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34 FODO ANUAL REPORT 2011Domiciliary EyecareEnsuring that vulnerable patients in their own and residential homes have access to eye care has remained a high priority for FODO and the sector.The joint Domiciliary Eyecare Committee (DEC) is co-chaired by Dawn Roberts (FODO) and Thurka Sivapalan (AOP) and its membership is composed of representatives from FODO, ABDO, AOP, College of Optometrists, Optometry Northern Ireland, Optometry Wales and Optometry Scotland. Parity in membership has allowed the committee to debate issues which affect the sector and to agree a sector-wide position, which in turn allows the DEC to negotiate on the membership's behalf from a position of strength.In 2010/11 the DEC continued to lobby commissioners, policy and decision makers regarding the needs of vulnerable groups for this essential service - particularly in the run-up to the General Election and now, with the shift to local authority responsibility for services to this patient group and to GP commissioning. Whilst the domiciliary eyecare service remains a nationally commissioned service as part of GOS, it is essential that local commissioners are aware of the importance of the service to their patients and on methods of access.Accessing the service cannot happen without an awareness that it exists. The Domiciliary Eyecare Committee has continued to raise the profile of the service and plans to produce two information leaflets in the near future: one for patients and their carers and one for care home managers. The DEC is also working closely with the Department of Health to upgrade the information available on domiciliary eyecare on the NHS Choices website: the goal is to have a listing of domiciliary providers in each local area in the same way that mandatory services practices are listed. In addition, representatives of the DEC attended conferences and spoke up on issues such as dementia, domiciliary health care in care homes and relationships with GPs, amongst others. During the past year, the Secretariat has dealt successfully with many PCT misinterpretations of the requirements of the GOS Contract for Additional Services, including infection control, notification and guidance to care homes. A key issue which arose in 2010 related to appropriate arrangements for visual field screening in the domiciliary environment. A number of PCTs and LHBs had insisted that all additional services contractors should have threshold enabled Visual Field Analysers (VFAs) available as part of their domiciliary testing equipment. The DEC agreed that evidence was needed on equipment efficacy and patient compliance in order to agree a position and advise the profession. To this end the DEC issued an interim statement for the profession: Field Screening in the Domiciliary Setting and set work in hand to establish an audit of contractors and a survey of patient compliance (with academic design and analysis) to establish the evidence base. Before this could be completed however one of the optical bodies had to take out a judicial review against a PCT regarding its VFAs requirement on contractors in defence of one of its members. The broader work has now been put on hold therefore pending the outcome of the judicial review. In the meantime the DEC statement above remains the official Optical Confederation policy. 25 years, we've believed in warm welcomes. Today, we have a new name and a new look-and this year alone, over 40 more global locations joining our more than 250 hotels worldwide. We've changed some big things, to bring the best amenities to today's traveler. But we haven't changed the little things - the friendly, thoughtful service that begins with the warm cookie that greets every guest. We're DoubleTree by Hilton.DoubleTree.comAMERICAS EUROPE AFRICA ASIA© 2011 HILTON WORLDWIDEWhere the little things mean everything.TM

FODO ANUAL REPORT 2011 35Domiciliary EyecareThe DEC has also been actively involved in expanding domiciliary eye care in all four UK countries including: . producing an options paper on the domiciliary eye care service (and equipment requirements) for Optometry Scotland (which is currently being considered by the Scottish Government Health Department) . feeding into Northern Ireland's Guidelines and Audit Implementation Network (GAIN) on its best practice guide for the provision of domiciliary eye care in residential and nursing homes. In England the DEC also fed into consultation responses on Vetting and Barring and GOS contract compliance.Dawn Roberts, FODO Co-Chair, has worked indefatigably for the sector on all aspects of the domiciliary eye care service and in particular on the initiatives outlined above - we are all enormously grateful to her for giving her time and considerable expertise to forward this important work.Anne Fedrick, DEC Secretary, continues to handle enquiries (and complaints) which come in from members of the public, PCTs / LHBs and service providers. These are always dealt with in confidence and are most often satisfactorily resolved for all parties.For more information on the domiciliary service or the work of the DEC, please contact Anne Fedrick who will be very pleased to help:; 020 7298 5153