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Primary Eyecare Services has partnered with Staffordshire ICB to provide community enhanced services

Referrals are made by logging into Opera:  OPERA Web

Community Urgent Eyecare Service (CUES)

The Community Urgent Eyecare Service (CUES) provides urgent assessment, treatment or referral for sudden onset eye problems such as flashes, floaters, vision loss or minor eye injuries.

  • Red or painful eye or eyelids
  • Recently occurring flashes and floaters
  • Recent and sudden loss of vision
  • Foreign body in the eye

NHS STAFFORDSHIRE AND STOKE-ON-TRENT CUES Service Summary
Community Urgent Eye Care Service Guide for Practices and Practitioners

 Enhanced Cataract Referrals

The Enhanced Cataract Referral Service is provided in community optometry practices for patients identified with cataract following a sight test where referral is being considered.

Staffordshire and Stoke-on-Trent Service Summary – Enhanced Cataract Referral Service June 2025

Enhanced Cataract Referral Service Guide for Practices and Practitioners

(NHS STAFFORDSHIRE AND STOKE-ON-TRENT) Service Summary – Post-operative Cataract Service 2025.pdf

Glaucoma Referral Filtering:
Glaucoma Repeat Readings (GRR)

Patients registered with a GP in an Integrated Care Board that commissions a Glaucoma
Repeat Readings Services.
• Patients 18 years of age or over.
• Sight test IOP ≥24mmHg and <32mmHg with no other signs of glaucoma.
• Visual fields at sight test suspicious for glaucoma with no other signs of glaucoma.
• Patients referred to service by a health care provider or eye care navigation service (where this is locally commissioned).

Glaucoma Repeat Readings Service Guide for Practices and Practitioners

Glaucoma Enhanced Referral  (GERS) AKA (ECF) Enhanced Case Finding in Staffordshire

ECF-Patient-Leaflet

Sight test findings suggestive of glaucoma, including:
o Optic nerve head changes
o IOP ≥ 24mmHg but less than 32mmHg
o Glaucoma-typical visual field defects
o Narrow anterior chamber angles
o PDS/PXF with IOP < 21mmHg
• Do not require urgent assessment

NHS STAFFORDSHIRE AND STOKE-ON-TRENT ECF Service Summary

Paediatrics Pathway (North Staffs only)

This pathway is undergoing a re-launch on 9th September 2026 – see Events section