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The article discusses the effectivity of the protocols covering repeat and follow up tests requested by optometrists working in community practices, detailing the results of an audit performed prospectively over a three-month period. Topics mentioned include the questions raised for the clinical audit, the standards used in identifying the appropriateness of the test, and the issue of tracking the patient who needs to be called back for a further test. An analysis of tests requested is shown.

The author comments on the need for optometrists and dispensing opticians to take the lead in driving changes in healthcare. Topics covered include the opportunity for eye care professionals to develop the care they offer, the duty of clinicians to get involved in supporting and managing changes and the context of optometric practices within the healthcare system. Also mentioned is the launch of the UK Medical Leadership Framework.

The article discusses the success of the Kensington, Chelsea, Westminster local optical committee (KCW LOC) in its bid for the delivery of ophthalmology services in the community. Topics include the participation of optometrists in the service through the LOC company Primary Eyecare Tri-Borough London Ltd., the training provided by NHS Trusts to optometrists, and the statement of managing director Katrina Venerus concerning the opportunity provided by the team up between LOC and NHS trusts.