Briefing document on the implications of NICE Glaucoma Guideline (NG 81)

28 November 2017

LOCSU has produced a briefing document on the implications of the recent NICE Glaucoma Guideline (NG 81) for locally commissioned Glaucoma Repeat Readings and Referral Refinement services in England.  

Key points and Actions for Local Optical Committees (LOCs) and Primary Eyecare Companies (PECs) sets out the steps for LOCs and PECs to take if there is a Repeat Measures service in place and includes a template letter to be sent to commissioners to explain the changes that are required to the referral pathway. This includes highlighting the increase in the threshold for IOP referrals to 24mmHg.

The LOCSU update also explains the repercussions of the new guidance for areas that do not have a repeat measures scheme and provides a template letter for LOCs in those areas to send to their CCGs to request a meeting to discuss the commissioning of appropriate services to ensure that local commissioning arrangements are compliant with NICE guidelines.

Commenting on the new briefing, Clinical Director Katrina Venerus said “It is important that we ensure Primary Eyecare Companies responsible for the delivery of current services understand the implications the new NICE guidance have on their local pathway(s) and that we support them to work with commissioners to implement the necessary changes”.  Venerus added “Equally, we need to ensure that the 35% of CCGs who have yet to commission a repeat readings service understand that the recommendations NICE have made on case finding for primary eye care professionals are separate to a sight test, so there will continue to be an unnecessary high rate of false referrals in their area due to the lack of commissioning.”

LOCSU have also advised that the Glaucoma Repeat Readings and OHT Monitoring pathway is currently being updated to reflect the new NICE guidance and a revised version will be available early in the New Year.

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Dates for the diary

Doncaster & Bassetlaw LOC's AGM

Crown Hotel, High Street, Bawtry, Doncaster DN10 6JW

Annual AGM

2018-03-21 18:00:00 - 2018-03-21 20:30:00

Contact name: Daniel Gilbert

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East Sussex LOC's AGM

CCG Offices, Friars Walk, Lewes

Annual AGM

2018-03-21 19:00:00 - 2018-03-21 21:00:00

Contact name: Jackie Oxley

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Sandwell LOC's AGM

Park Inn, M5 Jct1, Birmingham Rd, West Bromwich, B70 6RS.

Annual AGM

2018-03-22 18:30:00 - 2018-03-22 21:00:00

Contact name: Peter Hampson

Contact email:

Hertfordshire LOC's AGM

Biopark, Room 2, Broadwater Road, Welwyn Garden City, AL7 3AX

Annual AGM

2018-03-26 18:30:00 - 2018-03-26 21:00:00

Contact name: Dawn Doe

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Lancashire & Morecambe Bay LOC (formerly North & West Lancs)

Brockholes Visitor Centre, New Road, Preston, PR5 0AG

Annual AGM

2018-03-28 18:00:00 - 2018-03-28 20:30:00

Contact name: Paul Hutchence

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Surrey LOC's AGM

Ripley Village Hall, High Street, Ripley, Woking , Surrey GU23 6AF

Annual AGM

2018-04-09 19:00:00 - 2018-04-09 21:00:00

Contact name: Sarah Jane Minter

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North Yorkshire LOC's AGM

Crown Hotel, Boroughbridge YO51 9LB

Annual AGM

2018-04-17 18:30:00 - 2018-04-17 21:00:00

Contact name: Sarah Ashworth

Contact email:

Buckinghamshire LOC's AGM

Postgraduate Education Centre, Stoke Mandeville Hospital, Mandeville Rd, Aylesbury HP21 8AL

Annual AGM

2018-04-17 19:00:00 - 2018-04-17 21:30:00

Contact name: Angela McNamee

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Durham LOC's AGM

Ramside Hall Hotel, Durham, DH1 1TD

Annual AGM

2018-05-09 18:15:00 - 2018-05-09 21:00:00

Contact name: Richard Naisbitt

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Kingston, Richmond & Twickenham LOC's AGM

Cole Court, 150 London Road, Twickenham, TW1 1HD

Annual AGM

2018-05-09 19:00:00 - 2018-05-09 21:00:00

Contact name: Anna Buxton

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