Community Eyecare at Staffordshire Local Optical Committee

Community Eyecare



South Staffordshire GRR Service

Please click on the link below to access the guidelines to the South Staffordshire GRR pathway. 

Guidance for Accredited Optometrists

Guidance for Optometrists


For details of GRR Participating Practices please click here.


South Staffordshire MECS Ophthalmology Referral Routes

For details of the South Staffordshire MECS Ophthalmology routes, please click here


South Staffordshire MECS Service

Please click here to view the guidance document for the MECS scheme 

 For a list of MECS Participating Practices please click here.


North Staffordshire MECS Service

Please click here to view the guidance document for the MECS scheme.


Post Operative Cataract Service for Patients Seen at Rowley Hall Hospital

Guidance for Optometrists

Presentation from Launch Event


Presentations from PEATS/GRR CET Event on 16th May 2016 


GRR Review 2016

PEATS Review 2016

Lynval Jones Presentation

Bal Manoj Presentation 1

Bal Manoj Presentation 2


Presentation from South Staffs MECS Launch Event - May 2017



Mark McCracken presentation


Presentations from North Staffs Extended Eyecare Services Launch Event - March 2019

MECS Guidance for Optometrists






Minor Eyes Condition Service (MECS) Training and Accreditation

There are two parts to the training and accreditation of Optometrists and Contact Lens Opticians (CLO’s) for the MECS pathway in Staffordshire. Both Optometrists and CLOs are required to undergo the same training.

The training and accreditation for MECS is overseen by the Wales Optometry Postgraduate Education Centre (WOPEC), and delivered locally by lead assessors from Staffordshire LOC.  Upon its completion, the successful practitioner is awarded the national LOCSU MECS certificate of accreditation. The first two parts are based on the course used to train optometrists who provide MECS in Wales.   Part 1 must be completed before Part 2 can be started.  A foreign body removal training workshop is provided at the same time as the Part 2 assessment.    

1)      MECS Part 1: Distance Learning Lectures

Practitioners need to complete a course of theoretical training:

  • Lectures and MCQs provided online
  • 7 CET points in total
  • An individualised certificate (in PDF format)

 Lectures include:

  • The cornea and corneal foreign bodies
  • Sudden loss of vision
  • Red eye
  • Flashes and floaters
  • Dry eye
  • AMD overview, signs and optometric investigation
  • AMD current treatments and optometric management

2)      MECS Part 2: Practical Station Assessments

WOPEC has previously worked together with Staffordshire LOC to organise practical assessments for Optometrists consisting of five 5 minute objective structured clinical examination (OSCE) stations, held under invigilated conditions. ABDO is working with WOPEC to provide practical assessments for CLO’s. 

These are designed to assess optometrists’ skill and knowledge in the areas of referral, communication, clinical decision making and interpretation of results.  These have previously been staged in ophthalmology outpatient departments or from larger opticians’ practices

Examples of typical OSCE stations:

·         Station 1              Volk BIO

Practitioners are required to demonstrate their ability to do indirect ophthalmoscopy. A model eye will be mounted on a slit- lamp; within the model eye there are words which practitioners must transcribe correctly.

·         Station 2              Structured Viva

Practitioners are required to interpret a variety of clinical data- this may include pictures, results of clinical examinations, clinical signs, or a video of a history and symptoms.

·         Station 3              Patient interaction

An actor plays the part of the patient. Practitioners are observed interacting with the patient. They may be required to:

  • Explain a diagnosis, investigation or treatment 
  • Decide on appropriate management with a patient
  • Break bad news
  • Explain a diagnosis
  • Involve the patient in the decision-making 
  • Deal with an anxious patient
  • Give advice on lifestyle, health promotion or risk factors

.          Station 4              Structured Viva

A repetition of station 2 above

.          Station 5              Referral

Practitioners are required to interpret a variety of clinical data- this may include pictures, results of clinical examinations or clinical signs. Based on the data, they may be required to write a short report or a referral letter. Alternatively, they may be required to request an emergency referral. In this scenario the assessor acts as a casualty doctor on the other end of the phone.


Paediatrics Pathway: Training, Accreditation And Equipment

• All children are screened by orthoptist when in reception year
• Those with reduced vision in absence of squint or obvious pathology are referred to a COSI
• Patient then followed up by the orthoptist

COSI Procedure:

• Cycloplegic refraction, kid’s trial frame
• Media and fundus check: head set BIO (22 or 20D lens)



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