The design of protocols for local differential privacy (or LDP) has been a topic of considerable research interest in recent years. LDP protocols utilise the randomised encoding of outcomes of an experiment using a transition probability matrix (TPM). Several authors have observed that balanced incomplete block designs (BIBDs) provide nice examples of TPMs for LDP protocols. Indeed, it has been shown that such BIBD-based LDP protocols provide optimal estimators. In this primarily expository paper, we give a detailed introduction to LDP protocols and their connections with block designs. We prove that a subclass of LDP protocols known as pure LDP protocols are equivalent to $(r,λ)$-designs (which contain balanced incomplete block designs as a special case). An unbiased estimator for an LDP scheme is a left inverse of the transition probability matrix. We show that the optimal estimators for BIBD-based TPMs are precisely those obtained from the Moore-Penrose inverse of the corresponding TPM. We also review some existing work on optimal LDP protocols in the context of pure protocols.