Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what criteria the Department used to determine which providers were included in the Neighbourhood Health Framework; and what assessment he has made of the potential impact of the exclusion of optometrists from the list of providers on eye health.

The Neighbourhood Health Framework is designed to provide clarity and consistency to integrated care boards (ICBs), local authorities, and their partners, in developing and scaling neighbourhood health.

General practice, primary care, pharmacies, mental health providers, community health services, social care services, local authorities, and civil society partners are included, to illustrate how services can work together to shift care from hospital to communities, improve access, and provide proactive, holistic care for people with complex needs. This is not an exhaustive list and does not prescribe which providers must be involved locally.

No specific criteria were used to determine which providers were included in the framework. The framework does not prevent other providers, including optometrists, from being part of neighbourhood health services.

The framework outlines the national minimum aims and objectives of Neighbourhood Health Services. It is important that reforms are locally led, as ICBs and local authorities are best placed to design services that make sense for their local populations. Local systems can therefore choose to go further than the minimum, including in relation to optometry.

ICBs are already able to commission enhanced services from high street optometrists including minor and urgent eye care services and glaucoma referral filtering services.