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Found 6 results
  1. News Article
    Several reviews are under way of a hospital’s struggling ophthalmology service, after it reported backlogs of hundreds of patients at high risk of harm. Concerns have repeatedly been raised at George Eliot Hospital Trust about clinical practice and safety for optometry and glaucoma patients, according to several board papers issued over recent months. The ophthalmology service was taken back into the trust’s direct control five years ago, having previously been outsourced to private provider Newmedica from 2012. Read full story (paywalled) Source: HSJ, 17 December 2017
  2. Content Article
    Primary care – general practice, community pharmacy, optometry and dental services – delivers 90% of NHS interactions, face to face, by phone or online. The Primary care patient safety strategy describes the national and local commitments to improve patient safety in primary care, supporting all areas in this sector to fully implement the NHS Patient Safety Strategy. This strategy has three core areas of focus: Developing a supportive, learning environment and just culture in primary care, with sharing across the system so that the services can continually improve. Ensuring that the safety and wellbeing of patients and staff is central, and that our approach to managing safety is systematic and based on safety science and systems thinking. Involving patients in the identification and co-design of primary care patient safety ambitions, opportunities and improvements. This strategy seeks to continuously improve patient safety through existing processes and structures as much as possible, rather than adding work. The timeframes for the implementation of the local commitments are intentionally flexible to allow for the piloting of different approaches, and, while this strategy is for all areas of primary care, some improvements will be implemented first in general practice and the successes and learning then used in the rollout to community pharmacy, optometry and dental services. In summary: Safety culture: participate in the NHS staff survey. Safety systems: complete patient safety syllabus training. Insight: register for and use the new incident recording (LFPSE) and incident response (PSIRF) systems. Involvement: identify patient safety leads and lay patient safety partners. Improvement: review and test patient safety improvements in diagnosis, medication, referrals, optometry and dental services.
  3. News Article
    Patients are being forced to pay for urgent eye care or risk going blind because of long NHS waits. MPs will today hear the scale of the “emergency” with four in five high street optometrists revealing their patients have paid for private procedures in the past six months. Dame Andrea Leadsom, the former House of Commons leader, business secretary and environment secretary, is being called on to commit to improving NHS eye care in her new role as public health minister. Four in five optometrists say they have patients waiting more than a year to be referred for an NHS appointment or treatment, according to analysis by the Association of Optometrists (AOP), leaving them at risk of going blind. About 640,000 people are waiting for an NHS ophthalmology appointment, more than any other speciality – accounting for about one in 11 people on the 7.8 million waiting list. About half of these people say their sight is deteriorating while they wait to be seen. Tens of thousands have been waiting more than a year, the AOP said. In a letter to Dame Leadsom, Adam Sampson, the chief executive of the AOP, said that high street optometrists should be used more widely across the NHS for “cataract surgery, help for glaucoma and age-related macular degeneration”. Mr Sampson said: “With the expansion of primary eye care services, more patients will have a better chance of receiving improved treatment, faster and locally, which could prevent avoidable irreversible sight loss.” Read full story (paywalled) Source: The Telegraph, 23 November 2023
  4. Content Article
    This paper, published in BMJ Quality and Safety, investigated how often patient safety incidents occur in primary care and how often these were associated with patient harm.
  5. News Article
    Labour is rightly paying close attention to ophthalmology because challenges in the specialty — such as the long backlogs it faces and the potential to deliver more in primary and community care — align with its priorities for the NHS. The numbers are stark: more than 600,000 people are waiting for a first appointment with an ophthalmologist in England. More worryingly, many more are waiting for follow-up appointments, and these people are often at greater risk of irreversible sight loss if they’re not treated promptly. In 2023, the think tank Reform found ophthalmology was the specialty with the most follow-up waits, at 10,000 per NHS trust. Read full story (paywalled) Source: HSJ, 30 July 2024
  6. News Article
    High street optometrists are set to gain expanded powers to treat common and emergency eye conditions under new government proposals. The changes aim to shift more healthcare into community settings and alleviate pressure on general practitioners. Under the proposed rules, optometrists and contact lens opticians would assume a significantly broader role in diagnosing patients and prescribing essential medications. This includes drugs for issues such as dry eye, severe allergies, and bacterial conjunctivitis. They would be authorised to sign off on prescription-only medicines in emergencies or for prescriptions to be filled at local pharmacies. Among the specific medications that could be prescribed is acetylcysteine, used to manage tear film abnormalities in dry eye cases where standard treatments are ineffective. Dr Paramdeep Bilkhu, clinical adviser at the College of Optometrists, said: “Enabling optometrists to supply a wider range of prescription-only medicines will ensure more patients receive effective treatment for many common minor eye conditions at their local optical practice, without having to be referred to a prescriber or wait for a GP appointment. “If these proposals are agreed and implemented, optometrists can continue to play a key role in reducing the burden on A&E departments and GPs, who often lack the specialist ophthalmic training and equipment needed to handle most eye conditions. “By expanding the number of medicines that all optometrists can supply to patients, optometrists’ core skills will be better utilised to improve patient outcomes and experiences, particularly where commissioned acute eye care services are available. “We urge our members, all healthcare professionals and the public to support these proposals to improve eye care in the community.” Read full story Source: The Independent, 4 September 2025
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