ISTC programme is an expensive option

doi:10.1136/bmj.39108.384572.1F

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Simon P Kelly, consultant ophthalmic surgeon (simon.kelly@RBH.nhs.uk)1,
Brenda Billington, president2,
Richard Smith, vice president2,
Rhod Daniel, chairman3

¹Bolton Eye Unit, Bolton Hospitals NHS Trust, Bolton BL4 OJR
²Royal College of Ophthalmologists, London NW1 4QW
³Ophthalmic Group Committee, BMA, London WC1H 9JP

The improvement report in relation to cataract surgery1 is further evidence that the independent sector treatment centre (ISTC) programme was an expensive over-reaction to the need to increase rates of cataract surgery.2 Many ophthalmology departments had improved cataract surgery pathways, as part of Action on Cataract, an NHS initiative supported by the college,3 before the ISTC …