Alder Hey Children's Post Vision Screening Module Guide
Completing a Children's Post Vision Screening (PVS) episode comprises of the following steps:
Booking First Appointment
1. Select 'Book Screening' on OPERA referral.
2. Check patient demographics on the referral form. Confirm and submit details on the booking page.
3. To book the first appointment, select 'Book an appointment' and input correct appointment details.
4. Practices and practitioners can now amend appointment dates for Post Vision Screening referrals. This means if a patient’s appointment needs to be rearranged, the updated date can be recorded and reflected on the system.
Clicking on the calendar icon will bring up the ‘Appointment information’ screen.
You can update, amend and save the new appointment date and time on the 'Appointment information' screen.
5. After booking the PVS initial appointment, the OPERA referral should show as 'PVS Assessment'.
Initial Appointment
- When the patient attends, you can select the yellow ‘PVS Assessment’ tab to access the episode and check the patient demographics.
2. Ensure accurate input of clinical information obtained from the patient's assessment.
3. Update the outcome of the initial appointment.
6-week Appointment
1. Access the patient's previous referral on OPERA and select 'PVS Review'.
2. Confirm patient's details are correct.
Check the appointment date, select '6-week review' and confirm whether they have attended the appointment.
2. Ensure accurate input of clinical information obtained from the patient's assessment.
3. Confirm and select the outcome of the screening appointment before submitting.
18-week Appointment
1. Access the patient's previous referral on OPERA by selecting 'PVS Review 2'.
2. Confirm patient's details are correct.
Input the appointment date and confirm whether they have attended the appointment.
3. Ensure accurate input of clinical information obtained from the patient's assessment.
4. Update the outcome of the 18-week screening review.
5. Once submitted, the patient's referral should update on OPERA to 'PVS Completed'.
Failed to Engage (FTE), Did Not Attend (DNA) & Was Not Brought (WNB)
Children are reliant on a parent or carer to organise and take them to appointments and as a result, are sometimes not taken.
• ‘Fail To Engage (FTE)’ is when the parent/carer fails to select a provider or book an appointment with the practice.
• ‘Was Not Brought (WNB)’ means when they do not attend an appointment.
• Primary Eyecare Services will manage the FTE process and inform Alder Hey ophthalmology team of this, if the parent/guardian does not choose a provider
• The Practice will need to manage the FTE process/WNB process if the parent/guardian does not book an appointment, or the child is not brought to the appointment.
Managing FTE/WNB Episodes - Practices
As a child is reliant on a parent/guardian to bring them to a post vision screening appointment, recording children who do not attend as ‘Was Not Brought (WNB)’ is an accurate representation of the situation
If a child WNB to any of the appointments (initial, 6-week or 18-week) the overleaf policy should be followed:
- Following this, if there has been no contact the child should be logged as WNB. This gives the opportunity to log additional information that will be reported to the patients GP and referring organisation.
- Patient episodes should be closed as WNB in 12 weeks to allow parents/carers time to respond to telephone calls/letters.
Managing WNB Episodes - Practice
- If you have an episode of care that needs recording as FTE/WNB, first find the episode through the ‘Manage Referrals’ page. Then select the ‘Empty Chair’ icon on the right-hand side of the relevant episode.
- You will then be presented with a window to complete the marking of the episode as WNB. There is also a free type box to provide any additional details. The episode will then be closed and the patient’s GP notified. The episode will also be transferred back to Alder Hey OPERA view, so they are notified of the WNB outcome.
