Costs and effectiveness of two models of school-entry visual acuity screening in the UK.

Cost effectiveness of different visual screening modalities cannot be calculated without long-term outcome data. This paper reports detailed outcomes from a gold-standard UK recommended orthoptist-delivered screening (ODS) at 4-5 years in school, compared to a neighboring school-nurse delivered screening (SNDS), both feeding into the same treatment pathway. The target condition was reduced visual acuity (VA) of worse than logMAR 0.

Lung transplant or bust: patients' recommendations for ideal lung transplant education.

Context: Effective lung transplant education helps ensure informed decision making by patients and better transplant outcomes.

Objective: To understand the educational needs and experiences of lung transplant patients.

Design: Mixed-method study employing focus groups and patient surveys.

Balance control in glaucoma.

Purpose: To examine postural stability in glaucoma patients and subjects with no ocular disease.

Methods: Twenty-four glaucoma (G) and 24 control (C) subjects participated (mean age [SD] G: 65.9 [5.

Tier 4 Child and Adolescent Mental Health Services (CAMHS) - Inpatient Care, Day Services and Alternatives: An Overview of Tier 4 CAMHS Provision in the UK.

This paper addresses Tier 4 services for children and young people whose needs require highly specialised services, and describes the range of provision which is currently available for this group. Although the evidence base is in its infancy, what is known about clinical outcomes, cost effectiveness and the views of users is summarised. The current shortfalls in tier 4 provision are highlighted, the drivers for change are identified and recommendations are made for future service improvements.