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Eye Health: National Strategy
17 May 2023
Lead MP
Marsha de Cordova
Battersea
Lab
Responding Minister
Neil O'Brien
Tags
NHSEmploymentChildren & Families
Word Count: 10300
Other Contributors: 7
At a Glance
Marsha de Cordova raised concerns about eye health: national strategy in Westminster Hall. A government minister responded.
Key Requests to Government:
The Government should commit to an eye health strategy as set out in my Bill, including measures to improve outcomes, reduce waiting times, address workforce issues, and increase research funding for eye care. The Minister must provide updates on the development of the electronic eye care referral system (EECR) and the long-term workforce plan.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Lead Contributor
There is an emergency in eye care due to huge backlogs leading to people unnecessarily losing their sight. The annual economic cost of sight loss is £37.7 billion, with over 2 million living with it and 250 new cases daily. Ophthalmology appointments backlog stands at over 630,000 as of March 2023, representing more than 9% of the total NHS backlog. Eye care accounts for only 2.6% of NHS consultants and 1% of doctors, despite being a major health issue.
Florence Eshalomi
Lab Co-op
Vauxhall and Camberwell Green
Acknowledged the work done by staff in the eye health department at St Thomas's Hospital, noting that 650,000 people are on waiting lists for eye care services.
Janet Daby
Lab
Lewisham East
Emphasised the importance of the special school eye care service and warned against neglecting children's eye care if the Government ends this service, stressing the financial irresponsibility of the current approach. She thanked the hon. Gentleman for discussing his personal experience and highlighted the importance of ophthalmology treatment within special educational needs and disabilities schools, urging that this should be a priority in any national eye health strategy. Asked the Minister for a timeline on when the outcome of the roundtable on special educational needs ophthalmology in schools will be available, as it is due to end in July but previous promises were made about long-term services.
Karin Smyth
Lab
Bristol South
Sight loss can be devastating and affects work, travel and mental health. There are over 2 million people living with sight loss in the UK, with up to half being avoidable. Over 24,000 patients waited over a year for treatment in 2022. The economic cost of sight loss is around £36 billion. Optometrists play an essential role in supporting good eye health and regular testing can help catch conditions like glaucoma.
Matthew Offord
Con
Hornchurch and Upminster
He expressed disappointment at having to speak about an issue previously discussed only a year ago. He highlighted the lack of progress despite significant numbers affected by sight loss and macular disease, questioning the Minister's intention to introduce a national eye strategy. He also mentioned his personal experience with macular degradation and the need for more accessible healthcare provision. Children with behavioural problems often have sight issues that affect their ability to learn, similar to those faced by children with special educational needs.
Paul Blomfield
Lab
Sheffield Central
Congratulated the hon. Friend on securing an important debate, highlighting the need for a workforce plan that focuses on training more specialists in eye health.
Rupa Huq
Lab
Ealing Central and Acton
Ms Huq highlighted the underacknowledged issue of visual impairment in the NHS, citing statistics such as 2 million people living with sight loss today and an expected increase to 4 million by 2050. She pointed out that ophthalmology services are often overlooked despite being a significant part of outpatient care. Ms Huq also discussed issues specific to her constituency, including high levels of diabetes among minority ethnic populations leading to diabetic eye disease. She emphasised the need for better integration between primary and secondary care and support for research into conditions like Charles Bonnet syndrome. Asked for a commitment to proper research on Charles Bonnet syndrome, which is currently recognised as a side-effect of sight loss by the NHS. Corrected previous statements about working together to clear backlogs.
Mitcham and Morden
The NHS special school eye care service, which provides sight tests and glasses in the familiar surroundings of special schools, has been praised for improving attendance and reducing stress on the NHS. The service identified that 40% of children in special schools need glasses but face difficulties due to complex needs or behaviour. Since its inception, it was paused for evaluation without publication, causing concern among parents, schools, and eye care providers.
Government Response
Neil O'Brien
Government Response
The Minister thanked the hon. Member for Battersea for bringing forward the debate on eye health and addressed several points raised by MPs, including concerns about out-of-hospital care and future sight testing in special schools. He highlighted ongoing initiatives such as reducing smoking rates to prevent sight loss, improving screening services, and investing £500 million annually in NHS sight tests. The Minister also discussed efforts to reduce waiting times for ophthalmology treatment and the use of independent sector providers. Additionally, he mentioned plans for workforce growth and integration of new technologies into local ICSs.
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About Westminster Hall Debates
Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.