Manchester Extended Services
Extended Services

Manchester 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


Cataract Referrals

All cataracts referrals should be directed through the enhanced service pathway via Opera to ensure that the patient is counselled on the risks and benefits, meets the referral criteria and requires and wants surgery. If you do not participate in the service you can refer through Opera to a practice that does by choosing "primary care" as the referral type. If you are out of the area and do not have acces to Opera for referrals then you can find participating practices using the link below. Ask the patient where they wish to go and ensure they know. Use a referral letter and provide full details as you would for a GP referral

A list of practices is available here:

Learn More Find a Practice


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 Service

If you have a patient with raised pressure only, or suspicious fields on one occasion and you do not take part in the extended service, you must refer them through Opera to a participating optometrist for further assessment, choosing "primary care" as the referral type. If you are out of the area and do not have access to Opera for referrals then you can find participating practices using the link below. Ask the patient where they wish to go and ensure they know. Use a referral letter and provide full details as you would for a GP referral.

Learn More Find a Practice


Glaucoma Enhanced Referrals Service (GERS)

Where there are signs of glaucoma, with or without raised IOP, patients should be referred directly to the GERS service via Opera. If you are out of the area and do not have acces to Opera for referrals then you can find participating practices using the link below. Ask the patient where they wish to go and ensure they know. Use a referral letter and provide full details as you would for a GP referral.

Learn More Find a Practice

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 Learning Disabilities service and pathway, see the Primary Eyecare website here:

Learn More Patients with Learning Disabilities: