Integrated Cataract

This service provides an end-to-end care pathway for people presenting with a cataract at sight test who are keen to be considered for surgery.

Delivered in primary care optical practice, the pathway allows for the filtering of referrals to help ensure patients referred for surgery are suitable for surgery and want to proceed with surgery. The vast majority of patients will have uncomplicated surgery and, so, will be eligible to have their post-operative assessment in primary care, usually provided by their referring clinician.

LOCSU has developed a comprehensive Clinical Service Pathways Framework incorporating an Integrated Cataract Pathway.

LOCs can access the framework diagrams, guidelines and support documents by logging in to the members area found at the bottom of the page.

NHS Commissioners can access these documents by contacting their Local Optical Committee.

LOCSU’s Clinical Service Pathways Framework reflects the approach detailed in the Systems and Assurance Framework for Eye Health (SAFE) published in 2018 by the Clinical Council for the Commissioning of Eye Health. Download the SAFE Cataract document.

SAFE provides the basis for commissioners, provider organisations and clinicians to adopt a high-level, strategic, systems-based approach for the planning, provision and commissioning of eye health and care services, covering whole pathways and operating across traditional service footprints.

Commmissioning Guidance – Clinical Council for Eye Health Commissioning/Royal College of Ophthalmologists. This fits with the NICE accredited commissioning guidelines – RCOphth Cataract Commissioning Guide (2018)

LOCSU resources meet the requirements for referral and low risk review/monitoring as outlined in System and Assurance Framework for Eye-health (SAFE) – Cataract (2018). They also align to clinical guidelines NICE Cataract – NG 77 (2017) and the relevant recommendations (all priorities) identified within SAFE – implementation of NICE guidance.


Contact and register with WOPEC (Wales Optometry Postgraduate Education Centre).

More in this section

Services Directory

LOCSU’s directory of local eye care services as commissioned by CCGs in England and delivered by community optometrists and opticians.

NHS Commissioning