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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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