YORKSHIRE EYE HOSPITAL
QUALITY ACCOUNT
PERIOD 2009_10
PART ONE
The Quality of our NHS Services
Yorkshire Eye Hospital (YEH) was established by its founding surgeons
explicitly to demonstrate the highest levels of patient safety, clinical outcomes
and customer satisfaction. It is that vision that remains at the heart of our
dedication to the highest levels of quality.
YEH offers a comprehensive range of day care and outpatient treatments for
eye conditions.
According to the most up-to-date study1:
•
Of over 55,000 cases, our cataract success rates are higher than the
national UK average.
•
According to the same study, our cataract complication rates are
significantly lower than the national average.
•
The 1998 study reported that 1 in 350 cases of endophthalmitis (a
serious infection in the eye following surgery) within the NHS; there
have been no cases in last 7 years at Yorkshire Eye Hospital.
•
There has never been a case of MRSA or Clostridium Difficile at
Yorkshire Eye Hospital.
Yorkshire Eye Hospital is the first and only independent hospital in Yorkshire
able to provide a fully integrated AMD service for macular degeneration (one
of the leading causes of sight loss in the UK).
We continuously survey our patients and publish their feedback on a quarterly
basis.
1
National Cataract Pilot Electronic Study (Medisoft) 2007. R Johnston, P Jaycock P Galloway, J
Sparrow, D Tole
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In our last survey of patients, 100% of patients agreed that
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Their greeting at main reception was courteous and informative
The hospital was well organized
The doctors and nurses worked well together
They were treated with respect and dignity
The care they received met their expectations
The hospital was clean, tidy and well presented
The above statements apply to services received by all our patients, whether
NHS or private.
We are therefore proud of the services we provide.
However, we never cease in our determination to provide the best quality
possible. This document sets out, for example, three of the areas where we
set out to improve on our already excellent levels of quality service.
I, Paresh Patel, Managing Director, Optegra UK, (owners of the Yorkshire Eye
Hospital) confirm that to the best of my knowledge the information in the
document is accurate.
Paresh Patel
Managing Director
Optegra UK
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PART TWO
Areas where we will make our NHS Services Even Better
The following are the areas for improvement on which we shall focus in the
current period:
•
Providing care for Glaucoma patients
o In response to NICE guidance: “Glaucoma: diagnosis and
management of chronic open angle glaucoma and ocular
hypertension” (April 2009)
•
Providing care for Cataract patients using the best practice model
o In response to: “Focus on Cataract 2009” Institute for Innovation
and Improvement.
•
Refurbishment of the hospital to provide an improved flow and areas
for privacy and dignity.
The areas of making our service better will be reported via our various quality
groups, Clinical Governance and quarterly clinical review and patient
information leaflets.
The areas of improvement are currently fundamental in providing the best
ophthalmic care and are high on our patient and commissioners agenda.
Statements of Assurance
In accordance with the The National Health Service (Quality Accounts)
Regulations 2010 YEH makes the following statements of assurance:
1. During 2009/10 the Yorkshire Eye Hospital provided and/or subcontracted
one NHS service. (Ophthalmology)
1.1.
The Yorkshire Eye Hospital has reviewed all the data available to
them on the quality of care in all of these NHS services
1.2.
The income generated by the NHS services reviewed in 2009/10
represents 100 per cent of the total income generated from the
provision of NHS services by the Yorkshire Eye Hospital for 2009/10.
2. During 2009/10 no national clinical audits and no national confidential
enquiries covered NHS services that Yorkshire Eye Hospital provides.
There were during the reporting period no national clinical audits or
national confidential enquiries relating to the services we provide.
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2.1.
During that period Yorkshire Eye Hospital participated in all national
clinical audits and all national confidential enquiries of the national
clinical audits and national confidential enquiries which it was eligible
to participate in. (Note: there were none)
2.2. The national clinical audits and national confidential enquiries that
Yorkshire Eye Hospital was eligible to participate in during 2009/10 are
as follows: None.
2.3. The national clinical audits and national confidential enquiries that
Yorkshire Eye Hospital participated in during 2009/10 are as follows:
None.
2.4. The national clinical audits and national confidential enquires that
Yorkshire Eye Hospital participated in, and for which data collection
was completed during 2009/10, are listed below alongside the number
of cases submitted to each audit or enquiry as a percentage of the
number of registered cases required by the terms of that audit or
enquiry. None
Although there were no national clinical audits during the reporting period,
Yorkshire Eye Hospital reviewed one of its services against a previously
completed national audit and held two local clinical audits as follows:
2.5.
The reports of one national clinical audits (relating to AMD) were
reviewed by the provider in 2009/10 and Yorkshire Eye Hospital
intends to take (note: has taken) the following actions to improve the
quality of healthcare provided:
• The guidance was reviewed to design and establish a new
service.
[This response covers regulation 2.5 and 2.6]
2.6.
The reports of 2 local clinical audits were reviewed by the provider
in 2009/10 and Yorkshire Eye Hospital intends to take the following
actions to improve the quality of healthcare provided.
Adhere and continue best practice for Correct Site Marking 2005
• Use of indelible markers
Consent for examination or Treatment August 2009
• Upgraded consent form to comply with current national guidance
(August 2009).
[This response covers regulation 2.7 and 2.8]
3. The number of patients receiving NHS services provided or sub-contracted
by Yorkshire Eye Hospital in 2009/10 that were recruited during that period
to participate in research approved by a research ethics committee was
nil.
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YEH had a no research policy during the reporting period.
4. Yorkshire Eye Hospital income in 2009/10 was not conditional on
achieving quality improvement and innovation goals through the
Commissioning for Quality and Innovation payment framework because
being offered income conditional on the framework was not mandatory
under the NHS acute service contract for PCTs during the reporting period
and YEH was not offered any such income by the coordinating PCT.
5. Yorkshire Eye Hospital is required to register with the Care Quality
Commission and its current registration status is registered. Yorkshire Eye
Hospital has the following conditions on registration: none. The Care
Quality Commission has not taken enforcement action against Yorkshire
Eye Hospital during 2009/10.
Yorkshire Eye Hospital were registered during this period under the Care
Standards Act 2000 National Minimum Standards for Independent Health
Care.
6. Yorkshire Eye Hospital is subject to periodic reviews by the Care Quality
Commission and the last review was on March 2009. The CQC’s
assessment of the Yorkshire Eye Hospital following that review was
compliant and not needing an inspection.
Yorkshire Eye Hospital intends to take the following action to address the
points made in the CQC’s assessment (No actions to review in this period].
Yorkshire Eye Hospital has made the following progress by 31st March 2009
in taking such action [no actions to review in this period)
7. Yorkshire Eye Hospital has not participated in any special reviews or
Investigations by the CQC during the reporting period.
8. Yorkshire Eye Hospital submitted records during 2009/10 to the
Secondary Uses Service for inclusion in the Hospital Episode Statistics
which are included in the latest published data. The percentage of records
in the published data:
— which included the patient’s valid NHS number was:
0% for admitted patient care;
0% for out patient care; and
0% for accident and emergency care.
— which included the patient’s valid General Medical Practice Code
was:
0% for admitted patient care;
0% for out patient care; and
0% for accident and emergency care.
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During the reporting period YEH was not supplied with an N3 (secure)
connection to Secondary Uses Service. The relevant information was
supplied to the coordinating PCT on spreadsheets.
It is expected that an N3 connection will be supplied during the current
reporting period, when data will be provided directly.
9. Yorkshire Eye Hospital score for 2009/10 for Information Quality and
Records Management, assessed using the Information Governance
Toolkit, was, for version 6, 100%
10. Yorkshire Eye Hospital was not subject to the Payment by Results clinical
coding audit during 2009/10 by the Audit Commission.
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Statement by Coordinating PCT
Re: NHS Bradford and Airedale statement regarding Yorkshire Eye
Hospital Quality Accounts – 2009/10
NHS Bradford and Airedale commissions services from the Yorkshire Eye
Hospital and we are pleased to be able to review and comment on the
Yorkshire Eye Hospital Quality Accounts.
NHS Bradford and Airedale believes that the national introduction of Quality
Accounts will support the long term sustainability of NHS organisations to
continually deliver quality improvements and high quality services to all users
of NHS services.
We acknowledge the continued steps that Yorkshire Eye Hospital has taken
to assure the quality of services for local service users and carers.
NHS Bradford and Airedale are pleased to see such positive results from the
patient surveys regarding their experience of services at the Yorkshire Eye
Hospital.
NHS Bradford and Airedale fully support the priority areas and future
initiatives that have been developed for 2010/2011, which includes:
improving the provision of care for Glaucoma patients in response to
NICHE guidance
• improving care for Cataract patients in response to “Focus on Cataract
2009”
NHS Bradford and Airedale would like to thank Yorkshire Eye Hospital for
their inclusive approach to the development of their 2009/2010 Quality
Accounts.
•
Simon Morritt
Chief Executive
NHS Bradford and Airedale
At the time of publication, statements had not been received from:
Local Involvement Network (LINk)
or
Bradford MBC Overview and Scrutiny Committee
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