Optegra Yorkshire Eye
Hospital
Quality Accounts 2013-2014
1
CONTENT
Part 1: Statement of Commitment
Gareth Steer, Optegra UK Managing Director
Part 2: Our Priorities for Improvement 2014 / 2015
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Statement of Quality , Sue Boyes Hospital Manager
Priorities for improvement
Statement of Assurance
Part 3: Review of our Quality Performance 2013 “A Look Back”
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Part 1: Statement of Commitment
Optegra UK Ltd is totally committed to fostering an organisational culture that puts the patient at
the centre of everything the Optegra Yorkshire Eye Hospitals does.
The Optegra Yorkshire Eye Hospital was established by its founding surgeons specifically 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 and reflected in
the Optegra mission statement - “To be the worlds most trusted choice for eye care"
The hospital was acquired in February 2010 by Optegra UK, who specialise in Ophthalmology
services across the country and is one of six hospitals based in the UK, with the others being situated
in Surrey, Solent, Manchester, Birmingham and London. As Managing Director of Optegra UK, I am
passionate about ensuring that high quality patient care is at the centre of all we do and how we
operate in all our facilities. This relies not only on excellent medical and clinical leadership in our
hospitals but also upon our overall continuing commitment to drive year on year improvement in
clinical outcomes.
Following the appointment of our Head of Eye Sciences role in 2011, we have expanded the use of
Medisoft, the UK's only Ophthalmology specific patient pathway system that records patient clinical
data from onset to discharge. It has a comprehensive audit element that records both pre and postsurgical outcomes and also surgical and anaesthetic complications. For the first time Optegra UK
now generates consistent and high quality surgical outcome data for all of its hospitals. Our Head of
Eye Sciences, in conjunction with our consultant Ophthalmologist Medical Director are instrumental
in approving any new procedures and technologies into Optegra hospitals and will also provide us
with the capability to participate in a wide range of research projects.
As a provider of ophthalmic healthcare, we have continued to work hard in 2013 to further develop
a structured clinical governance framework and risk management system across all our hospitals and
we continually review our performance so we can drive improvements to the benefit of all our
patients. I believe that delivering clinical excellence depends upon everyone in the organisation;
everyone is responsible for ensuring that are delivering high levels performance and constantly
seeking to improve.
The requirement to ensure clinical excellence is the role of everyone in the organisation and is not
about reliance upon one or two people. Across Optegra we nurture teamwork and professionalism,
we value our people and set our targets high, and we work hard in every aspect of our services to
provide facilities of a high order. We believe in investing substantially in our people, our hospitals
and our equipment to ensure care is delivered in a consistent and safe manner at all times.
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Patient feedback is extremely important to us and we undertake quarterly patient satisfaction
surveys with the expectation we will maintain or improve upon our 2013 results in which our
patients gave us a world-class “Net Promoter Score” rating of 85 (70% of patients rated us 10/10,
15% 9/10, 100% 6 or more out of 10)
The Optegra Yorkshire Eye Hospital is accustomed to the disciplines of regulatory and contractual
requirements to assure health commissioners of our clinical performance and to report complaints
and serious incidents accordingly. The hospital maintains a Risk Register and reviews specific actions
to achieve risk reduction.
To the best or my knowledge as requested by the regulations governing the publication of this
document, the information in this report is accurate.
Gareth Steer, Optegra UK Managing Director
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Optegra Yorkshire Eye Hospital
Optegra Yorkshire Eye Hospital is a private hospital situated between Leeds and Bradford. The
hospital offers care to NHS patients, patients with private medical insurance and patients who wish
to fund their own treatments.
The hospital provides a full range of Ophthalmic services, including outpatient consultations,
diagnostics and surgery, through to follow-up care.
During the period January 2013 – December 2013 the hospital has seen 21.012 patients through its
doors, and approx. 50% were treated under the care of the NHS.
Currently 22 specialist ophthalmic consultants work from the hospital and are supported by 21
clinical staff, a skill mix of Nurse’s, Healthcare Technicians, Optometrists and Orthoptists. There are
18 Administration staff, along with dedicated Facilities and Housekeeping support.
The hospital has built an excellent relationship with Leeds Teaching Hospital Trust, Bradford
Teaching Hospitals and Airedale Foundation Trust to deliver a collaborative approach to patient care.
Our field-based Professional Partnership Managers provide vital links to the Optometry community
and GP’s to ensure their needs and expectation are managed through a partnership referral process
and streamlined patient choice referrals.
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Part 2: Statement of Quality:
This is the fourth quality account issued by the Optegra Yorkshire Eye Hospital and it reflects
on performance in the last financial year.
A great deal was achieved by clinical and administration teams during 2013/14, in
partnership with patients, our commissioners and our professional referring community
We are especially proud of our improved performance in our patient satisfaction survey
reaching a world class net promoter score of 85 (70% of patients rated us 10/10, 15% 9/10,
100% 6 or more out of 10)
.
We delivered on our CQUIN goals… Section 1.1 of the CQUIN was to introduce the Friends and
family test at Optegra Yorkshire Eye Hospital. The goal was to increase the response rate from 15%
returns in quarter 1 (April-June 2013) to 20% returns in quarter 4 (January-March 2014). This part of
the CQUIN has been achieved with the returns in quarter 1 being – 95% and in quarter 4 – 99%.
Section 1.2 of the CQUIN was to improve performance on the staff Friends and Family Test. The goal
was to achieve a better result in 2013/14 compared with the 2012/13 result. This part of the CQUIN
has been achieved with an increase from 44% of the staff recommending Optegra during 2012/13 to
52% during 2013/14.
We have successfully undertaken a research trial looking into intraocular lenses for
astigmatism, and gained NHS ethic’s approval for this.
Our research and surgical outcome profile remains strong and we continue to audit and
evaluate to continually improve our services.
Working with our CCG programme for 2014/ 15 we look forward to continuing to provide a
quality service to all our patients
Sue Boyes
Hospital Director
S
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Part 2
Priorities for Improvement 2014/2015
The priorities for improvement have been determined by evaluating and acting upon our
governance processes and learning from our patients and staff. The priorities are supported
by the Medical Advisory Committee.
We have a clear commitment to our patients and we work in partnership with the NHS to
ensure our services are safe and of high quality. We constantly strive to improve clinical
safety and standards by a process of governance, including audit and feedback from all
those experiencing our services.
Patient Safety
1, Never Events are serious and largely preventable patient safety incidents that should not
occur if preventable measures have been put in place. There are 25 nationally recognised
never events of which 4 are core to the hospital and will form part of our measurement of
patient safety during 2014/15.
 Wrong site surgery – Optegra Yorkshire Eye Hospital have embedded into practice
the World Health Organisation (WHO) recommendation for safer cataract surgery
checklist. The checklist is a tool used throughout cataract surgery to improve the
safety of surgery by improving good communication and setting out safety checks
throughout the perioperative period; the hospital has consistently achieved
compliance throughout 2013 for completion of the checklist and will continue to
audit and evaluate its use throughout 2014/15.
 Wrong Implant / prosthesis – “Wrong intraocular lens implant; learning from
reported patient safety incidents” (SP Kelly Feb 2011) showed that a large
percentage of incidents of wrong implantation of IOL were due to wrong IOL
selection. Optegra Yorkshire Eye Hospital have worked hard to raise awareness of
this never event and through education, communication and a robust audit process
have achieved 100% compliance throughout 2013 with the Lens Checking Protocol.
This best practice and cycle of audit will continue during 2014/15.
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 Retained Foreign Object Post Operation - this rarely occurs due to the nature of our
surgery but extra vigilance will be undertaken due to the tiny microscopic sutures
used sometimes. Surgical Safety (WHO) audit results show –
February 2013 – 100%
June 2013 – 100%
July 2013 – 100%
August 2013 – 99% - one area of the document was not signed/initialed by the person
completing
September 2013 – 100%
October 2013 – 100%
November 2013 – 100%
December 2013 – 100%
The WHO Surgical Safety Checking audit is now completed monthly in conjunction with our
Lens Checking Protocol audit as these 2 audits have enhanced the Safety of our Patients
during the Perioperative period. These audits are carried out by a different member of the
clinical team every month and we have found that this responsibility has helped to instill
confidence, pride and a sense of achievement within the team.
 Overdose of Midazolam during conscious sedation – minimal procedures require
the need for sedation at the Optegra Yorkshire Eye Hospital but the use is monitored
and reported under policy guidance.
2, VTE Risk Assessments – due to the nature of our services; surgery that is less than 90
minutes in duration, the need to assess for VTE risk is minimal. A series of elimination
questions are used by the pre assessment staff to determine any likely risk and 100% of
patients undergoing surgical intervention are assessed using the Department Of
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Health/NICE guidance.
3, CQUIN Scheme - from April 2013 the Optegra Yorkshire Eye Hospital has entered into a
contract with NHS Airedale Bradford and Leeds for the provision of NHS services, through
the Commissioning of Quality & Innovation Payment Framework (CQUINS). Payment will be
conditional on achieving quality improvement in the following area.
 Introduction of the Friends and family Test – to improve the experience of patients in
line with domain 4 of the NHS outcomes framework. The friends and family test will
provide timely, granular feedback from patients about their experience.
 Goal 1 – to increase the response rate
 Goal 2 – improve performance on the staff, friends and family test
Section 1.1 of the CQUIN was to introduce the Friends and family test at Optegra Yorkshire Eye
Hospital. The goal was to increase the response rate from 15% returns in quarter 1 (April-June 2013)
to 20% returns in quarter 4 (January-March 2014). This part of the CQUIN has been achieved with
the returns in quarter 1 being – 95% and in quarter 4 – 99%.
Section 1.2 of the CQUIN was to improve performance on the staff Friends and Family Test. The goal
was to achieve a better result in 2013/14 compared with the 2012/13 result. This part of the CQUIN
has been achieved with an increase from 44% of the staff recommending Optegra during 2012/13 to
52% during 2013/14.
Section 2.1 of the CQUIN was to use electronic communication to provide information to GPs
following day case attendance. This CQUIN was carried over from the 2012/13 scheme but
unfortunately Optegra IT have not been able to remedy the problems with the incompatible
software systems that have negated the ability of the hospital to send electronic discharge
information. Therefore this CQUIN has not been achieved. The Optegra IT department will continue
to find a solution to this problem to allow Optegra Yorkshire Eye Hospital to send electronic
discharge information to our GP practices.
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Our CQUIN scheme for 2014/15.
The scheme agreed with our commissioners for 2014/15 is;
 To continue with the Friends and Family Test – to improve the experience of patients
in line with domain 4 of the NHS outcomes framework. Providing timely, granular
feedback from patients about their experience.
 Shift from day case to out patient procedure – goal – shift from day case to out
patient procedures with a reduction of the number of procedures performed as a
day case with a corresponding increase in the number of these procedures
performed as an out patient procedure. – to improve the patient experience.
4, Infection Prevention and Control – a comprehensive annual plan has been in place during 2013.
Audits that were undertaken in 2013:
 Hand Hygiene – (Jan) 98% compliance (July) 98% compliance and (December) 100%
this is a priority audit and our aspiration is to continue to achieve at this very high
level.
 Decontamination audit – (April) 95.6% compliance and (October) 99% compliance.
This excellent result was achieved by a programme of replacement of the operating
theatre trolley mattresses and other furniture covers.
 Environmental audits – (March) 90% compliance and (December) 97.7% compliance.
This audit included office areas in the early part of the year which did reduce the
clinical areas outcomes, however following discussions with our CQC Inspector and
Infection & Prevention committee these areas are now audited separately and the
December score reflects this change.
 Antimicrobial Prescribing audit – (September) 80% compliance. This was the first
time we have undertaken this audit and the results are disappointing, this will
remain on the audit programme during 2014/15. These results have been discussed
with the Medical Advisory Committee, Infection prevention and control committee
and escalated to Optegra Senior Management Team via the corporate Governance
committee. The reduction of the use of antimicrobials will remain high on our
agenda and through discussion and education we aspire to improve our audit results
in this area by reducing the number of non essential antimicrobials prescribed, which
in turn will aid in the national campaign against antibiotic resistance.
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5, Cleanliness - environmental audits were completed as per the High Impact Intervention
VIII (DOH Saving Lives: Reducing Infection, Delivering Clean and Safe Care 2007).
Cleanliness is a prime focus of first impressions by our patients and will remain a priority for
2014/15
Our Environmental Audit result (December)- 97.7% compliance with cleaning standards.
Some actual comments from our patients I relation to our environment are:
‘Good personal care and attention. Clean and attractive premises’
‘excellent facilities, pleasant atmosphere and good service’
‘the hospital is so clean and tranquil, a pleasurable experience’
‘very satisfied with the treatment I have received, spotlessly clean’
‘immaculately clean premises, first class service, prompt attention’
‘needs a bigger car park’
These comments are captured from patients while they are in the hospital as part of the
Friends and Family test and recorded to enable Optegra Yorkshire Eye Hospital to
continually improve the patient experience and journey.
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Patient Experience
Patient feedback in 2013 has shown that the waiting time in the clinic areas for their
appointments remains a concern for some patients and that some patients do not feel
adequately prepared for their recovery period following treatment. Optegra Yorkshire Eye
Hospital has recognised an opportunity to improve within this area.
o We will continue to review our clinics and actively manage our patients expectations
in relation to waiting times by;
1. The introduction of the coordinator role in the clinic- who is responsible for
communicating any delays to the patients waiting and informing a member of
the reception team of the delays.
2. This will allow the reception team to inform and explain the delay to patients
when they arrive at reception. Hopefully this will assist in the management of
our patients’ expectations.
3. We have changed the patient admission letter for surgery to say that the
admission time stated is ‘to prepare for surgery’ this simple change has
already reduced some of our patients agitation and angst as they have been
fully informed about their episode of treatment and what to expect.
o Some patients reported that they did not feel adequately prepared for their recovery
period following treatment. Investigation into this showed that this was due to the
marketing materials that our patients receive conflicting with what actually happens
in the hospital, this has led to a full review of our process and discharge advice, a full
review of our marketing materials and a full review of our documentation. All of
these reviews are taking place via Optegra ‘Customer excellence red ball projects’
these projects are undertaken by a number of staff from different hospitals within
the group who look at how our processes, documentation and literature can be
improved and consistent.
Our patient experience survey in 2013 revealed that;
71% of our patients would be ‘certain to recommend’ our services to their family and
friends, this is an improvement on the 2012 score of 64%.
Our most common negative comment is about the lack of parking facilities, we have
explored other possibilities to alleviate our parking problems but these have unfortunately
now been exhausted.
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Clinical Effectiveness
Optegra Yorkshire Eye Hospital has an Integrated Governance committee that meets on a
quarterly basis throughout the year to monitor quality and effectiveness of care. All
incidents, near misses, patient and staff feedback are reviewed to determine any trends
that may require further analysis or investigation. Recommendations for action and
improvement are escalated to the Integrated Governance Steering Committee where
lessons learned and actions are shared and disseminated to all Optegra hospitals. This
process re-enforces our open and honest culture of patients safety incident reporting and
aids in disseminating lessons learnt and aligning best practice at all times.
Quality Data & Audit
Optegra Yorkshire Eye Hospital continues using its NHS N3 connectivity; this enables our
NHS team to communicate securely and safely via the NHS.net email account. This also
allows our activity and financial data to be received via the Service Users System (SUS).
Staff has undergone training on the NHS Choose and Book system during 2013, this will
enable patients to access our services with ease and help our clinical team triage the patient
referral for the best possible care.
During 2014/15 reporting via this system will be monitored with our commissioners to
ensure accuracy and financial payments are made in line with the Payment by Results
Framework 2013/14.
Optegra Yorkshire Eye Hospital will improve on its Quality data reporting and submit the
agreed quality and performance reports to the commissioners on a monthly basis during
2014/15.
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Statements of Assurance on Quality
In accordance with The National Health Service (Quality Accounts) Regulations 2010
Optegra Yorkshire Eye Hospital makes the following statements of assurance:
1. During 2013/14 the Optegra Yorkshire Eye Hospital provided Ophthalmology services
to the NHS through the NHS Standard Acute Contract. It did not subcontract out any of
those services.
1.1. The Optegra 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 2013/14 represents 100 per
cent of the total income generated from the provision of NHS services by the
Optegra Yorkshire Eye Hospital for 2013/14.
2. During 2013/14 no national clinical audits or national confidential enquiry covered
NHS services that the Optegra Yorkshire Eye Hospital provides.
Although there were no national clinical audits specifically relevant during the reporting
period, the Optegra Yorkshire Eye Hospital carried out the following clinical audits:
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AUDIT PROGRAMME OPTEGRA YORKSHIRE EYE HOSPITAL.
2013
JAN
Hand Hygiene
FEB
MAR
APR
MAY
98%
Surgical Safety
JNE
JLY
AUG
SEP
OCT
NOV
98%
100%
DEC
100%
100% 100% 99%
100% 100% 100% 100%
WHO
Documentation
95%
Decontamination
Lens check
protocol
96%
95.6%
100% 100% 100% 100%
99%
100% 100% 100% 100% 100% 100% 100% 100%
Clinical waste
98%
Consulting room
100%
Environmental
90%
97.7%
Antimicrobial
Prescribing audit
80%
Consent Audit
91%
2.1 The reports of the local clinical audits were reviewed by the provider in 2012/13
the Optegra Yorkshire Eye Hospital intends to take the following actions to improve
the quality of healthcare provided.
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Continue to monitor adherence to the Lens checking protocol - monthly
Adhere to the WHO recommendations on Safer Cataract Surgery
Ensure audits are relevant and comply with National guidance and standards
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3. The number of patients receiving NHS services provided by the Optegra Yorkshire Eye
Hospital in 2013/14 that were recruited during that period to participate in research
approved by a research ethics committee was nil.
4. The Optegra Yorkshire Eye Hospital income in 2013/14 was conditional on achieving
quality improvement and innovation goals through the Commissioning for Quality and
Innovation (CQUIN) payment framework.
5. The Optegra Yorkshire Eye Hospital is required to register with the Care Quality
Commission and its current registration status is registered. The Optegra Yorkshire Eye
Hospital has the following conditions on registration: none
The Care Quality Commission has not taken enforcement action against Yorkshire Eye
Hospital during 2013/14.
The Optegra Yorkshire Eye Hospital was registered during this period under the Health and
Social Care Act 2008
6. The Optegra Yorkshire Eye Hospital is subject to periodic reviews by the Care Quality
Commission and the last review was 23rd September 2013. The CQC’s assessment of the
Optegra Yorkshire Eye Hospital following the review was full compliance achieved
against outcomes;
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Respecting and involving people who use the services
Care and Welfare of people who use the services
Cleanliness and infection control
Supporting workers
Assessing and monitoring the quality of service provision
The CQC also reviewed Optegra Yorkshire Eye hospital Leeds Laser Site on 12 th December
2013. The CQC’s assessment of the site following the review was full compliance achieved
against outcomes;
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Consent to care and treatment
Care and welfare of people who use the services
Safety, availability and suitability of equipment
Requirements relating to workers
Assessing and monitoring the quality of service provision.
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Statement of Quality Delivery
The Optegra Yorkshire Eye Hospital operates a quality framework to ensure it is
accountable for improving the quality of its services and safeguarding the highest
standards in creating an environment where clinical care will excel.
Infection Control
The Optegra Yorkshire Eye Hospital has a very low rate of hospital acquired infections. Infection
Prevention and Control Management is very active. An annual plan is developed, IPC committee
meetings are held on a quarterly basis, supported by NHS Airedale Bradford & Leeds and a
consultant microbiologist as chairman.
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In 1998 a study reported that there are 1 in 350 cases of Endophthalmitis (a serious infection
in the eye following surgery) within the NHS; there has been 1 case in the last 11 years at the
Optegra Yorkshire Eye Hospital.
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We comply with mandatory reporting of all alert organisms including MRSA, MSSA and
Clostridium Difficile .There has never been a case of MRSA, MSSA or Clostridium Difficile at
the Optegra Yorkshire Eye Hospital
Education of staff is paramount; the Optegra Yorkshire Eye Hospital undertakes mandatory training,
e-learning and an infection control training booklet has been developed for staff to complete as an
ongoing assessment of knowledge.
Safeguarding Adults and Children
The Optegra Yorkshire Eye Hospital has undertaken a local programme of education for its clinical
staff members. During 2012/13 the Clinical Services Manager and Safeguarding Lead for the hospital
have attended Recognising and Responding to Adult Abuse and also a Deprivation of Liberty update,
these courses were provided through the City of Bradford Metropolitan District Council. Four
members of staff have attended a study day for- Understanding the Mental Capacity Act, this
training and raising of awareness will continue throughout 2014/15. The hospital has a resource file
for staff to refer to in relation to safeguarding which the Lead nurse keeps current and updated,
there is also a referral flowchart for staff to follow if they have a safeguarding concern about either
an adult or a child. The Clinical Services Manager attends the Local Authority Safeguarding Meetings.
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Return to Theatre
The Optegra Yorkshire Eye Hospital treats approximately 300 patients for surgery each month. This is
planned surgery, and monitoring the numbers of patients who return to theatre is very important.
The value is to identify any trends in either the surgical procedure or a specific surgical team.
The Optegra Yorkshire Eye rate of return is very low, in 11 years the Optegra Yorkshire Eye Hospital
has undertaken over 20,000 surgical procedures with only 6 returns to theatre.
During 2013 we had 1 patient requiring a return to theatre.
Staffing in the Work place
The Optegra Yorkshire Eye Hospital has a dedicated team of clinical staff with extensive knowledge
and experience in Ophthalmology.
o
Sickness, absence rates and staff turnover rates for 2013 are 9% turnover and 5% absence
o
Staff appraisals are undertaken annually, and reviewed at 6 months, these directly link to
Optegra UK's performance and training systems. The following work has been undertaken in
2013 as a direct result of our Staff survey; to improve on training and development,
communication and reward and recognition.
 Talent Management
 Communication
Who’s Who’s on the intranet
Quarterly newsletter
Quarterly Town Hall meetings at each hospital
 Reward & Recognition
Give as you Earn
Long Service Awards
Shared Values Recognition
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Raffle ticket awards for exceptional work
o
The number of significant staff injuries was none for the period 2013/ 2014
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Part 3
Review of our Quality Performance 2013
“A Look Back”
The following are the areas for improvement that were highlighted in the Optegra Yorkshire
Eye Hospital Quality Accounts for the period 2013 and will remain on our agenda for 2014

To continue to evaluate and audit the Lens checking protocol.
Improvements made in 2013: The Optegra Yorkshire Eye hospital commenced the lens
checking protocol audit on a monthly basis. This audit is carried out by a different member
of the clinical team every month and we have found that this responsibility has helped to
instill confidence, pride and a sense of achievement within the team. We have achieved
100% compliance in this process during 2013

Improving outpatient waiting times for patients within clinic
o In response to: Patient satisfaction survey April 2013
o Friends and Family test 2013
Improvements made in 2013/14: The Optegra Yorkshire Eye Hospital through its
patient survey and Friends and Family test have found that waiting times remain a
concern with our patients
o We must continue to actively manage patient expectations in relation to
their waiting time and keep patients informed of delays.
o The introduction of the co-ordinator role will hopefully help to alleviate this
concern and help to manage our patients’ expectations.
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o Clinical team to inform the Reception team if there is a delay to allow
patients to be informed as they enter the hospital.

Improving our patients’ preparedness for recovery.
o In response to: Patient satisfaction survey April 2013
Improvements made during 2013/14: Optegra Yorkshire Eye Hospital recognises
that the marketing material and what actually happens at hospital level can be
conflicting. In response to this concern Optegra have 2 Red Ball projects running
which are looking at both Operational efficiency and Customer Excellence. A full
review has commenced of our
 Process and discharge advice
 Marketing materials
 All Optegra documentation
Eliminating Mixed Sex Accommodation (EMSA)
The Optegra Yorkshire Eye Hospital has an EMSA plan in place and has submitted its
monthly report to the commissioner during 2013/14; there were no breaches during this
period.
The Optegra Yorkshire Eye Hospital displayed on its website a declaration of compliance to
EMSA as set out by the DOH.
Complaints
The Optegra Yorkshire Eye Hospital has received 5 written complaints during 2013.
2 were due to admin mix ups with appointments, 2 were patients unhappy with their
outcomes, 1 patient was unhappy with the finance process. All were resolved at hospital
level. None were referred to the ombudsman.
We believe that listening to our patients and acting upon their suggestions has helped with
continual improvement throughout 2013 and is fundamental in providing the highest quality
ophthalmic care which we know is high on our patient and commissioners agenda.
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Glossary of Abbreviations.
CQC
Care Quality Commission
CQUINS Commissioning for Quality and Innovation
DOH
Department of Health
EMSA
Eliminating Mixed Sex Accommodation
EU
European Union
IOL
Intra ocular lens
IPC
Infection Prevention and Control
VTE
Venous Thromboembolism
WHO
World Health Organisation
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Optegra Yorkshire Eye Hospital 2013-2014 Quality
Accounts
Statement by Healthwatch Bradford and District Care Quality Working Group
Once again, we welcome the opportunity to comment on this Quality Account
(QA) and wish to thank the Clinical Services Manager for meeting with us
during the past year and for her helpfulness.
We commend Optegra in choosing to produce a site specific QA with helpful
data on the quality of local provision rather than producing a corporate QA
covering all sites as some other private sectors providers have chosen to do.
We congratulate the Yorkshire Eye Hospital (YEH) on the very positive
feedback received from patient satisfaction surveys – though we note that the
Family and Friends question arguably did not result in such high scores and
that (in common with other providers) the Family and Friends question to staff
was disappointingly lower. We feel that there is an ongoing issue of staff
feeling unable to be more positive about the outcomes of the work that they
do – though YEH scores are pleasingly higher than many.
YEH show that they are serious and thoughtful in responding to patient
feedback, for example by revising marketing approaches when it became
apparent that patients where unprepared for the extent of the recovery
process. It was good to see the range of methods that YEH use to capture
patient experience though we would have liked further information, for
example patient stories.
We congratulate the YEH on their oversight of internal audits. We would
welcome more information about work to reduce unnecessary antimicrobial
prescribing. We were impressed with the low rate of infection, the seriousness
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with which safeguarding issues are taken, the low level of returns to theatre
and the close attention to the need for staff support, supervision and training.
We hope that the difficulties arising from incompatibility of software that has
prevented the issuing of discharge information in electronic form can be
overcome.
We are pleased with the openness and honesty demonstrated by this QA. The
QA demonstrates YEH’s competence by clearly identifying problems and saying
what they have done about them.
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Bradford City CCG & Bradford Districts CCG
Statement on Optegra Yorkshire Eye Hospital Quality Account 2013-14
Bradford City CCG and Bradford Districts CCGs welcome the opportunity to review and
report on the Optegra Yorkshire Eye Hospital Quality Account.
The Optegra Yorkshire Eye hospital Quality Account demonstrates a strong commitment to
provide and deliver safe, high quality care, showing clear concise methods of continuingly
improving their services.
One of the priorities for 2013-14 was to demonstrate openness and transparency in the
revision of the lens check protocol and audit following a never event. Optegra Yorkshire Eye
Hospital has implemented a monthly audit on the lens checking protocol, achieving 100%
compliance.
Other areas Optegra Yorkshire Eye Hospital have made significant progress on the quality
priorities, are as follows:
Improved outpatient waiting times
In response to patients expectations; Optegra have implemented a clinic coordinator
In order to improve post treatment information on discharge; implemented two “Red Ball
projects” looking at both operational efficiency and customer excellence.
There is a continued commitment to elimination mixed sex accommodation, having
achieved 100% compliance against target
Listened to patients and acting on their suggestions, fundamental to providing a quality of
ophthalmic care
71% of patients would strongly recommend use of hospital (An increase from 2012/13
with only 64% stating this)
BD and BC CCG respect that further work is currently being undertaken at Optegra
Yorkshire Eye Hospital, specifically around:
Ongoing work to increase friends and family test response rates. Friend & Family CQUIN
achieved
CQUIN -to send electronic information to GPs on discharge of patients- work ongoing, the
main challenge being software incompatibility.
The Optegra Yorkshire Eye Hospital need to demonstrate clear priorities for 2014/15,
however some of the key areas that will be priorities for inclusion in the 2014/15 Quality
Account are as follows:
Continuing audit of WHO recommendations of safer cataract surgery during the
perioperative period. Also best practice audit for the lens checking protocol (100%
compliance, 2013)
CQUIN , to increase the response rate to family and friends test and improve
performance on the staff family and friends test
Increase the number of outpatients procedures in relation to day case surgery to improve
the patient experience
Continue to prioritise local clinical audit
Improving data quality, to continue to monitor efficiency of “Choose and book” system.
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Continue to provide assurance to the commissioners, by submitting the agreed quality
and performance reports.
Helen Hirst
Chief Officer
NHS Bradford City CCG and NHS Bradford Districts CCG
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