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Cataract

Mr Mathew Raynor

Consultant Ophthalmologist & Clinical Lead

A New Chapter May 2018

Cataracts in

Sheffield (in the 1990s)

• New techniques

• Demand grows

• Waiting lists lengthen

• STH Cataract Service

introduced under leadership of

Simon Longstaff

• Forward planning

Planning ahead

• Drafts for new unit

• Discussed and revised

• Location?

• Funding

STH Cataract

Service

• High quality

• Consultant-delivered

• Latest techniques

• Safe

• Excellent results

• Demand grows

STH Cataract

Service

• More improvements in

technique

• Smaller incisions

• Foldable lens implants

• More cases per list

• Still continue to teach

• Still not enough capacity

Weston Park Hospital -

a solution?

• Level 5 theatre refitted

• Average 8 sessions per week

• Average 5.2 cases per session

• Plus RHH lists

• Poor mobility

• GA

RHH Clinic

• Assessment clinic

• Refurbished

• Extra rooms

• Nurse Practitioner led

RHH Clinic

• Post-op clinic

• Nurse Practitioners

• Hospital optometrists

• Access to Consultant clinics

Success

only short term

Capacity

• by 2015/16, 390,000 cataract operations per year in

England

STH Cataract

Service

• Demand continues to grow

• Between 4000 - 5000+

• Capacity exceeded

• Approx. 3800 at RHH/WPH

• By 2015/16, significant

proportion of work out-sourced

A new direction

• Microsystems

• Surgical time already optimised

• Flow

• Cancellations

Cataract Microsystems

• Revert from pool to Consultant

• Keep with same team

• Create surgical plan in clinic

• Minimise downtime between cases


• Managed lists

• Right and left

• Complex cases

• Flagged

• Distributed across lists

Seamless Surgery

• Investigate cancellations

• Weekly management level meetings

• Draw up protocols

• Reduce on the day cancellations

Cataract Microsystems Awards

• STH Seamless Surgery awards July 2017

• Winner of Theatre Flow category

• Bayer Ophthalmology Honours December 2017

• Overall winner

• STH Seamless Surgery team


• Lists managed

• Flow improved

• Cancellations reduced

• Now average 6.2 cases per list

• Time for a move…

Northern General Eye

Centre a.k.a. NGEC

A New Team

• Lee Bower

• Cataract Service Manager

• Senior Sister

• Theatre Sister

• Clinic Sister

• Nursing team

• Ophthalmic Technicians team

• Clerical team

• 14 Consultants

NGEC

• Level access

• 10 consultation rooms

• High tech diagnostics suite

• 2 bespoke cataract surgery

theatres

• Adjoining prep and discharge

rooms

NGEC

• State of the art operating

microscopes

• New instruments

• Latest generation lens implants

• Electronic Patient Record

• Audit software

NGEC

• Capacity problems solved

• Option for growth

• Opened 21st May 2018

• Featured on Look North 1st

June

Time for Q & A

cataract - sth › clientfiles › file › enclosure... · cataract microsystems awards • sth...

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