{"id":119,"date":"2021-11-25T15:14:38","date_gmt":"2021-11-25T15:14:38","guid":{"rendered":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/?page_id=119"},"modified":"2026-11-06T14:38:49","modified_gmt":"2026-11-06T14:38:49","slug":"local-services-cues-grr-etc","status":"publish","type":"page","link":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/local-services-cues-grr-etc\/","title":{"rendered":"Local Services"},"content":{"rendered":"<h1>Local Services<\/h1>\n<h2><strong>CUES (Community Urgent Eyecare Service)<\/strong><\/h2>\n<p><strong><em>CUES will be decommissioned from 31st Dec 2026: Please use until this date<\/em><\/strong><\/p>\n<p>The last date for accepting new patients into CUES is <strong>17 December 2026<\/strong>, allowing appointments and assessments to be completed before the service closes.<br \/>\n\u2022 After the 17 December 2026, new patients presenting to your practice for CUES triage should be directed to an appropriate alternative service rather than screened through CUES.<br \/>\n\u2022 Patients requiring follow-up care after 31 December 2026 will need to be directed to an appropriate alternative service by CUES.<\/p>\n<p><em>Updated Oct 2026 &#8211; Advice after CUES decommissioning:<\/em><\/p>\n<p>If patients present with symptoms outside the remits of a GOS NHS sight test and wish to have NHS care \u2013 then the LOC suggest saying:<\/p>\n<p><strong>&#8220;This practice no longer offers an NHS service for your symptoms as this funding was stopped. If you wish to have NHS care, then you can either call NHS 111 for advice or present to your local A&amp;E&#8221;<\/strong><\/p>\n<p>The LOC and LOCSU will produce template letters to provide to any patients who used to use CUES and want to express dissatisfaction with these changes, to direct them to complain directly to the ICB.<\/p>\n<p><a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2026\/10\/Letter-for-Practice-to-give-to-a-Patient-CUES-decommissioned.pdf\">Letter for Practice to give to a Patient CUES decommissioned<\/a><\/p>\n<p>LOC&#8217;s Updated CUES communication Oct 2026: <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2026\/10\/Hampshire-LOCs-Update-Regarding-the-Decommissioning-of-C-1.docx\">Here<\/a><\/p>\n<p><em>Information on CUES:<\/em><\/p>\n<p>CUES is a core competency and so does not require any WOPEC accreditation.<\/p>\n<p>CUES is designed to limit presentations of urgent conditions to GPs, Pharmacies, NHS 111 and A&amp;E. It covers symptoms which may indicate conditions such as retinal detachment, maculopathy, foreign body and uveitis. CUES is a symptom lead service &#8211; whilst a dry eye diagnosis might come from a CUES appointment, this service does not allow for monitoring<\/p>\n<p>CUES is commissioned in :<\/p>\n<ul>\n<li>Southampton<\/li>\n<li>West Hampshire<\/li>\n<li>North Hampshire<\/li>\n<li>Isle of Wight<\/li>\n<\/ul>\n<p>CUES service summary &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2022\/12\/S7-Community-Urgent-Eyecare-Service-CUES-Summary-One-Pager-Oct-2022.pdf\">here<\/a><\/p>\n<p>Referring on after CUES appointment; how to guide &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2025\/05\/How-to-refer-as-an-emergency-following-a-CUES-appointment.pdf\">here<\/a><\/p>\n<p>CUES Practice Provider list for Isle of Wight &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2023\/05\/CUES-Feb-2023-List-of-providers.pdf\">here<\/a><\/p>\n<p>Eligibility Criteria &#8211; <a href=\"https:\/\/mcusercontent.com\/9f54a2d22e467e559c9cffe98\/files\/fc952e94-3962-5c5b-e1c5-5b76d1f0e667\/CUES_eligibility_for_practices.pdf\">here<\/a><\/p>\n<p>Summary Symptom Flowchart &#8211; <a href=\"https:\/\/mcusercontent.com\/9f54a2d22e467e559c9cffe98\/files\/61b930de-f027-a1fa-dacd-60e9aff66c13\/CUES_eligibility_for_practices_flowchart.pdf\">here<\/a><\/p>\n<p>CUES claims are processed via OPERA, and the contract is overseen by Primary Eyecare Services. Please see their website for more information &#8211; <a href=\"https:\/\/primaryeyecare.co.uk\/\">here<\/a><\/p>\n<p>To see a list of practices offering CUES appointments see the Primary Eyecare Find A Practice page &#8211; <a href=\"https:\/\/primaryeyecare.co.uk\/find-a-practice\/\">here <\/a><\/p>\n<p>CUES poster (November 2022 ) sent to GP practice teams across Hampshire &amp; Isle of Wight &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2022\/12\/CUES_22_PIL.pdf\">here<\/a><\/p>\n<p>For IP Practitioners with an FP10, please find the Hampshire and Isle of Wight formulary &#8211; <a href=\"https:\/\/www.hiowformulary.nhs.uk\/chaptersSub.asp?FormularySectionID=11\">here<\/a><\/p>\n<p>CUES is delivered OPERA. Please visit Primary Eyecare Services &#8211; <a href=\"https:\/\/primaryeyecare.co.uk\/\">here<\/a>\u00a0or contact Katie Atkins, Clinical Lead, PES for any support needs \u2013 <a href=\"mailto:Katie.Atkins@primaryeyecare.co.uk\">Katie.Atkins@primaryeyecare.co.uk<\/a><\/p>\n<h2><strong>Glaucoma Services<\/strong><\/h2>\n<p>All community glaucoma services delivered through OPERA were decommissioned as of 1st April 2025<\/p>\n<p>Repeat Pressures and\/or Visual Fields are not part of GOS and any further investigation requires referral for Ophthalmological opinion within a hospital setting<\/p>\n<p>Imaging, including OCT is not mandatory in referrals. Please alert the LOC to any referral rejections requesting Repeat Pressures, Visual Fields or Imaging. The LOC can be contacted via email &#8211; <a href=\"mailto:isilk@hampshireloc.org.uk\">manager@hampshireloc.org.uk<\/a><\/p>\n<p style=\"font-weight: 400;\">LOC suggested commentary when rejecting requests for additional data, such as repeat IOP, Visual Fields or Imaging as part of a glaucoma suspect referral &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2025\/04\/LOC-suggested-commentary-when-rejecting-requests-for-additional-data.docx\">here<\/a><\/p>\n<p>Webinar recording from April 2025, discussing closure of services &#8211; <a href=\"https:\/\/vimeo.com\/1080662410?share=copy#t=0\">here<\/a><\/p>\n<p><strong>Stable Glaucoma in Portsmouth and Fareham, Gosport and SE Hampshire<\/strong><\/p>\n<p>Glaucoma Monitoring is commissioned in Portsmouth and Fareham, Gosport &amp; SE Hampshire. Patients with stable intraocular pressures and visual fields may be referred into the community for monitoring of their condition. This service is still ongoing (Updated October 2026)<\/p>\n<p>Stable Glaucoma Service Specification for Fareham &amp; Gosport and South Eastern Hampshire &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2022\/05\/FG-SEH-Stable-Glacoma-Specification-21-23.docx\">here<\/a><\/p>\n<p>Stable Glaucoma Claim Form for Fareham &amp; Gosport and South Eastern Hampshire &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2022\/05\/Stable-Glaucoma-Claim-Form.xlsx\">here<\/a><\/p>\n<h2><strong>Post &#8211; Operative Cataract Services<\/strong><\/h2>\n<p><span data-olk-copy-source=\"MessageBody\">In April 2025, the HIOW ICB ceased to commission the Post-Operative Cataract Service pathway for HIOW Trust hospitals. This primarily affected patients from Basingstoke and North Hampshire Hospital, St Mary\u2019s Hospital (Isle of Wight NHS Foundation Trust), and Lymington Peripheral Clinic.<\/span><\/p>\n<p>Therefore for the most of HIOW the\u00a0NHS Post-Operative Cataract Services\u00a0is now only available when a patient has been seen by an\u00a0ISP\u00a0(Independent Sector Provider).\u00a0Patients are to be seen 4-6 weeks after their surgery, with the results provided to the ISP for audit.<\/p>\n<p>However,\u00a0Frimley Trust\u00a0has commissioned its own post-op cataract service for patients who had their surgery at a Frimley Trust location. This funding is separate from any ICB.\u00a0<u>This therefore includes patients whose home address or GP surgery falls within the HIOW ICB footprint.<\/u><\/p>\n<p>The Frimley Trust locations are:<\/p>\n<ul data-editing-info=\"{&quot;applyListStyleFromLevel&quot;:true}\">\n<li>\n<div role=\"presentation\">Frimley Park<\/div>\n<\/li>\n<li>\n<div role=\"presentation\">Heatherwood (Ascot)<\/div>\n<\/li>\n<li>\n<div role=\"presentation\">Wexham Park (Wexham Park)<\/div>\n<\/li>\n<\/ul>\n<div class=\"x_elementToProof\"><\/div>\n<p class=\"x_elementToProof\">Any patient seen for their cataract surgery at a Frimley Trust location\u00a0can be seen by a practice who have\u00a0signed up to provide cataract services\u00a0<i>via<\/i>\u00a0OPERA\u00a0to provide the NHS Post-Op Cataract Service.<\/p>\n<p>The practice will be paid by Primary Eye Care Services (PES) for the episode as per the usual process.<\/p>\n<p class=\"x_elementToProof\">These patients will appear on the Opera dashboard for booking when they are transferred by Frimley Trust (similar to any post-ops from ISP).<\/p>\n<p class=\"x_elementToProof\">For any support for Post-Op Cataract episodes using OPERA, please visit Primary Eyecare Services \u2013\u00a0<a id=\"OWAeda32a5d-7882-e929-3637-385c4034a283\" class=\"x_x_x_x_OWAAutoLink\" title=\"https:\/\/primaryeyecare.co.uk\/\" href=\"https:\/\/primaryeyecare.co.uk\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"5\">here<\/a>\u00a0or contact Katie Atkins, Clinical Lead, PES \u2013\u00a0<a id=\"LPlnkOWA44540f5b-a933-f993-363a-7faba096e119\" class=\"x_x_x_x_OWAAutoLink\" title=\"mailto:Katie.Atkins@primaryeyecare.co.uk\" href=\"mailto:Katie.Atkins@primaryeyecare.co.uk\" data-linkindex=\"6\">Katie.Atkins@primaryeyecare.co.uk<\/a><\/p>\n<p class=\"x_elementToProof\">However, please do alert the LOC to any trust (other than Frimley) requesting information from an optometrist in order to complete a post-op report. The LOC can be contacted via email \u2013 manager@hampshireloc.org.uk<\/p>\n<p class=\"x_elementToProof\">LOC suggested commentary when rejecting requests from Trust: \u2013\u00a0<a id=\"OWA57fe192d-f652-d56e-d774-889f04633318\" class=\"x_OWAAutoLink\" title=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2025\/04\/LOC-suggested-commentary-when-rejecting-requests-for-Post.docx\" href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-content\/uploads\/sites\/57\/2025\/04\/LOC-suggested-commentary-when-rejecting-requests-for-Post.docx\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"7\">here<\/a><\/p>\n<p class=\"x_elementToProof\">\u201cCan I claim a GOS 1 alongside a Post-Op cataract assessment?\u201d \u00a0\u2013\u00a0<a id=\"OWA9a1b9d24-4c9e-1234-0c23-182030a2608b\" class=\"x_OWAAutoLink\" title=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/2022\/12\/07\/can-i-claim-a-gos-1-alongside-a-post-op-cataract-assessment\/\" href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/2022\/12\/07\/can-i-claim-a-gos-1-alongside-a-post-op-cataract-assessment\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"8\">here<\/a><\/p>\n<h2><strong>NHS Sight Tests in Special Educational Setting (SES)<\/strong><\/h2>\n<p><span data-olk-copy-source=\"MessageBody\"><strong>Update Sept 2026:<\/strong> A new Special Educational Settings sight testing and spectacle dispensing service is being rolled out across specialist educational settings for children and young people up to age 25 across the Hampshire and Isle of Wight area. The service will be delivered by SeeAbility from November 2026 for an initial five-year period. This is a complementary NHS General Ophthalmic Service (GOS), and pupils and parents\/carers retain full choice on where they are seen. If you have any questions email <a title=\"mailto:hiow.pod@nhs.net\" href=\"mailto:hiow.pod@nhs.net\" data-linkindex=\"0\" data-olk-copy-source=\"MessageBody\">hiow.pod@nhs.net<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Local Services CUES (Community Urgent Eyecare Service) CUES will be decommissioned from 31st Dec 2026: Please use until this date The last date for accepting new patients into CUES is 17 December 2026, allowing appointments and assessments to be completed before the service closes. \u2022 After the 17 December 2026, new patients presenting to your &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.loc-online.co.uk\/hampshire-loc\/local-services-cues-grr-etc\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Local Services&#8221;<\/span><\/a><\/p>\n","protected":false},"author":645,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-119","page","type-page","status-publish","hentry"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/pages\/119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/users\/645"}],"replies":[{"embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/comments?post=119"}],"version-history":[{"count":22,"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/pages\/119\/revisions"}],"predecessor-version":[{"id":2018,"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/pages\/119\/revisions\/2018"}],"wp:attachment":[{"href":"https:\/\/www.loc-online.co.uk\/hampshire-loc\/wp-json\/wp\/v2\/media?parent=119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}