| Descriptors |
- Be aware of the local arrangements for reviewing current and future eye health issues facing the local population [e.g. Joint Strategic Needs Assessment (JSNA)] and the process leading to agreed priorities to improve health and reduce inequalities.
- Demonstrate the ability to analyse current hospital eye service pathways and identify areas that are suitable for transfer into the community.
- Evaluate community pathways for general, glaucoma, cataract and other special interest area patients that may be managed in the community.
- Maintain an updated knowledge of relevant national and local guidelines, protocols and policies in terms of their relevance and impact on community ophthalmology, e.g. NICE, SIGN, RCOphth guidance on disease screening and surveillance, risk stratification.
- Identify new systems for sharing information with referrers and patients, or improve existing systems for integration within the local setting.
- Be able to apply principles of GIRFT and other service improvement methodologies to improve the flow of patients through the eye health care services.
- Be aware of inconsistency, duplication and unwarranted variations in service provision and outcomes.
- Be aware of limitations of local system integration, e.g. financial flows, workforce issues, perverse incentives, competing priorities, local politics.
- Implement changes to pathways to improve patient experience, patient care and economy of systems.
- Understand common community screening programmes and local interpretations of these programmes.
- Be aware of Wilson-Jungner criteria for screening programmes and understand how these have impacted UK strategies, e.g. in glaucoma and diabetic eye disease.
- Understand public health initiatives for paediatric eye health including, baby checks and school sight tests.
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