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Improving resilience in domiciliary care models
Visioncall’s managing director, Michelle Le Prevost, tells OT how the organisation has pivoted its approach to delivering domiciliary care
29 September 2020
What new changes has Visioncall made to its structure and processes and what led to these changes?
Visioncall has always been guided by the conviction of our core values. Our belief in a caring society might seem natural in our line of work, but we also believe in the power of innovation and embracing change. In these difficult times, it is critical that our business survives today to provide essential services to our patients in the future.To achieve this, we pivoted our business model to adopt a ‘hub and spoke’ structure. This new formation allows us to provide patient-centric services through teams of trained clinicians working in the local community. The practitioners are unencumbered by day-to-day administrative processes, which have been centralised to our manufacturing and support centre in Glasgow.
Domiciliary eyecare has always been affected by demand fluctuations from care homes as they have to make local decisions about protecting residents from health risks such as seasonal flu and now COVID-19. The hub and spoke structure allows us to match our services to local demand in a flexible way, getting to the patients who need us the most.
What impact did COVID-19 have on Visioncall and the way the group could provide patient care?
COVID-19 has had an unprecedented effect on both our business and our patients. As a regulated industry governed by NHS protocols, in the early stages of lockdown our optometrists were only able to triage emergency calls over the phone, as we could not have face-to-face contact with our patients.As the rules have started to relax, our clinicians have been able to don full personal protective equipment and return to care home visits to respond to requests for emergency and urgent care. But care homes are rightfully cautious about access; stringent infection control and prevention measures are being employed to protect both patients and staff, and local lockdowns continue to impact on planned clinic locations.
Earlier this year, Visioncall discussed the phased introduction of its new digital practice management platform, IRIS. How has this been continuing?
One of the most significant developments we have made in the last few months has been the launch of IRIS. The encrypted clinical platform means we now have paperless operation across the business, supporting remote working and efficient clinic management. Alongside our in-house manufacturing, we can now improve delivery times to patients, helping them see better and live better.Visioncall will continue to introduce innovation that allows us to better serve our patient groups. Further development of IRIS remains a critical part of our future plans.
But care homes are rightfully cautious about access; stringent infection control and prevention measures are being employed to protect both patients and staff, and local lockdowns continue to impact on planned clinic locations
How do the changes that Visioncall has made help to build a resilient model for delivering care in the future?
Our remote teams are a combination of a lead optometrist and lead dispensers, managing teams of experienced clinical associates. This means we can flex our resources up or down to meet demand in the community, improving resilience in the business model and ensuring we are here in the future to deliver excellence in patient care where it is needed.Are there any learnings that you would take away from the experience of the past few months?
During lockdown our core team of managers and clinicians worked in project teams to determine how we could adapt our ways of working to reduce travel time and keep our teams local to their community. This peer group interaction is something we have retained in our internal communication strategy since returning to work. Everyone has a contribution to make and everyone has a voice.Externally, communication with our care home partners has been key and we have been in regular contact, interpreting latest regulations in respect of services and ensuring emergency care and repairs are able to be accessed.
COVID-19 has given people and businesses around the world cause to re-evaluate what is important. For us, it has highlighted how important vision is to support a better quality of life for our patients.
How have Visioncall’s plans for 2020 had to change as a result of COVID-19, and what do you have planned for the short to medium term?
Before COVID-19, Visioncall was seeking to enhance its core services to expand eye care opportunities to additional patient groups. Our plans have not really changed.
Maintaining and building on our care home partnerships as we continue to operate under COVID prevention conditions is essential, but we will also be adding new specialisms and services, which we hope to announce over the coming months.
Share your story
As the coronavirus pandemic transforms optometry across the UK, we’d like you hear your experiences. If you, or a colleague, is interested in sharing your story, please get in touch: [email protected]
Following the publication of this article, OT approached Visioncall to request a comment in response to reader concerns around redundancies at the company.
Visioncall shared the statement: “Any decision where a job is lost is extremely difficult, both for the individual and the business. We left no stone unturned in our efforts to find a solution which would minimise these losses.
“The impact of COVID-19 on businesses, particularly those such as ours that serves the care home sector, has been very severe. However, we have a duty of care to our patients to ensure continuity of provision and to absorb this impact as much as possible.
“Given the level of service disruption since lockdown began, we have been forced to adapt the way our business model operates to meet this obligation. As part of this process, we opened redundancy consultations with our workforce. Following those consultations, we centralised our administrative operations to Glasgow, creating new roles within our scheduling team. In addition, clinical staff have been offered flexible working options, as the business rebuilds, which will create 100 new associate roles.”
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Comments (6)
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Anonymous07 October 2020
Will be interesting what HMRC make of the associates working regularly with regards to IR35, which is designed to combat locums working for the same company daily. It could get quite messy.
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Anonymous06 October 2020
100 new associate roles after letting more than 100 staff go. With the new business strategy future employees will earn less than they did when employed, then to top things off no holiday pay, no sick pay, no company car etc as they will all be self employed. Whilst other domiciliary companies seem to be doing quite well and expanding, Visioncall has seem to have headed in the wrong direction. This may unfortunately not end well for a company that was once great to work for.
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John White AOP06 October 2020
Many thanks for your comments on the story and sharing your concerns. The team raised these points with Visioncall and we have published their response in the story.
We value reader feedback, so please do get in touch with us if you have an experience you would like to share or would like to suggest a story for us to investigate: email [email protected]
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Anonymous03 October 2020
As mentioned in the two other comments, very disappointing to see this article. Visioncall has made mass redundancies even though they are a profitable company. By doing this they have lost a lot of staff which they will need eventually and none of them are willing to stay on as associates and have joined other companies. Wanting all staff to become self employed has removed a lot of benefits that they had being employed, effectively making employees a lot worse off whilst reducing there expenses hugely and effectively increasing there profit. How loyal staff have been treated is awful and this has put off people in the profession wanting to work for this company.
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Anonymous01 October 2020
Disappointing to see the AOP publishing this. As mentioned in another comment mass redundancies have been made across the company. In addition, a "clinical associate" is essentially a locum. Most of their employed optometrists and dispensers have been made redundant and advised they will now be registered as self employed, removing workers' protections and potential access to future support should access to care homes be suspended again.
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Anonymous01 October 2020
I can't believe the AOP has published this article after the mass redundancies Visioncall has just made. This is a slap in the face to all those jobs lost.
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