Mary Masih Sister, ophthalmology

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Mary MasihSister, ophthalmology

• Moorfields at Bedford Hospital one year on

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Introduction

• Strategic decision
• The transfer of services between Bedford Hospital
  and Moorfields Eye Hospital
• Launched in September 2007
• Provider of world-class eye treatments and care
  to Bedfordshire

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Bedford Hospital

• Catchment population 270,000
• Secondary catchment population exceeds 750,000
• 60,000 new homes planned by 2013
• Projected growth rate in Bedfordshire is twice
  the national average
• Increase in demand across services and further
  growth expected

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Services offered before transfer

• Cataract
• Glaucoma
• Diabetic retinopathy /Laser clinics
• Minor operations
• Paediatric services
• Retinal clinics
• Corneal clinics

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Moorfields at Bedford Since September 2007

• Introduction of five new consultants
• Two qualified nurses and one health care
  assistant
• Clinics are better structured
• Grouped into specialities
• Modified ways of working
• Aiming to reduce number of follow-ups
• Aiming in the next two years to become the
  largest outreach centre outside of City Road

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Moorfields at Bedford

• Providing specialist eye treatments to people
  across Bedfordshire
• Providing a greater range of services
• Improving access to a greater range of ophthalmic
  services

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New and improved services

• Adnexal lids and area surrounding eyeball
• Paediatric ophthalmology
• Glaucoma service
• Primary care clinics
• Medical retina

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Adnexal

• Mr Simon Woodruff consultant ophthalmologist
• Comprehensive oculo-plastic service
• Weekly clinic and operating list
• Collaborative approach with ear, nose and throat
  clinic
• Routine problems no longer require referral to
  Addenbrookes Hospital
• Most patients day case at Bedford
• Larger cases i.e. complicated cancers being
  transferred to Addenbrookes

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Paediatric ophthalmology service

• Mrs Hingorani, consultant ophthalmologist
• Significant proportion are referred from
  orthoptic services in the community
• Dedicated clinics for children only

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Paediatric ophthalmology service

• Child-friendly environment in paediatric
  outpatient department
• Paediatric trained nurse and play specialist
• Consistent protocols, patient information and
  approach across all units
• Investment in new equipment hand held slit-lamp
• In the past year, 1,641 children seen in this
  service

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Paediatric ophthalmology service

• Partnerships developed and improved with other
  providers, eg visual impairment
• Paediatricians
• Special care baby unit
• Geneticists
• Community paediatricians
• Social services
• Schools/educational psychologists
• Orthoptists

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Medical retina

• Mr Aires Lobo, locum consultant ophthalmologist
• Dynamic, effective and responsive approach to
  care
• Empowering patients
• Patient education
• Capital investment new laser and ocular
  coherence tomography
• Efficient Fundus Flourescein service and medical
  imaging service
• Excellent links between eye unit and
  diabetic/diabetic retinopathy screening service
  provides holistic approach
• Evaluation quality assurance highly commended
  development

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Nursing developments

• Commitment and drive to excel in providing more
  nurse led services
• Experienced and knowledgeable team
• Progressing towards developing skills which
  ensure the patients journey is seamless
• Providing the best services, improving the
  patient experience
• All staff are multi-skilled, motivated and have
  good team spirit

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Advances in nursing practice

• Innovation
• Post-operative cataract clinic 989 patients in
  past year
• ND Yag laser clinics 106 patients in past year
• Independent nurse prescribing giving seamless
  care

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Sight Concern Bedfordshire

• Local voluntary organisation
• Volunteers
• Low vision aid service
• Visual impairment team
• Social activities and drop-in centre
• Appliances and aids

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Volunteer hand-holders in theatre

• Hospital volunteers
• Economical
• Satisfying for patient and volunteer
• Regular volunteers for each surgeon
• Shared practice at national conference, since has
  been adapted by other units

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Activity analysis to date
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Future developments

• Lucentis treatment for wet macula
  degeneration
• Approved by National Institute for Health and
  Clinical Excellence (NICE)
• A team of skilled staff to drive the service led
  my Mr Lobo
• Patients can be seen and treated locally instead
  of travelling to London for treatment
• Absolute commitment to improve access to sight
  saving treatments

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Thank youAny questions?