Toric Intraocular Lens Implant for Astigmatism

Toric Intraocular Lens Implant for Astigmatism
Proposal:
To not fund Toric intraocular lens implants for astigmatism. Instead, standard intraocular lens implants will be provided when patients have cataract surgery. A criteria change for cataract surgery has been proposed.
Rationale for change:
The standard IOLs design used for cataract surgery in the NHS is the monofocal IOLs. The Toric IOLs are the so called ‘premium lens’ however these come at a greater cost than the standard.

The proposal the CCG is making isn’t to stop funding all procedures of IOLs and correction of cataracts just the Toric IOLs. The Toric IOLs works towards patients not requiring glasses as it potentially improves astigmatism however with limited funds the CCG aim is to bring people back to a pre cataract position not correction of astigmatism

The CCG’s approach to the current financial challenges is to prioritise the limited funding it has so that the local population has access to the healthcare that is most needed. This assessment of need is made across the whole population of Basildon & Brentwood CCG and, wherever possible, on the basis of best evidence on what is clinically proven to work.

Impact:
The efficiencies made by not funding this procedure will go towards bringing the CCG back to its statuary financial balance position which is vital in order for it to be viable organisation and fund future services for the local population.

As there are alternative IOLs procedures available the CCG believes there would be limited impact to patients.

For further information:

Download the Service Restriction Policy Review document here

Download the Equality Impact Assessment - Toric IOLs document

See our information on Have your say on the Service Restriction Policy Review

Download our current Service Restriction Policy here

Find more information on existing local services at http://www.nhs.uk/service-search