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Related Experiment Video

Updated: Nov 19, 2025

Author Spotlight: Unraveling the Molecular Mechanisms in PCO and Fibrosis Following Cataract Surgery
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Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care.

Kim Lawrence Ah-See1, Andrew Blaikie2, Natalie Boyle3

  • 1Department of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, Scotland, UK.

Clinical Ophthalmology (Auckland, N.Z.)
|February 3, 2021
PubMed
Summary

Redesigning cataract surgery services in Fife increased local provision, meeting demand and training needs. This approach, with minimal investment, improved patient care and staff morale within the NHS.

Keywords:
cataract surgeryhealthcare policyservice provisiontraining

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Area of Science:

  • Ophthalmology
  • Healthcare Management
  • Public Health

Background:

  • Increasing demand for cataract surgery in Fife over 15 years led to service outsourcing.
  • Outsourcing impacted service delivery, including list mix, training, patient experience, and staff morale.

Purpose of the Study:

  • To redesign local cataract surgery services to meet increasing demand.
  • To maintain a patient-centered approach and fulfill surgical training requirements.
  • To improve staff morale and patient experience.

Main Methods:

  • Quantified cataract surgery delivery over an 18-month period (pre-, during, and post-redesign).
  • Studied total operations, trainee case numbers, and outsourced procedures.
  • Conducted an economic analysis of outsourcing costs versus redesign investment.

Main Results:

  • Data collected across three six-month periods: before redesign (BR), redesign period (RP), and post-redesign (PR).
  • Analysis included total operations, trainee cases, weekend lists, and external provider numbers.
  • Economic analysis compared outsourcing costs with redesign expenses (facilities, equipment, staffing).

Conclusions:

  • Regional cataract surgery provision is a persistent NHS challenge.
  • Smart redesign, minimal investment, and collaboration can increase local service delivery.
  • The redesigned service successfully met local demand, fulfilled training needs, and adhered to clinical standards.