Opinion

View from the College: Health economics

New papers show the potential benefits of community eye health schemes

This week the College published two papers from its Enhanced Scheme Evaluation Project (ESEP). This project is notable for the fact that it combines rigorous evaluations of the clinical effectiveness of community schemes, with an in-depth health economics analysis of their cost-effectiveness. These first two papers both show the potential benefits of such community eye health schemes.

The first paper involved a detailed review of the published evidence on the efficacy of community schemes, the second reports on the analysis of the impact the introduction of a minor eye conditions scheme (Mecs) in south-east London.

This second ‘on the ground’ study showed Mecs was clinically effective and resulted in high levels of patient satisfaction. Comparisons with a neighbouring area not operating a community scheme revealed a more than 25% drop in first attendance referrals from GPs to hospitals in the area with the Mecs.

Both publications support the principle that optometrists can provide clinically effective cataract, glaucoma and minor eye conditions services in community settings as part of schemes, which can also deliver cost savings and good patient experience.

These papers clearly demonstrate the value that optometrists can make to eye health in community settings, as well as the benefits of collaboration between commissioners, local hospital eye services and other primary healthcare providers.

ESEP will be producing further evidence about the health economics of schemes, as well as about the views of optometrists, ophthalmologists, and patients. If you are interested in becoming Mecs accredited, see our site college-optometrists.org.

Mike Bowen, Director of research