The AXA/PPP ophthalmic network is floundering in the London as very few small hospitals are currently recognised and all major independents, including Moorfields’ private wing, are not recognised. This has caused considerable distress to patients and consultants alike. It is hoped that AXA/PPP will soon be negotiating further packages with hospitals, but, at the moment, there has been no direct approach to consultants.

The BUPA network for ophthalmology has largely folded, but BUPA are now approaching groups of orthopaedic surgeons to try and set up local arrangements with specific care plans. Details of this are unclear”.