Evidence map›Paper›PMID 35150447›Full record

ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2022

Scope of practice of optometrists working in the UK Hospital Eye Service: Second national survey.

Patrick J G Gunn, Rosalind C Creer, Michael Bowen, Cindy Tromans, Andrew Jonathan Jackson, Andrew P Tompkin, Robert A Harper

Open access · hybridAbstract read
In one paragraph

Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Evaluation of the Community Urgent Eyecare Service in Greater Manchester, Including the Impact of Independent Prescribing.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  2. A Survey of Hospital Optometrists Performing Ophthalmic Laser Procedures in the United Kingdom.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  3. Article
  4. Article
  5. Working Conditions of Employee Optometrists in Australia.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
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  17. An analysis of glaucoma repeat measures assessment results: Are core competencies enough?Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Article
  18. Scope of practice of optometrists working in the UK Hospital Eye Service: Second national survey.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Patrick J G GunnManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Rosalind C CreerManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0003-4031-6977
Michael BowenThe College of Optometrists, London, UK.ORCID 0000-0002-4818-9450
Cindy TromansManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Andrew Jonathan JacksonRoyal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.ORCID 0000-0003-4675-0272
Andrew P TompkinSt Paul's Eye Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Robert A HarperManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-5437-2553
Manchester Academic Health Science Centre · GBBelfast Health and Social Care Trust · GBCollege of Optometrists · GBManchester Royal Eye Hospital · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs the landscape in ophthalmology and related commissioning continues to change, there is a pressing need to re-evaluate the current scope of practice of hospital optometrists working within secondary care in the UK. We aim to establish if the skills or services delivered by optometrists have changed to meet varying demands, and to better understand what changes in practice may have arisen as a result of COVID-19.

methodA survey developed from that used in 2015 was disseminated to 129 optometry Hospital Eye Service (HES) leads in September 2020, including questions on department workforce; core services; extended roles; procedures undertaken within extended roles; level of autonomy; arrangements for prescribing; training and accreditation, and service changes in response to COVID-19.

resultsNinety responses were received (70% response rate) from within England (76%), Scotland (22%) and Northern Ireland (2%). Whole time equivalents within units ranged from 0.4-79.2 (median of 2.5). In comparison to the 2015 survey, there was an increase in the proportion of units delivering extended roles, with glaucoma (88%) remaining the most common extended role, and new areas of practice in uveitis (21%) and vitreoretinal (13%) services. There was increased use of independent prescribing (67%) in comparison to 18% in 2015 and there was an increase in optometrists delivering laser interventions. In response to COVID-19, optometrists were increasingly delivering telephone consultations and there were new collaborations between primary and secondary care.

conclusionsOptometrists' scope of practice continues to develop in the HES with an increased variety of roles and an apparent increase in the number of units employing optometrists, often working in roles historically performed by medical practitioners. Such changes appear necessary in recovery and transformation within ophthalmology, alongside wider optometry changes arising at the interface of primary and secondary care.

Indexed as

COVID-19OptometristsOptometryHospitalsHumansScope of PracticeUnited Kingdomhospital optometryindependent prescribingoptometryscope of practicesurvey

Identifiers

PMID35150447
PMCPMC9303216
OpenAlexW4211006213

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.