Delivery models for commissioners

The CCEHC has designed a eye care frameworks to help commissioners deal with capacity issues in the hospital eye service.

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Low vision, habilitation and rehabilitation framework

Low vision, habilitation and rehabilitation services are not consistently available across England. With increased demand, waiting times for low vision appointments/assessments vary greatly. These services are now an essential part of the eye health pathway and should be included in commissioning contracts and service specifications. This Low vision, habilitation and rehabilitation framework calls for more joined up commissioning to ensure better access and consistency of services for users supported by the provision of appropriate equipment and expertise to improve quality of life.


Primary Eye Care Framework for first contact care

Demand is growing for busy hospital eye services (HES) because of the ageing population and new treatments. Patients risk losing sight because of delayed appointments and radical change is needed. The Clinical Council for Eye Health Commissioning (CCEHC) has designed a Primary Eye Care Framework to help commissioners tackle this problem. This framework has been created to take pressure off HES, minimising unnecessary referral through monitoring, improving services for patients and offering efficiency for CCGs.


Community Ophthalmology Framework

Eye conditions such as age-related macular degeneration (AMD) and glaucoma will increase as the population ages. The number of patients receiving treatments for AMD in the Hospital Eye Service is already nearing capacity and those patients with glaucoma require life-long follow up. This means that the current service model is becoming unsustainable. To tackle this problem the Clinical Council for Eye Health Commissioning has designed the following framework: