7 Further Information

7 Further Information

Table 4 summarises national drivers that are relevant to commissioning services for people at risk of developing glaucoma. Local service redesign may address only one or two of them.

Table 4 National policy relevant to glaucoma





Public health outcomes framework for England, 2013–2016

Department of Health


Includes indicator for 'preventable sight loss' under domain 4 – healthcare public health and preventing premature mortality.

NHS outcomes framework for 2012/13

Department of Health


Includes domains on enhancing quality of life for people with long-term conditions, and ensuring that patients have a positive experience of care.

Using the Commissioning for Quality and Innovation (CQUIN) payment framework – a summary guide

Department of Health


Makes a proportion of providers' income conditional on quality and innovation.

Guidance on the referral of glaucoma suspects by community optometrists

The College of Optometrists and The Royal College of Ophthalmologists


Guidance on referral of people with suspected glaucoma by community-based practitioners.

Primary care and community services: Improving eye health services

Department of Health


Commissioning guidance for primary care and community eye health services.

Rapid response report. Preventing delay to follow up for patients with glaucoma

National Patient Safety Agency


Requests that organisations review their systems and processes for the identification and management of glaucoma, in line with NICE guidance, to prevent avoidable sight loss.

UK Vision Strategy: Setting the direction for eye health and sight loss services

Led by the Royal National Institute of Blind People


Sets out vision for eliminating avoidable sight loss.

Commissioning toolkit for community based eye care services

Department of Health


Provides commissioners with practical advice on commissioning community-based eye care services, drawing on evidence from pilot pathways including for glaucoma services.

Useful sources of information for developing a service specification may include:

Sources of further information to help you in assessing local health needs and reducing health inequalities include:

  • NHS Evidence provides free access to clinical and non-clinical information – local, regional, national and international. Includes a QIPP library with case studies

  • NHS IC Indicator Portal website gathers together a number of health and social care indicators

  • NHS Comparators provides comparator data for NHS commissioning and provider organisations to enable users to investigate aspects of local activity, costs and outcomes

  • PRIMIS+ provides support to general practices on information management, recording for, and analysis of, data quality, plus a comparative analysis service focused on key clinical topics

  • SHAPE (Strategic health asset planning and evaluation) application provides support to strategic health authorities and primary care trusts on strategic planning across a whole health economy.

  • NICE has accredited the process used by NICE to produce guides for commissioners. Accreditation is valid for 5 years from November 2011 and applies to guides produced since November 2008 using the processes described in 'Process manual for developing guides from NICE for commissioners: Information for internal NICE teams' (2011). More information on accreditation can be viewed at www.nice.org.uk/accreditation