Case Studies (Service Impact)
Welcome to our Case Studies page, a collection of case studies that showcase our ongoing commitment to providing enhanced eye care across England.
Case Study: Glaucoma Monitoring
This case study showcases the impact of Primary Eyecare Services’ community-based Glaucoma Monitoring Service, developed to address growing demand and capacity challenges in hospital eye services. By shifting the management of low-risk patients into community optometry, the service improves access to timely care, supports early detection and prevention, and reduces pressure on secondary care. It demonstrates how integrated, digitally enabled pathways can deliver safe, effective and patient-centred glaucoma care closer to home.
Case Study: Eye Care Navigation Service
This case study highlights the impact of the Eye Care Navigation Service (ECNS), Primary Eyecare Services’ single point of access for ophthalmology referrals. By providing consistent clinical triage and directing patients to the most appropriate service first time, the model improves referral quality, supports patient choice and reduces pressure on Hospital Eye Services. Delivered at scale and embedded within local systems, the service demonstrates how coordinated, digitally enabled pathways can streamline access to care and improve outcomes for patients, clinicians and commissioners.
Case Study: Community Urgent Eyecare Services
This case study highlights the impact of the Community Urgent Eye Care Service (CUES), an NHS initiative delivered by Primary Eyecare Services to provide timely, accessible care for patients with urgent eye conditions closer to home. By enabling patients to be assessed and managed within community optometry settings, the service reduces pressure on A&E, GP and hospital eye services while improving access and patient outcomes. It demonstrates how locally delivered, neighbourhood-based care can support system efficiency, tackle health inequalities and deliver high-quality urgent eye care at scale.
Case Study: Children’s Service
This case study highlights the impact of the Post Vision Screening (PVS) Service delivered by Primary Eyecare Services, a key component of children’s eye care pathways. The service provides enhanced community-based eye examinations for children identified through school vision screening, ensuring timely diagnosis and treatment closer to home. By reducing unnecessary hospital referrals and improving access to care, the PVS Service supports better clinical outcomes while helping children achieve their full potential through improved vision and learning.
Case Study: Reimagining Macular Referrals (Bristol)
Bristol Eye Hospital’s Enhanced Macular Referral Service is revolutionising macular care. This innovative pathway enables community optometrists to securely share OCT scans and clinical details with hospital specialists for rapid remote assessment. By reducing unnecessary hospital visits and streamlining referrals for conditions like wet age-related macular degeneration (AMD), patients receive faster treatment while GPs save time.
