Orthoptic Department

Rachael Morris made this Freedom of Information request to Warrington and Halton Hospitals NHS Foundation Trust

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Dear Warrington and Halton Hospitals NHS Foundation Trust,

1) Pleases advise of your Orthoptic Department Structure, please indicate bands and WTE’s

2) Does your Orthoptic Department carry out any of the below specialist clinics? Yes or no and who carries out these clinics?
a) Low Vision
b) Literacy Difficulties
c) Stroke
d) Paediatric Contact Lens
e) Adult Contact Lens
f) General Adult
g) General Paediatric

3) Do you have Optometrists who carry out refraction in your paediatric pathway?

4) What is the allocated appointment slot times for new and follow up appointments for the following clinics (in minutes)?
a) Low Vision
b) Literacy Difficulties
c) Stroke
d) Paediatric Contact Lens
e) Adult Contact Lens
f) General Adult
g) General Paediatric

5) Please can you provide the tariff for the below subspecialities, new and follow up, please indicate if multi-disciplined.
a) Low Vision
b) Literacy Difficulties
c) Stroke
d) Paediatric Contact Lens
e) Adult Contact Lens
f) General Adult
g) General Paediatric

6) Do you have a clinical pathway for patients to be refracted within high street opticians? Yes or No
a) If yes, what is the clinical criteria?

7) If you refract the patient do high street opticians invoice you via the Hospital Eye Services Prescription Scheme? Yes or No
a) If yes, do you claim this money back from Clinical Commissioning Groups or NHS England or part of tariff?

8) What is your first line of treatment for occlusion? Eg Atropine/patching?

9) Please indicate your pathway for supplying any aids/equipment to patients during or following consultation ie freely dispensed unlimited, patient payment, tariff, limited number of items supplied per visit? Please indicate your supplier/cost
a) Prisms
b) Planos
c) Reusable occlusion patches (Fabric)
d) Daily occlusion Patches (Sticky)
e) Magnifier x 2
f) LED Magnifier x 3
g) LED Magnifier x 4 and above
h) Pocket Magnifiers x 3.5
i) Lanyards for pocket Magnifier
j) Other Magnifiers
k) TV Glasses
l) UV filter glasses
m) Hobby Magnifiers
n) Replacement for broken Magnifiers
o) Tinted glasses for visual stress
p) Replacement for broken tinted glasses for visual stress
q) Any other

Low vision
10) What is your clinical referral criteria for your low vision service?

Literacy Difficulties
11) Do you provide colorimetry assessment as part of your literacy difficulties service?

Yours faithfully,

Rachael Morris

Foi (WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST), Warrington and Halton Hospitals NHS Foundation Trust

Freedom of Information Act 2000 –Ref No: 18-561

Thank you for your request for Trust information under the provisions of the Freedom of Information Act 2000. I can confirm that the Communications and Engagement Team is currently attending to your request. A member of the team will respond within the statutory timescale which is currently 20 working days.

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Freedom of Information Officer

Warrington and Halton Hospitals NHS Foundation Trust
Kendrick Wing, Warrington Hospital, WA5 1QG

Email: [email address]

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Foi (WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST), Warrington and Halton Hospitals NHS Foundation Trust

1 Attachment

Dear Sir/Madam  

 

Freedom of Information Act 2000 – Ref No: 18-561

 

Response to request dated 02/11/2018 made under the Freedom of Information
Act 2000

 

Questions and Answers:

 

1)            Pleases advise of your Orthoptic Department  Structure,
please indicate bands and WTE’s

 

Head Orthoptist (Adult Lead) B 8b 0.8
Head Orthoptist (Paediatric Lead) B 8b 1.0
Special Educational Needs (SEN) and Visual B 7 0.85
Impairment (VI) Lead Warrington
Training and Development Lead B 7 1.0
SEN and VI Lead Halton B 7 0.6
Visual Processing Disorders Lead B 7 0.7
Stroke and Neuro Lead B 7 1.0
Specialist Orthoptist (SEN/Glaucoma) B 6 1.0
Specialist Orthoptist (VPD/NMI) B 6 1.0
Specialist Orthoptist (VPD) B 6 1.0
Specialist Orthoptist (SEN) B 6 1.0
Specialist Orthoptist (VPD) B 6 0.8
Specialist Orthoptist (Stroke) B 6 1.0
Orthoptist B 5 1.0
Orthoptist B 5 0.6

 

 

2)            Does your Orthoptic Department carry out any of the below
specialist clinics?  Yes or no and who carries out these clinics?

a)            Low Vision (No, Optometry)

b)            Literacy Difficulties (Yes, VPD team above)

c)            Stroke (Yes, Stroke team above)

d)            Paediatric Contact Lens (No, Optometry where appropriate) –
when there is a clinical requirement

e)            Adult Contact Lens (No, Optometry)

f)             General Adult (Yes, all)

g)            General Paediatric  (Yes, all)

 

 

3)            Do you have Optometrists who carry out refraction in your
paediatric pathway?  (Yes)

 

 

4)            What is the allocated appointment slot times for new and
follow up appointments for the following clinics (in minutes)?

a)            Low Vision – optometrists are given 40 minutes for a new
patient, 15 minute telephone call or 20 minute face to face follow up

b)            Literacy Difficulties (New 60, FU 45)

c)            Stroke (Variable as majority is ward based and dependant on
patients ability, apts in outpatients are generally are 60)

d)            Paediatric Contact Lens – contact lens slots are 30 minutes
for new or follow ups

e)            Adult Contact Lens – contact lens slots are 30 minutes

f)             General Adult  (60)

g)            General Paediatric  (hospital = 30, community = 20)

 

 

5)            Please can you provide the tariff for the below
subspecialities, new and follow up, please indicate if multi-disciplined. 
(For the 2018/19 financial year, the trust is on a block contract ie. no
tariffs. But below shows what has been used in the previous year)

a)            Low Vision (New = £145.95, FU = £55.65)

b)            Literacy Difficulties (New = £88.78, FU = £50.26)

c)            Stroke (New = £145.95, FU = £55.65)

d)            Paediatric Contact Lens (New = £88.78, FU = £50.26)

e)            Adult Contact Lens (FU = £55.65 – only seen as a FU in this
clinic during 18/19 to date)

f)             General Adult (New = £88.78, FU = £50.26)

g)            General Paediatric (New = £88.78, FU = £50.26)

 

 

6)            Do you have a clinical pathway for patients to be refracted
within high street opticians?  Yes or No (No)

a)            If yes, what is the clinical criteria?

 

 

7)            If you refract the patient do high street opticians invoice
you via the Hospital Eye Services Prescription Scheme?  No

a)            If yes, do you claim this money back from Clinical
Commissioning Groups or NHS England or part of tariff?

 

 

8)            What is your first line of treatment for occlusion? Eg
Atropine/patching? (Both are offered as first line)

 

 

9)            Please indicate your pathway for supplying any
aids/equipment to patients during or following consultation  ie freely
dispensed unlimited, patient payment, tariff, limited number of items
supplied per visit?  Please indicate your supplier/cost

a)            Prisms (freely dispensed, supplier cost = £7.90 )

b)            Planos (freely dispensed, supplier cost = £0.78 )

c)            Reusable occlusion patches (Fabric) (freely dispensed,
supplier cost = £7.75 )

d)            Daily occlusion Patches (Sticky) (freely dispensed, supplier
cost = £8.75 per box of 50)

e)            Magnifier x 2 freely dispensed, cost varies

f)             LED Magnifier x 3 freely dispensed, cost varies

g)            LED Magnifier x 4 and above freely dispensed, cost varies

h)            Pocket Magnifiers x 3.5 do not stock but can be freely
dispensed by patient request

i)             Lanyards for pocket Magnifier tend to come with pocket
magnifier

j)             Other Magnifiers freely dispensed

k)            TV Glasses freely dispensed

l)             UV filter glasses not used at this trust

m)          Hobby Magnifiers freely dispensed, cost varies

n)            Replacement for broken Magnifiers we will freely dispense
replacements

o)            Tinted glasses for visual stress not dispensed at this
trust

p)            Replacement for broken tinted glasses for visual stress not
dispensed at this trust

q)            Any other

 

Price of low vision aids can vary from £20 - £180

 

 

Low vision

10)          What is your clinical referral criteria for your low vision
service? Any patient who is struggling with their visual function can be
seen in the low vision clinic

 

 

Literacy Difficulties

11)          Do you provide colorimetry assessment as part of your
literacy difficulties service? (No, we provide a coloured overlay
assessment, but not colorimetry)

 

 

 

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Kind Regards

 

Freedom of Information Officer

 

Warrington and Halton Hospitals NHS Foundation Trust

Kendrick Wing, Warrington Hospital, WA5 1QG

 

Email: [4][email address]

 

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