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Glaucoma and Ocular Hypertension

Guidance Description
Glaucoma Commissioning Guide (Recommendations) – 2017

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Developed using NICE accredited processes the College has worked with stakeholders to produce guidance for commissioning adult-onset glaucoma and adults who are at risk of developing glaucoma. The full document can be accessed here: Glaucoma Commissioning Guide Long.
SAFE – Glaucoma – 2017 Developed by the Clinical Council for Eye Health Commissioning (CCEHC), SAFE (Systems and Assurance Framework for Eye health) provides the tools to help commissioners in developing a more strategic and consistent approach to planning and delivering services.

This SAFE documents focuses on Glaucoma services.

NICE Glaucoma in Adults (Quality standard) – 2017 This quality standard covers care for people with suspected or diagnosed chronic open angle glaucoma (COAG) or with ocular hypertension (OHT). It includes diagnosis, monitoring and treatment. It describes high-quality care in priority areas for improvement.”
NICE Clinical Guidelines on Glaucoma – 2017 This guideline covers diagnosing and managing glaucoma in people aged 18 and over. It includes recommendations on testing and referral (case-finding) for chronic open angle glaucoma and ocular hypertension, and on effective diagnosis, treatment and reassessment to stop these conditions progressing.”
Standards for Virtual Clinics in Glaucoma Care in the NHS Hospital Eye Service – 2016 There is emerging evidence of the increasing popularity of virtual clinics within secondary care in glaucoma specialties to help deal with increased patient numbers. This document defines the standards expected of these clinics so that the quality of patient care within the NHS setting is maintained.
New to follow up (N:F) ratios in ophthalmology outpatient services – 2011 The care of patients with glaucoma has come under great pressure in some areas as hospitals struggle to meet outpatient new-to-follow-up (NTF) ratio targets set by commissioners. This has in some instances led to repeated postponement of “non-urgent” glaucoma follow-up appointments and there have been cases documented where this has resulted in avoidable loss of vision.  A College document on New to follow up ratios in ophthalmology outpatient services for long term eye conditions provides an indicative model of the NTF ratio which should be expected in a typical glaucoma service.

Related links:

Hospital Eye Service Data on Glaucoma

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