Extended Services in Salford & Trafford
Extended Services

Commissioned Extended Primary Eye Care Services in Manchester, Salford and Trafford


  • Extended Services in Manchester

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

    Learn More Patients with Learning Disabilities:

  • Extended Services in Salford

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

    Learn More Patients with Learning Disabilities:

    • Extended Services in Trafford

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

      Learn More Patients with Learning Disabilities: