Local Enhanced Services – Glaucoma

LOCAL ENHANCED SERVICES: Glaucoma Care Pathway 

In March 2018 the health and Social Care Board issued a Glaucoma Care Pathway update to all GOS contractor practices, and individual optometrists providing ophthalmic services. 

Please ensure that you read this update as it provides important information in regard to NICE Guidance (NG81) and the provision of Local Enhanced Services aligned to this guidance. The update provides information on the recommendations within NG81 in respect of the clinical tests which are appropriate when assessing a patient with suspected OHT or suspected Glaucoma and the clinical information which needs to be provided when generating a referral for a patient. Please ensure that you apply this guidance in your clinical practice. The NICE guidance can be accessed at the following link or click here NICE GUIDANCE

https://www.nice.org.uk/guidance/ng81 

REMINDER LES LEVEL I AND LEVEL II: 

LOCAL ENHANCED SERVICES SHOULD NOT BE PROVIDED OR UNDERTAKEN FOR PATIENTS ALREADY ATTENDING (OR WHO HAVE BEEN REFERRED FOR A SUSPECTED CONDITION TO) THE GLAUCOMA SERVICE FOR OCULAR HYPERTENSION OR GLAUCOMA. 

LOCAL ENHANCED SERVICES ARE IN PLACE TO ENABLE AN OPTOMETRIST TO REFINE AND GENERATE AN APPROPRIATE & ACCURATE REFERRAL BASED ON CONSISTENT CLINICAL FINDINGS WHICH INDICATE REFERRAL IS NECESSARY; THEY SHOULD NOT BE USED FOR PATIENTS WHO ARE ALREADY ACCESSING THE HOSPTIAL EYE SERVICE 

Glaucoma Care  Pathway