Adnan Tufail
Professor of Ophthalmology, UCL; Consultant Ophthalmologist, Moorfields Eye Hospital NHS Trust, UK
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Professor of Ophthalmology, UCL; Consultant Ophthalmologist, Moorfields Eye Hospital NHS Trust, UK
“Digital technology is changing how ophthalmic care can be provided. Asynchronous care, community-based testing and imaging, remote monitoring, video consultations and clinical AI are reshaping how specialist eye care is organized. Over the past decade, my work has spanned all of these modalities, with a focus on proving that they can be implemented safely and effectively at scale.
“The unifying theme has been decoupling expertise from physical buildings, so patients can access the right level of care more quickly and more consistently, regardless of geography. As this work has matured, the challenge has shifted from proof to scale: how to redesign eye care delivery in a way that is sustainable, repeatable and able to operate beyond individual services or sites.
“Scaling these models requires organizations that are designed for online, remote and AI-enabled care, rather than retrofitted onto services built around physical clinics. My current work therefore centres on building a new type of organization that can sit alongside traditional providers and extend their reach. This includes leading the Moorfields SPARC virtual hospital service, working to scale this approach nationally through an NHS Online hospital, and, as CEO of Cascader, developing clinical AI products to support gold-standard care in hospital and community settings.
“A key feature of this model is that it creates the conditions for technology, including AI, to add real value. When care is organized digitally, with standardized data capture and clearly defined pathways, decision support and automation can be embedded naturally into routine workflows. Crucially, this also strengthens the interface between primary and secondary care, allowing specialist expertise to flow into community settings and reducing unnecessary escalation into hospital services. The impact is already tangible across London, with faster access to subspecialist care and more joined-up pathways, and the model is built to scale nationally as a practical blueprint for the future of eye services.”
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