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Glaucoma Pathway Reform

27 August 2026

Glaucoma Pathway Reform

Primary Eye Care Must Be Central to Reimagined Glaucoma Care Pathways

A recent joint sector webinar hosted by the College of Optometrists, LOCSU, AOP, FODO, and ABDO—alongside newly released GIRFT (Getting It Right First Time) best practice guidance—outlines a clear, modernized direction for UK glaucoma services.

Key Takeaways & Strategic Direction:

  • Shift to Primary Care: Transitioning low-risk and routine follow-up care from overstretched secondary hospitals directly into primary community optometry practices.
  • Tackling Delays: With approximately 40% of glaucoma follow-ups currently delayed nationally, community pathways offer vital capacity for referral refinement and enhanced case finding.
  • Digitally Integrated Pathways: Moving away from fragmented, paper-based referral models towards a unified Single Point of Access supporting fluid two-way data flow.
  • Enablers for Success: The AOP emphasized that sustainable implementation requires fair funding, formalized commissioning, robust clinical governance, and direct consultant oversight.

Advocacy & Commissioning: While the GIRFT guidance is non-mandatory, it provides Local Optical Committees with a strong, evidence-backed framework when negotiating expanded glaucoma pathways with regional Integrated Care Boards (ICBs).

Read the comprehensive clinical framework and national guidance via the link below.

Read The Framework

Explore the full GIRFT clinical guidance on preventing avoidable sight loss:


View GIRFT Guidance

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