Glaucoma Referral Filtering and Monitoring

NICE’s updated guideline on glaucoma made recommendations relating to referral.  The introduction of referral filtering measures following a sight test leads to fewer people being referred for specialist investigation and a greater number being managed within primary care.

LOCSU has produced an integrated service pathway which aims to identify patients with ocular hypertension and suspected COAG and manage them in primary care, only referring those who require specialist investigation. The pathway supports integration, helping to ensure a whole system solution for patients with glaucoma, or glaucoma-related conditions, helping to address capacity pressures within the overburdened hospital glaucoma clinics.

LOCSU has developed a comprehensive Clinical Service Pathways Framework incorporating Glaucoma Referral Filtering and Monitoring.

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 Glaucoma 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.

LOCSU resources meet the requirements for presentation/referral and low risk monitoring as outlined in System and Assurance Framework for Eye-health (SAFE) – Glaucoma (2018). Aligns to clinical guidelines NICE Glaucoma guidance – NG 81 (2017).


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