2026/1965

1. Which Integrated Care Board (ICB) are you responding on behalf of?

1. Is eye health included within your local population health management/needs assessment approach?

• Yes
• No
• If not, why is this? Please share further details below.

1. Which of the following eye care service components are in place and routinely available within your system? Choose all that apply

1. • Minor Eye Conditions Service (MECS)

1. • Community Urgent Eyecare Service

1. • Virtual clinics/asynchronous review

1. • Risk stratification and validation

1. • One‑stop clinics

1. • Diagnostic/management centres in community settings overseen by hospital eye services

1. • Post-operative cataract follow up (via GOS)

1. • Long-term condition management for glaucoma (via GOS)

1. • Pre-referral glaucoma and AMD review (via GOS)

1. • Other
     • If you selected other, please share further details below.

1. How do you monitor provider performance of eye care services across your ICB footprint? Please provide as much detail as you can.

1. Across your ICB footprint, to what extent are NHS trusts meeting the NICE-recommended quality standard [QS180] for patients diagnosed with age-related macular degeneration to start treatment within two weeks of referral?

1. • All trusts are consistently meeting this standard

1. • Most trusts are consistently meeting this standard

1. • Few trusts are consistently meeting this standard

1. • No trusts are consistently meeting this standard

1. • Do not know

• Please share any further details below.

1. What are the most common constraints affecting patient’s timely access to eye care services across your ICB footprint? Choose all that apply.

1. • Workforce capacity
   • Clinic space
   • Availability of diagnostics
   • Estate capacity
   • Follow‑up backlog pressures
   • Accuracy of referral
   • IT/interoperability limitations
   • Financial barriers
   • Patients not attending appointments
   • Other.

• If you selected other, please provide more details below.

1. Which eye care digital enablers are currently in place across your ICB footprint? Choose all that apply

1. • Universal NHS email for primary eye care
   • Shared referral platforms
   • Ability to share OCT images
   • Agreed data standards such as DICOM
   • Shared care record / Single patient record
   • Patient portal/NHS App integration

• Please share any further details below.

1. Do you have targeted programmes to increase uptake of routine sight testing and early intervention for at-risk groups across your ICB footprint?

1. • Yes
   • No
   • In development

• Please share any further details below.

1. Do you have access to and regularly review patient-reported experience and outcome measures for eye care (e.g., PREMs/PROMs) to drive improvement and accountability at provider level across your ICB footprint?

1. • Have access and regularly review
   • Have access but do not regularly review
   • Do not have access
   • In development and plan to regularly review
   • In development but no plans to regularly review

• Please share any further details below.

1. Have any planning discussions taken place or activity been undertaken with regard to adopting Single Point of Access (SPoA) care models within eye care services across your ICB footprint?

1. • Planning discussions taken place and activity undertaken
   • Planning discussions taken place but no activity undertaken
   • No planning discussions or activity undertaken
   • Not yet but we plan to do so in the future

• Please share any further details below.

1. Is there an example of effective local practice that has improved access, enabled community delivery, improved digital connectivity, or reduced inequalities in eye care across your ICB footprint, and can you share details of why it worked? Please share further details below.

1.  What would most help your ICB to improve access and reduce inequalities in eye care over the next 12–24 months? Please rank the following in order of impact.

1. • Best practice/examples
   • Implementation support
   • Analytics/data
   • Workforce Growth and Training
   • Digital/IT support
   • Contracting support
   • Investment
   • Greater patient voice.

1. Would a new national Modern Service Framework for Eye Health, developed as part of the Government’s Modern Service Framework programme, help to provide direction for local eye care services?

1. • Yes
   • No
   • Not sure

• Please share any further details below.

1. NHS Greater Manchester
2. Yes
4. Minor Eye Conditions Service (MECS)
5. Community Urgent Eyecare Service
6. Post-operative cataract follow up (via GOS)
7. Long-term condition management for glaucoma (via GOS)
8. Pre-referral glaucoma and AMD review (via GOS)

Within Primary Care we commission and manage the General Ophthalmic Services (GOS) contracts and monitor activity.

4. We monitor the GOS contracts via the following processes:
   • General contract management
   • Quality in Optometry process (every three years)
   • Post Payment Verification processes for contractors who are outliers of we have concerns regarding as highlighted by PCSE submitted claims. Information of this can all be found in publicly shared documents: Eye Health Policy Book: NHS England » Policy book for general ophthalmic services
5. Most trusts are consistently meeting this standard
6. • Workforce capacity
   • Clinic space
7. • Universal NHS email for primary eye care
   • Shared referral platforms
   • Ability to share OCT images
   • Agreed data standards such as DICOM

NHS Email – this is nationally only available to mandatory services contract holders, not additional services contract holders.

We do not hold data on the other enablers listed.

8. We have a homeless and migrant scheme and a newly commissioned Special Educational Settings service, so those most vulnerable or need additional support, have access to GOS services in the most appropriate setting.
9. It is not a requirement of the GOS contract to review PREMS/PROMS, we address patient experience via complaints only.
10. Planning discussions taken place and activity undertaken – We have an Eye Care Navigation Service which includes a SPoA
11. We do not have any examples to share.

1. • Best practice/examples
   • Workforce Growth and Training
   • Investment

We do not have access issues within primary care, however Secondary Care services do have a couple of areas where access could be improved. Workforce is the main driver for this along with investment to commission alternative pathways.

13. Further information would be needed to make an informed response as to how that would align to our operating plan and the NHS 10-year plan.