Enhanced Services

North Kirklees, Greater Huddersfield and Calderdale Clinical Commissioning Groups have introduced several locally enhanced optometric services. These services are in addition to General Ophthalmic Services (GOS) and an additional contract to provide these services needs to be in place. An outline of these services can be found below along with the aims of each of these services.

Primary Eyecare Assessment and Referral Service (PEARS) pathway

The aim of the Primary Eyecare Assessment and Referral Service pathway is to:

  • Reduce unnecessary referrals to the hospital eye services
  • Reduce patient anxiety and increase capacity within the overburdened hospital eye health services
  • Provide a more cost effective service with a greater number of patients being managed within the primary care setting

Summary of the PEARS pathway

  • A PEARS examination will provide a speedy assessment of the needs of a patient presenting with an eye condition
  • The examination will be undertaken by an accredited optometrist within suitably equipped premises who will manage the patient appropriately and safely
  • Management will be maintained within the primary care setting for as many patients as possible, thus avoiding unnecessary referrals to hospital services
  • Where referral to secondary care is required it will be to a suitable specialist with appropriate urgency
  • Patients can self-refer or be referred by GPs, pharmacists or other optometrists

Pre- and Post-Operative Cataract pathway

The aim of this pathway is to:

  • Reduce unnecessary referrals to the hospital eye service
  • Reduce patient anxiety and increase capacity within the overburdened hospital clinics
  • Provide a more cost effective service with a greater number of patients being managed within the primary care setting
  • It eliminates the requirement for a visit to the GP and also provides a comparable service for people who are unable to leave their home unaccompanied but who are able to attend for surgery.

The service will be provided in the community and will be easily accessible and equitable. It will:

  • Provide a rapid access, high quality service to patients with cataract
  • Reduce the total number of patient visits
  • Reduce the number of visits the patient makes to secondary care
  • Reduce waiting lists
  • Improve the quality of referrals
  • Improve quality of life in line with World Class Commissioning vision
  • Provide accurate data about outcomes and patient satisfaction

Glaucoma Referral Refinement (GRR)

The aim of this pathway is to:

  • Reduce unnecessary referrals to the hospital eye service
  • Reduce patient anxiety and increase capacity within the overburdened hospital glaucoma clinics
  • Provide a more cost effective service with a greater number of patients being managed within the primary care setting

The service will be provided in the community and will be easily accessible and equitable.

A GRR appointment will be offered where on initial examination the intraocular pressures, optic disc assessment or visual field analysis results are within specified criteria that warrant further investigation prior to hospital referral.These criteria are set to coincide with NICE guidelines.

OHT Monitoring pathway

  • reduce the number of secondary care consultations for patients diagnosed with OHT
  • reduce patient anxiety and increase capacity within the overburdened hospital glaucoma clinics
  • provide a more cost effective service with a greater number of patients being managed within the primary care setting

Service Outline

In the delivery of this LES it is expected that community optometrists will provide primary care monitoring of patients diagnosed with OHT who will need to be seen annually. This will enable discharge from the HES into primary care both of newly diagnosed and large numbers of existing patients with OHT who can be seen closer to home at lower cost.

Screening for Diabetic Retinopathy

Screening for signs of diabetic eye disease is either carried out by optometrists or in medical practices depending on area. The method of screening is being improved by the use of digital cameras to photograph the back of the eye. The new camera scheme is operating across all areas of Calderdale and Kirklees. A list of the participating optometrists and medical practices is shown below. Patients can choose to have their eye screening at any of the listed sites.

Note that this is not a Locally Enhanced Service but is run by 1st Retinal in Calderdale and Huddersfield Central, and by Mid Yorks Hospital Trust in North Kirklees.

If their practice is not listed, then they should continue to see their own optometrist for their sight test, but should visit one of the listed optometrists for screening, telling them that screening is all they require.

North Kirklees

Medical Centres

  • Dewsbury Health Centre
  • Batley Health Centre
  • Cleckheaton Health Centre

Calderdale and Greater Huddersfield

Medical Centres

  • Dalton Surgery
  • Colne Valley Family Doctors
  • Kirkburton Health Centre
  • Meltham Group Practice
  • Spring Hall Medical
  • The Grange Group Practice
  • Todmorden Health Centre
  • Valley Medical Centre

Optometrists

  • Andrew Lomas Optometrist
  • Donovan Smith Opticians
  • J & R Bottomley Opticians
  • Mackereth Opticians
  • Mark Hurst Optometrist
  • Specsavers
  • Stephen Selbie
  • Whitakers Optometrist

For downloads related to enhanced optometric services, visit our document archive

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