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General Ophthalmic Services: Activity Statistics for England and Wales

Year Ending 31 March 2009

Copyright © 2009, The Health and Social Care Information Centre, Dental and Eye Care Team. All Rights Reserved. 1


The NHS Information Centre is England’s central, authoritative source of health and social care information. Acting as a ‘hub’ for high quality, national, comparative data, we deliver information for local decision makers, to improve the quality and efficiency of care.

www.ic.nhs.uk Author: The NHS Information Centre, Dental and Eye Care Team Version: 1.0 Date of Publication: 19 August 2009

Contents Page Executive Summary 4

Introduction 6

NHS Sight Tests 8

Domiciliary Sight Tests 16

Private Sight Tests and Private Domiciliary Sight Tests with Partial Help 20

NHS Optical Vouchers 21

Vouchers for Repair or Replacement 29

Private Sight Tests and Total Sight Tests 33

Annex A – Notes 35

Annex B – Excel Workbook – full list of contents 38

Annex C – Excel Workbook – full list of contents 38

Annex D – Excel Workbook – full list of contents 39

Annex E – Excel Workbook – full list of contents 39

Annex E – Excel Workbook – full list of contents 39

Excel Workbook – Primary Care Trust/ Local Health Board and Strategic Health Authority/ Welsh Region Factsheet 39

Other Ophthalmic Publications 40


Executive Summary General Ophthalmic Services (GOS): Activity Statistics for England and Wales, Year Ending 31 March 2009 The objective of the General Ophthalmic Services (GOS) is to provide, through community opticians’ practices, preventative and corrective eye care for children, people aged 60 and over, people on low incomes, and those suffering from or pre-disposed to eye disease. This report presents summary information about GOS activity in England and Wales for 2008/09 and on trends since 1999/00. The statistics are derived from data entered onto the Central Ophthalmic Payments System, an NHS Connecting for Health product, accessed via Open Exeter, by Primary Care Trusts (PCTs) in England and Local Health Boards (LHBs) in Wales. The Central Ophthalmic Payments System records General Ophthalmic Service claims, automates the payment process, produces required statistical returns and provides fraud prevention and detection tools.

In the period 1 April 2008 to 31 March 2009: England

• There were 11.278 million NHS sight test claims processed. This is an increase of 231 thousand (2.1 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 563 thousand (5.4 per cent).

• There were 346 thousand domiciliary sight tests, an increase of 17 thousand (5.2 per

cent) on the previous year. Between 2006/07 and 2007/08 the increase was 20 thousand (6.3 per cent).

• 4.138 million NHS optical voucher items were processed, an increase of 187

thousand (4.7 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 186 thousand (5.0 per cent).

• 467 thousand NHS voucher items for repair or replacement were processed. This is

an increase of 4,800 (1.0 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 36 thousand (8.3 per cent).


Wales

• There were 719 thousand NHS sight test claims processed. This is an increase of 18 thousand (2.6 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 25 thousand (3.7 per cent).

• There were 20 thousand domiciliary sight tests, an increase of 1,200 (6.7 per cent) on

the previous year. Between 2006/07 and 2007/08 the decrease was 540 (2.9 per cent).

• 269 thousand NHS optical voucher items were processed, an increase of 13 thousand

(5.0 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 2,800 (1.1 per cent).

• 29 thousand voucher items for repair or replacement were processed, an increase of

634 (2.3 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 145 (0.5 per cent).

Detailed tables at a PCT/LHB level for the information contained in this report and some historical years are provided in Annexes B, C, D and E. The factsheet tool (Annex F) allows the user to view selected summary information for a PCT/LHB, and compare the results against national level results and either its parent Strategic Health Authority/Welsh Region or another PCT/LHB.


Introduction

1999/00.

1. This report has been produced by The NHS Information Centre for health and social care. It shows information about NHS1 ophthalmic activity provided through the General Ophthalmic Services (GOS) in England and Wales in 2008/09 as well as a time series from

2. The NHS Information Centre currently produces two GOS Activity reports and one

GOS Workforce report each year. 3. The summary statistics presented here are derived from payments data provided by

Primary Care Trusts (PCTs) in England and Local Health Boards (LHBs) in Wales, who contract with ophthalmic practitioners to provide NHS sight tests, NHS optical vouchers and vouchers for repairs or replacement.

4. The majority of the data for this report are entered onto the Central Ophthalmic

Payments System, an NHS Connecting for Health product, accessed via Open Exeter, by PCTs and LHBs. The Central Ophthalmic Payments System records General Ophthalmic Service claims, automates the payment process, produces required statistical returns and provides fraud prevention and detection tools.

5. More detailed information on the Central Ophthalmic Payments System is available

on the following link: http://www.connectingforhealth.nhs.uk/systemsandservices/ssd/products_and_services

/vaprodopth/ 6. These data are downloaded and analysed by the NHS Information Centre. Some

PCTs/LHBs do not use the Central Ophthalmic Payments System and submit manual returns.

7. The activity figures presented in this report relate to claim forms that were processed

within the period. The figures may be affected over time by the gradual shift to electronic submission of sight test (GOS1) claim forms. The electronic link was introduced in May 2007 in England and in August 2008 in Wales.

8. For those PCTs/LHBs that use the Central Ophthalmic Payment System, the

submission of forms relating to NHS optical vouchers (GOS3) and vouchers for repairs or replacements (GOS4) is currently entered individually.

9. The report is presented in three main sections: NHS Sight Tests; NHS Optical

Vouchers; and Vouchers for Repair or Replacement. It also contains information on Domiciliary Sight Tests, an estimate of the number of private sight tests conducted, and an estimate of the total number of sight tests (both NHS and private). This report covers NHS ophthalmic activity provided through the General Ophthalmic Services, much of which is undertaken by high-street opticians. It does not cover any private

1 There is some limited information on the estimated number of private sight tests towards the end of the report.


http://www.connectingforhealth.nhs.uk/systemsandservices/ssd/products_and_services/vaprodopth/

http://www.connectingforhealth.nhs.uk/systemsandservices/ssd/products_and_services/vaprodopth/

work delivered by these opticians, although we have used survey data to estimate the number of private sight tests provided towards the end of the report.

10. Total sight tests, NHS optical vouchers, and vouchers for repair or replacement

information included in this report are not sample based as this information is entered onto the Central Ophthalmic Payments System, or returned manually.

11. Information contained in this report on NHS sight tests by patient eligibility is based on

a sample of forms from the majority of organisations, as this information is generally not accurately recorded directly onto the Central Ophthalmic Payments System. PCTs/LHBs are asked to manually provide this information on a two per cent sample of forms by selecting every 50th form and recording the patient eligibility on a separate form that is returned to the NHS Information Centre. This information is then grossed up to produce total figures by PCT/LHB, Strategic Health Authority/Welsh Region, and country.

12. Most organisations provided the patient eligibility information based on a two per cent

sample. Some organisations used different sample sizes and some organisations provided 100 per cent data (direct from the Central Ophthalmic Payments System). A few organisations also returned NHS optical voucher information on patient eligibility based on a sample.

13. All repairs information contained in this report is based on complete information,

entered directly onto the Central Ophthalmic Payments System, or returned manually. 14. Information on NHS Sight Tests and NHS Optical Vouchers by patient eligibility is

approximate, particularly at a local level, as this is based on the eligibility category that is recorded on the claim form. Patients may qualify on more than one criterion, however they would only be recorded against one criterion on the form.

15. In October 2008 two new eligibility categories were introduced for NHS sight tests and

NHS optical vouchers. These were adults receiving income-related Employment and Support Allowance (ESA) and Prisoner on Leave (POL). See annex A for further information.

16. The NHS Information Centre will be undertaking a formal consultation review of its

ophthalmic activity publications over the next few months. This will cover all elements of the publications including content, methodology, and frequency.

17. In advance of the main consultation exercise, we propose to make one change at this

stage. This is to produce the General Ophthalmic Services: Activity Statistics for England and Wales on an annual basis. This publication will cover the information currently collected and published twice a year. If you have any comments on this change, please send them to [email protected] by 19 November 2009.

The consultation review will be available over the coming months on the website of the NHS Information Centre at http://www.ic.nhs.uk.


mailto:[email protected]

http://www.ic.nhs.uk/

Sight Tests NHS Sight Tests2

18. The tables in this section present information on NHS sight tests. Patients with a HC3 certificate as part of the low income scheme are entitled to partial funding towards a private sight test. Data relating to HC3s are presented later in this report.

19. Information on patients eligible for NHS sight tests is provided in Annex A. 20. Table 1 below shows the number of NHS sight test claims processed in England and

Wales since 1999/00.

In the year ending 31 March 2009:

• There were 11.278 million NHS sight tests in England. This is an increase of 231 thousand (2.1 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 563 thousand (5.4 per cent).

• There were 719 thousand NHS sight tests in Wales. This is an increase of 18

thousand (2.6 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 25 thousand (3.7 per cent).

Table 1: Number of NHS sight tests

millions and per centEngland % change from Wales % change from

the previous year the previous yearApril-Sept Oct-March April - March April - March April-Sept Oct-March April - March April - March

1999/001 4.676 4.723 9.399 - 0.315 0.315 0.631 -

2000/01 4.825 4.742 9.567 1.8 0.332 0.327 0.659 4.6

2001/02 4.939 4.869 9.807 2.5 0.333 0.334 0.667 1.2

2002/03 4.844 4.818 9.662 -1.5 0.323 0.323 0.646 -3.1

2003/04 4.847 4.999 9.845 1.9 0.313 0.332 0.646 -0.1

2004/05 5.132 5.017 10.149 3.1 0.334 0.322 0.656 1.5

2005/06 5.191 5.163 10.355 2.0 0.339 0.334 0.674 2.7

2006/07 5.322 5.163 10.485 1.3 0.337 0.338 0.676 0.3

2007/08 5.523 5.525 11.048 5.4 0.349 0.352 0.701 3.7

2008/09 5.641 5.637 11.278 2.1 0.363 0.356 0.719 2.6Source: The NHS Information Centre for health and social care

Notes:1. From 1 April 1999, all patients aged 60 and over were included in the group eligible for NHS sight tests.

2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in the annexes. A discrepancy with some figures may result if rounded data is used to perform calculations. Totals may not equal the sum of component parts due to rounding.

2 Some organisations may have included private sight tests where partial NHS help was provided as NHS sight tests in these figures. This only has a negligible effect on the figures.


21. Figures 1a and 1b below show the number of NHS sight tests in England and Wales, by period and by year.

Figure 1a: Number of NHS sight tests in England

0.0

2.0

4.0

6.0

8.0

10.0

12.0

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09

Mill

ions

April-Sept Oct-March

Figure 1b: Number of NHS sight tests in Wales

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09

Mill

ions



22. Table 2 below shows the breakdown of NHS sight tests by patient eligibility and by

country for 2008/09. For the majority of organisations, this information is collected as a two per cent sample, and then grossed up to produce total figures. Further details on sampling are included in Annex A and the individual sample sizes returned by each PCT/LHB are contained within Annex B.

23. Note that patients may qualify for a NHS sight test on more than one criterion.

However, they would only be recorded against one criterion on the form. Where clinical need is one of several qualifying criteria, it is likely to be recorded as the reason for the test as patients with a clinical need generally have a shorter recall period between tests.

24. Table 2 below shows that in 2008/09 in both England and Wales, persons aged 60 and

over accounted for the highest proportion of NHS sight tests at 44.5 per cent in England and 46.4 per cent in Wales. Children, aged 15 and under, were the second highest for both England and Wales at 20.5 per cent and 21.0 per cent respectively.

Table 2: NHS Sight tests, by patient eligibility1, 2 and country: Year Ending 31 March 2009

England WalesNo. % No. %

Persons aged 60 and over 5,015,536 44.5 333,556 46.4Children 0-15 2,313,500 20.5 150,678 21.0Students 16-18 516,837 4.6 26,500 3.7Adults receiving Income Support3 1,107,692 9.8 61,143 8.5Adults receiving Tax Credit 675,514 6.0 47,470 6.6Adults receiving Job Seekers Allowance 239,556 2.1 15,245 2.1Low income certificate holders (HC2) 119,667 1.1 5,115 0.7Registered blind/partially sighted 21,275 0.2 505 0.1Diabetics/Glaucoma sufferers 605,302 5.4 34,204 4.8Needs complex lenses 75,122 0.7 2,568 0.4Close relatives 40 & over of glaucoma sufferers 588,114 5.2 41,818 5.8Prisoner on Leave 360 0.0 0 0.0Total 11,278,474 100.0 718,802 100.0

Source: The NHS Information Centre for health and social care

Notes: 1. Most PCTs/LHBs only count eligibility categories based on a 2% sample of their GOS forms. See Annex A for further details. 2. Patients may qualify for an NHS sight test on more than one criterion. However, they would only be recorded against one criterion on the form. Patients are more likely to be recorded according to their clinical need rather than their age. For example, a patient aged over 60, with glaucoma, is likely to be recorded in the glaucoma category only. The count by eligibility is therefore approximate. 3. Income Support includes patients receiving Pension Credit Guarantee Credit (PCGC) and also Income-related Employment and Support Allowance (ESA), which was introduced in October 2008. 4. Totals may not equal the sum of component parts due to rounding.


25. Tables 3a and 3b show the percentage of NHS sight tests by patient eligibility. 26. Detailed information on NHS sight tests by patient eligibility for 2008/09 by PCT/LHB

and by SHA/Welsh Region are provided in Annex B and are also contained within the factsheet (Annex F).

Per cent

99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Aged 60 and over 35.1 39.2 40.9 42.8 43.8 42.4 43.0 43.1 44.0 44.5Children 0-15 25.8 25.1 24.2 23.6 22.7 21.7 20.9 20.2 20.8 20.5Students 16-18 5.0 4.7 5.0 4.9 4.6 4.6 4.5 4.7 4.6 4.6

14.5 12.1 11.0 10.0 9.7 10.8 10.5 11.2 10.1 9.83.5 3.8 4.6 4.3 4.8 5.2 5.2 5.4 6.0 6.02.3 2.2 2.3 2.1 2.0 1.9 2.1 2.3 2.0 2.1

2.4 2.0 1.7 1.7 1.5 1.5 1.4 1.3 1.2 1.1

0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.3 0.2 0.25.0 4.7 4.4 4.6 4.8 5.8 6.2 5.7 5.4 5.4

Need complex lenses 0.7 0.7 0.6 0.7 0.7 0.7 0.7 0.8 0.7 0.7

5.5 5.2 5.0 5.1 5.1 5.2 5.2 5.1 5.0 5.2Prisoner on Leave .. .. .. .. .. .. .. .. .. 0Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Source: The NHS Information Centre for health and social careNotes:1.

2. Job Seekers Allowance.3. From 1 April 1999, eligibility for an NHS sight test was extended to everyone aged 60 or over.4.

5. .. Not applicable. Prisoner on Leave was introduced in October 2008.6. See Annex A for information on eligibility categories.

Income Support includes patients receiving Pension Credit Guarantee Credit (PCGC) and also Income-related Employment and Support Allowance (ESA), which was introduced in October 2008.

Patients may qualify for an NHS sight test on more than one criterion. However, they would only be recorded against one criterion on the form. Patients are more likely to be recorded according to their clinical need rather than their age. For example, a patient aged over 60, with glaucoma is likely to be recorded in the glaucoma category only. The count by eligibility is therefore approximate.

Registered blind/partially sightedDiabetics/Glaucoma sufferers

Close relatives 40 & over of Glaucoma sufferers

Adults receiving income support1

Adults receiving tax creditsAdults receiving JSA2

Low income certificate holders (HC2)

.0

Table 3a: Percentage of NHS sight tests by patient eligibility, England


Table 3b: Percentage of NHS sight tests by patient eligibility, Wales

.0

Per cent

99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Aged 60 and over 38.8 36.8 38.2 42.3 43.2 45.1 46.4 42.5 41.5 46.4Children 0-15 24.6 25.2 25.1 24.5 21.9 20.9 20.4 22.0 21.9 21.0Students 16-18 4.2 4.9 4.7 4.6 4.2 3.7 3.9 4.7 4.7 3.7

15.0 14.8 13.4 10.9 10.2 10.6 9.8 9.6 9.1 8.53.6 4.6 5.2 4.8 5.4 5.5 5.7 6.8 7.0 6.62.3 2.8 2.5 1.6 1.6 1.6 1.6 1.9 2.2 2.1

2.8 2.6 2.3 1.5 1.5 1.3 1.0 1.1 1.0 0.7

0.1 0.1 0.0 0.1 0.1 0.2 0.2 0.2 0.2 0.14.3 3.3 3.7 5.0 5.8 5.6 5.5 4.7 5.8 4.8

Need complex lenses 0.3 0.4 0.4 0.3 1.0 0.6 0.5 0.5 0.5 0.4

4.0 4.5 4.5 4.4 5.0 5.0 4.9 6.0 6.1 5.8Prisoner on Leave .. .. .. .. .. .. .. .. .. 0Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


2. Job Seekers Allowance.3. From 1 April 1999, eligibility for an NHS sight test was extended to everyone aged 60 or over.4.

5. .. Not applicable. Prisoner on Leave was introduced in October 2008.6. See Annex A for information on eligibility categories.

Adults receiving income support1

Adults receiving tax creditsAdults receiving JSA2

Low income certificate holders (HC2)Registered blind/partially sighted

Patients may qualify for an NHS sight test on more than one criterion. However, they would only be recorded against one criterion on the form. Patients are more likely to be recorded according to their clinical need rather than their age. For example, a patient aged over 60, with glaucoma is likely to be recorded in the glaucoma category only. The count by eligibility is therefore approximate.

Income Support includes patients receiving Pension Credit Guarantee Credit (PCGC) and also Income-related Employment and Support Allowance (ESA), which was introduced in October 2008.

Diabetics/Glaucoma sufferers

Close relatives 40 & over of Glaucoma sufferers


27. Tables 4a and 4b show the number of NHS sight tests per 100,000 population for England and Wales. These figures are based on the population size of each individual category. Table 4a shows that in 2008/09, there were 22 thousand NHS sight tests for every 100,000 people in England, an increase of 451 from 2007/08. Table 4b shows that in Wales this figure was 24 thousand, an increase of 606 from 2007/08.

28. Annex C contains this information for 2007/08 and 2008/09 at SHA/Welsh Region and

PCT/LHB level. Information for children 0-15 and adults 60+ for earlier years is not available at this local level due to concerns over the quality of some local level data by patient eligibility for those earlier years. Information on all NHS sight tests per 100,000 population is available at this local level from 2003/04 onwards.

Table 4a: NHS sight tests per 100,000 population, England Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Children 0-15 24,222 24,088 23,969 23,179 22,793 22,624 22,327 21,847 23,811 23,960Adults 60+ 32,524 36,817 39,223 40,201 41,490 40,977 41,838 41,907 43,938 45,336All Sight Tests 19,170 19,432 19,833 19,459 19,743 20,253 20,518 20,655 21,624 22,075

Source: The NHS Information Centre for health and social careNotes:1. From 1 April 1999, eligibility for an NHS sight test was extended to everyone aged 60 or over. 2.

3.

4. Not everybody is entitled to an NHS sight test. Annex A contains further details of those eligible for an NHS sight test. 5.

6.

Patients may qualify for an NHS sight test on more than one criterion. However, they would only be recorded against one criterion on the form. Patients are more likely to be recorded according to their clinical need rather than their age. For example, a patient aged over 60, with glaucoma is likely to be recorded in the glaucoma category only. The counts for these age groups are therefore underestimates.

The recall period for NHS sight tests varies according to patient eligibility. Not all groups are entitled to an NHS sight test every 12 months. Further details are contained in Annex A.

Figures are calculated from the Office for National Statistics' (ONS) mid-year population estimates of the first year shown, ie. figures for 2006/07 use the ONS mid-2006 population estimate. 2008/09 figures use the ONS mid-2007 population estimates as these are the latest available. 2008/09 figures will therefore be subject to recalculation in future reports once 2008 mid-year population estimates are available.

The information presented here is based on the number of NHS sight tests and is not necessarily a count of individuals. Individuals may qualify for an NHS sight test at shorter recall periods and therefore be counted more than once in the figures depending on their clinical need.

Table 4b: NHS sight tests per 100,000 population, Wales Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Children 0-15 26,070 28,130 28,516 27,280 24,561 23,926 24,246 26,464 27,611 27,073Adults 60+ 37,457 36,951 38,695 41,099 41,412 43,275 45,183 40,963 40,443 46,375All Sight Tests 21,741 22,682 22,935 22,141 22,029 22,249 22,804 22,783 23,515 24,121

Source: The NHS Information Centre for health and social careNotes:1. From 1 April 1999, eligibility for an NHS sight test was extended to everyone aged 60 or over. 2.

3.

4. Not everybody is entitled to an NHS sight test. Annex A contains further details of those eligible for an NHS sight test. 5.

6.

The recall period for NHS sight tests varies according to patient eligibility. Not all groups are entitled to an NHS sight test every 12 months. Further details are contained in Annex A. The information presented here is based on the number of NHS sight tests and is not necessarily a count of individuals. Individuals may qualify for an NHS sight test at shorter recall periods and therefore be counted more than once in the figures depending on their clinical need.

Figures are calculated from the Office for National Statistics' (ONS) mid-year population estimates of the first year shown, ie. figures for 2006/07 use the ONS mid-2006 population estimate. 2008/09 figures use the ONS mid-2007 population estimates as these are the latest available. 2008/09 figures will therefore be subject to recalculation in future reports once 2008 mid-year population estimates are available.

Patients may qualify for an NHS sight test on more than one criterion. However, they would only be recorded against one criterion on the form. Patients are more likely to be recorded according to their clinical need rather than their age. For example, a patient aged over 60, with glaucoma is likely to be recorded in the glaucoma category only. The counts for these age groups are therefore underestimates.


29. Tables 5a, 5b, 5c, and 5d below show the number and percentage of NHS sight tests, by practitioner and by country. In 2008/09, the majority, 99.1 per cent (11.181 million) in England and 99.7 per cent (717 thousand) in Wales, of all tests were conducted by Optometrists. The remainder were conducted by Ophthalmic Medical Practitioners (OMPs). Details on Optometrists and Ophthalmic Medical Practitioners are included in Annex A.

Table 5a: NHS Sight Tests by Practitioner, England thousands

Year 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Optometrists 8,865 9,090 9,371 9,251 9,508 9,856 10,075 10,297 10,879 11,181OMPs1 535 478 436 411 337 293 280 188 169 97Total 9,399 9,567 9,807 9,662 9,845 10,149 10,355 10,485 11,048 11,278

Source: The NHS Information Centre for health and social careNotes:1. Ophthalmic Medical Practitioners.2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in the annexes.

A discrepancy with some figures may result if rounded data is used to perform calculations. Totals may not equal the sum of component parts due to rounding.

Table 5b: Percentage of NHS Sight Tests by Practitioner, England Per cent

Year 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Optometrists 94.3 95.0 95.6 95.7 96.6 97.1 97.3 98.2 98.5 99.1OMPs1 5.7 5.0 4.4 4.3 3.4 2.9 2.7 1.8 1.5 0.9Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Source: The NHS Information Centre for health and social careNote:1. Ophthalmic Medical Practitioners. Table 5c: NHS Sight Tests by Practitioner, Wales

thousandsYear 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Optometrists 613 642 650 630 634 644 667 672 698 717OMPs1 18 17 17 16 12 11 7 4 3 2Total 631 659 667 646 646 656 674 676 701 719

Source: The NHS Information Centre for health and social careNotes:1. Ophthalmic Medical Practitioners.2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in the annexes.

A discrepancy with some figures may result if rounded data is used to perform calculations. Totals may not equal the sum of component parts due to rounding.

Table 5d: Percentage of NHS Sight Tests by Practitioner, Wales Per cent

Year 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Optometrists 97.1 97.4 97.4 97.5 98.1 98.3 99.0 99.4 99.6 99.7OMPs1 2.9 2.6 2.6 2.5 1.9 1.7 1.0 0.6 0.4 0.3Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Source: The NHS Information Centre for health and social careNote:1. Ophthalmic Medical Practitioners.


30. Figures 2a and 2b below show the percentage of NHS sight tests conducted by Ophthalmic Medical Practitioners in England and Wales, 1999/00 to 2008/09. In England in 2008/09, 0.9 per cent of NHS sight tests were conducted by Ophthalmic Medical Practitioners, a decrease of 0.7 percentage points on the previous year. In Wales in 2008/09, 0.3 per cent of NHS sight tests were conducted by Ophthalmic Medical Practitioners, a decrease of 0.2 percentage points from the previous year.

Figure 2a: Percentage of NHS sight tests conducted by Ophthalmic Medical Practitioners, England

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09

Figure 2b: Percentage of NHS sight tests conducted by Ophthalmic Medical Practitioners, Wales

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09


Domiciliary Sight Tests 31. The vast majority of NHS sight tests are conducted at ophthalmic practitioners’

premises. A small proportion of tests (3.1 per cent in England and 2.7 per cent in Wales) were conducted away from ophthalmic premises in 2008/09. These include sight tests carried out at people’s homes and at residential homes. Domiciliary sight tests performed on either a single patient at an address, or where the patient is the first or second to be seen, are reimbursed at a higher rate. Third or subsequent patients visited at the same address are reimbursed at a lower rate.

32. Tables 6a, 6b, 6c, and 6d show the number and percentage of domiciliary sight tests by

domiciliary visit rate, by country, 1999/00 to 2008/09. There were 346 thousand domiciliary sight tests in England in 2008/09, an increase of 17 thousand (5.2 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 20 thousand (6.3 per cent).

Table 6a: Number of domiciliary sight tests by type, England Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09

Lower rate 135,719 141,115 126,034 125,951 135,900 140,865 135,221 139,651 142,761 147,893Higher rate 132,091 134,931 128,707 128,844 137,243 151,797 158,673 170,100 186,604 198,591Total 267,811 276,046 254,741 254,795 273,143 292,662 293,894 309,751 329,365 346,484

Source: The NHS Information Centre for health and social careNotes:1. Totals may not equal the sum of component parts due to rounding. 2. Domiciliary visits made either to a single patient at the address or where the patient is the first or second to be seen are reimbursed at the higher rate. Third or subsequent patients visited at the same address are reimbursed at the lower rate.

Table 6b: Percentage of domiciliary sight tests by type, England per cent

Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Lower rate 50.7 51.1 49.5 49.4 49.8 48.1 46.0 45.1 43.3 42.7Higher rate 49.3 48.9 50.5 50.6 50.2 51.9 54.0 54.9 56.7 57.3Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Source: The NHS Information Centre for health and social careNotes:1. Domiciliary visits made either to a single patient at the address or where the patient is the first or second to be seen are reimbursed at the higher rate. Third or subsequent patients visited at the same address are reimbursed at the lower rate.


33. There were 20 thousand domiciliary sight tests in Wales in 2008/09, an increase of 1,200 (6.7 per cent) on the previous year. Between 2006/07 and 2007/08 the number decreased by 540 (2.9 per cent).

Table 6c: Number of domiciliary sight tests by type, Wales Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Lower rate 7,503 7,954 7,260 7,100 7,773 7,745 8,152 7,618 7,132 7,765Higher rate 9,545 10,252 9,405 9,019 9,431 9,501 9,764 11,201 11,147 11,743Total 17,048 18,206 16,665 16,119 17,204 17,246 17,916 18,819 18,279 19,508


Table 6d: Percentage of domiciliary sight tests by type, Wales per cent

Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Lower rate 44.0 43.7 43.6 44.0 45.2 44.9 45.5 40.5 39.0 39.8Higher rate 56.0 56.3 56.4 56.0 54.8 55.1 54.5 59.5 61.0 60.2Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



34. Table 7 below shows the number of domiciliary sight tests by rate and by country for 2008/09. Higher rate sight tests were more common than lower rate sight tests for both England (57.3 per cent) and Wales (60.2 per cent).

Table 7: Number of domiciliary sight tests, by practitioner and country: Year Ending 31 March 2009

Number Percentage of

totalNumber Percentage of

totalOptometrists Lower rate 146,964 42.9 7,765 39.8

Higher rate 195,969 57.1 11,743 60.2Total 342,933 100.0 19,508 100.0

OMPs(1) Lower rate 929 26.2 0 -Higher rate 2,622 73.8 0 -Total 3,551 100.0 0 -

All Lower rate 147,893 42.7 7,765 39.8Higher rate 198,591 57.3 11,743 60.2Total 346,484 100.0 19,508 100.0

Source: The NHS Information Centre for health and social careNotes:1. Ophthalmic Medical Practitioners 2. Totals may not equal sum of components due to rounding3. Domiciliary visits made either to a single patient at the address or where the patient is the first or second to be seen are reimbursed at the higher rate. Third or subsequent patients visited at the same address are reimbursed at the lower rate.

England Wales


Figure 3a: Number of domiciliary sight tests, England

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99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09

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Figure 3b: Number of domiciliary sight tests, Wales

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Private Sight Tests and Private Domiciliary Sight Tests with Partial Help

35. Patients with HC3 certificates as part of the low-income scheme are entitled to varying degrees of financial help with private sight tests. Table 8a below shows that in England in 2008/09, PCTs made partial payments towards 3,300 private sight tests, of which 202 included a private domiciliary sight tests. Table 8b below shows that in the same period for Wales, LHBs made partial payments towards 227 private sight tests, of which 20 included a private domiciliary sight tests.

Table 8a: Number of private sight tests and private domiciliary sight tests where partial help was given, England

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Sight tests 22,094 15,393 14,185 12,899 10,583 7,059 5,355 4,471 3,783 3,349Domiciliary sight tests 104 77 50 55 83 103 90 72 209 202


Table 8b: Number of private sight tests and private domiciliary sight

tests where partial help was given, Wales

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Sight Tests 2,199 1,656 1,833 1,300 925 520 315 307 258 227Domiciliary sight tests 0 0 6 0 0 2 2 3 9

Source: The NHS Information Centre for health and social care20


NHS Optical Vouchers 36. The voucher scheme was introduced in July 1986. Under the scheme, patients who

had previously been eligible to have NHS spectacles were given NHS optical vouchers to put towards buying their own choice of spectacles, or having new lenses fitted to their existing frames. From April 1988, NHS optical vouchers could also be put towards the cost of contact lenses. Details of which patients are eligible for NHS optical vouchers are provided in Annex A. Patients may receive a voucher for more than one pair of spectacles.

37. Due to different eligibility regulations for NHS sight tests and NHS optical vouchers, the

eligibility category recorded for NHS optical vouchers may differ from that recorded as the categorisation for the NHS sight test.

38. Table 9 below shows the number of NHS optical voucher items processed in England

and Wales. It shows that in 2008/09:

• 4.138 million NHS optical voucher items were processed in England, an increase of 187 thousand (4.7 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 186 thousand (5.0 per cent).

• In Wales 269 thousand NHS optical voucher items were processed, an increase of 13

thousand (5.0 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 2,800 (1.1 per cent).

Table 9: Number of NHS optical voucher items processed, by country

millions and per centEngland % change from Wales % change from

the previous year the previous yearApril-Sept Oct-March April-March April - March April-Sept Oct-March April-March April - March

1999/00 1.858 1.805 3.662 - 0.136 0.139 0.275 -

2000/01 1.807 1.768 3.575 -2.4 0.135 0.137 0.273 -0.7

2001/02 1.821 1.786 3.607 0.9 0.138 0.134 0.273 -0.1

2002/03 1.760 1.712 3.472 -3.7 0.128 0.124 0.252 -7.4

2003/04 1.728 1.792 3.520 1.4 0.123 0.129 0.251 -0.4

2004/05 1.850 1.775 3.624 3.0 0.129 0.122 0.251 -0.2

2005/06 1.860 1.819 3.678 1.5 0.128 0.124 0.252 0.5

2006/07 1.923 1.841 3.765 2.3 0.128 0.125 0.253 0.3

2007/08 1.983 1.968 3.951 5.0 0.129 0.127 0.256 1.1

2008/09 2.079 2.059 4.138 4.7 0.135 0.133 0.269 5.0Source: The NHS Information Centre for health and social carer health and social care

Note:1. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex D. A discrepancy with some figures may result if rounded data is used to perform calculations. Totals may not equal the sum of component parts due to rounding.


39. Figures 4a and 4b below show the number of NHS optical voucher items processed in England and Wales, by period and by year.

Figure 4a: Number of NHS optical voucher items processed, England

0.0

0.5

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Figure 4b: Number of NHS optical voucher items processed, Wales

0.0

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40. Table 10 below shows the distribution of NHS optical voucher items processed by patient eligibility and by country.

Table 10: Number of NHS optical voucher items processed, by patient eligibility and country: Year Ending 31 March 2009

No. % No. %Children 0-15 1,116,307 27.0 61,090 22.7Students 16-18 284,558 6.9 14,785 5.5Adults receiving Income Support 1 1,817,245 43.9 130,680 48.7Adults receiving Tax Credit 575,658 13.9 40,903 15.2Adults receiving Job Seekers Allowance 179,117 4.3 10,760 4.0HC2 – full remission 106,951 2.6 7,424 2.8

36,508 0.9 1,694 0.6Prisoner on Leave 41 0.0 0 0.0Total full vouchers 4,116,385 99.5 267,336 99.5

21,848 0.5 1,218 0.572 0.0 1 0.0

Total all vouchers 4,138,305 100.0 268,555 100.0Source: The NHS Information Centre for health and social care

Notes:

2. Totals may not equal the sum of component parts due to rounding.

HC3 – complex appliance payment

1.Adults receiving Income Support and Pension Credit Guarantee Credit (PCGC) and also Income-related Employment and Support Allowance (ESA) benefits, which was introduced in October 2008.

Complex appliance payment only

England Wales

HC3 – partial payment of voucher


41. Tables 11a and 11b show the distribution of NHS optical voucher items processed, by patient eligibility, for England and for Wales from 1999/00 to 2008/09.

Table 11a: Percentage of NHS optical voucher items processed, by

patient eligibility, England

Per cent99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09

Children 0-15 30.0 30.6 31.3 28.6 29.1 27.5 27.1 26.9 27.1 27.0Students 16-18 6.8 7.1 7.2 7.3 6.6 6.5 6.6 6.9 6.9 6.9Adults receiving IS1 43.5 42.1 40.4 42.8 42.6 43.8 44.2 44.2 44.3 43.9Adults receiving Tax Credits 5.6 6.3 7.9 8.4 9.9 12.1 12.7 13.0 13.5 13.9Adults receiving JSA2 4.0 4.2 4.2 4.2 3.9 3.5 3.9 4.3 3.9 4.3HC2 – full remission 7.4 7.0 6.3 5.7 5.2 4.3 3.6 3.1 2.8 2.6

0.9 0.9 0.9 1.0 1.0 1.0 0.9 0.9 0.9 0.9Prisoner on Leave .. .. .. .. .. .. .. .. ..Total full vouchers 98.1 98.2 98.2 98.1 98.3 98.7 99.1 99.2 99.4 99.5

1.9 1.7 1.7 1.9 1.7 1.3 0.9 0.8 0.6 0.5

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0Total all vouchers 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


2 Adults receiving Job Seekers Allowance.3. See Annex A for information on eligibility categories.4. .. Not applicable. Prisoner on Leave was introduced in October 2008.


HC3 – complex appliance payment

HC3 - partial payment of voucher

Adults receiving Income Support and Pension Credit Guarantee Credit (PCGC) and also Income-related Employment and Support Allowance (ESA), which was introduced in October 2008.

0.0


Table 11b: Percentage of NHS optical voucher items processed, by

patient eligibility, Wales

Per cent99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09

Children 0-15 28.2 27.2 27.7 27.5 25.4 23.6 23.0 22.9 23.1 22.7Students 16-18 7.2 7.1 6.5 6.7 5.9 5.4 5.6 5.7 5.7 5.5Adults receiving IS1 47.3 44.4 43.7 43.6 45.7 47.3 48.3 48.8 48.9 48.7Adults receiving Tax Credits 6.0 6.7 9.1 9.6 11.3 13.8 14.4 14.5 14.9 15.2Adults receiving JSA2 3.3 4.1 3.8 3.9 3.3 3.0 3.2 3.3 3.2 4.0HC2 – full remission 6.2 8.0 7.1 6.5 6.3 5.0 4.1 3.5 3.1 2.8

0.3 0.5 0.5 0.5 0.6 0.7 0.6 0.6 0.6 0.6Prisoner on Leave .. .. .. .. .. .. .. .. .. 0.0Total full vouchers 98.6 98.1 98.4 98.3 98.6 98.8 99.2 99.4 99.5 99.5

1.4 1.9 1.6 1.7 1.4 1.2 0.8 0.6 0.5 0.5

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0Total all vouchers 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


2 Adults receiving Job Seekers Allowance.3. See Annex A for information on eligibility categories.4. .. Not applicable. Prisoner on Leave was introduced in October 2008.


HC3 - partial payment of voucherHC3 – complex appliance payment

Adults receiving Income Support and Pension Credit Guarantee Credit (PCGC) and also Income-related Employment and Support Allowance (ESA), which was introduced in October 2008.


42. Tables 12a and 12b show the number of NHS optical voucher items processed per 100,000 population for England and Wales. These figures are based on the population size of each individual category. In 2008/09 in England, 8,100 NHS optical vouchers were processed for every 100,000 people, an increase of 367 from the previous year. This figure for Wales in 2008/09 was 9,000, an increase of 432 from 2007/08.

43. Annex D contains a national and SHA/Welsh Region level time series of all NHS optical

vouchers processed per 100,000 population from 1996/97 and at PCT/LHB level from 2003/04. It also contains information for children 0-15 per 100,000 population for 2007/08 and 2008/09 at a SHA/Welsh Region and PCT/LHB level.

Table 12a: NHS optical voucher items processed per 100,000 population, England

Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Children 0-15 10,959 10,965 11,401 10,068 10,426 10,229 10,260 10,457 11,075 11,561All vouchers 7,469 7,262 7,295 6,993 7,058 7,233 7,289 7,416 7,733 8,100


2. Not everybody is entitled to NHS vouchers. Annex A contains further information on those eligible for NHS vouchers.3.

Figures are calculated from the Office for National Statistics' (ONS) mid-year population estimates of the first year shown, ie. figures for 2006/07 use the ONS mid-2006 poulation estimates. 2008/09 figures use the ONS mid-2007 population estimates as these are the latest available. 2008/09 figures will therefore be subject to recalculation in future reports once 2008 mid-year population estimates are available.

The information presented here is based on the numbers of NHS vouchers and is not necessarily a count of individuals. Individuals may receive more than one NHS voucher in a 12 month period and may therefore be counted in the figures more than once. Annex A contains further details.

Table 12b: NHS optical voucher items processed per 100,000 population,

Wales

Year 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09Children 0-15 13,051 12,572 12,857 11,915 11,065 10,367 10,243 10,338 10,590 10,976All vouchers 9,469 9,387 9,365 8,644 8,580 8,517 8,535 8,527 8,580 9,012


2. Not everybody is entitled to NHS vouchers. Annex A contains further information on those eligible for NHS vouchers.3. The information presented here is based on the numbers of NHS vouchers and is not necessarily a count of individuals.

Individuals may receive more than one NHS voucher in a 12 month period and may therefore be counted in the figures more than once. Annex A contains further details.

Figures are calculated from the Office for National Statistics' (ONS) mid-year population estimates of the first year shown, ie. figures for 2006/07 use the ONS mid-2006 poulation estimates. 2008/09 figures use the ONS mid-2007 population estimates as these are the latest available. 2008/09 figures will therefore be subject to recalculation in future reports once 2008 mid-year population estimates are available.


44. Table 13 below shows the number of NHS optical voucher items processed in 2008/09 by voucher type and by country. Patients eligible for NHS optical vouchers may also qualify for prisms, tints and small frame supplements, if prescribed.

Table 13: Number of NHS optical voucher items processed, by voucher type and country: Year Ending 31 March 2009

Voucher

type1 No. % No. %A 2,970,130 71.8 191,524 71.3B 436,485 10.5 30,636 11.4C 27,820 0.7 1,625 0.6D 15,012 0.4 982 0.4E 553,737 13.4 35,746 13.3F 93,456 2.3 6,094 2.3G 2,816 0.1 144 0.1H 2,267 0.1 109 0.0

CAP Single2 26,811 0.6 1,286 0.5CAP Bifocal2 9,769 0.2 409 0.2

Total 4,138,305 100.0 268,555 100.0 of which: Prisms 81,736 5,350

Tints 95,486 6,334SFS3 3,730 80


Notes:1. Vouchers are issued to eligible patients to use towards buying their choice of spectacles (or having new lenses fitted to existing frames). Each voucher type has a different value depending on the strength and type of lenses prescribed by the practitioner.2. CAP = Complex Appliance Payment.3. Small frame supplements.4. Totals may not equal sum of components due to rounding.

England Wales


Children Students Adults HC2 - HC3 - partial HC3 - CAP TotalVoucher 0-15 16-18 receiving full payment of CAP3 only3

Type1 benefit2 remission voucherA 984,727 255,307 1,653,671 67,487 8,938 .. .. 2,970,130B 121,023 26,487 276,876 9,945 2,155 .. .. 436,485C 4,216 1,435 21,087 831 251 .. .. 27,820D 1,290 470 12,660 433 159 .. .. 15,012E 4,485 679 515,693 24,187 8,693 .. .. 553,737F 445 132 87,486 3,846 1,547 .. .. 93,456G 67 31 2,518 128 72 .. .. 2,816H 53 17 2,071 93 33 .. .. 2,267

CAP Single3 .. .. .. .. .. 49 26,762 26,811CAP Bifocal3 .. .. .. .. .. 23 9,746 9,769

Total 1,116,307 284,558 2,572,062 106,951 21,848 72 36,508 4,138,305 of which: Prisms 9,240 3,702 64,911 2,839 1,027 0 17 81,736

Tints 6,756 1,812 82,835 3,266 815 0 2 95,486SFS4 3,633 3 88 5 1 0 0 3,730

Source: The NHS Information Centre for health and social careNotes:1. Vouchers are issued to eligible patients, to use towards buying their choice of spectacles (or having new lenses fitted to existing frames). Each voucher type has a different value depending on the strength and type of lenses prescribed by the practitioner.2. Income Support, Tax Credits, Job Seekers Allowance, Income-related Employment and Support Allowance or Prisoner on Leave.3. CAP = Complex Appliance Payment. 4. Small frame supplements.5. Totals may not equal sum of components due to rounding.6. .. = not applicable.

Table 14a: Number of NHS optical voucher items processed, by patient eligibility and voucher type, England: Year Ending 31 March 2009

Table 14b: Number of NHS optical voucher items processed, by patient

eligibility and voucher type, Wales: Year Ending 31 March 2009

Children Students Adults HC2 - HC3 - partial HC3 - CAP TotalVoucher 0-15 16-18 receiving full payment of CAP3 only3

Type1 benefit2 remission voucherA 52,658 13,319 120,139 4,856 552 .. .. 191,524B 7,919 1,350 20,451 759 157 .. .. 30,636C 196 55 1,310 51 13 .. .. 1,625D 82 28 832 30 10 .. .. 982E 189 23 33,598 1,515 421 .. .. 35,746F 32 8 5,787 204 63 .. .. 6,094G 6 1 130 6 1 .. .. 144H 8 1 96 3 1 .. .. 109

CAP Single3 .. .. .. .. .. 1 1,285 1,286CAP Bifocal3 .. .. .. .. .. 0 409 409

Total 61,090 14,785 182,343 7,424 1,218 1 1,694 268,555 of which: Prisms 388 215 4,565 141 41 0 0 5,350

Tints 220 84 5,774 213 43 0 0 6,334SFS4 77 0 2 1 0 0 0 80

Source: The NHS Information Centre for health and social careNotes:1. Vouchers are issued to eligible patients, to use towards buying their choice of spectacles (or having new lenses fitted to existing frames). Each voucher type has a different value depending on the strength and type of lenses prescribed by the practitioner.2. Income Support, Tax Credits, Job Seekers Allowance, Income-related Employment and Support Allowance or Prisoner on Leave.3. CAP = Complex Appliance Payment. 4. Small frame supplements.5. Totals may not equal sum of components due to rounding.6. .. = not applicable.

45. Annex B contains information on the number of NHS optical voucher items processed

by voucher type and by patient eligibility for 2008/09 at SHA/Welsh Region and by PCT/LHB level.


Vouchers for Repair or Replacement 46. Patients under the age of 16 can obtain a voucher towards the cost of repair or

replacement for damaged or lost spectacles or contact lenses. Patients over 16 must satisfy certain criteria (that the loss or damage was due to illness; that help is not available through warranty, insurance or after sales service; and that the patient would be entitled to a voucher for new glasses or contact lenses) before a voucher towards the cost of repair or replacement is issued.

47. Table 15 below shows the number of NHS voucher items for repair or replacement

processed in England and Wales since 1999/00. The number of NHS voucher items for repair or replacement were processed in England in 2008/09 was 467 thousand. This is an increase of 4,800 (1.0 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 36 thousand (8.3 per cent).

48. In Wales, 29 thousand voucher items for repair or replacement were processed, an

increase of 634 (2.3 per cent) on the previous year. Between 2006/07 and 2007/08 the increase was 145 (0.5 per cent).

Table 15: Number of NHS voucher items for repair or replacement, by country

England % change from Wales % change fromthe previous year the previous year

April-Sept Oct-March April - March April - March April-Sept Oct-March April - March April - March

1999/00 211,659 208,624 420,283 - 17,108 16,413 33,521 -

2000/01 201,791 209,997 411,788 -2.0 17,265 16,103 33,368 -0.5

2001/02 191,996 192,086 384,082 -6.7 15,756 14,691 30,447 -8.8

2002/03 192,625 195,944 388,569 1.2 14,448 14,916 29,364 -3.6

2003/04 204,112 206,528 410,640 5.7 14,103 14,512 28,615 -2.6

2004/05 205,293 197,145 402,438 -2.0 14,227 13,841 28,068 -1.9

2005/06 201,782 205,220 407,002 1.1 13,980 14,111 28,091 0.1

2006/07 210,427 216,446 426,873 4.9 13,523 14,313 27,836 -0.9

2007/08 229,992 232,438 462,430 8.3 14,153 13,828 27,981 0.5

2008/09 234,784 232,475 467,259 1.0 14,469 14,146 28,615 2.3Source: The NHS Information Centre for health and social care

Note:1. Information for 2005/06 and 2006/07 has been revised following further validation.


49. Figures 5a and 5b below show the number of NHS voucher items for repair or replacement from 1999/00 to 2008/09 for England and Wales.

Figure 5a: Number of NHS voucher items for repair or replacement, England

0

50

100

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300

350

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1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09

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Figure 5b: Number of NHS voucher items for repair or replacement, Wales

0

5

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50. Table 16 below shows that in 2008/09 the majority (97.6 per cent in England, 99.0 per cent in Wales) of NHS voucher items for repair or replacement were for Children (aged 15 and under).

Table 16: Number of NHS voucher items for repair or replacement by patient eligibility and country: Year Ending 31 March 2009

No. % No. %Children 0-15 455,826 97.6 28,339 99.0Adults or Students 16-18 11,433 2.4 276 1.0Total 467,259 100.0 28,615 100.0


England Wales

Table 17a: Number of NHS voucher items for repair or replacement by patient eligibility, England

1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09Children 0-15 411,880 403,328 376,111 379,469 401,530 393,381 398,025 417,159 452,585 455,826Adults or Students 16-18 8,404 8,459 7,971 9,099 9,110 9,057 8,977 9,714 9,845 11,433Total 420,283 411,788 384,082 388,569 410,640 402,438 407,002 426,873 462,430 467,259

Source: The NHS Information Centre for health and social careNotes:1. Totals may not equal the sum of component parts due to rounding.2. Information for 2005/06 has been revised following further validation.

Table 17b: Number of NHS voucher items for repair or replacement by

patient eligibility, Wales 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2007/08

Children 0-15 33,114 32,554 29,868 29,093 28,314 27,676 27,763 27,555 27,681 28,339Adults or Students 16-18 407 814 579 271 301 392 328 281 300 276Total 33,521 33,368 30,447 29,364 28,615 28,068 28,091 27,836 27,981 28,615

Source: The NHS Information Centre for health and social careNotes:1. Totals may not equal the sum of component parts due to rounding.


51. Table 18 below shows the number of NHS vouchers for repair or replacement

processed in 2008/09 that included lens repair or replacement by voucher type and by country.

Table 18: Number of NHS voucher items for lens repair or replacement, by voucher type and by country: Year Ending 31 March 2009

WalesOne Both One BothLens lenses lens lenses

Voucher type1 A 15,694 214,443 1,230 12,208B 3,198 51,126 278 3,323C 125 2,147 6 88D 56 880 1 23E 138 2,706 11 76F 21 841 2 28G 3 90 0H 9 123 1 17

Total 19,244 272,356 1,529 15,771of which: Prisms 333 701 8 31

Tints 175 1,430 7 48Source: The NHS Information Centre for health and social care

Notes:

England

1. Replacement lenses are categorised as for voucher types, according to the strength and type of lens.

8

52. Table 19 below shows the number of NHS vouchers for repair or replacement

processed in 2008/09 that include frame repair or replacement by country. Table 19: Number of NHS voucher items for frame repair or replacement

by country: Year Ending 31 March 2009

No. of Frames Of which SFS1 No. of Frames Of which SFS1

Front 13,960 89 861 3Side 28,608 445 2,001 11Whole 382,005 6,922 23,245 181Total 424,573 7,456 26,107 195

Source: The NHS Information Centre for health and social careNote:1. Small Frame Supplement; these figures are included in the previous column.

England Wales


Private Sight Tests and Total Sight Tests 53. It is possible to make an approximate estimate of the number of private sight tests by

applying the ratio of private to NHS sight tests obtained from the Sight Tests Volume and Workforce Survey3 to the number of NHS sight tests reported earlier.

54. The Sight Tests Volume and Workforce Survey for Great Britain (GB) have been

carried out by a Technical Sub Committee (TSC) from 1993. The latest survey relates to 2005/06. The committee comprises of the Department of Health and professional representatives from the Federation of Ophthalmic and Dispensing Opticians, Association of Optometrists, and the British Medical Association with the Chair and Secretariat provided by The NHS Information Centre for health and social care.

55. The NHS Information Centre conducted the latest Sight Tests Volume and Workforce

Survey for 2005/06 over a 12 week period from August to November 2005. The total number of sight tests performed in Great Britain during 2005/06 was estimated using the known number of sight tests actually paid for by primary care organisations (PCOs) over the 12 month period, and the estimated ratio of private to NHS sight tests from the survey.

56. The survey asked each practitioner to record, over a one week period, the ages of all

patients and if their test was paid for by the NHS or was paid for privately. 57. According to this survey, 68.6 per cent of all sight tests in Great Britain4 were NHS

funded in 2005/06, with the remainder being paid for privately. Applying this ratio to the number of NHS sight tests reported in England and Wales produces a total estimated number of sight tests in 2008/09 by country.

58. For England, it is estimated that there were 16.5 million sight tests in total, with 5.2

million of these being privately funded. 59. For Wales, it is estimated that there were one million sight tests in total, with 300

thousand of these being privately funded. 60. The proportion of sight tests funded by the NHS in Great Britain increased from 54.2

per cent in 1996/97 to 68.6 per cent in 2005/06. Part of this increase may be due to patients aged 60 or over becoming eligible for NHS sight tests from April 1999.

3 http://www.ic.nhs.uk/pubs/sighttestvolandwforce 4 There is not a separate figure available for England and Wales.


Table 20a: Estimated total number of sight tests Year Ending 31 March 2009, England

Millions and per centNumber Proportion

Total NHS sight tests 11.3 68.6%

Estimated privately funded sight tests 5.2 31.4%

Estimated total sight tests 16.5 100.0%Source: The NHS Information Centre for health and social care

1. Figures presented are rounded. Calculations have been carried out using unrounded figures. A discrepancy with some figures may result if rounded data is used to perform calculations.

Table 20b: Estimated total number of sight tests, Year Ending 31 March 2009, Wales

Millions and per centNumber Proportion

Total NHS sight tests 0.7 68.6%

Estimated privately funded sight tests 0.3 31.4%

Estimated total sight tests 1.0 100.0%Source: The NHS Information Centre for health and social care

1. Figures presented are rounded. Calculations have been carried out using unrounded figures. A discrepancy with some figures may result if rounded data is used to perform calculations.


Annex A: Notes

NHS Sight Tests, NHS Optical Vouchers and Repairs or Replacements 1. In April 1989, NHS sight tests were restricted to the following eligible groups:

• Children aged under 16; • Students in full time education aged 16 - 18; • Adults receiving Income Support and their partners; • Adults receiving Family Credit (FC) and their partners (no longer applies); • Patients on low income holding health benefits certificate HC2 and their partners; • Glaucoma and diabetes sufferers; • Patients registered blind or partially sighted; • Patients requiring complex lenses; • Close relatives aged 40+ of a glaucoma sufferer;

2. Subsequent additions to the eligible groups were:

• Adults receiving a Disability Working Allowance (DWA) (from April 1995) (no longer applies);

• Adults receiving income based Job Seekers Allowance (from October 1996); • Patients aged 60 or over (from April 1999); • Adults receiving full Working Families Tax Credit or Disabled Persons Tax Credit, or

credit reduced by £70 or less (from October 1999), replaced FC and DWA; • Have been advised by an ophthalmologist that you are at risk of glaucoma (from

February 2001); • Adults receiving Pension Credits guarantee credit (from October 2003); • Adults receiving Income-related Employment and Support Allowance (ESA) (from

October 2008); • Prisoner on Leave (POL) (from October 2008).

3. From 27 October 2008 Income-related Employment and Support Allowance was introduced for some people who would previously have received Income Support. Those receiving ESA who would previously have received Income Support will be entitled to NHS sight tests and NHS optical vouchers. This category has been added to new GOS forms but these forms are not yet in full circulation. Following guidance from the Department of Health, where a person is entitled to an NHS sight test under ESA but the practitioner is using a form without this category, they are to input the individual as receiving an NHS sight test on grounds of income support. As such, they have been included within income support in our analysis.

4. Prisoners on leave from prison will also be a criteria on GOS forms entitled to NHS

sight tests and NHS optical vouchers from 27 October 2008. This category has been shown separately in our analysis.


5. The following table shows the minimum intervals between GOS Sight Tests as set out by the Memorandum of Understanding between the Association of Optometrists

(AOP), Department of Health (DH), Federation of Ophthalmic and Dispensing Opticians (FODO) and Association of British Dispensing Opticians (ABDO).

Patient’s Age at Time of Sight Test or Clinical Condition

Minimum Interval Between Sight Tests

Under 16 years, in the absence of any binocular vision anomaly

1 year

Under 7 years with binocular vision anomaly or corrected refractive error

6 months

7 years and over and under 16 with binocular vision anomaly or rapidly progressing myopia

6 months

16 years and over and under 70 years 2 years 70 years and over 1 year 40 years and over with family history of glaucoma or with ocular hypertension and not in monitoring scheme

1 year

Diabetic patients 1 year 6. All patients eligible for an NHS sight test are also eligible for a domiciliary visit if they

are unable to leave home unaccompanied. 7. Information contained in this report on NHS sight tests by patient eligibility is based on

a sample of forms from the majority of organisations, as this information is not currently required to be accurately recorded directly onto the Central Ophthalmic Payments System. PCTs/LHBs are asked to manually provide this information on a two per cent sample of forms by selecting every 50th form and recording the patient eligibility on a separate form that is returned to the NHS Information Centre. This information is then grossed up to produce total figures by PCT/LHB, Strategic Health Authority/Welsh Region, and country.

8. Most organisations provided this information based on a two per cent sample. Some

organisations used different sample sizes and some organisations provided 100 per cent data (direct from the Central Ophthalmic Payments System). A few organisations also returned NHS optical voucher information based on a sample.

9. In July 1986 the NHS voucher scheme was restricted to the following:

• Children aged under 16; • Students in full time education aged 16 - 18; • Adults receiving Income Support and their partners; • Adults receiving Family Credit (FC) and their partners (no longer applies); • Patients on low income holding an HC2 or HC3 certificate and their partners; • Patients requiring complex lenses.


10. Subsequent additions to the eligible groups were: • From April 1995, adults receiving a Disability Working Allowance (DWA) (no longer

applies);; • From October 1996, adults receiving income based Job Seekers Allowance; • From October 1999, adults receiving full Working Families Tax Credit or Disabled

persons Tax Credit, or credit reduced by £70 or less, replaced FC and DWA; • Adults receiving Pension Credits guarantee credit (from October 2003); • Adults receiving Employment and Support Allowance (ESA) (from October 2008); • Prisoner on Leave (POL) (from October 2008).

11. Patients not in one of the above categories, but who are prescribed complex lenses,

also receive some help.

Optometrists and Ophthalmic Medical Practitioners 12. An Optometrist, also known as Ophthalmic Optician (OO) is qualified to test eyesight

and to prescribe and dispense spectacles. Their training enables them to recognise abnormalities and diseases of the eye. They are registered with the General Ophthalmic Council (GOC).

13. An Ophthalmic Medical Practitioner (OMP) is a qualified doctor who specialises in eyes

and eye care. In addition to their medical skills, they are qualified to test eyesight and prescribe spectacles. They are registered with the General Medical Council (GMC).


Other Annexes The following annexes are available within four Excel Workbooks: Annex B

MAIN SUBJECT AREA TABLE NO. TABLE DESCRIPTION 2008/09 PERIOD COVERED

A1 NHS domiciliary sight tests and NHS sight tests, by practitioner, in England and Wales Apr 2008 - Sept 2008A2 NHS domiciliary sight tests and NHS sight tests, by practitioner, in England and Wales Oct 2008 - Mar 2009A3 NHS domiciliary sight tests and NHS sight tests, by practitioner, in England and Wales Annual 2008/09B1 NHS sight tests, by patient eligibility, in England and Wales Apr 2008 - Sept 2008B2 NHS sight tests, by patient eligibility, in England and Wales Oct 2008 - Mar 2009B3 NHS sight tests, by patient eligibility, in England and Wales Annual 2008/09C1 Proportion of NHS sight tests, by patient eligibility, in England and Wales Apr 2008 - Sept 2008C2 Proportion of NHS sight tests, by patient eligibility, in England and Wales Oct 2008 - Mar 2009C3 Proportion of NHS sight tests, by patient eligibility, in England and Wales Annual 2008/09D1 NHS vouchers, by patient eligibility, in England and Wales Apr 2008 - Sept 2008D2 NHS vouchers, by patient eligibility, in England and Wales Oct 2008 - Mar 2009D3 NHS vouchers, by patient eligibility, in England and Wales Annual 2008/09E1 NHS vouchers, by voucher type, in England and Wales Apr 2008 - Sept 2008E2 NHS vouchers, by voucher type, in England and Wales Oct 2008 - Mar 2009E3 NHS vouchers, by voucher type, in England and Wales Annual 2008/09F1 Items for repair or replacement, by patient eligibility, in England and Wales Apr 2008 - Sept 2008F2 Items for repair or replacement, by patient eligibility, in England and Wales Oct 2008 - Mar 2009F3 Items for repair or replacement, by patient eligibility, in England and Wales Annual 2008/09G1 Items for repair or replacement - one lens, by voucher type, in England and Wales Apr 2008 - Sept 2008G2 Items for repair or replacement - one lens, by voucher type, in England and Wales Oct 2008 - Mar 2009G3 Items for repair or replacement - one lens, by voucher type, in England and Wales Annual 2008/09H1 Items for repair or replacement - both lenses, by voucher type, in England and Wales Apr 2008 - Sept 2008H2 Items for repair or replacement - both lenses, by voucher type, in England and Wales Oct 2008 - Mar 2009H3 Items for repair or replacement - both lenses, by voucher type, in England and Wales Annual 2008/09J1 Items for repair or replacement - frames, by voucher type, in England and Wales Apr 2008 - Sept 2008J2 Items for repair or replacement - frames, by voucher type, in England and Wales Oct 2008 - Mar 2009J3 Items for repair or replacement - frames, by voucher type, in England and Wales Annual 2008/09

Sight Tests

Repairs or Replacement

Vouchers

Annex C TABLE NO. TABLE DESCRIPTION FINANCIAL YEARS

REGIONAL BREAKDOWN / NATIONAL ONLY

A1 NHS sight tests, by patient eligibility, in England 1996/97 - 2008/09 National onlyA2 Proportion of NHS sight tests, by patient eligibility, in England 1996/97 - 2008/09 National onlyA3 NHS sight tests, by patient eligibility, in Wales 1996/97 - 2008/09 National onlyA4 Proportion of NHS sight tests, by patient eligibility, in Wales 1996/97 - 2008/09 National onlyB1 Total NHS sight tests in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionC1 NHS sight tests for persons aged 60+ in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC2 NHS sight tests for children aged 0-15 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC3 NHS sight tests for students aged 16-18 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC4 NHS sight tests for adults receiving Income Support in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC5 NHS sight tests for adults receiving Tax Credit in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC6 NHS sight tests for adults receiving Job Seekers Allowance in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC7 NHS sight tests for low income certificate holders (HC2) in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC8 NHS sight tests for people registered blind/partially sighted in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC9 NHS sight tests for Diabetics/Glaucoma sufferers in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC10 NHS sight tests for those who need complex lenses in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC11 NHS sight tests for close relatives aged 40+ of glaucoma sufferers in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC12 NHS sight tests for Prisoners on Leave 2008/09 PCT/LHB & SHA/Welsh RegionD1 Total NHS sight tests per 100,000 population in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionD2 NHS sight tests for children 0-15 per 100,000 of the 0-15 population in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionD3 NHS sight tests for persons aged 60+ per 100,000 of the 60+ population in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionE1 NHS domiciliary sight tests in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionF1 Private sight tests with partial help in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionG1 Private domiciliary sight tests with partial help in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh Region


Annex D TABLE NO. TABLE DESCRIPTION FINANCIAL YEARS


A1 NHS optical voucher items processed, by patient eligibility, in England 1996/97 - 2008/09 National onlyA2 Proportion of NHS optical voucher items processed, by patient eligibility, in England 1996/97 - 2008/09 National onlyA3 NHS optical voucher items processed, by patient eligibility, in Wales 1996/97 - 2008/09 National onlyA4 Proportion of NHS optical voucher items processed, by patient eligibility, in Wales 1996/97 - 2008/09 National onlyB1 Total NHS optical voucher items processed in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionC1 NHS optical voucher items processed for children aged 0-15 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC2 NHS optical voucher items processed for students aged 16-18 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC3 NHS optical voucher items processed for adults receiving Income Support in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC4 NHS optical voucher items processed for adults receiving Tax Credit in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC5 NHS optical voucher items processed for adults receiving JSA in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC6 NHS optical voucher items processed for full remission (HC2) in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC7 NHS optical voucher items processed for Complex Appliance Payment only in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC8 NHS optical voucher items processed for Prisoners on Leave in England and Wales 2008/09 PCT/LHB & SHA/Welsh RegionC9 NHS optical voucher items processed for HC3 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionD1 NHS optical voucher items processed per 100,000 of the population in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionD2 NHS optical voucher items processed for children per 100,000 of the child population in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh Region Annex E TABLE NO. TABLE DESCRIPTION FINANCIAL YEARS


A1 NHS voucher items for repair or replacement in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh RegionB1 NHS voucher items for repair or replacement for children aged 0-15 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionB2 NHS voucher items for repair or replacement for adults or students aged 16-18 in England and Wales 2007/08 - 2008/09 PCT/LHB & SHA/Welsh RegionC1 NHS voucher items for repair or replacement processed per 100,000 of the population in England and Wales 1996/97 - 2008/09 PCT/LHB & SHA/Welsh Region Annex F Excel Workbook – Primary Care Trust/ Local Health Board and Strategic Health Authority/ Welsh Region Factsheet


Other Ophthalmic Publications Other publications on eye care statistics available on the following link: www.ic.nhs.uk/statistics-and-data-collections/primary-care/eye-care Previous publications include: • General Ophthalmic Services: Workforce Statistics for England and Wales, December

2008 This publication shows the number of Ophthalmic practitioners (Optometrists and Ophthalmic Medical Practitioners (OMPs)) who are authorised by Primary Care Trusts (PCTs) in England and Local Health Boards (LHBs) in Wales to carry out NHS sight tests at 31 December 2008. Available on the NHS Information Centre website via this link: www.ic.nhs.uk/pubs/goswf08 • General Ophthalmic Services: Workforce Statistics for England and Wales, 31

December 2007 This publication shows the number of Ophthalmic practitioners (Optometrists and Ophthalmic Medical Practitioners (OMPs)) who are authorised by Primary Care Trusts (PCTs) in England and Local Health Boards (LHBs) in Wales to carry out NHS sight tests at 31 December 2007. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/genophworkfstats07 • General Ophthalmic Services: Activity Statistics for England and Wales, April 2008 to

September 2008 This publication shows information about NHS ophthalmic activity provided through community ophthalmic practices in England and Wales for the period April 2007 to September 2007. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/gosactivity0809p1 • General Ophthalmic Services: Activity Statistics for England and Wales, April 2007 to

September 2007 This publication shows information about NHS ophthalmic activity provided through community ophthalmic practices in England and Wales for the period April 2007 to September 2007. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/gosactivity0708p1


http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/eye-care

http://www.ic.nhs.uk/pubs/goswf08

http://www.ic.nhs.uk/pubs/genophworkfstats07

http://www.ic.nhs.uk/pubs/gosactivity0809p1

http://www.ic.nhs.uk/pubs/gosactivity0708p1

• General Ophthalmic Services: Activity Statistics for England and Wales, Year Ending 31 March 2007 This publication shows information about NHS ophthalmic activity provided through community ophthalmic practices in England and Wales for the year ending 31 March 2007. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/gosactivity310307 • General Ophthalmic Services: Workforce Statistics for England and Wales, 31 December 2006 This publication shows the number of Ophthalmic practitioners who are authorised by Primary Care Trusts (PCTs) in England and Local Health Boards (LHBs) in Wales to carry out NHS sight tests at 31 December 2006. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/goswf311206 • General Ophthalmic Services: Statistical Bulletin - Ophthalmic Statistics for England 1996/97 2005/06 This bulletin presents information about the General Ophthalmic Services (GOS) in England. It focuses on statistics for 2005/06 but trends over the past ten years are also presented. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/gosbulletin9606 • General Ophthalmic Services: Consultation tables, NHS sight tests, vouchers,

workforce, premises 2004/2005 The publication presents Ophthalmic time series data for 1995-96 to 2004-05. The publication is for Great Britain, with information for England, Wales and Scotland being shown separately.

Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/genopth2005 • Sight Tests Volume and Workforce Survey: Great Britain: 2005/06 This report presents information on sight test volumes (both NHS and private) and on the ophthalmic workforce in 2005/06. Trends in these figures are presented from 1996/97. Available on the NHS Information Centre website via this link: http://www.ic.nhs.uk/pubs/sighttestvolandwforce For general enquiries • 0845 300 6016 or [email protected]; or The NHS Information Centre website: http://www.ic.nhs.uk


http://www.ic.nhs.uk/pubs/gosactivity310307

http://www.ic.nhs.uk/pubs/goswf311206

http://www.ic.nhs.uk/pubs/gosbulletin9606

http://www.ic.nhs.uk/pubs/genopth2005

http://www.ic.nhs.uk/pubs/sighttestvolandwforce

mailto:[email protected]

Published by The NHS Information Centre for health and social care Part of the Government Statistical Service ISBN 978-1-84636-323-8

This publication may be requested in large print or other formats.

For further information: www.ic.nhs.uk 0845 300 6016 [email protected] Copyright © 2009, The Health and Social Care Information Centre, Dental and Eye Care team. All rights reserved. This work remains the sole and exclusive property of the Health and Social Care Information Centre and may only be reproduced where there is explicit reference to the ownership of the Health and Social Care Information Centre. This work may be re-used by NHS and government organisations without permission. This work is subject to the Re-Use of Public Sector Information Regulations and permission for commercial use must be obtained from the copyright holder.


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