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<p>The Department has made no assessment of the effectiveness of local commissioning
arrangements for glaucoma, age related macular degeneration or diabetic retinopathy.</p><p>
</p><p>Clinical commissioning groups (CCGs) are responsible for commissioning secondary
care ophthalmic services. CCGs are also able to commission eye care services in the
community which go beyond the standard National Health Service sight test, where they
judge them to be needed in their areas.</p><p> </p><p>CCGs are required, for all services
they commission, to assess the health needs of their local population using the standard
joint strategic needs assessment approach. CCGs are held locally to account to the
population they serve through the health and wellbeing boards.</p><p> </p><p>In addition,
NHS England has a statutory duty to conduct an annual performance assessment of every
CCG. This assessment is carried out against a standard high level framework:</p><p>
</p><p><a href="https://www.england.nhs.uk/publication/ccg-improvement-and-assessment-framework-2017-18"
target="_blank">https://www.england.nhs.uk/publication/ccg-improvement-and-assessment-framework-2017-18</a></p>
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