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9   Parkins DJ, Edgar DF. Comparison of the effectiveness of two enhanced glaucoma   23  Royal College of Ophthalmologists, Workforce Survey 2018
               referral schemes. Ophthalmic Physiol Opt. 2011 Jul;31(4):343-52. doi: 10.1111/j.1475-  24  Enhanced primary eye care interventions per 100,000 population
               1313.2011.00853.x. Epub 2011 May 26. PMID: 21615447.
            10  Public Health Scotland, 2020, General Ophthalmic Service Statistics https://www.     Population statistics: Office for National Statistics, 2022, Population estimates for
                                                                                                   the UK, England, Wales, Scotland and Northern Ireland, mid-2021
               publichealthscotland.scot/media/4679/2020-10-13-ophthalmic-report.pdf               Service level data
            11   Supplementary and enhanced primary eye care examinations Scotland
               Public Health Scotland, General Ophthalmic Statistics, 13 October 2020              England, LOCSU email correspondence stating forecast activity expected to
                                                                                                   exceed 659,000 visits.
               Public Health Scotland, Ophthalmic payment system: 2006/07 to 2016/17 (OPTIX),      HSC, BSO, Northern Ireland, annual GOS data 2019-20, Table 1.19: Number of
               2017/18 to 2019/20 Ophthalmic Data Warehouse                                        Assessments at Northern Ireland Primary Care Optometry Enhanced Services by
            12  Symptoms requiring investigation combines activity under codes 2.8 and 4.8         Local Commissioning Group (Health Trust) and Financial Year
               Anterior eye condition combines activity under codes 2.5 and 4.5                    Public Health Scotland, Ophthalmic payment system: 2006/07 to 2016/17 (OPTIX),
               Additional diagnostic tests combines activity under codes 2.2 and 4.2               2017/18 to 2019/20 Ophthalmic Data Warehouse
            13  Ophthalmic Data Warehouse, 2019, Figure 4a. Number of clinical conditions          Welsh Government, Sensory health (eye care and hearing statistics): April 2019 to
               relevant to eye care, Scotland; 2018/19                                             March 2021
            14  ONS, 2022, National population projections: 2020-based interim                  25  World Health Organization, 2019, World report on vision
            15  Fight for Sight, Facts about sight loss, https://www.fightforsight.org.uk/about-  26  Eye health professionals per 100,000 population
               the-eye/facts-about-sight-loss                                                      Population statistics: Office for National Statistics, 2022, Population estimates for
            16  Royal College of Ophthalmologists response to the HEE Strategic Framework, Call    the UK, England, Wales, Scotland and Northern Ireland, mid-2021
               for Evidence https://www.rcophth.ac.uk/wp-content/uploads/2021/12/RCOphth-          To estimate workforce we use headcount from the following sources:
               response-to-HEE-Strategic-Framework-Call-for-Evidence-6-Sept-final-1.pdf            Optometrists: GOC, Annual report 21-22, Table 2 Total registrants in each GOC
            17  College of Optometrists, 2022, Childhood-onset myopia management: Evidence         category
               review, Childhood-onset myopia management: Evidence review– College of              IP optometrists: General Optical Council correspondence
               Optometrists (college-optometrists.org)
            18  McCullough, S. J., O’Donoghue, L., & Saunders, K. J. (2016). Six year refractive      Dispensing opticians: GOC, Annual report 21-22, Table 2 Total registrants in each
                                                                                                   GOC category
               change among white children and young adults: evidence for significant increase
               in myopia among white UK children. PloS one, 11(1), e0146332.                       Contact lens optician: General Optical Council correspondence
            19  Foot B., MacEwen C. Surveillance of sight loss due to delay in ophthalmic          Orthoptists:  HCPC, registrant data and statistics, Dec 2022
               treatment or review: frequency, cause and outcome. Eye (Lond). 2017                 Ophthalmologists:  Royal College of Ophthalmologists email correspondence
               May;31(5):771-775. doi: 10.1038/eye.2017.1. Epub 2017 Jan 27. PMID: 28128796; PMCID:      Percentages do not add to 100% due to rounding
               PMC5437335.
            20  Healthcare Safety Investigation Branch, 2020, Lack of timely monitoring of      27  GOC, Public perceptions research 2022, https://optical.org/media/gqfgdbmz/
                                                                                                   public-perceptions-report-2022.pdf
               patients with glaucoma
            21  Royal College of Ophthalmologists, 2021, RCOphth welcomes extra NHS funding
               which will help address eye care backlogs
            22  Total number of ophthalmology outpatient visits
               We used pre-Covid data from official statistics:
               NHS Digital, Hospital outpatient activity 2019-2020
               Department of Health Northern Ireland, Hospital statistics: outpatient activity
               statistics 2019/20
               Public Health Scotland, Acute hospital activity and NHS beds information
               Stats Wales, Outpatient Activity
               Rounded to the nearest 1,000



                                                                                                                             Audiology         Primary Eye Care

                                                                                                                  Pharmacy
                                                                                                      GP                                                         Dentist


      38      FODO UK                                                                                            The future of primary eye care – principles and priorities      39
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