Vision screening of 4 to 5 year olds at school entry.

The request was successful.

Dear Head of Orthoptic Service,
The British and Irish Orthoptic Society on behalf of the Clinical Council for Eye Health Commissioning are writing to make an open request for information under the Freedom of Information Act 2000.

The purpose of this FOI request is to establish the provision of ‘orthoptic-led’ and/or ‘non-orthoptic-led’ vision screening across England.

Definition of ‘Orthoptic-led’:
A service that is led by a designated Orthoptist who is responsible for all aspects of delivery of vision screening to all eligible children. This includes leadership of the personnel delivering the screening, the care pathway and audit and quality assurance mechanisms. The testing of children may be either Orthoptist delivered or delivered by a vision screener trained by an orthoptist.

We would be grateful if you could please answer the following questions and their subsections (where applicable) for the financial year 2019/20 to allow us to establish current provision and support orthoptists in the future to deliver an ‘orthoptic led’ service.

Many thanks for providing this information, it will be extremely useful to support the objective of delivering equitable orthoptic led vision screening for ALL 4-5 year old children by mapping out current provision. If you have any further queries, please do not hesitate to contact [email address]. We look forward to hearing from you.

Questions
1. How many LA and CCGs are served by your organisation for all acute, community and specialist services?
Please list them all.

2. Does your organisation provide the Orthoptic Services for the resident populations of these LAs and CCGs? Y/N

3. Is a vision screening service currently available in the area (by LA or CCG) served by your organisation for providing Orthoptic Services? Y / N
If NO - please list the LA/CCG that do not provide a vision screening service

If YES – For each commissioned screening service please indicate:

a. Who commissions it - LA or CCG?
b. Its compliance with the PHE service specifications i.e. Orthoptic-led and delivered with Quality Assurance and clinical audit processes (https://www.gov.uk/government/publicatio...)
i. Compliant
ii. Not compliant

4. List the key features of each commissioned screening service :
a. Settings (e.g. school).
b. Screening personnel (e.g. orthoptist, school nurse or other health professional).
c. The onward care pathway for children who fail the vision screening.
d. The quality assurance processes (audit) and identified clinical lead for the vision screening service.

5. Tell us how you monitor if every eligible child in the Local Authority or CCG commissioning the service has been tested (including those in private schools, or those who are home schooled).

6. Tell us whether a vision screening programme has been commissioned for the current financial year

7. If a vision screening service is not currently available, in a Local Authority or CCG served by your Organisation could you please tell us for each of these LA or CCGs –

a. why it has not been commissioned?
b. whether a service is planned for the next financial year (2020/21)?
c. whether an existing service has been recently decommissioned?

Yours faithfully,
Veronica Greenwood
Chair of British and Irish Orthoptic Society
Parul Desai
Chair of Clinical Council for Eye Health Commissioning

FoI (BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST), Brighton and Sussex University Hospitals NHS Trust

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Dear Brighton and Sussex University Hospitals NHS Trust,

Could you please advise on the progress of the FOI relating to Vision screening of 4 to 5 year olds at school entry?

It has been delayed and would like to know when we could expect a response.
Many thanks

Yours faithfully,

Jignasa Mehta

FoI (BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST), Brighton and Sussex University Hospitals NHS Trust

1 Attachment

Dear Veronica Greenwood,

 

Thank you for your recent request for information under the Freedom of
Information (FOI) Act 2000.

 

We now in a position to respond to your request and sincerely apologise
for the dealy

 

Your request:

 

1.         How many LA and CCGs are served by your organisation for all
acute, community and specialist services?

Please list them all.

 

2.         Does your organisation provide the Orthoptic Services for the
resident populations of these LAs and CCGs? Y/N

 

3.         Is a vision screening service currently available in the area
(by LA or CCG) served by your organisation for providing Orthoptic
Services? Y / N

If NO - please list the LA/CCG that do not provide a vision screening
service

 

If YES – For each commissioned screening service please indicate:

 

a.         Who commissions it - LA or CCG?

b.         Its compliance with the PHE service specifications i.e.
Orthoptic-led and delivered with Quality Assurance and clinical audit
processes ([1]https://www.gov.uk/government/publicatio...)

i.          Compliant

ii.          Not compliant

 

4.         List the key features of each commissioned screening service :

a.         Settings (e.g. school).

b.         Screening personnel (e.g. orthoptist, school nurse or other
health professional).

c.         The onward care pathway for children who fail the vision
screening.

d.         The quality assurance processes (audit) and identified clinical
lead for the vision screening service.

 

5.         Tell us how you monitor if every eligible child in the Local
Authority or CCG commissioning the service has been tested (including
those in private schools, or those who are home schooled).

 

6.         Tell us whether a vision screening programme has been
commissioned for the current financial year

 

7.         If a vision screening service is not currently available, in a
Local Authority or CCG served by your Organisation could you please tell
us for each of these LA or CCGs –

a.         why it has not been commissioned?

b.         whether a service is planned for the next financial year
(2020/21)?

c.         whether an existing service has been recently decommissioned?

 

Our response:

 

Under Section 1(1)(a) of the Freedom of Information Act (FOIA), the Trust
can confirm that it holds information relevant to your request and this
has been provided where possible below.

 

1.  Sussex Community NHS Foundation Trust which covers the following
CCG’s: NHS Horsham and Mid Sussex CCG, Eastbourne, Hailsham and Seaford
CCG, NHS Brighton & Hove CCG.

 

2.  Yes in part, but some CCG’s have input from Orthoptic services from
Western Sussex Hospitals NHS Foundation Trust and Surrey and Sussex
Healthcare NHS Trust, as the CCG’s cross NHS Trust boundaries.

 

3.  Yes

3a.  Sussex Community NHS Foundation Trust

3b.  It is an Orthoptic–led service, delivered with Quality Assurance and
Clinical Audit processes following Public Health England guidelines:
([2]https://www.gov.uk/government/publicatio...

 

4a.  School

4b.  School Health Support Workers

4c.  Referred to hospital based Orthoptic Departments

4d.  Competencies of Screeners assessed by Orthoptist w/ audit carried
out. Clinical Leads for screening service are Joy White and Gill Heward.

 

5.  Monitored by Sussex Community NHS Foundation Trust

 

6.  Yes

 

7.  Not applicable          

                       

 

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