The two year pilot scheme worked with three Clinical Commissioning Groups (CCGs) in Bedfordshire, Gateshead and South Devon and Torbay to develop sustainable collaborative commissioning of eye care services that met local demand.
A Project Officer, funded by the project, was placed within each local CCG at the end of September 2012, to support the commissioning of eye care services based on guidance established within the cross-sector developed resource www.commissioningforeyecare.org.uk
As part of this the project officers worked to improve collaboration between the clinical commissioning group, patients, local authority, service providers and local voluntary sector. Each of the project sites set up an eye care action group/partnership, comprising of representatives from the CCG, health and social care providers, local authority, patient representatives and the local voluntary sector.
Each area worked together with local stakeholders to produce an Eye Health Needs Assessment (EHNA) by March 2013, which established the needs of the local population in relation to the provision of eye care services. Establishing inclusive, sustainable partnerships was vital in the production of an EHNA at each of the three sites. The EHNAs were used to identify and prioritise actions for the local CEE action groups to inform and influence effective planning and provision of local eye care services.
To view the Eye Health Needs Assessments (EHNAs) that have been developed at each of the three sites please download the Word documents at the bottom of this page.
The CEE approach worked to 5 key principles:
• Person centred
• Evidence Based
• Local Leadership and champions
• Making eye care a priority for all
Independent evaluation carried out by Shared Intelligence, found the project successfully influenced commissioning intentions and contributed to improving the local provision of eye care services. It also helped to prioritise eye health and sight loss across health and social care to maximise the best possible outcomes for local communities.
The evaluation found that the success of the CEE project driving change is the result of the following factors:
• An evidence-based approach to eye care commissioning and service improvement, through the production of an Eye Health Needs Assessment (EHNA).
• The development of collaborative, inclusive eye care partnerships/action groups, supported by dedicated project officer resource.
• The embedding of eye health and sight loss as a priority within public health and across health and social care services.
• Bringing the patient voice into decision making processes so that services are able to effectively meet the needs of the local population.
The evaluation analysed its findings to make a series of recommendations to stakeholders across health and social care to adopt the principles of the CEE approach to help improve the planning and provision of services for local populations.
The findings and recommendations from the final evaluation can be accessed via the CEE Evaluation page.
To support the recommendations of the evaluation and the adoption of the CEE approach across other localities and for areas wider than eye health; the CEE project has produced guidance and a set of support tools that bring together the key learning from across the three sites.
To view the guidance please visit the CEE Guidance page.