Sight Loss Charities Demand Eye Hospital Closure Answers

‘Waiting Times Will Soar and Patient Care will Suffer’ 

Sight Scotland and Sight Scotland Veterans are urgently seeking answers from NHS Lothian regarding the temporary closure of the Princess Alexandra Eye Pavilion in Edinburgh due to emergency repair works.

The sight loss charities are questioning the six-month closure timeline and are warning that it will result in longer waiting times and declining patient care, putting the eye health and mental wellbeing of thousands at heightened risk. 

During a recent round table discussion in the Scottish Parliament on Monday 30th September, Craig Spalding, Chief Executive of Sight Scotland, along with NHS Lothian’s Interim Chief Executive Jim Crombie, MSPs Sue Webber, Miles Briggs, and Sarah Boyack, and representatives from Visibility Scotland, RNIB Scotland, Sight Scotland’s Policy Group and the KEEP campaign, discussed the implications of the temporary closure. 

Key concerns raised included: 

  • Resilience and Contingency Plans: Clarity is needed on how NHS Lothian will handle patient reallocations, especially if moving patients to other locations becomes unviable, and what longer-term contingency plans exist if repairs exceed the 6-month timeframe. 
  • Relocation of Services: NHS Lothian must confirm where outpatient, inpatient, day care, and emergency services will be provided during the closure. 
  • Communication and Patient Support: Will NHS Lothian commit to timely, accessible updates and appointment information (e.g., large print, colour contrast, Braille, telephone calls) and ensure consistent patient support services throughout the disruption? 
  • Transport and Accessibility: What transport options will be available for patients, especially those struggling to reach new locations? Will NHS Lothian seek to secure additional funds from the Scottish Government for taxis and ambulances? 
  • Access to Medication: How will patients access medication from the specialist pharmacy, and will community pharmacies be an alternative? 
  • Patient Data: How will patient data records be secured and shared, and what system will ensure quick transfer of essential paperwork to prevent delays in CVI registration?  

Craig Spalding, Chief Executive of Sight Scotland and Sight Scotland Veterans, comments: “We are extremely concerned that the health and wellbeing of eye patients in Edinburgh and the Lothians is being overlooked once again.

“The temporary closure of the eye hospital raises serious questions about patient care, continuity of services, and access to essential treatments.

“This building has been deemed unfit for purpose for over a decade, yet NHS Lothian is set to pour millions into patching up a leaky roof, while the entire facility remains a disaster zone. 

“This is a significant blow to patients in a region where ophthalmology services are already severely strained. With waiting times at an all-time high, they are now expected to worsen, causing further delays to vital treatments and placing the eye health and mental wellbeing of thousands at serious risk.

“Since the building was declared unfit for purpose in 2014, outpatient waiting times have quadrupled. Now, less than a third of patients are seen within 12 weeks, compared to 90% ten years ago. Patients cannot afford to wait this long for critical treatments, and it’s only going to get worse. 

“There are so many urgent questions which need answered. What resilience plans are in place if some patient reallocations to alternative sites prove unviable?

“What contingency measures exist if the repairs extend beyond the planned six-month timeframe, will there be increased funding if the £1.8 million allocated for emergency repairs falls short? Where will those needing access to emergency eye care go?

“It is essential NHS Lothian works in partnership with third-sector organisations to support vulnerable patients during this difficult time, as many of them will be severely impacted.” 

“The recent roundtable made it clear that concerns are widespread, and there’s still no comprehensive plan to improve eye care in the capital. We must keep pushing NHS Lothian and the Scottish Government for answers, both for immediate solutions and long-term improvements.

“How many more lives must be disrupted before funding for a new eye hospital is finally secured?” 

For more information, visit sightscotland.org.uk    

Quarter of Scotland’s sight loss population rely on Edinburgh’s ‘not fit for purpose’ Eye Hospital

Labour Lothians MSP, Sarah Boyack, highlighted new research from Sight Scotland, which reveals that a quarter of all Scotland’s sight loss population, live within council areas served by Edinburgh’s Princess Alexandra Eye Pavilion.

Edinburgh’s Eye Pavilion was deemed not fit for purpose, by the NHS, in 2014 and has been the subject of a long running campaign to have it replaced.

In this time, waiting times have skyrocketed, with research from Sight Scotland highlighting that the number of ongoing waits has increased by over 10,000 since 2014.

With reports of appointments cancelled or delayed due to maintenance issues, it is likely this will only increase as the facility deteriorates further.

These numbers illustrate the extent of the crisis hitting eye care on the East coast of Scotland.

All this comes as the Scottish Government has backtracked on their election commitment to replace the current Eye Pavilion.

The Scottish Government’s recent budget froze capital spending for a minimum of two years, ensuring the new Eye Hospital could not go ahead and throwing its long-term future into doubt.

Sight Scotland have identified safety risks for both patients and staff due to the dilapidated state of the current facilities.

There is also a lack of clarity regarding what actions will be taken in the interim to ensure that the 45,000 people with sight loss, in the Pavilion’s remit, are able to receive the adequate care they require.

Commenting on the figures, Ms Boyack said: “We knew there was a crisis in eyecare, but now we know the full extent of it.

“The fact that a quarter of all those with sight loss are having to rely on not fit for purpose facilities is a national disgrace.

“And now the Scottish Government is subjecting them to unknown delays due to SNP budget cuts.

“Patients don’t just deserve a new hospital, they need one.

“If the Scottish Government does not act soon, there will be dire long-term consequences for Edinburgh’s sight loss population.”

Peter Scobbie, a long-time patient of the Eye Pavilion, added: “I’ve been going to the Princess Alexandra Eye Pavilion for 18 years now and the building is in shocking condition.

“The layout is completely inaccessible with the patient support services on the top floor and the pharmacy on the bottom next to the waiting area.

“Half the time the lifts are out of order, so I’m forced to use the stairs which I don’t feel safe doing as the handrail is very low and a straight drop down to the ground.

“I’d go as far to say it’s dangerous, especially for people with no to low sight.

“The decision not to fund a new hospital is therefore incredibly disappointing and I’m worried for other patients and the growing number of people who will need specialist eye care soon – what will they do?”

Boyack demands Yousaf is honest with public over fate of Eye Hospital

Labour MSP for the Lothians, Sarah Boyack, has written an open letter to First Minister Humza Yousaf urging him to be honest about the fate of Edinburgh’s replacement eye hospital.

This comes after the First Minister confirmed that the Scottish Government was still committed to the eye hospital, despite the capital spending freeze imposed on health boards.

However, excerpts from the NHS Lothian board papers confirmed that work on the eye hospital would “cease” and stated that the board “should recognise the loss of this future infrastructure” will lead to major, negative challenges in delivering scheduled care over the coming years.

This admission throws into doubt the First Minister’s commitment, given the Scottish Government’s instruction to NHS Lothian to “immediately cease all capital projects”. The instruction includes “the New Eye Hospital at the BioQuarter”.

It also highlights a lack of certainty within the health board about the project’s status.

The current Eye Pavilion was deemed not fit for purpose in 2014, and a new replacement has been deemed a top priority by NHS Lothian.

Since 2014, the average wait time in days for inpatient and outpatient appointments more than doubled.

Ms Boyack has urged the First Minister to end the uncertainty around the project, as it is having detrimental impacts on patients and their treatment.

Commenting on her letter, Ms Boyack said: “The First Minister needs to level with the public about the replacement eye hospital.

“It was promised at the last election, then in the budget we found out that no new capital project can go ahead.

“While the First Minister says he is committed to the project, his government have kicked it into long grass.

“NHS Lothian has been put in an impossible position.

“If the First Minister is serious about delivering Edinburgh’s eye hospital, then he must come forth with a concrete timeline to deliver it.

“Anything less is just being dishonest with the public and damaging to patients.”

The letter reqads:

Dear First Minister,

I am writing regarding the recent announcements in relation to the construction of a replacement Eye Pavilion in Edinburgh.

As you are aware, you and your predecessor have both committed to a new Edinburgh Eye Hospital since the 2021 Scottish Parliament election following the current Eye Pavilion being deemed not fit for purpose in 2014. However, in a letter I received from the Cabinet Secretary for Health and Social Care on the 18th January confirmed that the building of a new Eye Hospital will not go ahead.

Moreover, NHS Lothian Board papers, published in advance of the board’s meeting on the 7th of February, have stated “NHS Lothian was directed to immediately cease all capital projects”. The board paper observed that  “the loss of this future infrastructure will substantively and negatively impact on our ability to deliver compliant access to scheduled care for our population in coming years.” Worryingly the paper also highlighted the “the significant and detrimental impact this decision has had on our teams many of whom have dedicated time, expertise, and leadership in supporting progress of these vital projects.”

In light of your comments during First Minister’s Questions, on January the 25th, which appear to contradict NHS Lothian, I would appreciate if you could give an overview of the timeframe for the Eye Hospital being delivered if it is still the Scottish Government’s intention to proceed with the project, after the two year capital spending project freeze. Given the lengthy and increased waiting times for operations, the Scottish Government must also provide immediate support to ensure that NHS Lothian is able to provide adequate care for those with vision impairments.

My concern is that confused information and delays will only cause more disruption for patients, on top of increasing numbers of cancelled and delayed appointments.

Best wishes,

Lothian MSP launches petition to restore funding for planned new Princess Alexandra Eye Pavilion

Lothian MSP launches petition to restore funding for planned new Princess Alexandra Eye Pavilion

Lothian MSP, Miles Briggs, has launched a petition to save the Princess Alexandra Eye Pavilion after SNP Ministers withdrew funding for a replacement hospital, for the second time in three years.

At FMQs last Thursday, Mr Briggs asked the First Minister about plans for the development of a new eye hospital for Edinburgh and the South East of Scotland. In response to Mr Briggs the First Minister stated that: “There is no doubting of course that the Eye Pavilion does need built”.

Following the original decision to withdraw funding for a replacement eye hospital, a significant campaigning effort led to the previous First Minister U-turning and reinstating funding for a replacement hospital.

The current eye pavilion is no longer fit for purpose with an extensive list of maintenance issues that the health board needs to keep on top of.

There has been no money spent on the existing Princess Alexandra Eye Hospital in the last year.

The current Princess Alexandra Eye Pavilion is a centre for excellence, which Lothian MSP Miles Briggs has said is at risk of being lost due to the mismanagement of budgets by SNP Ministers.

Lothian MSP, Miles Briggs, said :“It is completely unacceptable that SNP Ministers have removed funding for a replacement Princess Alexandra Eye Hospital for the second time in two years.

“The current hospital is no longer fit for purpose and we need a new hospital to treat over 50,000 patients who attend the hospital every year.  

“We are at risk of losing a centre of excellence in the South East of Scotland and future generations will have worse eye health due to this period of ineptitude by SNP Ministers.

“Please sign my petition for a replacement Princess Alexandra Eye Pavilion to show the extent of public support for this funding to be reinstated.”

If you would like to support Mr Brigg’s petition to reinstate funding for a replacement Princess Alexandra Eye Pavilion, you can find the petition here :

https://www.edinburghconservatives.org.uk/campaigns/save-edinburghs-new-eye-hospital

Yesterday (Thursday 1st February) at FMQs Miles Briggs MSP asked the First Minister:

Last year 59,240 patients attended the Princes Alexandra Eye Pavilion.

For a patient in Edinburgh or the Borders with a detached retina the need for urgent surgery is critical.    

The Health Secretary has suggested that if the Edinburgh Eye Pavilion is not replaced then more surgery will be centralised to the Golden Jubilee National Hospital in Glasgow.

It would be unacceptable for emergency eye surgery to be centralised to Glasgow.               

Can ask the First Minister if he and the Health Secretary will agree to urgently meet with Lothian MSPs to discuss the concerns that Ministers will now not commit to a new replacement Eye Hospital.

Boyack: Soaring waiting times show Eye Pavilion’s not fit for purpose

A Freedom of Information request, lodged by Labour Lothians MSP, Sarah Boyack, has revealed that the average wait times for patients at Edinburgh’s Princess Alexandra Eye Pavilion, has more than DOUBLED since 2014.

The average wait for inpatient appointments in 2014 was 56.6 days, compared to a staggering 132 days in 2023.

This is an increase of over 130% from when the Eye Pavilion was deemed not fit for purpose in 2014.

A replacement Eye Pavilion was deemed as a top priority of NHS Lothian, but the Scottish Government have not yet committed to the project.

This is despite promises by then First Minister, Nicola Sturgeon that the Scottish Government would proceed with a replacement building.

The outpatient average waiting times has also skyrocketed by similar margins. In 2014, the average wait times for outpatients stood at 49.8 days – by 2023, it had increased dramatically to 136.6 days.

Commening on the figures, Sarah Boyack said: “These soaring waiting times illustrates that the current Eye Pavilion, is not fit for purpose.

“Patients deserve top notch services, but instead they face ever increasing waiting times and a government that is looking the other way.

“The Scottish Government must look at these waiting times and realise that their decision not to go ahead with the hospital will only make things worse.

“I urge the Scottish Government to do the right thing and finally fulfil their pledge to build a new eye hospital in Edinburgh.”

Craig Spalding, Chief Executive, Sight Scotland and Sight Scotland Veterans, commented: “The soaring waiting times at Edinburgh’s Princess Alexandra Hospital unfortunately come as no surprise, as the building and its facilities are severely outdated.

“The Scottish Government’s decision to not go ahead with a new hospital is letting so many vulnerable people down.

“Growing waiting times are causing lives to be put on hold, and unless positive action is taken, there will likely be more cancellations, prolonged delays, and heightened risks for both patients and staff.”

Edinburgh MSPs unite to demand funding for new Edinburgh Eye Pavilion Hospital

A cross-party group of Edinburgh MSPs have come together to write to the Cabinet Secretary for Health, Michael Matheson, highlighting the urgent need to fund a new Eye Pavilion in Edinburgh.

MSPs representing Scottish Labour, Scottish Conservatives, the Scottish Liberal Democrats, Alba, and the Scottish National Party have all co-signed the letter, in the run up to the capital spending allocation.

This letter reflects the strength of feeling of residents, right across Edinburgh towards the need for a new Eye Hospital in the city.

MSPs request Michael Matheson set out a clear timetable for the construction of a new Edinburgh Eye Hospital, after the current Eye Pavilion was declared not fit for purpose in 2014.

The MSPs have also called on Michael Matheson to consult with patients, visual impairment charities and elected representatives to achieve the best outcomes possible for Edinburgh and Lothian Residents.

The joint-letter follows a meeting of Edinburgh MSPs, Sight Scotland, Visibility Scotland and RNIB, at the Scottish Parliament on Thursday 30th November, to discuss the situation in the Princess Alexandra Eye Pavilion.

During the meeting, MSPs heard moving testimonies from patients and staff about the dire state of current facilities and why a new hospital is so vital going forward.

All parties involved emphasised that continuing to rely on the current Princess Alexandra Eye Pavilion is not sustainable and will lead to deteriorating outcomes for patients and staff.

The MSPs who signed the joint letter are Sarah Boyack, Daniel Johnson, Foysol Choudhury, Miles Briggs, Jeremy Balfour, Ben Macpherson, Sue Webber, Alex Cole-Hamilton and Ash Regan.

The MSPs in attendance at the breakfast briefing were Sarah Boyack, Daniel Johnson, Miles Briggs, Ben Macpherson, Sue WebberAlison Johnstone and Jeremy Balfour sent staff members, as they had previous engagements.

Commenting on the letter, Sarah Boyack said: “I am glad that MSPs across Edinburgh were able to come together to campaign for such a vital project.

“None of our constituents deserve to be relying on facilities that have been designated not fit for purpose, for over a decade.

“Michael Matheson needs to take note of the strength of feeling for this project – delivering the new Eye Pavilion is a priority for Edinburgh Residents 

“As Edinburgh MSPs, we will continue to work together to ensure the best outcome for our constituents, and the city.”

Next steps for new Eye Pavilion

Health Secretary Humza Yousaf has confirmed that the outline business case for the new Edinburgh Eye Pavilion has been approved by the Scottish Government. NHS Lothian has now been invited to submit a full business case.

This will be part of a £10 billion investment in the NHS estate over the next 10 years, bringing about the renewal and replacement of health facilities across Scotland.

Mr Yousaf said: “I am delighted that we are a step closer to delivering improved specialised eye services for the city of Edinburgh and the wider region.

“The Scottish Government is committed to working closely with NHS Lothian to meet the demand for eye care, with improvements for patients and a more modernised service.”

Earlier this year, the Scottish Government asked NHS Lothian to carry out a review of eye care services, including redesigning pathways to enable patients to access care closer to home.

Lib Dems Celebrate Eye Pavilion Victory

Edinburgh Western MSP Alex Cole-Hamilton has welcomed an announcement from the First Minister that the Scottish Government will save Edinburgh’s historic Princess Alexandra Eye Pavilion.

This U-turn comes after a hard fought community and cross party campaign and after the Lib Dems secured a vital commitment towards a replacement facility from the Scottish Government, as part exchange for Liberal Democrat votes for the Scottish budget, earlier this year.

In those negotiations, the Lib Dems persuaded the Government to protect specialist eye services within the City of Edinburgh as well as securing a massive boost to mental health funding. In this afternoon’s announcement, the First Minister made good on that commitment and promised “the renewal and replacement of health facilities across Scotland – including the Edinburgh Eye Pavilion.”

Commenting, Mr Cole-Hamilton said: “This is a huge victory today, not just for the cross party MSPs who worked to save the Eye Pavilion, but also for everyone across Edinburgh and the Lothians who fought to see the promise of a replacement facility in the capital made real.

“The First Minister’s announcement is welcome, but it should have come much sooner. Even after securing the protection of specialist eye services, the Scottish Government was attempting to rail road a more casual set up, with different treatments and services dispersed across the Lothian region.”

“I know from both constituency correspondence, and conversations on the doorsteps throughout the recent election campaign that this was a major issue for local communities. The thought of losing the Princess Alexandra Eye Pavilion was genuinely upsetting for people, especially those who are affected by full or partial sight loss.”

“I am delighted that Edinburgh no longer risks being the only capital city in Europe without a dedicated eye care centre. This demonstrates what can be achieved when politicians seek to work productively, on a cross party basis, for meaningful change.”

NHS Lothian trials tiny eye implant to treat glaucoma

Experts in NHS Lothian are trialling a microscopic eye implant to revolutionise glaucoma treatment.

The team, led by Dr Andrew Tatham (above) at the Princess Alexandra Eye Pavilion, are conducting a study of the pioneering biodegradable device. Continue reading NHS Lothian trials tiny eye implant to treat glaucoma