Article Text

other Versions

PDF
Better value eye care for the 21st century: the population approach
  1. Aeesha NJ Malik1,2,
  2. Andrew Cassels-Brown3,
  3. Richard Wormald1,
  4. JA Muir Gray2
  1. 1Moorfields Eye Hospital, London, UK
  2. 2Department of Health, London, UK
  3. 3NHS Leed PCT and Leeds Teaching Hospitals NHS Trust and University of Leeds, Leeds, UK
  1. Correspondence to Aeesha NJ Malik, Moorfields Eye Hospital, London, EC1V 2PD, UK; aeeshamalik{at}gmail.com

Abstract

Health services globally and in the UK face challenges from increasing need and rising expectations to inequalities and financial constraints. The UK government has recently published a Public Health Framework for the first time. This has included preventable sight loss as an outcome measure for the nation's public health reflecting increasing recognition of eye health issues in the broader public health agenda. This presents a real opportunity to improve eye care services at a population level. However, the chief executive of the National Health Service (NHS) has set his own challenge to the NHS to find £20 billion in efficiency savings in the next 3 years in order to maintain services within the available healthcare budget. We have reviewed national routine healthcare data in order to understand the current financial expenditure, activity and outcomes in ophthalmology. Our results have found a wide variation in expenditure in healthcare and activity across the country. We discuss a population based, value-orientated approach to dealing with healthcare issues which will provide a sustainable framework for the future.

  • Public health

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.