Intended for healthcare professionals

Letters The waste in NHS eye tests

Author’s reply to Elliott, Parkins, Shah and colleagues, and Dhua

BMJ 2014; 348 doi: (Published 08 May 2014) Cite this as: BMJ 2014;348:g3057
  1. Michael Clarke, consultant ophthalmologist and reader1
  1. 1Newcastle Eye Centre, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP and Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK
  1. m.p.clarke{at}

The number of responses to my article,1 on The BMJ’s website and on social media, shows that the problem of ophthalmology referrals is important and needs to be dealt with by commissioners and those responsible for screening within the NHS.

Fundamentally, the arrangements for the provision and remuneration of optometry services in the UK encourage opportunistic screening, which has not …

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