Ophthalmology
Case Studies

Ophthalmology Case Study: East Midlands

Challenges

The Trust is one of the biggest and busiest across the Midlands, dealing with in excess of 100,000 patient referrals per year. Despite being a well-staffed busy Trust, it needed some extra capacity to manage both New Patient referrals and Follow-Up patients. The Trust had a previous relationship with another supplier, who was less cost-effective and flexible on service delivery. Once we met with the Trust, we understood that they would need both a weekday and weekend service to manage their demand. The service requirements would fluctuate across different specialties and volumes.


Delivery

YMS works with a wide range of local substantive consultants from varying sub-specialties, all of whom would be able to deliver the support required by the Trust. Initially, we worked with the Trust to effectively reduce the general outpatient and follow-up waiting times. We delivered this by running multiple rooms on Saturday and Sunday, where we were able to see up to an additional 100 New Patients and 120 Follow-Up Patients per week.

As the contract developed, and in line with the Trust’s needs, YMS also ran projects within the Trust to provide support on Sundays and midweek. These projects helped to provide support across Neuro, Paediatric, Medical Retina and Cornea services.


Results

To date, YMS has seen over 16,500 patients for this Trust. The Trust and its patients have seen a reduction in waiting times and a high-quality of care within General, Neuro, Paediatric, Medical Retina and Cornea services.

YMS has worked with the Trust to create a more flexible service delivery that ensures it only receives support when and where it’s needed, without being tied down to a long-term contract.

We hold regular service reviews with the Trust and have identified service improvements throughout the length of the contract. These include the introduction of e-approvals, maintaining local standards for the turnaround of clinic letters, and nominating an Administrative Lead to ensure that no admin or follow-up requirements are missed.

Since working with YMS, the Trust’s patient complaints and incidents have fallen to less than 0.01%.

Ophthalmology Case Study: South Coast

Challenges

This Trust, like many others in the region, started experiencing capacity pressures due to staffing shortages, increased demand for patient appointments and a higher demand for Ophthalmology Services.


Delivery

In November 2019, Your Medical Services contacted the Trust and proposed a fully insourcing team, covering full theatre, admissions and recovery for both Local and General Anaesthetist patients.

By January 2020 the campaign took places every weekend with a fully insourcing team. Your Medical Services ensured their consultants adhered to maintain patient records, provided exceptional care to patients and utilised the Trusts services at full capacity.

From pre-assessment to surgery and aftercare, Your Medical Services insourcing team delivered the entire service, while ensuring continuity of care was provided to all patients. This included any complications that may have occurred.


Results

Due to the limited availability within the Trust, Your Medical Services insourcing team could only deliver the service on the weekend.

The insourcing team were able to treat 300 patients within a 12-week time frame. Throughout the campaign, Your Medical Services consultants performed bilateral surgery and followed the local procedure. This included sufficient rest period between both eyes and any complications have been dealt with prior to second procedure.

The success of the team is widely known throughout the Trust, with "excellent and kind" being the common description for the insourcing team.

As for future collaborations, Your Medical Services is looking into offering laser treatment services to the Trust, while plugging in and out to maintain patient backlog lists low for cataracts.

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I feel totally supported by the team. From the point of registration to undertaking the clinical work, YMS are there to support the team every step of the way. You can tell that they really care about the outcomes for the patients which feeds through to the teams working in the hospital.

Consultant – Ophthalmology

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