Bolton Extended Primary Eyecare Services

Urgent Eye Conditions Service (CUES)

If your practice does not participate in this service, then eye problems such as:

• • Red or painful eye or eyelids
  • Recently occurring flashes and floaters
  • Recent and sudden loss of vision
  • Foreign body in the eye

should be referred to one of the CUES accredited optometry practices.

Full details and a practice search are available on the Primary Eyecare Services website CUES page here

Direct Access Cataract Referrals

Accreditation is required and is provided by the Royal Bolton Hospital. Please contact the LOC for more information.

Post-operative Cataract Care

Under this arrangement the optometrist performs the final check-up after cataract surgery with reporting through Opera. Referrals back to optometry are made by the surgery provider.

Glaucoma repeat readings (GRR)

In cases of raised IOP and/or suspicious visual fields in the absence of any other signs of glaucoma the pressures or visual fields should be repeated on one or two occasions using Goldmann or Perkins tonometry or full threshold visual field testing as per the extended service provided by Primary Eyecare Services. The results are reported, and fees claimed, via the Opera online IT system.

If the pressure is still raised after the 2nd repeat, or the visual field shows repeatable glaucoma suspicion, then the patient will be referred to the HES glaucoma clinic.

If you have a patient with raised pressure or suspect visual fields, and you do not take part in the extended service, you must refer them to a GERS optometrist for further assessment. Follow the referral information for GERS detailed below.

Glaucoma Enhanced Referral Service (GERS)

The Glaucoma Enhanced Referral Service now uses a Single Point of Access (SPoA) for patients. Greater Manchester patients eligible for GERS should be be referred to the PES GERS single point of access (SPoA) and NOT directly to a GERS practice. You should use the:
"PRIMARY EYECARE SERVICES – GLAUCOMA ENHANCED REFERRAL SERVICE (GERS)"
option on Opera’s GOS18 module.

Remember that hospitals may reject referrals if they have not come through the correct pathway.

Patients from outside this area should be referred according to their own area’s protocol.

Practices outside this area should refer this area's patients to GERS.

Learning Disabilities

For information on the Easy Eye Care Service Learning Disabilities pathway, see the Primary Eyecare website here:

Learn More Easy Eye Care Learning Disabilities Service: