LOC agm 2014

1. Chairman's Report 2014
Paul Jewitt

2.  David Spicer
 Sally Spicer

3.  Apologies for absence
 Chairman’s Welcome
 Minutes of LOC AGM 2013
 Chairman’s Report
 Treasurer’s Report
 LOC companies Alan Tinger and Richard Knight
 Proposals
1. To increase the statutory levy 1.50 %
2. To create a LOC company
 Election of Officers
 Any other business
 Date and venue for next AGM

4.  Lecture Program
◦ Aim for 3 lectures, one workshop on 2 peer reviews
 Raising the profile and awareness of Optometry Services in
Oxfordshire
◦ Rather than spend to much money on specific promotions for
Oxfordshire we are going to try use the PR team to co-ordinate the
promotions of the College and AOP.
 Building a good foundation with the newly formed NHS
England and OCCG
 Improve pathways for primary care Ophthalmology.
 Local Professional Networks.

5. Date DOCET & CET Subject Lecturer Sponsor/Funding
Tuesday 26th
February 2013
C- 20031/OD
1 pt
The Role of the Optometrist
and DO in Dyslexia
Prof Bruce Evans DOCET
Monday 11th
March 2013
EV 10214
C-20198 O
2pts
Peer Review Dr Andrew Morgan
Dr Deborah Lea
No DOCET
Tuesday 7th May
2013
C-31540
3pts O
Casualty Discussion Workshop Stella Hornby, Paula
Hedges, Tamsin
Greenway, L Jugar
DOCET
Tuesday 22nd
October 2013
C-32423 1 pt
O
Tips on how to diagnose
Glaucoma
Mr John Salmon DOCET
Monday 18th
November 2013
C 32988
3 pts O
Peer Review Dr Andrew Morgan
Dr Deborah Lea
No DOCET
Monday 3rd
December 2013
C-33829 1 pt
O DO
Update on AMD Referral and
Treatment in Oxfordshire
Miss Susan Downes DOCET
Tuesday 25th
February 2014
AGM/Lecture
7pm
C-34456 EV-
16491
1 pt O DO
CLO
EV-16491EV
16491
BCLA Contact Lens lecture -
New Contact Lenses for
Difficult Eyes
Dr Caroline Burnett-
Hodd, BCLA
DOCET

6.  Lecture Program
◦ Aim for 3 lectures, one workshop on 2 peer reviews
 Raising the profile and awareness of Optometry Services in
Oxfordshire
◦ Rather than spend to much money on specific promotions for
Oxfordshire we are going to try use the PR team to co-ordinate the
promotions of the College and AOP.
◦ ENGAGEMENT GROUP
 Building a good foundation with the newly formed NHS
England and OCCG
 Improve pathways for primary care Ophthalmology.
 Local Professional Networks.

7.  Lecture Program
◦ Aim for 3 lectures, one workshop on 2 peer reviews
 Raising the profile and awareness of Optometry Services in
Oxfordshire
◦ Rather than spend to much money on specific promotions for
Oxfordshire we are going to try use the PR team to co-ordinate the
promotions of the College and AOP.
 Building a good foundation with the newly formed NHS
England and OCCG
 Improve pathways for primary care Ophthalmology.
 Local Professional Networks.

8. ◦ NHS England (Thames Valley Area Team) is the
successor organisation to Oxfordshire PCT,
Buckinghamshire PCT, Berkshire West PCT and
Berkshire East PCT
◦ Manage the quality assurance of General
Ophthalmic Services (GOS) contracts
◦ The “subcontact” TVPCA for GOS claims and PPV
visits
◦ Responsible for LEHN

9. 1. Procedure for the assurance of general ophthalmic services (GOS) contracts
The document highlights the process that NHS England will follow to
reduce inappropriate variations in practice and support improvement in the
quality of contracted services provided
by optometrists. These measures are:
 Consideration of a self-assessment checklist which is completed by
contractors every three years to demonstrate contract compliance and any
quality improvement programme. Where contractors identify non-compliance
they will agree an action plan with the AT to rectify the situation. A copy of
the checklist is contained in the document
 Carrying out practice visits. The document contains a checklist for ATs to use
when carrying out visits
 Consideration of key performance indicators.

10. 2. Procedure for the approval of applications for general
ophthalmic services contracts
The document describes the process NHS England shall follow when
processing applications for GOS contracts. The procedure contains:
• The standard information to be provided within an application NHS
England policies and procedures for eye care services
www.pcc-cic.org.uk © Primary Care Commissioning 2013 2
• A process for approving premises, equipment, record keeping
facilities, staffing arrangements and identifying required standards
are not met
• The minimum standard for equipment required to undertake
additional services
• Information about how to tailor contracts when necessary.

11. 3. Procedure for the variation of general ophthalmic
services contracts
The document details how NHS England shall process requests to vary
a general ophthalmic services contract. The procedure focuses on the
most common contract variation requests and the approach ATs shall
follow:
• Partnerships, which includes individual to partnership and vice versa,
and death in service of a partner
• Director changes in a corporate body
• Relocation of premises
• 24-hour retirements.
A generic variation template is contained within the document, which
can be used by ATs for any other variation request.

12. 4. Procedure for the termination of general ophthalmic
services contracts
The document provides the process that NHS England shall follow when
terminating a GOS contract for the following reasons:
• Death in service of a contract with an individual
• Termination of a contract by a contractor
• Insolvency.
The document also provides information about checks to be carried out
before terminating a contact. It should to be read in conjunction with
the procedure for the assurance of general ophthalmic services
contracts, which provides examples of termination notices.

13.  The Area Team has decided to implement this requirement in alphabetical order by
county. This means that Berkshire Ophthalmic practices will be the first contactors
required to submit this checklist. They will be followed by Buckinghamshire in 2014 and
Oxfordshire in 2015. This process and timeline has been discussed and agreed with the
Local Ophthalmic Committees (LOCs) for Berkshire, Buckinghamshire and Oxfordshire.
 To make this submission you will be asked to visit the Quality in Optometry (QiO)
website www.qualityinoptometry.co.uk. This is a national quality assurance tool website
used by ophthalmic practices to self-assess their compliance with their contract and to
improve the quality of the services they provide. It is recommended that you start to
look at this checklist as soon as possible, as even though you do not have to submit
your checklist at this time, you should still aim to be compliant with the GOS contract.
 Visit selection process
Based upon the NHS England policy, visits will be carried out using the following criteria:
1. Where there has been a change of GOC-registered partner or director in the past 12
months
2. Practices where there are concerns about contract delivery e.g. Activity concerns, levels
of seriousness of complaints, untoward incidence, performance issues, post payment
verification (PPV) or other concerns.
3. A random selection of practices based on 5% of the total number of contracts in the
area team.

14.  PPV and GOS claims
◦ TVPCA
◦ PPV visits
◦ Guidance letter about remote “visits”
 LEHN
◦ NHS England to appoint Chair who is ultimately responsible to the
Clinical Director of NHS England
◦ LOC was requested to sit on the appointment panel
◦ Very string candidates for the post.
◦ Fran Ramsey was appointed Chair in February 2014

15. 1. Ophthalmology redesign group.
2. CCG locality group meeting
 IOP referral refinement: New LES for April
 OHT monitoring Agreed to put on hold (advise from Glaucoma
commissioning guidance)
◦ CONSULTANT LED SERVICE: Engage with CCG to ensure that any new pathway is consultant led and
has clear parameters for re-referral to hospital.
 Cataract pre and post operative care
◦ Not a priority for the GP’s at present…. To be discuss later.
 PEARS/ACES
◦ Setting up working group at present.
 Diabetic Retinopathy
◦ Run Independently by ODESS

16.  Electronic referrals and NHS net.
◦ NHS net accounts for optometrists
◦ Design of a electronic GOS18
◦ Works side by side with paper format
 GOS 18 redesign
◦ To assist GP’s in clarity of referrals
◦ Helping signpost to the correct Clinic
◦ Aid and encourage communication between GP’s and Optometrist
and improve relationships
 Integration into DocMan

17.  Commissioned by OCCG
 Contract to LOC Company
 LOC Company to Sub-contract
 Service Specs
◦ IOP repeat
◦ Visual Field repeat
◦ IOP and Visual field repeat from non accredited
optometrists. (100% of all referrals)
Meeting to launch March 31st 2014

18.  Apologies for absence
 Chairman’s Welcome
 Minutes of LOC AGM 2012
 Chairman’s Report
 Treasurer’s Report
 LOC companies
 Proposals
1. To maintain statutory levy at current level of 1.25%
 Election of Officers
 Any other business
 Date and venue for next AGM

19.  Proposal to increase the contribution
by 0.25%
 To create a LOC company as a vehicle
to commission services from the
OCCG or other organisations

20. Peer Review Subcommittee
Andrew Morgan,
Deborah Lea,
Enhanced Services Subcommittee
Paul Jewitt- IOP referral Refinement
Andrew Morgan-Diabetic Screening
Fran Ramsey will be assisting from September 2012
Treasury Subcommittee
Fran Ramsey
Administration
Caroline Collingridge
Engagement Subcommittee
Sheila Parekh
Penny Heath
GOS subcommittee
Paul Jewitt
Education Department
Sam Gamble
Kathy Gabbatiss,
Hospital Subcommittee
Patsy Terry

21.  Chair Paul (replace by Jan 2015)
 Vice Chair vacant
 CCG lead Paul (replace by Jan 2015)
 2 Clinical leads
◦ Diabetes Andrew/Nimish
◦ IOP Paul (replace by Jan 2015)
 GOS subcommittee Paul (replace by Jan)015

22.  Membership: min.6 elected members equally split
between contractors and performers
 Voting: all local contractors can vote for LOC contactors
and all local performers can vote for LOC performers
 Term of office:3 years of all members and 1 year for
Chair, Vice-chair and Treasurer.
 Finance:Statutory levy and LOCSU contribution should be
agreed at AGM. Business plan should be presented.

23. Position Nominee Performer/
Contractor
Proposed
by
Seconded
by
Chair Paul Jewitt P
Treasurer Fran
Ramsay
P
Vice Chair
Vice treasurer
NOMINATIONS

24. Position Nominee Performer/
Contractor
Continuing to Serve on Committee
General Committee Penny Heath
(DO)
P
General Committee Andrew Morgan C
General Committee Deborah Lea C
General Committee James Whittenbury C
General Committee Sam Howard P
General Committee David Spicer C
General Committee
(DRRS)
Nimish Desai C
General Committee Sheila Parekh P
General Committee John Edwards C
General Committee Kathy Gabbatiss P
General Committee Shireen Bharuchi P
General Committee OEH Patsy Terry P
General Committee Leanne Tourret C
General Committee Arron Brown P
General Committee Jon Pedley P

25.  Caroline Maile
 LOC members
 Nimish
 Consultants
 OXON OPTOMETRISTS