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Vision screening of 4 to 5 year olds at school entry

Jignasa Mehta made this Freedom of Information request to The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust as part of a batch sent to 88 authorities

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

We're waiting for Jignasa Mehta to read recent responses and update the status.

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

Heywood, Martin, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

Dear Jignasa

Thank you for your FOI request which is receiving attention. Please accept my apologies for the delay in acknowledging your message as I have been on annual leave.

Regards

Martin Heywood
Legal Services Manager

The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
Gayton Road
Kings Lynn
PE30 4ET
Email: [email address]
Tel: 01553 613521
Fax : 01553 613426
Web : www.qehkl.nhs.uk

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Dear Martin,

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 sincerely,

Jignasa Mehta

Heywood, Martin, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

Dear Jignasa

Thanks. I will expedite this.

Regards

Martin Heywood
Legal Services Manager

The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
Gayton Road
Kings Lynn
PE30 4ET
Email: [email address]
Tel: 01553 613521
Fax : 01553 613426
Web : www.qehkl.nhs.uk

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Dear Martin

Could you please update me on when I can expect a response for this FOI please.

Many thanks for expediting this.

Yours sincerely,

Jignasa Mehta

Heywood, Martin, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

I'm now out of the office on leave until 30th July. This inbox is being monitored and actioned by other staff during this time, but I will get back to you as soon as I can thereafter.

Unless expressly stated otherwise the contents of this message represent only the views of the sender as expressed only to the recipient. This does not commit Queen Elizabeth Hospitals NHS Foundation Trust (QEHKL.NHS.UK) to any course of action and is not intended to impose any legal obligation upon Queen Elizabeth Hospitals NHS Foundation Trust. If received in error, please return to [email address] and destroy any copies immediately. This footnote also confirms that the contents have been checked for the presence of known computer viruses.

Gibb, Rebecca, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

Dear Jignasa,

 

Please see below the information available in response to your questions:-

 

Questions

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

Please list them all.

-West Norfolk CCG, North Norfolk CCG, Norwich CCG, South Norfolk CCG,
Cambridgeshire & Peterborough CCG, South Linconshire CCG and Linconshire
East CCG

 

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

 

3. Is a vision screening service currently available in the area (by LA
or CCG) served by your organisation for providing Orthoptic Services? Not
all

 

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  Trying to be

ii. Not compliant

 

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

a. Settings (e.g. school). School

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

c. The onward care pathway for children who fail the vision screening. To
QEH or NCH

d. The quality assurance processes (audit) and identified clinical lead
for the vision screening service. Auditing by Rosemary Russell, Head
Orthoptist and Dawn Robinson, Advanced Orthoptist

 

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). As far as is believed,
that is the responsibility of the CCG.

 

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

 

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?

 

Please let us know should you require anything further.

 

Kind regards

 

 

Rebecca Gibb (Legal Services Secondee)

On behalf of Martin Heywood

Legal Services Manager

 

 

 

 

 

 

 

Unless expressly stated otherwise the contents of this message represent only the views of the sender as expressed only to the recipient. This does not commit Queen Elizabeth Hospitals NHS Foundation Trust (QEHKL.NHS.UK) to any course of action and is not intended to impose any legal obligation upon Queen Elizabeth Hospitals NHS Foundation Trust. If received in error, please return to [email address] and destroy any copies immediately. This footnote also confirms that the contents have been checked for the presence of known computer viruses.

References

Visible links
1. https://www.gov.uk/government/publicatio

Dear Rebecca,
Many thanks for your response. Could I please ask you to complete just the one question which did not have a response. Q3 a) Who commissions the vision screening service. Please list all CCG or LAs that commission vision screening that is provided by your orthoptic department.
Many thanks

Yours sincerely,

Jignasa Mehta

Heywood, Martin, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

Dear Jignasa

Thank you for your message. In answer to your outstanding query the LA does not commission us to provide the service. The CCGs that do are listed in response to Q1 below. The CCGs themselves would be able to advise you as to which catchments they do or do not cover, as that information is not held by ourselves. The area covered by the CCGs is vast, and includes most of East Anglia (excl Suffolk), of which our patients are from only a small part, namely West Norfolk.

Regards

Martin Heywood
Legal Services Manager

The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
Gayton Road
Kings Lynn
PE30 4ET
Email: [email address]
Tel: 01553 613521
Fax : 01553 613426
Web : www.qehkl.nhs.uk

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We don't know whether the most recent response to this request contains information or not – if you are Jignasa Mehta please sign in and let everyone know.