Commenting on the new guideline, FODO Chief Executive David Hewlett said:
“This guideline helpfully summarises the longstanding views of clinicians and professional bodies and should help to prevent non-evidence based rationing of care for NHS patients. We also welcome the recognition of the multidisciplinary and team-based nature of modern healthcare, as well as new models of care. ”
Key elements of the guideline include:
- ruling out inappropriate and non-evidence based managerial rationing
- tackling unwarranted variations in NHS practice
- not using visual acuities as the only indicator for surgery
- giving proper consideration to second eye surgery
- clarity about what the NHS cannot afford to provide, even where this is clinically effective
- emphasising multidisciplinary team work and the role of other health professionals such as optometrists, nurses and technicians in the pathway including pre-surgery and follow-up care
- advice on preventing and managing complications and the responsibilities of all team members in ensuring safety and good outcomes
- an emphasis on good patient communications, including explanations of possible risks and outcomes.
FODO will also play its part in the recommended research in order fill the evidence gaps.