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    1. Home
    2. Guidance & resources
    1. Home
    2. Guidance & resources

    Guidance & resources

    Find trusted guidance and resources to support your practice, service or organisation. Browse clinical guidance, reports and other publications by topic, audience or content type.

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    College policy

    Expenses Policy

    Provides guidance for employees, volunteers and trustees on claiming reasonable expenses incurred while carrying out College business.

    First published: 1 October 2026

    Patient information

    Understanding age-related macular degeneration

    • Retina

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding age-related macular degeneration

    First published: 15 September 2026

    Patient information

    Understanding cataracts

    • Cataract

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding cataracts

    First published: 15 September 2026

    Patient information

    Understanding retinitis pigmentosa and inherited retinal dystrophies

    • Retina

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding retinitis pigmentosa and inherited retinal dystrophies

    First published: 15 September 2026

    Patient information

    Understanding dry eye

    • Cornea •
    • Oculoplastics

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding dry eye

    First published: 15 September 2026

    Patient information

    Understanding visual hallucinations (Charles Bonnet Syndrome)

    • Neuro-ophthalmology

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding visual hallucinations (Charles Bonnet Syndrome)

    First published: 15 September 2026

    Patient information

    Understanding nystagmus

    • Neuro-ophthalmology •
    • Paediatric ophthalmology

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding nystagmus

    First published: 15 September 2026

    Patient information

    Understanding posterior vitreous detachment

    • Retina

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding posterior vitreous detachment

    First published: 15 September 2026

    Patient information

    Understanding diabetes-related eye conditions including diabetic retinopathy

    • Retina

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding diabetes-related eye conditions including diabetic retinopathy

    First published: 15 September 2026

    Patient information

    Understanding retinal detachment

    • Retina

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding retinal detachment

    First published: 15 September 2026

    Patient information

    Understanding glaucoma

    • Glaucoma

    RNIB and Royal College of Ophthalmologists patient information booklet, Understanding glaucoma

    First published: 15 September 2026

    Case study

    Redesigning consultant-led glaucoma clinics in Sunderland

    • Glaucoma •
    • Leadership & management •
    • Workforce

    How Sunderland redesigned F2F glaucoma clinics so one consultant circulates between rooms, increasing capacity for complex patients and helping halve overdue appointments.

    Last updated or reviewed: 1 September 2026

    Consultation response

    NHS England’s payment scheme consultation

    • Leadership & management •
    • Sustainability •
    • Workforce

    Commissioners should use budget controls to properly resource hospital eye services, with guidance clarifying follow-up impacts, ensuring payment limits support NICE standards.

    First published: 3 August 2026

    Case study

    Expanding community ophthalmology services and workforce in Leicestershire

    • Leadership & management •
    • Retina

    UHL increased anti-VEGF injection capacity by 67% through community-based injection clinics, expanded multidisciplinary roles and imaging-led virtual clinics and screening.

    First published: 30 July 2026

    Service guidance

    Emergency Eye Care Commissioning Guidance

    • Emergency eye care •
    • Leadership & management •
    • Quality & safety

    Guidance on designing safe, efficient emergency eye care services. Supports risk-stratified pathways, consistent triage and system-wide access.

    Last updated or reviewed: 1 February 2020

    Consultation response

    Response to DHSC consultation on reforming the GMC legislative framework

    • Advocacy & influencing

    Our response to the 2026 DHSC consultation on reforming GMC's legislative framework.

    First published: 1 June 2026

    Position statement

    A four-point plan to strengthen eye care in Wales

    • Advocacy & influencing •
    • Workforce

    RCOphth urges the next Welsh Government to strengthen eye care through national strategy delivery, investment in services, 36 more training places, and system-wide OpenEyes access.

    First published: 4 May 2026

    Position statement

    Cynllun pedair rhan i gryfhau gofal llygaid yng Nghymru

    • Advocacy & influencing •
    • Workforce

    Mae RCOphth yn galw ar Lywodraeth nesaf Cymru i gryfhau gofal llygaid drwy roi’r strategaeth ar waith, buddsoddi mewn gwasanaethau, creu 36 o leoedd hyfforddi, a chyflwyno OpenEyes ledled Cymru.

    First published: 4 May 2026

    Position statement

    A three-point plan to tackle the crisis in eye care in Scotland

    • Advocacy & influencing •
    • Workforce

    RCOphth urges the Scottish Government to expand the ophthalmology workforce, roll out OpenEyes nationwide, and tackle the hidden backlog of follow-up patients.

    First published: 4 May 2026

    College policy

    Equity, Diversity and Inclusion Policy

    Sets out the College’s commitment to promoting equity, diversity and inclusion across our membership, workforce and activities, and to eliminating unlawful discrimination.

    First published: 6 April 2026

    Consultation response

    DfT mandatory eyesight testing

    • Advocacy & influencing •
    • Quality & safety •
    • Workforce

    The College supports reform of driving vision standards while not yet endorsing a specific testing model.

    First published: 1 April 2026

    College policy

    Sponsorship Policy

    Sets out how the College considers and manages sponsorship from external organisations while protecting its independence, integrity and reputation.

    First published: 2 March 2026

    College policy

    Social Media Policy

    Provides guidance for staff, volunteers and members on using social media appropriately when representing, discussing or engaging with the College.

    First published: 2 March 2026

    Consultation response

    Senedd Health and Social Care Committee on inquiry report

    • Advocacy & influencing •
    • Workforce

    College response to Welsh Government’s response to their inquiry report: a concerning lack of urgency to the challenges facing ophthalmology services.

    First published: 25 February 2026

    Consultation response

    APPG for Health: Inquiry on Improving Access to Primary Care

    • Advocacy & influencing •
    • Community ophthalmology •
    • Digital & artificial intelligence

    Proposing use of a single point of access model and other digital solutions for primary and secondary care within each integrated care system to overcome barriers to interoperability.

    First published: 16 February 2026

    Consultation response

    MHRA call for Evidence on the Regulation of AI in Healthcare

    • Advocacy & influencing •
    • Digital & artificial intelligence

    AI tools should be adopted in NHS settings via an iterative process, with services conducting regular audits, quality assurance and inclusive patient engagement.

    First published: 1 February 2026

    Case study

    Optimising eye care referrals in London

    • Digital & artificial intelligence •
    • Leadership & management

    Moorfields Eye Hospital NHS Foundation Trust innovated the use of SPARC (Single Point of Access and Referral Communication) to enable rapid clinical triage, two-way feedback between primary care refer

    Last updated or reviewed: 1 July 2026

    Clinical guidance

    Post-operative macular oedema (PMO)

    • Uveitis

    Concise practice points on identifying, referring and managing post-operative macular oedema after intra-ocular surgery to support timely diagnosis, treatment escalation and more consistent care.

    Last updated or reviewed: 4 January 2026

    Clinical guidance

    Day one post-operative review in modern vitrectomy surgery

    • Retina

    When post-operative day one review after vitrectomy may be omitted, considered or advised balancing patient safety, follow-up burden and risk of raised IOP

    Last updated or reviewed: 2 January 2026

    Report

    Updated blueprint for cataract training in the independent sector: guidance for providers and trainers

    • Cataract

    A clear blueprint to help providers and trainers enable appropriate and safe cataract training within the independent sector, while maintaining patient safety and excellent outcomes.

    First published: 1 January 2026

    Consultation response

    Second response to NHS payment scheme

    • Advocacy & influencing

    The College supported reducing cataract prices by 20%, recycling savings into complex ophthalmology care.

    First published: 1 December 2025

    Case study

    Digitally optimising eye care referrals in West Yorkshire

    • Digital & artificial intelligence •
    • Leadership & management

    West Yorkshire’s digital eye care referral platform has sped up triage, cut unnecessary referrals and reduced admin, with nearly all optometry practices now using a secure single point of access.

    First published: 1 December 2025

    Consultation response

    Call to evidence for 10 Year Workforce Plan

    • Advocacy & influencing •
    • Community ophthalmology

    Three scalable models to shift suitable eye care from hospitals to community, with consultant oversight, SPoA triage and resourcing: community diagnostic centres, enhanced optometry and surgical hubs.

    First published: 10 November 2025

    Consultation response

    Public Accounts Committee Cost of clinical negligence inquiry

    • Academia & research •
    • Advocacy & influencing •
    • Quality & safety

    Ophthalmology clinical negligence claims are rising. Prevention, equitable care, commissioning reform and reinvestment in workforce, digital pathways and triage can cut costs and improve care.

    First published: 4 November 2025

    College policy

    Volunteering Policy

    Sets out the principles for recruiting, supporting and overseeing volunteers who contribute to the work of the College.

    First published: 3 November 2025

    College policy

    Endorsement Policy

    Explains when and how the College may formally endorse external guidance, resources, educational programmes and other materials.

    Last updated or reviewed: 20 May 2026

    College policy

    Conflict of Interest Policy

    Sets out how actual, potential and perceived conflicts of interest must be identified, declared, recorded and managed by people acting on behalf of the College.

    First published: 3 November 2025

    College policy

    Volunteer Policy

    Sets out the framework for recruiting, supporting and managing people who volunteer their time and expertise on behalf of the College.

    First published: 3 November 2025

    Consultation response

    Extending medicines for optometrists

    • Advocacy & influencing •
    • Community ophthalmology •
    • Workforce

    Response to DHSE raises concerns about the use of pilocarpine, atropine, homatropine and diclofenac sodium by optometrists.

    First published: 1 November 2025

    Consultation response

    Scottish Govt Future Medical Workforce call for evidence

    • Advocacy & influencing •
    • Workforce

    Ophthalmologists remain vital for complex eye care, but rising disease and workforce shortages mean Scotland needs more training places, expanded training routes and stronger retention.

    First published: 15 October 2025

    Consultation response

    Representation to HM Treasury Autumn Budget 2025

    • Advocacy & influencing •
    • Sustainability

    The College calls for reforms to NHS cataract funding and commissioning to curb uncontrolled ISP spending and ensure resources reflect clinical need and public value.

    First published: 2 October 2025

    College policy

    Artificial Intelligence (AI) Policy

    Sets out the principles for the responsible and ethical use of artificial intelligence across the College. It provides guidance on governance, data protection, human oversight, transparency and the ap

    First published: 1 October 2025

    Position statement

    Shifting ophthalmology-led care from hospital to community settings

    • Advocacy & influencing •
    • Leadership & management

    Safely delivering this shift will require effective governance and quality assurance arrangements, improved IT interoperability and robust strategic commissioning.

    First published: 1 October 2025

    Case study

    Pioneering high-volume bilateral cataract surgery in Tayside

    • Cataract •
    • Leadership & management

    Find out how Ninewells Hospital’s ISBCS cataract pathway doubled throughput, reduced referral-to-listing waits from 180 to 11 days, cut visits and improved patient experience.

    First published: 1 October 2025

    College policy

    Health and Safety Policy and Handbook

    Sets out how the College manages health, safety and welfare to provide a safe and healthy environment for staff and others affected by our activities. It covers responsibilities, risk management and p

    First published: 9 September 2025

    Service guidance

    Higher flow any complexity cataract guidance

    • Cataract •
    • Leadership & management •
    • Quality & safety

    Supports safe, efficient, high‑flow surgery across all case complexity. It provides a practical framework for teams and service leaders to deliver consistent, patient‑centred care.

    Last updated or reviewed: 1 September 2025

    Report

    Cataract training in the independent sector: 2025 update

    • Cataract •
    • Education & training •
    • Workforce

    The continuing improvement in the availability of cataract training placements in ISPs is a positive story of the progress that can be made with focused collaborative work. Approximately 130 placement

    First published: 1 September 2025

    Service guidance

    Guidance on sustainable cataract surgery

    • Advocacy & influencing •
    • Cataract •
    • Sustainability

    Practical, evidence-based actions to implement without compromising patient safety or outcomes, these recommendations offer a roadmap to a greener future.

    Last updated or reviewed: 1 September 2025

    Governance document

    Code of Conduct

    Provides clear expectations for how RCOphth employees, volunteers, members, fellows (in all categories) and other healthcare professionals conduct themselves.

    First published: 29 August 2025

    College policy

    Information Security Policy

    Establishes clear rules and guidelines for managing the secure access of information assets, including systems, applications and data, to prevent unauthorised access and misuse.

    First published: 4 August 2025

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