Vision screening of 4 to 5 year olds at school entry

The request was successful.

The College of Optometrists

Dear FOI officer

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.

There is a national recommendation, by the UK National Screening committee, to offer orthoptic-led vision screening to children at aged 4-5 years, mainly to ensure that amblyopia (reduced vision), is detected and treated at an age where treatment has the potential to improve vision.

Public Health England introduced service specifications for a Vision Screening Service in 2017. We are concerned that a Vision Screening service is currently not being offered to all children aged 4-5 years in England leading to inequality of eye health care provision.

We are aware that the responsibility for commissioning 0 - 5 year children’s public health services has transferred from the NHS to Local Authorities; and that in addition there are to be significant cuts to Local Authority Public Health funding which may affect these services

We would be grateful if you could answer the following questions (for the financial year 2019/2020) to determine the arrangements made by your local authority to commission vision screening for your eligible resident population and it’s quality assurance.

We look forward to hearing from you.
Yours sincerely,
Olivier Denève
Secretary to the Clinical Council for Eye Health Commissioning

Questions

1. Do you currently commission vision screening in school of children aged 4-5 years old? Y / N

If YES, would you please:

2. List the key features of your 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 (QA) processes (audit) and identified clinical lead for the vision screening service

3. Tell us how you monitor if every child in your Local Authority has been tested (including those in private schools or those who are home-schooled).

4. Tell us whether the programme will be commissioned again in the next financial year

5. If NO- you do not currently commission a vision screening service in your area, would you please tell us :

a. why you do not commission vision screening?
b. whether a service is planned for the next financial year (2020/21)?
c. whether an existing service in your area has been recently decommissioned?

FOI, Stoke on Trent City Council

Dear Mr Deneve

 

Your request for information ref. SOT80141

 

Thank you for your request for information about vision screening offered
to 4 - 5 year olds by the local authority.  Your request was received by
the Information Rights Team on 27 June 2019.  This is being dealt with
under the terms of the appropriate Information Rights legislation.

 

In some circumstances we may charge for information.  If there is a charge
we will let you know, as you will be required to pay this before we deal
with your request.

 

Some information does not have to be released under this legislation.  We
will check the information you have asked for and send you as much as
possible.  If another person or organisation is named in the information,
we may have to ask their opinion before we decide what we can give you.

 

You should expect to receive a response to your request on or before 25
July 2019 in line with the legislation's 20 working day statutory
deadline.

 

For your information we may publish the response to your request on our
City Council's website, which can be found at the following address:
[1]www.stoke.gov.uk.

 

If you have any queries about this email please do not hesitate to contact
us.

 

You can find details of how we handle your personal information by
visiting [2]www.stoke.gov.uk/dataprotection

 

Yours sincerely

 

Information Rights Team

 

Information Rights

Floor 2 Civic Centre Glebe Street

Stoke-on-Trent ST4 1HH

City of Stoke-on-Trent 

t 01782 232853, 01782 233020, 01782 233732, 01782 235965

e [3][Stoke on Trent City Council request email]

 

 

 

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spare time, even as little as one weekend a month, you can make a real
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show quoted sections

 

References

Visible links
1. http://www.stoke.gov.uk/
2. http://www.stoke.gov.uk/dataprotection
3. mailto:[Stoke on Trent City Council request email]
4. https://www.stoke.gov.uk/info/20044/fost...
5. http://www.stoke.gov.uk/onlineaccount
6. https://itunes.apple.com/us/app/my-stoke...
7. https://play.google.com/store/apps/detai...

FOI, Stoke on Trent City Council

Dear Mr Deneve

 

Your request for information ref. SOT80141 about vision screening offered
to 4 - 5 year olds by the local authority

 

We have now considered your request and a copy of the information is
attached below.

 

The information supplied may be used for domestic or journalistic
purposes.  Its use for commercial gain including issuing to the public,
social media or computer blogs may be subject to the issue of a licence
under the Reuse of Public Sector Information Regulations 2015.

 

1.    Do you currently commission vision screening in school of children
aged 4-5 years old?

 

Response: Yes

If YES, would you please:

 

2.    List the key features of your commissioned screening service:

 

a)    Settings (e.g. school)

 

Response: Schools based service delivery for reception aged Stoke on Trent
resident children. The service is also offered to children attending out
of area schools.

 

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

 

Response: Orthoptist led service.

 

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

 

Response: The onward care pathway for those patients who have vision
screening at school will be filtered depending on why the child failed
their screening. For those who fail school screening they are either
directed to an accredited community optometrist or referred to UHNM to see
either a consultant paediatric Ophthalmologist or paediatric nurse
specialist. Those directed to the community optometrist will have a full
dilated eye examination and any glasses will be prescribed, these patients
will then be allocated a 3-6/12 orthoptic new patient appointment
(depending on their condition/glasses). These patients will be seen by an
orthoptist and treated and/or followed up accordingly. Those referred into
UHNM to see a consultant/nurse will be seen as a new patient, treatment,
further tests and/or follow up will be allocated.

 

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

 

Response: The quality assurance process by the provider includes a closed
loop audit process that is continually assessed and collated. This data is
collected for the Provider trust, for the council (Commissioner) and for
the British and Irish Orthoptic Society (BIOS). This means a lot of data
is collected from ages of children referred, starting and finishing
visions, waiting times for optometrist appointments and
Orthhoptic/consultant appointments, prevalence of ocular misalignments and
outcomes.

 

The clinical lead is the Advanced Orthoptist within the Provider Trust.

 

3.    Tell us how you monitor if every child in your Local Authority has
been tested (including those in private schools or those who are
home-schooled).

 

Response:

 

Quarterly performance monitoring meetings are held with the provider who
completes a performance dashboard which includes information such as:-

 

-       Total number of 4-5 year olds that academic year (eligible
children).

-       Percentage of children offered the service.

-       Percentage uptake.

-       Percentage of all children with identified need to be referred to
specialist support.

-       Percentage of children referred who attend for eye examination.

-       Prevalence of prescription of glasses.

-       Prevalence of manifest strabismus (constant, intermittent or 
micro) ref to POSC.

-       Percentage of children who required an Ophthalmic opinion.

-       Mean waiting time (and range) for the full eye examination.

-       Negative consents: didn’t want eye test, sees own optician,
already current patient.

 

4.    Tell us whether the programme will be commissioned again in the next
financial year.

 

Response: The service is being commissioned for 2019/20 and a decision on
the future commissioning intention will be made around September 2019.

 

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision,
you should write to: The Information Rights Manager, Information Rights
Team, Stoke-on-Trent City Council, Floor 2, Civic Centre, Glebe Street,
ST4 1HH, or email [1][Stoke on Trent City Council request email].

 

If, after contacting us, you are not content with the outcome, you may ask
the Information Commissioner for a decision.  Before doing this, please
see the following link for guidance from the Information Commissioner
relating to how to use your information rights responsibly and
effectively, to enable you to gain the best outcome from the process -
[2]http://ico.org.uk/for_the_public.

 

Generally, the Information Commissioner cannot make a decision unless you
have already used our internal review procedure. The Information
Commissioner can be contacted at: The Information Commissioner’s Office,
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF, tel: 0303 123
1113 or you can visit their website at
[3]https://ico.org.uk/make-a-complaint/

 

You can find details of how we handle your personal information by
visiting [4]www.stoke.gov.uk/dataprotection

Yours sincerely

 

Information Rights Team

 

Information Rights

City of Stoke-on-Trent

Floor 2  Civic Centre  Glebe Street  Stoke-on-Trent  ST4 1HH

T: 01782 232853, 01782 233020, 01782 233732, 01782 235965

E: [5][Stoke on Trent City Council request email]

 

 

+------------------------------------------------------------------------+
|  |
| |
|Dear FOI officer |
| |
|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. |
| |
|There is a national recommendation, by the UK National Screening |
|committee, to offer orthoptic-led vision screening to children at aged |
|4-5 years, mainly to ensure that amblyopia (reduced vision), is detected|
|and treated at an age where treatment has the potential to improve |
|vision. |
| |
|Public Health England introduced service specifications for a Vision |
|Screening Service in 2017. We are concerned that a Vision Screening |
|service is currently not being offered to all children aged 4-5 years in|
|England leading to inequality of eye health care provision. |
| |
|We are aware that the responsibility for commissioning 0 - 5 year |
|children's public health services has transferred from the NHS to Local |
|Authorities; and that in addition there are to be significant cuts to |
|Local Authority Public Health funding which may affect these services |
| |
|We would be grateful if you could answer the following questions (for |
|the financial year 2019/2020) to determine the arrangements made by your|
|local authority to commission vision screening for your eligible |
|resident population and it's quality assurance. |
| |
|We look forward to hearing from you. |
|Yours sincerely, |
|Olivier Denève |
|Secretary to the Clinical Council for Eye Health Commissioning |
| |
|Questions |
| |
|1.         Do you currently commission vision screening in school of |
|children aged 4-5 years old?                   Y / N |
| |
|If YES, would you please: |
| |
|2.         List the key features of your 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 (QA) processes (audit) and identified |
|clinical lead for the vision screening service |
| |
|3.         Tell us how you monitor if every child in your Local |
|Authority has been tested (including those in private schools or those |
|who are home-schooled). |
| |
|4.         Tell us whether the programme will be commissioned again in |
|the next financial year |
| |
|5.         If NO- you do not currently commission a vision screening |
|service in your area, would you please tell us : |
| |
|a.         why you do not commission vision screening? |
|b.         whether a service is planned for the next financial year |
|(2020/21)? |
|c.         whether an existing service in your area has been recently |
|decommissioned? |
| |
|  |
+------------------------------------------------------------------------+

 

 

 

Being a foster carer is truly life changing. If you have a spare room and
spare time, even as little as one weekend a month, you can make a real
difference to a child’s life.

Fostering for Stoke-on-Trent City Council offers a rewarding career with
comprehensive training and guidance. [6]Click here for more information.

Manage your council tax online and sign up for paperless billing with our
new online account at [7]www.stoke.gov.uk/onlineaccount - and access it
using the MyStoke app, putting fly-tipping, and litter reporting in your
hands at the touch of a button. Available in the [8]App Store and on
[9]Google Play

show quoted sections

 

References

Visible links
1. mailto:[Stoke on Trent City Council request email]
2. http://ico.org.uk/for_the_public
3. https://ico.org.uk/make-a-complaint/
4. http://www.stoke.gov.uk/dataprotection
5. mailto:[Stoke on Trent City Council request email]
6. https://www.stoke.gov.uk/info/20044/fost...
7. http://www.stoke.gov.uk/onlineaccount
8. https://itunes.apple.com/us/app/my-stoke...
9. https://play.google.com/store/apps/detai...