Glaucoma information & Local Protocol

The Manchester Glaucoma Referral Refinement Service (GRRS)

What is the GRRS service?

This is a primary care optometry service for patients who are suspected, by their GP or Optometrist, of developing non-acute glaucoma.
It is provided by accredited optometrists with specialist knowledge and skills at a local practice close to the patients home or place of work.

Who is eligible for the GRRS service?

All patients registered with a Manchester GP who present at an optometrist or GP with any suspect signs of glaucoma or elevated intraocular pressure (IOP).

How do patients access the GRRS service?

Patients may be referred into the service from:

A non-accredited optometrist
A Manchester GP

What happens when I see the optometrist?

The optometrist will discuss the patients eye history, symptoms, risk factors and any related medical history.

Patients should take their spectacles and a list of current medications to the appointment.

The optometrist will detect the presence or suspicion of glaucoma using specific tests relevant to the signs/symptoms.

The patient will be found:

- to not to have glaucoma, nor be at risk of developing glaucoma in the foreseeable future and be discharged back the care of their optometrist,

- or to have a diagnosis or suspicion of glaucoma and will be referred to the Eye Hospital (MREH) for further assessment

The GRRS optometrist will notify the patients GP and referring optometrist about the outcome of the
consultation in order to ensure that medical records are updated.

A sight test will not be performed as part of the assessment and a prescription for glasses will not be issued. However, where a referral originates with a GP it may be necessary to carry out a sight test first. The GRRS optometrist will be able to give advice. Any patient that you suspect has glaucoma or raised pressures ( taking into account the advice regarding age and pressures) should be referred to an accredited Optometrist for further assessment.

Referral Refinement Practices

Practice Name	Address		City	Post Code	Tel	Optometrist
Arrowsmith Opticians	672 Rochdale Road	Harpurhey	Manchester	M9 5TT	205 2575	Joe Arrowsmith Cara Burns Rebecca Reitdyke
Gent Bros Opticians	325 Hollinwood Avenue	New Moston	Manchester	M40 0JA	681 1348	Ian Creek
Glasses 4 Less	380 Dickinson Road	Longsight	Manchester	M13 0WQ	256 2266	Robert Glass
Jennings Opticians Ltd	Unit 7 Hale Top Civic Centre	Wythenshawe	Manchester	M22 5RN	437 3042	Kishor Patel Roachan Patel Alan Delaney
Leeming Opticians	1a School Lane	Didsbury	Manchester	M20 6RD	445 5307	Michael Leeming
Murray and Haggerty	238 Fog Lane	Didsbury	Manchester	M20 6EL	434 4597	Clare Haggerty
Optical Express	31 Nth City Shopping Centre	Harpurhey	Manchester	M9 4DH	205 6925	Linda Crossley
Optieye Care	646 Hyde Road	Gorton	Manchester	M18 7EE	223 2001	Mr S Chaudhary
Selby and Glover	167 Chapman Street		Manchester	M18 8LY	223 0694	Jill Dearden
Specsavers Fallowfield	114 Mauldeth Road	Fallowfield	Manchester	M14 6SQ	434 2755	Paul Showman
The Eye Site Opticians	58 Bury Old Road	Cheetham Hill	Manchester	M8 5BN	795 2341	David Goldberg
Optometry Clinics	Carys Bannister Building Dover Street		Manchester	M13 9PT	306 3860	Catherine Porter
Framed Opticians	1-3 St Ann's Passage King Street	City Centre	Manchester	M2 6AB	839 6753	Richard Peck
Wheeldon Opticians	106 Palatine Road	West Didsbury	Manchester	M20 3YB	445 4253	David Wheeldon

ENHANCED GLAUCOMA REFERRAL SCHEME (GERS)

This is a reminder to all Manchester Optometrists that they must refer directly into this scheme and not to a GP.

A list of accredited GERS Optometrists can be found at the bottom of this page.

Also please remember this is a Manchester CCG scheme only and is based on the patient having a Manchester GP.

Any Optometrist outside the Manchester CCG should refer into the scheme if the patient has a Manchester GP.

Please ensure that ALL locums are aware of the referral pathways in Manchester.