Ophthalmology

Jenny Price made this Freedom of Information request to Sandwell and West Birmingham Hospitals NHS Trust

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Response to this request is long overdue. By law, under all circumstances, Sandwell and West Birmingham Hospitals NHS Trust should have responded by now (details). You can complain by requesting an internal review.

Dear Sandwell and West Birmingham Hospitals NHS Trust,

Intravitreal injections for eyes

1. Does your Ophthalmology department provide an intravitreal eye injection service?

2. During 2017/18 financial year what is your total numbers of injections administered?

3. If patient is indicated for treatment in both eyes do you deliver injections bilaterally at one appointment?

4. Does your Ophthalmology department provide a one stop service for follow up patient? (i.e. patient has diagnostics, clinician review and an injection if indicated at one appointment)

5. Does your Ophthalmology department provide a one stop service for a new appointment? (i.e. patient has diagnostics, clinician review and an injection if indicated at their first appointment- 1st loading dose)

6. Who injects the patients eyes and how many sessions do they deliver on a weekly basis (session is equivalent to 4 hours):

a. Consultant Ophthalmologists?

b. Trust Grade or Specialty Doctors (non deanery trainees)?

c. Junior (deanery) trainee doctors?

d. Nurses?

e. Opticians?

f. Orthoptists?

g. Other (please specify)?

7. How does your pharmacy department provide the intravitreal injection drugs:

a. Specific for each patient i.e. have a patient label attached?

b. In batches, not labelled specific for patients?

8. Do you have an automated system that supplies the drug or is used to restrict access to the drug at the point of injection?

9. If you do have automation who is your provider of the automation system?

10. During 2017-2018 financial year have you had any financial losses associated with the loss of these drugs through fridge failures? If so please quantify estimated cost.

11. During 2017-2018 financial year have you had any financial losses associated with the loss of these drugs through inability to internally reconcile? If so please quantify cost.

12. During 2017-2018 financial year have you had any financial losses associated with the loss of these drugs through inability to reconcile with commissioners? If so please quantify cost.

13. Do you use blueteq to get prior approval from the commissioners before administering the drug?

14. How are you paid for the injection activity?

a. Do you have a locally agreed tariff with commissions that includes the cost of the drug? If so please specify separately the income for one attendance including market forces factor for new 1st injection appointment and follow up appointment.

b. Do you have a locally agreed tariff with commissions that excludes the cost of the drug for follow up appointments?

i. For diagnostic (usually Ocular Computerised Tomography) and clinician review? (Please specify income for one attendance including market forces factor)

ii. For diagnostic (usually Ocular Computerised Tomography), clinician review and injection delivered at the same appointment? (Please specify income for one attendance including market forces factor)

iii. For diagnostic (usually Ocular Computerised Tomography), clinician review and injection delivered bilaterally at the same appointment? (Please specify income for one attendance including market forces factor)

15. How many patients do you have on your waiting list for "follow up" injections that are past their due date?

Virtual OCT
1. Does your Ophthalmology department provide a “virtual” Optical Coherence Tomography (OCT) clinic for patients. i.e. patient attends for dilation and OCT, with a review carried out by a medic who does not see the patient?
2. If you do and the patient needs to be seen by a medic are they seen on the same day (one stop) or brought back on a subsequent appointment (different day)?
a. If seen on the same day do you achieve the standard OCT tariff or an enhanced locally agreed tariff.
b. If locally agreed tariff please can you provide the tariff for new ( 1st) appointments and follow appointments.
3. What patient pathways do you provide a Virtual OCT for? e.g. R1M1 diabetics, stable AMD (please list as many as are available)

Yours faithfully,

Jenny Price

SWBH-GM-FOIRequests (SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST), Sandwell and West Birmingham Hospitals NHS Trust

Thank you for your freedom of information request received on 23 July 2018 (below).

Your request will now be considered in accordance with the Freedom of Information Act 2000. You will receive a response within the statutory timescale of 20 working days after the date of receipt as defined by the Act, subject to the information not being exempt or containing a reference to a third party. In some circumstances we may be unable to achieve this deadline. If this is likely you will be informed and given a revised timescale at the earliest opportunity.

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Some requests may also require either full or partial transference to another public authority in order to answer your query in the fullest possible way. Again, you will be informed if this is the case.

Kind regards.

Clare Dooley
Head of Corporate Governance/Trust Board Secretary
Tel: 0121 507 3837
[email address]
Trust Headquarters, Health and Wellbeing Centre, Sandwell General Hospital, Lyndon, West Bromwich B71 4HJ

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