The Public Health Research Group aims to understand and improve eye care services through collaborative public health research that enhances access, quality, equity and outcomes.
Our research focuses on improving health, social care and rehabilitation services for people who access eye care or experience sight problems. Through collaborative, interdisciplinary and person-centred research, our goal is to generate evidence that improves access, quality and outcomes while supporting innovation, equity and sustainability across eye care services.
Eye care is one of the busiest areas in the NHS and is under growing pressure due to people living longer and becoming more likely to experience vision loss. Our research examines how services can be designed, delivered and evaluated to better meet the needs of individuals, families and communities. We work across the patient journey from primary and hospital eye care through to rehabilitation and social care, exploring ways to improve care pathways, reduce delays, support independence and enhance quality of life. Our research is underpinned by a commitment to equity, diversity and inclusion, ensuring that services are effective, accessible and responsive to the needs of all communities. This work will help to shape policy, redesign services, and promote inclusive care that puts individuals at the centre.
Aims
The goals of our group are to:
- improve health, social care and rehabilitation services in eye care
- generate evidence to improve access, quality and outcomes in eye care services
- support innovation, equity and sustainability across eye care pathways
- improve the design, delivery and evaluation of eye care services
- reduce delays and improve care pathways across the patient journey
- enhance independence and quality of life for people experiencing sight loss
- shape policy and support evidence-based service redesign
- promote inclusive, equitable and person-centred care
Research
Our research focuses on five priority areas critical to improving vision services and outcomes for people with sight problems.
Reducing Hospital Eye Service Waiting Lists and Optimising Care Pathways
Driving collaborative solutions to improve access and reduce delays in eye care services.
Transforming Sight Impairment and Rehabilitation Pathways
Enhancing rehabilitation services to support those living with sight loss.
Advancing Person-Centred Outcome Measures
Developing robust measures to capture patient experience and outcomes to ensure vision services meet the needs and preferences of people using them.
Optimising Care Intervals, Risk Profiling, and New Technologies
Harnessing data and technology to personalise care and improve effectiveness and efficiency and detect eye disease earlier.
Improving Vision Care for Vulnerable Populations
Delivering equitable, high-quality care for individuals in care homes or those unable to access services independently.
Projects
AVENUE-PDR
Assessing the viability of non-medical practitioners conducting photocoagulation for PDR (AVENUE-PDR): A feasibility trial.
FARSight-DM
Feasibility of an alternative pathway for hospital referrals from Diabetic Eye Screening Wales (DESW) for people suspected with Sight-threatening diabetic eye disease Diabetic Maculopathy
Hospital to Community
The value to stakeholders of community low vision optometrists providing certification of visual impairment in cases of dry age-related macular degeneration
Inclusive Wales
Improving public pathways to eye care services for adults with learning disabilities
Academic staff
Postgraduate students
Schools
Related partners
Publications
- Acton, J. H. et al. 2025. Patient safety in eye care: a multi-method analysis of reported incidents involving implementation of care and clinical assessment in England and Wales. Eye (10.1038/s41433-025-03669-6)
- Amoah-Smith, O. et al., 2025. Glaucoma case finding and management among optometrists in Ghana and Nigeria. Optometry and Vision Science 102 (9), pp.529-535. (10.1097/OPX.0000000000002283)
- John, R. et al., 2025. The unmet need for certification of vision impairment for people accessing a national primary care-based low vision rehabilitation service. Ophthalmic and Physiological Optics 45 (1), pp.308-314. (10.1111/opo.13413)
- Nollett, C. et al. 2026. Eight voices in darkness: Using art to involve the public in research dissemination. Research Involvement and Engagement 12 (1) 122. (10.1186/s40900-026-00951-z)
- Nollett, C. et al. 2025. Involving stakeholders in designing a mental health curriculum for staff in the vision impairment sector. British Journal of Visual Impairment 43 (3), pp.882-894. (10.1177/02646196241250210)
- Nollett, C. , Ryan, B. and Latham, K. 2026. Humanising health care: Assessing the impact of an educational resource to share real patient stories with eye care students. British Journal of Visual Impairment 44 (1), pp.226-231. (10.1177/02646196241294211)
- Nollett, C. , Ryan, B. and Latham, K. 2025. TALK 4:Humanising healthcare: sharing real life patient stories about vision impairment and depression with eye care students [Conference Abstract]. BMJ Open Ophthalmology 10 (S1)(10.1136/bmjoo-2025-WVUK.4)
- Rawlings, A. et al., 2024. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice 74 , pp.e264-e274. (10.3399/BJGP.2022.0616)
- Robinson, D. G. , Thomas, H. and Ryan, B. 2026. The rise of independent prescribing by optometrists in Wales 2020–2024: Number of practices, drugs and costs.. Ophthalmic and Physiological Optics 46 , pp.518-526. (10.1007/s44402-026-00097-1)
- Ryan, B. et al. 2025. Hospital to community in Wales: What is the value of optometrists playing a greater role in managing neovascular AMD and glaucoma in primary care?. Ophthalmic and Physiological Optics 45 (1), pp.280-293. (10.1111/opo.13397)
- Sanders, F. et al., 2026. Psychometric assessment of the metamorphopsia questionnaire in patients with macular diseases receiving anti-vascular endothelial growth factor treatment. Journal of Clinical Medicine 15 (8) 2867. (10.3390/jcm15082867)
- Sharma, A. et al., 2026. Community optometrist–led monitoring of quiescent neovascular age-related macular degeneration. Jama Network Open 9 (6), pp.e2617984. (10.1001/jamanetworkopen.2026.17984)
- Skoczek, K. P. et al. 2025. Target-flanker similarity alters the spatial profile of visual crowding. Journal of Vision 25 (12) 17. (10.1167/jov.25.12.17)
- Thomas, N. et al. 2025. The human fovea is relatively horizontally elongated in infantile nystagmus. Investigative Ophthalmology & Visual Science 66 (14) 56. (10.1167/iovs.66.14.56)
- Vaidya, A. et al. 2026. Support for older people with vision impairment: A rapid Realist review. Ophthalmic and Physiological Optics 46 , pp.854-869. (10.1007/s44402-026-00125-0)
- Vougioukalou, S. et al. 2026. Comparing community-based monitoring to hospital-based care of patients with quiescent age-related macular degeneration: a qualitative study of patient and practitioner perspectives on acceptability and access. BMJ Open 16 e101379. (10.1136/bmjopen-2025-101379)
Next steps
Research that matters
Our research makes a difference to people’s lives as we work across disciplines to tackle major challenges facing society, the economy and our environment.
Postgraduate research
Our research degrees give the opportunity to investigate a specific topic in depth among field-leading researchers.
Our research impact
Our research case studies highlight some of the areas where we deliver positive research impact.
