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dc.contributor.authorShickle, D.*
dc.contributor.authorDavey, Christopher J.*
dc.contributor.authorSlade, S.V.*
dc.date.accessioned2016-10-12T15:03:42Z
dc.date.available2016-10-12T15:03:42Z
dc.date.issued2015
dc.identifier.citationShickle D, Davey CJ and Slade SV (2015) Why is the General Ophthalmic Services (GOS) Contract that underpins primary eye care in the UK contrary to the public health interest? British Journal of Ophthalmology. 99: 888-892.en_US
dc.identifier.urihttp://hdl.handle.net/10454/9901
dc.descriptionYesen_US
dc.description.abstractThe model for delivery of primary eye care in Europe varies from country to country with differing reliance on ophthalmologists, optometrists and dispensing opticians. Comparative analysis of models has tended to focus on interprofessional working arrangements, training and regulatory issues, rather than on whether a particular model is effective for delivering public health goals for that country. National Health Service (NHS) primary eye care services in the UK are predominantly provided under a General Ophthalmic Services (GOS) Contract between the NHS and practice owners (Contractors). Over two-thirds of sight tests conducted in England, Wales and Northern Ireland and all in Scotland are performed under a GOS Contract, however many people entitled to a GOS sight test do not take up their entitlement. The fee paid for sight tests conducted under a GOS Contract in England, Wales and Northern Ireland does not cover the full cost of conducting the examination. The shortfall must be made up through profits of sale of optical appliances but this business model can be a deterrent to establishing practices within socioeconomically deprived communities, and can also be a barrier to uptake of sight tests, even though many people are entitled to a NHS optical voucher towards the cost of spectacles or contact lenses. This paper critiques the GOS Contracts within the UK. We argue that aspects of the way the GOS Contract is implemented are contrary to the public health interest and that different approaches are needed to address eye health inequalities and to reduce preventable sight loss.en_US
dc.language.isoenen_US
dc.rights(c) 2015 BMJ Publishing Group. Full-text reproduced in accordance with the publisher's self-archiving policy.en
dc.subjectGeneral Ophthalmic Services; GOS; UK; United Kingdom; Primary eye careen_US
dc.titleWhy is the General Ophthalmic Services (GOS) Contract that underpins primary eye care in the UK contrary to the public health interest?en_US
dc.status.refereedYesen_US
dc.date.Accepted2014-09-13
dc.date.application2014-10-01
dc.typeArticleen_US
dc.type.versionAccepted manuscripten_US
dc.identifier.doihttps://doi.org/10.1136/bjophthalmol-2014-305345
refterms.dateFOA2018-07-25T13:13:43Z


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