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Specialist services in minor surgery, dermatology and ophthalmology provided in a community setting

Cumbria Medical Services

Community Based Ophthalmology Service

Service Quality Performance Report

April 2018 - March 2019


This NHS service is led by Dr Ross Kelly and Dr Richard Barnsley, GPs with special interest in ophthalmology (GPER). They are supported by Sister Joy Kerr, ophthalmology nurse specialist.

The service is provided from Spencer House and Arnside House Surgery in Carlisle and Workington Community Hospital, and is available to book via Choose and Book following a referral from the patient’s GP surgery or optometrist.

The average waiting time from referral to appointment is 4 weeks with all patients treated within 18 weeks of referral.

All our referrals are triaged to make sure they are appropriate for the service, and if rejected, we provide guidance as to which is the most appropriate service to refer on to.

52 referrals were rejected. Minor ops need an accompanying PAT (prior approval ticket) or IFR approval before they are accepted for surgery.

Patients are advised they can phone in for advice following their consultation. GPs also phone for advice on a variety of problems which helps cut down on the number of referrals.

There will always be some patients who come to the GPwSI ophthalmology service and need onward referral to the hospital eye service; however these are minimal and based on complications found during the GPwSI consultation.  One of the strengths of the GPwSI service is its ability to provide an alternative service for patients which removes the burden from secondary care and provides a self-contained treatment pathway within the community setting.

Waiting times

The average waiting time from referral to assessment is 4 weeks. All patients in this reporting period were assessed and treated within 18 weeks of referral.


The Ophthalmology service has seen a total of 3062 patients in this reporting period.

ophth chart 1

The Ophthalmology service had a total of 176 DNA during this reporting period.

Ophthalmology Outcomes

During this reporting period a total of 120 patients were referred to the Hospital Eye Service (HES) with the remaining either being discharged or having further care with Cumbria Medical Services arranged:

ophth chart 2

We have access to OCT scanning in both east and west clinics and are able to manage the majority of post op macular oedema in the community. 

Patient Satisfaction

A minimum of 50% of patients are provided with a patient survey questioning them on a range of subjects including the booking arrangements, clinic facilities, doctor and nurse manner, and overall satisfaction.

Patients are also given the opportunity to feedback on ‘iwantgreatcare’ and via our website www.cumbriamedicalservices.co.uk .

250 questionnaires have been returned to date for this reporting period.

ophth chart 3

Patient comments included

  • Appointment on time and very happy with the treatment.
  • Dr Kelly was very professional, informative and friendly. A pleasure to have a consultation with him.
  • Complete satisfaction with the service.
  • First time at the clinic. Thought the staff were excellent and treatment first class.
  • Great service from doctor and nurse – made me feel at ease. Very happy thanks you.
  • Dr Kelly was excellent. Explained things clearly and has a great bedside manner.
  • I couldn’t have felt more comfortable both before and during my eyelid treatment.
  • As a health professional it is a much more relaxed area for consultation then attending a busy OPD at the hospital.
  • Excellent treatment no problems whatsoever.
  • Learned more about my condition from Mr Kelly than ever before.
  • Treated warmly, efficiently by all.