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Cataracts in Adults (1819052)

All of the questions relate to the NICE Cataracts in adults (management) guideline that was published in October 2017.

1. Is there a named individual who has been chosen within your organisation to lead on the changes required by the guideline?

Yes. The programme lead for Ophthalmology Service Redesign.

2. On a scale of 1-10 (10 being an absolute priority) how would you rank the prioritisation you are giving to the implementation of the NICE Cataracts in adults (management) guideline?

The CCG commissions services in line with NICE guidance.

3. Has your organisation carried out an impact assessment against the guideline’s recommendations to find out whether there are gaps in current service provision?

The CCG has not carried out the described assessment.

4. a) Has your organisation developed a strategy to ensure the implementation of the guideline?

The Key Performance Indicators included in the service’s design articulate that services must be NICE compliant.

4. b) If yes to 4a) can you outline the timeframe by which you plan to implement the guideline’s recommendations?

Not applicable.

5. Do commissioners have the opportunity to affect decisions made by trusts with regards to the commissioning or procurement of intraocular lenses?

The CCG does have the opportunity to comment on decisions made by the trust.  This typically would be through existing contract management processes and service improvement discussions.

6. Has an assessment been made by your organisation regarding the indicative costs and savings associated with the new guideline?

No such assessment has been made.



 7. Has an internal assessment been made as to how recommendation 1.2.2 – instructing that cataract surgery should not be restricted on the basis of visual acuity – will be implemented?

The CCG does not restrict cataract surgery on the basis of visual acuity.

8. Has your organisation de-commissioned any element of your ophthalmology services in the last 24 months?


9. Has your organisation implemented any policy in the last 24 months that has resulted in delayed patient access to cataract care?


10. a) How many YAG lasers associated with cataracts has your CCG been charged for by your local trust over the past 3 financial years (Per year)?

The CCG commissions as per the NICE Guidance pathways for Ophthalmology, this includes some laser capsulotomies.  The information supplied relates to the following procedure codes. Based on the following OPCS Codes



C732 Capsulotomy of anterior lens capsule
C733 Capsulotomy of posterior lens capsule
C734 Capsulotomy of lens NEC

 Refusal Notice – Question 10 a)

Having undertaken an assessment of your request, as per the requirements of Section 1, 1(a) of the Freedom of Information Act, NHS Calderdale CCG confirms that it holds the information you have requested relating to question 10 a).  However, due to the low numbers, the CCG is unable to disclose some of the information requested as it is potentially patient identifiable.

As such, we are issuing an exemption notice under section 40 (2) of the Freedom of Information Act 2000.  Section 40 (2) of the Freedom of Information Act 2000 provides an absolute exemption where disclosure of personal data about someone other than the applicant would contravene any of the data protection principles. Consequently, the exemption is not subject to the public interest test.

CCG 2014-15 2015-16 2016-17 Grand Total
<=5 <=5 44

10. b) How much has YAG lasering cost the CCG over the past 3 financial years?

CCG 2014-15 2015-16 2016-17 Grand Total
* * £6,691**

*Prices only provided where the activity is more than 5 procedures.

**costs reflect prices at the time of activity.

c) Is YAG lasering reimbursed to the trust or covered in the cataract tariff?

The above activity is covered under the relevant HRG as stated above.

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