Multi-stakeholder perspectives of locally commissioned enhanced optometric services

Area of Science:

• Ophthalmology and Optometry
• Healthcare Services Research
• Public Health Policy

Background:

• Community-based optometric services are expanding to manage eye conditions.
• Stakeholder perspectives are crucial for evaluating the success of these new care pathways.

Purpose of the Study:

• To explore stakeholder views on community-based enhanced optometric services.
• To assess patient satisfaction and professional experiences with Minor Eye Conditions Scheme (MECS) and Glaucoma Referral Refinement Scheme (GRRS).

Main Methods:

• Qualitative study employing mixed methods.
• Included patient satisfaction surveys, semi-structured interviews with patients and GPs, and focus groups with optometrists.
• Data collected from 189 patients, 25 community optometrists, 4 hospital optometrists, 5 ophthalmologists, 6 GPs, and 4 commissioners.

Main Results:

• Over 99% patient satisfaction reported for both MECS and GRRS.
• High ratings for examination quality, communication, and patient involvement.
• Professionals and commissioners reported positive experiences, noting reduced referrals and improved efficiency, despite some logistical limitations.

Conclusions:

• Locally commissioned optometric schemes are positively received by patients, health professionals, and commissioners.
• Effective training, clear referral pathways, and strong communication are key to successful community optometric services.
• These services offer high-quality, efficient eye care, improving patient access and reducing hospital waiting times.