<p>Integrated care boards are responsible for commissioning both primary and secondary eye care services. Data is not collected centrally on the number of integrated care boards who have already established IT connectivity between primary and secondary care.</p><p>NHS England’s transformation programme has been looking at what services could be safely moved out of hospital and into the community, supported by image sharing with secondary care specialists. A current pilot in North Central London has shown the potential for this model to improve the triage of patients into secondary care. NHS England are planning to support a number of other integrated care systems to adopt the eye care referral model, aligned to their own local commissioning arrangements. This will increase the evidence base and support wider adoption.</p>