View 2019 Abstracts

TitleTransforming care: A Pilot Study for a Virtual Oculoplastic Clinic
Submitted byLuke Michaels
Abstract Number206
Review Resultrapid fire presentation
Purpose

National increasing demand for eye care services, the capacity crisis and changes to commissioning have led us to consider alternate ways of working. We need to balance safe and high quality patient care with efficient use of resources. We examine the feasibility and efficiency of a Virtual Oculoplastic service in a district general hospital (DGH) setting for patients with eyelid lesions.

Methods

A cohort of 30 suitable patients with eyelid lesions were selected to attend a Virtual Oculoplastic clinic following triage of primary care referrals by a Consultant. Patients were informed in their appointment letter that this would be a screening appointment and that they would not be seen by a clinician. A basic proforma was developed with a small series of questions regarding lesion history which could be completed by non-clinical staff. The patients attended our Medical Illustration department and were seen by our Medical Photographers who completed the proformas using our Electronic Patient Record (EPR), Open Eyes. Lesions were photographed according to a standardised template and the images uploaded to the PACS system. The proforma and images were virtually assessed by a Consultant Oculoplastic surgeon within 2 weeks using the online EPR and patients were triaged into 3 groups: 1) No treatment required – Discharge, 2) List for excision or incision biopsy 3) Further tests arranged 4) Face to face clinic assessment required. Patients and their GP were informed of the outcome plan via letter.

Results

At the point of abstract submission cohort numbers were insufficient to report any statically significant outcomes. However, results suggest faster yet safe patient throughput, higher discharge rates and more efficient use of resources.

Conclusion

This pilot study utilising a multidisciplinary team and our EPR increased accessibility for new patients, reduced referral to treatment/ decision time and demonstrates more efficient use of resources. A virtual Oculoplastic service may be a successful way of delivering safe and effective patient care for selected patients.


Additional Authors

Last nameInitialsCity / HospitalDepartment
BhattP.Royal Bolton HospitalOphthalmology