Case Number 5915
Request Date 13/03/2018
Completion Date 08/05/2018

 

Details of the Request

Waiting Times and Surgery Volume

1a) In the 24 months to January 2018 (or to the most recent month available), what was the average waiting time in days (referral to treatment time) and maximum waiting times for patients awaiting cataract surgery through NHS Trust?

 

1b) i) How many patients underwent cataract removal surgery at the last 12 months for which data is available?

ii) How many patients underwent cataract removal surgery at in the 12 month period from January 2016 – January 2017 for which data is available?

 

1c) i) How many individual cataract removal procedures were performed at during the last 12 months for which data is available?

ii) How many individual cataract removal procedures were performed at Trust in the 12 month period from January 2016 – January 2017 for which data is available.

 

Referral Criteria

2a) In the last 2 years, how many patients underwent cataract removal surgery at NHS Trust?

2b) In each of the last 2 years, how many individual cataract removal procedures were performed at NHS Trust?

2c) Does NHS Trust operate criteria for determining the priority/eligibility of patients for cataract surgery?

2d) If yes to question 2c), please tick all the boxes below that best describes the criteria you operate

  • The discretion of commissioners
  • A joint decision between CCG and NHS trust
  • Surgery is indicated for control of other co-morbidities
  • Procedure of limited clinical value policy
  • Visual acuity
  • In line with NICE guidelines
  • Other

 

2e) Under what circumstances are NHS cataract patients ineligible for ‘second eye surgery’ – i.e. cataract removal from both eyes?

  • No circumstances/ unrestricted
  • Determined by commissioners
  • Joint decision between CCG and NHS trust
  • Criteria the same as for first eye surgery
  • Procedure of limited clinical value policy
  • Visual acuity
  • Quality of life factors
  • Anisometropia
  • Other

 

Toric Lenses

1a) Are toric intraocular lenses available for NHS patients with astigmatism undergoing NHS-provided cataract surgery

 

1b) If yes to 1a, please tick all the conditions and criteria under which toric intraocular lenses are available to NHS patients in the table below.

  • All patients with astigmatism
  • >1 dioptres
  • >2 dioptres
  • >3 dioptres
  • The discretion of the surgeon
  • Other

 

1c) If yes to 1a, how many patients have been fitted with toric intraocular lenses in the last 12 months, for which data is available? Please include information on:

  • All patients treated at NHS trust
  • NHS patients treated ‘on the NHS’ at NHS trust

 

1d) If yes to 1a, how many patients have been fitted with toric intraocular lenses in the 12 month period January 2016-Janaury 2017 for which data is available?

Please include information on:

  • All patients treated at NHS trust
  • NHS patients treated ‘on the NHS’ at NHS trust

 

Self –Funding

2a) Does your Trust offer patients the option of paying for cataract surgery procedures (often referred to as ‘self-funding’ or ‘self-pay’), by which we mean cases NOT paid for by insurance companies but rather directly by individuals themselves)?

 

2b) i) If yes to 2a, how many procedures were carried out and how many patients were treated in the last 12 months (for which data is available)?

  • Number of procedures performed in last 12 months
  • Number of patients treated in the last 12 months
  • Self-funded cataract surgery

 

ii) If yes to 2a, how many procedures were carried out and how many patients were treated in the period January 2016- January 2017

  • Number of procedures performed (January 2016 – January 2017)
  • Number of patients treated (January 2016 – January 2017)

 

Self-funded cataract surgery

3a) If yes to 2a, what is the cost charged to patients for self-funded cataract surgery?

3b) If yes to 2a, please provide your price list if available.

 

Other

4a) How many YAG lasers associated with cataracts have you performed over the past 3 financial years (Per year)?

4b) How much is the tariff for YAG lasering?

4c) Is the trust under a block contract for the provision of ophthalmology products?

4d) What is the value of that contract for the last two financial years?

 

Details of the Response

Waiting Times and Surgery Volume

1a) In the 24 months to January 2018 (or to the most recent month available), what was the average waiting time in days (referral to treatment time) and maximum waiting times for patients awaiting cataract surgery through NHS Trust?

Period Average waiting time (days) Maximum waiting times (days)
12 months to January 2018 124 350
December 2017 119 350
November 2017 18 217
October 2017 125 343
September 2017 129 252
August 2017 132 294
July 2017 134 287
June 2017 127 280
May 2017 126 259
April 2017 123 301
March 2017 116 238
February 2017 109 224
January 2017 120 245

 

Period Average waiting time (days) Maximum waiting times (days)
12 months to January 2017 118 357
December 2016 121 224
November 2016 120 210
October 2016 118 357
September 2016 17 245
August 2016 120 273
July 2016 116 210
June 2016 117 259
May 2016 117 245
April 2016 119 357
March 2016 116 280
February 2016 118 343
January 2016 112 259

 

1b) i) How many patients underwent cataract removal surgery at the Trust in the last 12 months for which data is available?

2383

 

ii) How many patients underwent cataract removal surgery at the Trust in the 12 month period from January 2016 – January 2017 for which data is available?

2058

 

1c) i) How many individual cataract removal procedures were performed at the Trust during the last 12 months for which data is available?

2731

 

ii) How many individual cataract removal procedures were performed at the Trust in the 12 month period from January 2016 – January 2017 for which data is available.

2364

 

Referral Criteria

2a) In the last 2 years, how many patients underwent cataract removal surgery at the Trust?

Year Number of Patients
2016 2058
2017 2340

 

2b) In each of the last 2 years, how many individual cataract removal procedures were performed at the Trust?

Year Number of Procedures
2016 2364
2017 2734

 

2c) Does NHS Trust operate criteria for determining the priority/eligibility of patients for cataract surgery?

Yes

 

2d) If yes to question 2c), please tick all the boxes below that best describes the criteria you operate

Visual acuity

 

2e) Under what circumstances are NHS cataract patients ineligible for ‘second eye surgery’ – i.e. cataract removal from both eyes?

Visual acuity

 

Toric Lenses

1a) Are toric intraocular lenses available for NHS patients with astigmatism undergoing NHS-provided cataract surgery at the Trust?

Yes

 

1b) If yes to 1a, please tick all the conditions and criteria under which toric intraocular lenses are available to NHS patients in the table below.

  • >1 dioptres
  • >2 dioptres
  • The discretion of the surgeon

1c) If yes to 1a, how many patients have been fitted with toric intraocular lenses in the last 12 months, for which data is available? Please include information on:

  • All patients treated at NHS trust - 1
  • NHS patients treated ‘on the NHS’ at NHS trust - 1

 

1d) If yes to 1a, how many patients have been fitted with toric intraocular lenses in the 12 month period January 2016-Janaury 2017 for which data is available?

  • All patients treated at NHS trust - 0
  • NHS patients treated ‘on the NHS’ at NHS trust - 0

 

Self –Funding

2a) Does your Trust offer patients the option of paying for cataract surgery procedures (often referred to as ‘self-funding’ or ‘self-pay’), by which we mean cases NOT paid for by insurance companies but rather directly by individuals themselves)?

No

 

Other

4a) How many YAG lasers associated with cataracts have you performed over the past 3 financial years (Per year)?

No

 

4c) Is the trust under a block contract for the provision of ophthalmology products?

No