1. Nick Astbury, President, Royal College of Ophthalmologists
Vision 2020 Conference, 24th June 2004
Nick Astbury,
President, Royal College of Ophthalmologists

2. Eye Care Services Steering Group
December 2002
‘Modernisation’ of Eye Care Services
Model Care Pathways

3. Eye Care Pathways Update
Eye Care Services Steering Group
December 2002
‘Modernisation’ of Eye Care Services
Model Care Pathways

4. Eye Care Pathways Update
Eye Care Services Steering Group
December 2002
‘Modernisation’ of Eye Care Services
Model Care Pathways

5. Eye Care Services Steering Group
December 2002
‘Modernisation’ of Eye Care Services
Model Care Pathways

6. Design principles Improve patient access and choice
Make best use of available funding
Fewer steps for user
Effective use of professional resource
High standard of clinical care and outcomes

7. Implementation requires
Funding for pilots (£4m)
GOS regulations to allow direct referral
Extended prescribing rights
Clinical training and assessment
Team-based community care
Evaluation of pilots

8. CATARACT Optometrist Outpatients and pre-assessment Surgery
Final check

9. GLAUCOMA Community optometrist Optometrist with special interest/OMP
Data relayed to ophthalmologist
HES review or community

10. LOW VISION Referral (from any source)
Low Vision Service (comprehensive)
Follow-up at home or in community
200,000 pts / yr

11. MACULAR DEGENERATION Optometrist (with special interest)
Referral to Ophthalmologist or Low Vision Service
Treatment or counselling and low vision aids

12. Chronic Eye Disease Pilots
Glaucoma (£1.4m)
Peterborough
Birmingham
East Devon
ARMD (£267k)
Brighton and Hove
Low Vision (£709k)
Barking, Dagenham and Havering
Sutton, Merton and Wandsworth
Gateshead
All 3 pathways (£464k)
Waltham Forest