Warrington Enhanced Services

NHS Warrington launched a Glaucoma  Referral  Refinement  programme at the LOC EGM on 5th September 2011. All local contractors can apply to the PCT  participate in  the services.

The programme currently includes  2 elements:

1.   Glaucoma LOCSU 1a Referral Refinement:

Where the IOP is found to be over 21mmHg the measurment can be repeated  using Goldmann or Perkins  Applanation Tonometer. If the IOP remains over 21mmHg, the patient is referred direct the the HES via the standard local form. There are referral exceptions related to the Joint Collegss advice.

2.  Glaucoma LOCSU 1b Referral Refinement:

If a field defect is detected after a sight test, the field is repeated. If the second field further raises suspicion of glaucoma the patient is referred direct to the HES using the standard  glaucoma referrral form.

Each part of the scheme will be audited by a local audit form, which wil be sent after the end of each month to the PCT:

Via Email to David Knowles the Optometric Adviser


Or post to:

Kerry Davis

Commissioning Manager

NHS Warrington

Millennium House

930-932, Birchwood Boulevard



Required Documents

Practices and optometrists participating in the programme can download the following documents from this page.

  • Scheme Protocol
  • Visual Field Advice
  • Audit Form (Excel file)
  • Audit Form (PDF Format)
  • Referral Form (PDF Format)
  • Referral Form (Electronic Format)
  • Claim Form 1A
  • Claim Form 1B
  • Warrington IOP Flowchart
  • Launch Lecture from NHS Warrington Optometric Adviser David Knowles
  • Launch Lecture from LOC chairman, Bob Wilkes