College of Optometrists

17 February 2012 Return to news listings

NHS Evidence has published research by College Treasurer David Parkins describing how an enhanced service has realised savings of 62% against the hospital eye service tariff (equating to £15,000 saving per 100,000 population).

The original research paper (Parkins & Edgar, 2011) provided clinical and financial evidence for the use of the repeat measure scheme. The scheme was introduced in 2005 and has significantly reduced the number of false-positive glaucoma referrals. The initiative has been evaluated by NICE and published as a case study by NHS Evidence as part of Quality, Innovation, Productivity and Prevention (QIPP) programme and is available for download from their website.

The scheme has made savings but also improved patient experience, such as providing care closer to home and reducing unnecessary anxiety for the patient related to false-positive referrals.

David commented, “I am delighted that NHS Evidence has published our case study and hope that other commissioners will look to implement similar schemes.  Implementation needs to be across large populations and it would be even more efficient if it could be implemented once across England''.
 
Most Optometrists use non-contact tonometry which can give inconsistent readings. The case study strongly recommends widespread use of applanation tonometry which is regarded as a more accurate measure. 

Normally, the NHS sight testing contracts do not allow funding for extra tests. However, under the new scheme in Bexley secondary consultations, part funded by the Bexley Care Trust, making a positive impact on the overall budget.

Glaucoma-related activity within the hospital eye service can account for approximately 20% of outpatient appointments - additional tests will benefit the patient, reducing anxiety and unnecessary journeys to hospital.  

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For more information please contact Zena Wigram, Head of Marketing and Communications.  Tel 020 7766 4342  Email zena.wigram@college-optometrists.org