NTW LOC are passionate about extending the offering of primary care optical practice across our footprint to provide more NHS funded quality eye care closer to home. We are working closing with the local Ophthalmology Secondary Care Trusts to develop changes to the system to reduce inequality of care for our population. We are hopeful that local commissioning will embrace this vision to help support this.  Further updates will be provided soon.

In the meantime we’d encourage any Optical Practice who is not sub-contracted to Primary Eyecare Services to contact Naomi Smith for details on how to set up contract;

Local Extended Primary Eyecare Services

The following services have been commissioned in the NTW area through Primary Eyecare Services, the national commissioning provider company for North East and North Cumbria LOCs.  The LOC advocates local commissioning of a number of LOCSU pathways that would move more services to Primary Care bringing NHS funded eye care closer to people’s homes and supporting Ophthalmology capacity and the NHS Long Term Plan.

These services are supported by the new Opera IT platform.


There are currently no MECS or CUES services commissioned in the NTW area. All Non – GOS activity is offered privately to patients or directed to the NHS provision via the Eye Emergency Departments.


Glaucoma Repeat Readings service (GRR)

This will allow the capture of repeat readings for both IOP and field defects.

All patients being referred into secondary care with raised IOPs or suspicious fields must go via this service since September 2020.  Patients will need to be examined within the service prior to referral. Any patient seen at a nonparticipating practice needs to be directed to participating practice prior to referral.

The aim of this pathway is to:

    • reduce unnecessary referrals to the hospital eye service
    • reduce patient anxiety and increase capacity within the overburdened hospital glaucoma clinics
    • provide a more cost-effective service with a greater number of patients being managed within the primary care setting

Any patient being referred without being seen through the service will have their referral deflected by secondary care, they will be directed back into the service and to a participating practice.

If you are not an existing subcontractor with PES please can you confirm your interest in providing this service by completing the registration form via this link

If you are an existing subcontractor with PES but do not currently deliver the GRR/IOPRR service please contact Please ensure to include full practice name and address and which service in which locality you wish to join.

Community Childrens Service

The aim of this pathway is to:

    • reduce unnecessary referrals to secondary care ophthalmology departments.

This is achieved by allowing community optometrists to provide management and treatment to children who are found to have suspected amblyopia following school screening.

More information available here.


Post – Operative Cataract Assessments – Newmedica, Teeside 

Newmedica – A post-cataract surgery review scheme, in conjunction with Primary Eyecare Services, is a community-based optometrist led post-operative review, whereby ‘accredited opticians’ can complete a patient’s post-operative check at their practice. This can be completed alongside a standard GOS1 sight test and can be followed by a dispense as needed. Patients from across the North East can be referred directly, either from the optician/GP.  To best ensure your patients are treated quickly and can attend your practice for a post-operative review it is of high importance they choose Newmedica for their treatment at the point of referral. Signing up is easy, please get in touch with Newmedica for further details or to start your accreditation by emailing


Post-operative Cataract Assessments – SpaMedica Teeside

Spamedica has recently opened an eye hospital providing NHS funded cataract removal and is contracting directly with individual optical practices to provide post-cataract care. This is not offered via Opera or paid via PES.  Contact;  01204 441340 or for details.


Our next meeting

Our next meeting is provisionally planned for Tuesday the 8th of March 2022. This will be a virtual meeting.

Our next meeting

Our next meeting is provisionally planned for Tuesday the 8th of March 2022. This will be a virtual meeting.

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