Evidence map›Paper›PMID 42081174›Full record

ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2026

The Rise of Independent Prescribing by Optometrists in Wales 2020-2024: Number of Practices, Drugs and Costs.

David Grant Robinson, Hannah Thomas, Barbara Ryan

Abstract read
In one paragraph

Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

David Grant RobinsonSchool of Optometry and Vision Sciences, Cardiff University, Cardiff, UK. RobinsonDG2@cardiff.ac.uk.ORCID http://orcid.org/0009-0007-1320-559X
Hannah ThomasSchool of Optometry and Vision Sciences, Cardiff University, Cardiff, UK.
Barbara RyanSchool of Optometry and Vision Sciences, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0003-3722-8757

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the growth and prescribing patterns of community-based independent prescribing (IP) optometrists managing acute eye conditions in Wales between 2020 and 2024, a period that saw the introduction and subsequent commissioning of National Health Service (NHS) funded acute eye care with prescribing in primary care optometry throughout Wales.

methodsMonthly prescribing data from NHS Wales Shared Services Partnership were analysed for all IP optometrists in Wales from 1st February 2020 to 31st January 2024. Data included drug name, British National Formulary classification, quantity, cost and health board location. Descriptive and correlational statistics were used to assess prescribing activity, regional distribution and cost trends.

resultsThe number of active IP optometry practices increased from eight in February 2020 to 68 in January 2024, with 20,980 prescriptions (49,162 items) issued at a total cost of £339,426. Corticosteroids, anti-infective agents and ocular lubricants were the most frequently prescribed drug classes. Ocular lubricants accounted for 34.0% of the total spend. Regional variation in prescribing activity was observed, with positive correlations between the number of active practices and both prescription volume and cost. Generic prescribing accounted for 47.0% of prescriptions, lower than national averages.

conclusionNHS commissioning of IP services in Wales has significantly expanded the role of optometrists in managing acute eye conditions in primary care. The findings highlight the potential of IP optometry to reduce pressure on general medical practice and hospital eye services. Further research is needed to evaluate clinical outcomes, cost-effectiveness and the broader therapeutic use of ocular lubricants in acute care.

Indexed as

Drug PrescriptionsEye DiseasesOptometristsOptometryPractice Patterns, Physicians'Drug CostsHumansNon-Medical PrescribingState MedicineWalesIndependent prescribingOptometristsOptometryPublic healthUrgent eye careWales

Identifiers

PMID42081174
PMCPMC13369029

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