Qi0 Common Themes and Learning
Following the submissions of the QiOs and the selection of assurance visits that have taken place following these submissions, NHS England would like to clarify some information around some question/areas which are part of the assurance requirements for ophthalmic services.
North Staffordshire and Stoke on Trent Referral Refinement Event - 24th January 2019
There is a Referral Refinement Event taking place on Thursday 24th January 2019 at Yarnfield Park Training and Conference Centre, Yarnfield, Stone, ST15 0NL commencing at 6.30pm with a buffet, and refreshments will also be provided.
Nominations Invited for Position Vacant on Staffordshire LOC
Following the resignation of longstanding member Mike Cody (CLO and Contractor) from Staffordshire Local Optical Committee, a casual vacancy has arisen on the committee.
Clinical Governance & Performance Leads - Primary Eyecare Services
As part of the merger of Primary Eyecare companies, we are inviting applications for clinical governance and performance leads in Shropshire & Staffordshire covering services in these areas commissioned through the company.
South Staffs Optical Society meeting - 10th October 2018
South Staffs Optical Society held a meeting on 10th October at the Moat House, Acton Trussell. This event was sponsored by Staffordshire LOC.
Appropriateness of Referrals to Cannock Chase Hospital (23/08/2018)
Mel Riley, Group Manager Ophthalmology for RWHT, contacted Staffordshire LOC yesterday to advise that a number of referrals have been sent into Cannock Chase Hospital Eye Department recently which were found not to be suitable for assessment and/or management there.
Choroidal Naevi Referrals to Queens Hospital Burton - Photographs Requested (23/08/2018)
In recent months there has been a surge of referrals of choroidal nevi from the opticians from Burton, Tamworth,Lichfield and some out of the catchment area too. Following a recent audit on the nevi, one recommendation was that the opticians could attach a copy of the photograph of the nevus along with the first new referral to help the triaging of the referral letters appropriately in to the correct clinics and also address capacity issues in the ultrasound clinic.
GOS 1 Returns and Early Re-test Reason Codes (12/07/2018)
A number of you have contacted Staffordshire LOC because you have had a number of GOS claims (particularly GOS 1 forms) returned to you by PCSE recently. Apparently this is happening across the board, and there has been a recent spike in the volume of returns.
Staffordshire LOC on Social Media (12/07/2018)
Staffordshire LOC has now launched its own Facebook and Twitter accounts. These will help to keep practitioners up to date with local and national news and developments, together with Public Health updates for patients.
Seeing Beyond the Eyes Event, 5 September (18/06/2018)
Please find below a link to, Seeing Beyond the Eyes CET event which is going to be held in Wolverhampton on 5th September. The seminar is designed to help optometrists and dispensing opticians to learn more about supporting patients with sight loss, and provides information about specialist services and referral pathways
Opticial Confederation - Guidance on applying for a non-tolerance voucher 06/06/2018
Please click here for the Optical Confederation guidance on applying for a non-tolerance voucher
Optical Confederation on Applying for a Second Pair Voucher - 06/06/2018
Please click here for guidance from the Optical Confederation on Applying for a Second Pair Voucher.
Staffordshire LOC AGM - Tuesday 12th June 2018 - 15/05/2018
Staffordshire LOC will be holding it's AGM on Tuesday 12th June 2018.
General Data Protection Requirements (GDPR) 14/05/2018
Data protection law in the UK will change on 25 May 2018, with the introduction of the General Data Protection Regulation (GDPR). This is the biggest change to data protection legislation since the Data Protection Act (DPA) in the late 1990s, and it will affect everyone in the optical sector.
Data Security and Protection Requirements 2017 - 19 - 28/02/2018
Guidance for implementing the new data security and protection requirements whose target audience are those who provide eye health services, contracting via the NHS Standard Contract.
Casual Vacancy on Staffordshire Local Optical Committee - 25/01/2018
Following the resignation of one of its members, a casual vacancy has arisen on Staffordshire Local Optical Committee. The LOC is keen that this position should be filled by a local performer - i.e. an optometrist who is performing primary ophthalmic services in the Staffordshire area.
MECS Direct Electronic Routine Referrals to Cannock Chase Hospital - 25/01/2018
Whilst the quality and safety of South Staffordshire MECS is increasingly being remarked upon by GPs and commissioners, a number of local GPs have expressed some frustration that routine referrals from MECS are still being made through the GP in most instances, rather than directly to the Eye Department. Whilst this is largely a historical anomaly, one can sympathise with GPs when they grumble that they are performing little more than a clerical service, as they will rarely (if ever) deflect such referrals to the Eye Department if requested to make them by the optometrist.
Phasing out of Optician Practice Screening - 23/01/2018
By now, you should have all received a letter from Helen Jones, Staffordshire DESP Programme Manager, advising you of the gradual phasing out of diabetic eye screening from opticians' practices, to be replaced by NHS screening sites. Many of you have asked the LOC for its view on the matter.
PCSE Update - 23/01/2018
Now that most optical practices have completed and submitted their Quality in Optometry (QiO) GOS Contract Compliance checklists, the NHS England Area Team is meeting on 22 January to plan Post Payment Verification Visits (PPV) to Staffordshire practices
Royal Wolverhampton NHS Trust Ophthalmology Outpatient Clinic - 02/01/2018
Royal Wolverhampton NHS Trust Ophthalmology outpatient clinic, which runs out of County Hospital in Stafford, will be moving bases to Cannock Chase Hospital. This is due to University Hospital of North Midlands (UHNM) serving notice on the rooms that they operated out of.
NICE Glaucoma Guideline (NG81) – Key Points and Actions for Optical Professionals in Staffordshire - 20/12/2017
The revised “NICE Guideline Glaucoma: diagnosis and management” came into effect on 1 November 2017.
GOS 1 Returns and Early Re-test Reason Codes
A number of you have contacted Staffordshire LOC because you have had a number of GOS claims (particularly GOS 1 forms) returned to you by PCSE recently. Apparently this is happening across the board, and there has been a recent spike in the volume of returns.
MECS/GRR OSCEs- 21/06/2017
Staffordshire LOC are running a further set of MECS and GRR OSCEs in July.
Staffordshire LOC AGM - Tuesday 13th June 2017 - 19/05/2017
Staffordshire LOC's AGM and CET event will take place on Tuesday 13th June 2017
NHS Cataract Clinic Rowley Hall Hospital - Temporary Closure - 10/04/2017
Rowley Hall Hospital in Stafford have advised that in recent weeks they have had a huge increase in NHS cataract referrals from Opticians and GPs which has resulted in very limited clinic and theatre capacity.
Notice of MECS Scheme in South Staffordshire - 17/03/2017
As you may be aware, Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) have been in talks with the CCGs from Stafford & Surrounds, Cannock Chase and South East Staffs & Seisdon regarding the commissioning of a Minor Eye Conditions Service (MECS), formally known as PEATS, and recommissioning the service in the case of Stafford & Surrounds and Cannock Chase. I am pleased advise you that we have now received agreement from all 3 CCGs for this service which SASPEC hopes will launch in April for those already on the scheme in Stafford & Surrounds and Cannock Chase practices, and May for practices in the South East Staffordshire & Seisdon areas
Notice of Glaucoma Referral Refinement Scheme - 17/03/2017
As you may be aware, Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) have been in talks with South East Staffs & Seisdon CCG regarding the commissioning of a Glaucoma Referral Refinement scheme. I am pleased to advise you that we have now received agreement for this service which SASPEC hopes will launch in May.
OSCEs - GRR & PEATS - 23/01/2017
Staffordshire LOC are holding both a GRR and MECS/PEARS OSCEs event on Monday 13th March. This event is for Optometrists practicing in the Staffordshire area, who would like to gain accreditation to either Glaucoma Referral Refinement or PEARS/MECS schemes (or both).
Expressions of Interest for North Staffs & Stoke Eyecare Services Re-launch - 16/01/2017
Primary Eyecare Shropshire & Staffordshire Ltd (SASPEC) - the LOC Company, has been in discussions with North Staffordshire & Stoke on Trent CCGs with the aim of re-launching the current shared care pathways using the LOCSU company model.
We are pleased to confirm that the CCG have agreed our proposal to re-commission these pathways with a managed service provided by SASPEC. This means that SASPEC will deal with the running and management of the service and individual practices will sub-contract to SASPEC rather than the CCG.
Continuing Community Services Under SASPEC Company Model - 16/01/2017
As you will be aware we have now had formal agreement from the North Staffordshire & Stoke on Trent CCGs, to re-commission the following pathways under the Company Model (SASPEC):
•Acute Eye Services
•Pre & Post Operative Cataract Services
•Paediatric Shared Care
Notice of PEARS/MECS and GRR OSCEs - 15/01/2017
Staffordshire LOC are holding both a GRR and MECS/PEARS OSCEs event on Monday 13th March. This event is for Optometrists practising in the Staffordshire area, who would like to gain accreditation to either Glaucoma Referral Refinement or PEARS/MECS schemes (or both).
LOC Office - Christmas Opening Hours - 20/12/2016
The LOC Office will close on Tuesday 20th December and will re-open on Tuesday 3rd January 2017.
We would like to wish you all a Merry Christmas and a Happy New Year.
Queens Hospital Direct Cataract (DAC) Referrals - Faxed Referrals No Longer Accepted - Update 19/12/2016
Queens hospital will now allow Direct Access Cataract referrals to be faxed to their Treatment Centre, if the practice does not have a NHS.net email address, however, it is their intention that should this machine stop working then it will not be replaced. With this in mind Staffordshire LOC would recommend that all practices who refer into Queens Hospital complete the IG Toolkit which can be reached via the following link https://www.igt.hscic.gov.uk/
The fax number to be used with immediate effect is 01283 536760
Notice of MECS & GRR OSCEs - 01/12/2016
Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) will shortly be running 2 OSCE events
Medical Retina Teaching Evening - 8th November 2016- 08/11/2016
A Medical Retina Teaching Evening was held at North Staffs Medical Institute on Tuesday 8th November.
PCSE Optician Update October 2016 - 20/10/2016
Please see below the recent update from Primary Care Support England
Medical Retina Teaching Evening 04/10/2016
University Hospital of North Midlands have joined forces with the diabetic team to arrange a medical retina teaching evening on:
Tuesday 8th November at North Staffs Medical Institute.
6.00pm for a 6.30pm start. Food will be provided.
National Eye Health Week - 19th - 25th September 2016 - 14/09/2016
National Eye Health Week is from 19th - 25th September 2016
North Staffs & Stoke on Trent CCG Office Move - 13/09/2016
As of 12th September 2016, North Staffordshire & Stoke on Trent Clinical Commissioning Groups will be located at the following address:
Smithfield 1 Building
Leonard Coates Way
Stoke on Trent
Brian Hillman -update- 12/07/2016
Staffordshire LOC are very sorry to hear of the passing of Brian Hillman a North Staffordshire optometrist who has recently passed away.
Our thoughts are with his family at this time.
CET Grant Forms- 06/07/2016
Please note that CET (Continuing Education and Training) Claim forms should be sent directly to Ophthalmic Payments via the email firstname.lastname@example.org
Post Operative Cataract Pathway- 30/06/2016
SASPEC have been in talks with Stafford & Surrounds, Cannock Chase, East Staffordshire and South East Staffordshire CCGs who have expressed a desire, subject to clarifying the final details, for a post operative cataract pathway in their areas.
PEATS/MECS & GRR OSCEs- 27/06/2016
Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) will shortly be running a LOCSU MECS/PEARS Part B (OSCEs) and a GRR OSCEs assessment. The event will take place on Thursday, 14th July, at Prince & Bates Opticians, 193 Station Road, Burton on Trent, DE14 1BH with the first round of assessments taking place from 6pm.
Invitation to a CET event at Optegra Eye Hospital on 22nd July- 21/06/2016
Contemporary Advances in Cataract and Refractive surgery
Followed by an optional tour of the Optegra Eye hospital facilities
PEATS/GRR CET Event - Monday 16th May- 17/05/2016
The presentations from the PEATS/GRR CET event which was held at the Stafford Postgraduate centre, on Monday 16th May are now available to view on the Professional page of the Staffordshire LOC website.
Staffordshire LOC AGM - Tuesday 14th June 2016- 17/05/2016
The Staffordshire LOC AGM will be held on Tuesday 14th June 2016 at Yarnfield Park Training & Conference Centre in Yarnfield, Stone, Staffordshire 6.30pm for 6.45pm start.
PEATS in the News!- 17/05/2016
Here is a link to a report in the Staffordshire Newsletter of outstanding and prompt eye care given to a patient by the Stafford and Cannock PEATS scheme.
Stafford & Cannock PEATS and GRR CET Event - 20/04/2016
Staffordshire LOC has organised a PEATS (Primary Eye care Assessment & Treatment Service) and GRR (Glaucoma Referral Refinement) CET event for Monday 16 May, taking place in the Stafford Postgraduate Medical Centre. Although it is intended ostensibly for the benefit of optometrists actively participating in the Stafford & Cannock PEATS and GRR services, it will also be of relevance to any optometrists in South Staffordshire who are not yet accredited, but who might be interested in signing up to the services in the near future.
New NHS Voucher Values- 19/04/2016
To view the NHS general ophthalmic fees and optical voucher values for financial year 2016 to 2017, please use the following link:
New Cataract Referral Criteria for South Staffordshire- 19/04/2016
Staffordshire LOC has just been informed by the commissioning manager for East Staffordshire CCG that the criteria for Cataract procedures have changed, with effect from 1st April 2016
Diabetic Eye Screening Practices and Information Governance Compliance - 16/04/2016
You will no doubt recall the email sent from Staffordshire LOC to all diabetic eye screening practices on 8 March, which advised all diabetic eye screening practices not to complete the Information Governance (IG) Toolkit until further clarification had been received.
Diabetic Screening Practices and Information Governance Compliance- 15/04/2016
You will recall an email from Helen Jones sent to the Alert Centre on Optomize on 15 February, advising of the need for all optical practices participating in the Staffordshire diabetic eye screening programme to complete an Information Governance assessment, via the on-line IG Toolkit Version 13 (2015-16).
Possible Payment Identification Issues- 09/03/2016
The NHS payments service delivered by Primary Care Support England from Preston may start delivering payments without itemisation
Amendments to Stafford & Cannock PEATS and GRR Guidance for Accredited Optometrists- 09/02/2016
The following amendments to Stafford & Cannock PEATS and GRR Guidance have been agreed between the service commissioners and Primary Eyecare (Shropshire & Staffordshire) Ltd / SASPEC, following a services review meeting of 22 December 2015. You will also find a couple of reminders about existing guidance.
Information about referrals to University Hospitals of North Midlands **UPDATE** - 21/01/2016
It has come to light that University Hospitals of North Midlands has unilaterally changed its ‘referral in’ policy. This has resulted in a number of referrals not being accepted and ‘bounced back’ to the original referrer.
Referral into PEATS from 111- 12/01/2016
At a services review meeting with Stafford and Cannock CCGs on 22 December, an appraisal of the Primary Eyecare Assessment and Treatment Service (PEATS) demonstrated high levels of clinical excellence, cost savings and patient satisfaction. Hence, the CCGs are keen to increase the service’s activity, and it was agreed that Stafford and Cannock PEATS would accept referrals from the 111 service.
CET Grant Forms 2015- 25/11/2015
The 2015 CET grant forms are now available to download.
Oral Supplements for Macular Degeneration- 29/05/2015
Staffordshire LOC has been contacted by the South Staffordshire CCGs, with a request to circulate the following information to our fellow optometrists and dispensing opticians.
GRR Reminder to all Stafford and Cannock Optoms- 23/09/2015
On 20th July 2015, the Stafford & Cannock Glaucoma Referral Refinement (GRR) pathway was launched for community Optometry. The primary motivations behind this scheme are the NICE guidelines (2009) and subsequent need to keep false positive cases of raised IOP from reaching secondary care setting
LOC Office- 26/08/2015
Please note that the LOC Office will be closed from 2.45pm on Thursday 27th August 2015 until 8.15am on Tuesday 7th September 2015.
Direct Access Cataract Training- 25/08/2015
We are running another Direct Access Cataract training session on Monday 28th September 2015 at 6.30pm at Stafford Business Village in Stafford
North Staffs/Stoke Acute Pathway - Change to Accreditation Requirements- 12/08/2015
Following discussions with Stoke and North Staffordshire CCGs, SASPEC is pleased to announce that the requirements for training and accreditation to the North Staffs / Stoke Acute pathway (soon to be renamed North Staffs / Stoke Primary Eyecare Assessment & Treatment Service [PEATS]) have been made significantly more straightforward.
LOC Office- 16/07/2015
Please note that the LOC Office will be closed from 2.45pm on 16th July 2015 until 8.15am on 27th July 2015.
Ordering GOS Forms- 17/06/2015
As you will be aware Primary Care Support Services have now relocated.
There is a new process for ordering GOS forms.
Stafford and Cannock PEATS - Invitation to Border Practices- 11/06/2015
There may be a last minute opportunity for Staffordshire practices outside (but bordering) Stafford & Surrounds and Cannock Chase CCG areas to participate in the Stafford and Cannock Primary Eyecare Assessment & Treatment Service (PEATS), scheduled for launch on 1 July 2015.
Staffordshire LOC AGM - Tuesday 16th June- 18/05/2015
The Staffordshire LOC AGM will be held on Tuesday 16th June at the Stone House Hotel in Stone
Relocation of Primary Care Support Services- 14/05/2015
You will have received a leaflet from the West Midlands Primary Care Support Office.
Stafford & Cannock PEARS OSCEs- 01/05/2015
Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) will be running a LOCSU MECS/PEARS Part B (OSCEs) assessment in Stafford on Sunday 7 June.
PEATS Clinical Triage- 30/04/2015
Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) is seeking a team of experienced optometrists to provide clinical triage for referrals into the Stafford & Cannock Primary Eyecare Assessment & Treatment Service (PEATS)
GOS Claims- 23/04/2015
The LOC have been informed by the current financial services of NHS England that Staffordshire practitioners will soon have to submit their GOS claims ( ie. completed GOS1, GOS 3, etc forms ) directly to LASCA in Preston in order to claim the NHS fees.
Stafford and Cannock Primary Eyecare Assessment and Treatment (PEATS) Service - 30/03/2015
As many of you know, Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC) presented a bid for a Primary Eyecare Assessment and Treatment Service (PEATS) pilot on 13 January, in response to notice of a tender for the service by Stafford & Surrounds (SAS) and Cannock Chase (CC) CCGs. I’m pleased to advise you that SAS PEC has been confirmed as the preferred provider for the pilot, which is scheduled to run for 18 months, and which the company hopes to launch in the early summer.
Primary Eyecare (Shrops & Staffs Ltd): Finance Lead Required- 26/03/2015
Primary Eyecare (Shropshire & Staffordshire) Ltd (SAS PEC), having appointed a Board of Directors and Clinical Governance & Performance Leads for all Staffordshire community eyecare services, is now in a position to appoint a Finance Lead
Managing Non-Tolerance Issues- 23/03/2015
Report from the Optical Confederation on Managing Non-Tolerance Issues
Tender for the Renewal of a Contract for Supply and Fitting of Low Visual Aids and Contact Lenses- 26/02/2015
We have received an email from Stephen Boulton Contracts Manager working in the Supplies and Procurement Department for the University Hospitals of North Midlands NHS Trust giving the opportunity to tender for work for the supply and fitting of Low Visual Aids and Contact Lenses
Direct Access Cataract Training - 3rd March 2015
Staffordshire LOC is holding another Direct Access Cataract Training session.
National Performers List Website- 14/01/2015
You were emailed towards the end of last year regarding the closure of the National Performers List.
Glaucoma Referral Refinement Pathway Launch Evening- 06/01/2015
The launch meeting for the recommissioned and expanded Stafford & Surrounds and Cannock Chase Glaucoma Referral Refinement (GRR) pathway will take place on the evening of Thursday 5th February at 6pm at the Stafford Postgraduate Medical Centre.
LOC Office- 18/12/2015
The LOC Office will be closed from 2.45pm on Thursday 18th December until Monday 5th January.
Closure of National Performers List Website- 20/11/2014
We have been advised that the National Performers List website www.performer.england.nhs.uk will be closing on the 31st December 2014.
Glaucoma OSCEs and Taster Events- 20/11/2014
On 11th December 2014, WOPEC will be running a LOCSU Glaucoma OSCEs assessment for optometrists based in Stafford & Surrounds and Cannock Chase CCG areas at Specsavers Opticians in Stafford.
Increase in Direct Access Cataract Waiting Times at Rowley Hall Hospital- 05/11/2014
Staffordshire LOC has recently been contacted by Mel Savage, Head of Commissioning at Stafford & Surrounds (SAS) and Cannock Chase (CC) CCGs. Mel informs us that Rowley Hall hospital is currently struggling with the demand for cataract procedures, and she is concerned about the waiting times patients are now experiencing.
Talk on Keratoconus- 08/10/2014
Anupama Pherwani - Consultant Ophthalmologist at UHNS is giving a talk on Keratoconus on Wednesday 12th November 2014.
Community Eye Care Pathways for Stafford and Cannock- 26/09/2014
Staffordshire LOC is currently involved in discussions with Stafford and Cannock CCGs, and other local eye health stakeholders, about the commissioning of Glaucoma, Paediatrics and PEARS community eye care services.
Direct Access Cataract Training - 23/09/2014
Staffordshire LOC is holding a Direct Access Cataract Training session on 6th November 2014.
Staffordshire LOC Fax Number Change- 22/09/2014
Please note the Staffordshire LOC Office has a new fax number.
Fit For The Future Community Eye Care Pathways: New COSIs Required- 28/08/2014
The success of the North Staffs/Stoke Fit for the Future community pathways has been such that the increased level of activity requires further suitably trained and accredited community optometrists to sign up. Staffordshire LOC is looking for expressions of interest in the Acute (PEARS), Glaucoma Test B (OHT and suspect COAG co-management), Post-op Cataract and Paediatrics pathways.
Glaucoma Referral Refinement Expansion- 26/08/2014
The Staffordshire Primary Eye care Services Company is always looking to expand Glaucoma Referral Refinement (GRR) Test A and B providers in North Staffs and Stoke.
2014 CET grant claim forms - Claiming your funding- 12/08/2014
The increase in the CET grant has been agreed for 2013. The payment, which is payable in 2014 for CET undertaken in 2013, has risen by 2.5% to £529
Staffordshire LOC Office Move- 22/07/2014
Notification of the change of address for the Staffordshire LOC Office
Staffordshire LOC Annual General Meeting 2014- 19/06/2014
The Staffordshire Local Optical Committee held its Annual General Meeting on Tuesday 10th June 2014 at the Stone House Hotel in Stone with over 60 optometrists and dispensing opticians attending
Area Team's Conclusions Re: Assurance of GOS Contracts- 12/06/2014
Jeanette Sims has written to all GOS contractors with reference to their QiO self-assessment forms and action plans.
LOC Company and Clinical Leads- 12/06/2014
Staffordshire and Shropshire LOCs are working together towards the formation of an LOC Company. Clinical leads will be required for all community pathways. All applicants welcome!
LOC Election - 04/06/2014
There are currently positions vacant on Staffordshire LOC for a dispensing optician, a community optometrist and a hospital optometrist.
Staffordshire Local Optical Committee AGM - 03/06/2014
The Staffordshire LOC AGM is being held on Tuesday 10th June 2014 at the Stone House Hotel in Stone
Branch Retinal Vein Occlusion Talk - 27/05/2014
A Branch Retinal Vein Occlusion talk is to be held on Wednesday 4th June 2014 at the North Staffs Medical Institute
Free NHSmail accounts for all optometrists/dispensing opticians in Staffordshire - 26/05/2014
The Eye Health LPN is initiating a programme to provide all optometrists/dispensing opticians with free NHSmail accounts in Shropshire and Staffordshire. Those of you who want an NHS mail account need to complete and return a form to Shelley Stubbs via the LOC office by Friday 6th June.
Staffordshire Enhanced Services Event - 10/02/2014
Staffordshire LOC held an Enhanced Services Event at the North Staffs Medical Institute in Hartshill on Tuesday 4th March where over 40 optometrists attended.
Staffordshire Direct Access Cataract Referral Training - 03/03/2014
Mark McCracken led a training event on Tuesday 25th February on behalf of Staffordshire LOC for optometrists who wished to be accredited to the Direct Access Cataract (DAC) referral pathways in North and South Staffordshire.