, where necessary, to other primary or secondary care services with agreed referral processes in place which are understood by all Full details of the Authority's requirements are set out in the Service Specification in Document 2.

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