CUES in Wolverhampton

Introduction to CUES

COVID -19 Urgent Eyecare Service (CUES service) delivered by Primary Eye Care Service launched in the West Midlands on Friday 24th July. MECS is now suspended - any episodes completed on Optomanager will NOT be paid    

Patients with urgent ocular symptoms, such as a red eye, painful eye, flashes and floaters, foreign body etc. can be signposted to CUES at a local participating optical practice.    

The Service will provide initial contact, telephone triage, remote consultations and where necessa ry face to face  assessments  providing management of recent onset  symptomatic  or  urgent ocular presentations.      

The purpose of the remote consultation (ideally within 2 hours of patient contacting the service) is for the optometrist to conduct a clinical triage and obtain history and symptoms, this will reduce the amount of time spent face to face with the patient.

Patients will be seen according to the urgency of their symptoms, within 24 hours or 48 hours for less serious symptoms   


We would appreciate it if all practices could display a CUES wall poster on their door to help signpost patients to the service. If your practice is currently closed, it would be much appreciated if something could be added to your answerphone message, directing patients to CUES. 


Guidance is available on the PES website. Opera We appreciate that the introduction of a new IT system, and new way of working clinically can be difficult and we want to offer as much support as possible.  


Help with Opera:

Any technical issues, please contact Opera via the speech bubble in the bottom right hand corner of the Opera screen Clinical Process For every CUES contact, you must enter the triage/eligibility form on to OPERA whether the patient has telemedicine or is signposted [deflected] from CUES  Telemedicine – EVERY patient has an eligibility screening (screening form) and IF eligible for CUES needs to have a remote consultation (Telemedicine form).

It is vital this is done, even if you feel they need to come in for face to face assessment.

History & symptoms can be gathered to minimise the time required in practice. (To clarify – if the patient is deflected to self-care/pharmacy with advice and guidance - this does not require a telemedicine but advise the px to contact again in 5 days for telemedicine if not resolved).

Diagnosis input – please avoid using shortened diagnosis names in the conditions boxes e.g. avoid FB and start typing Foreign Body and the autocomplete list will appear to allow you to select, this ensures complete and consistent data gathering.

Completion of Referrals – where the outcome of the assessment is Refer to HES / Refer to GP / Refer to anther CUES provider (e.g. for OCT) , you MUST complete the referral step. This requires you to go to the manage referral page and select the 'Refer to..' tab and add the further referral information and location (for GP referral this will by send via DocMan – please ignore the travel time).

Non completion of this element will lead to delays in patient care. Please call the eye clinic to inform them that an urgent or emergency referral has been emailed to them. The referral forms generated from Opera will be updated in mid August.  

Image upload – one of the unique elements of the Opera platform is that for patients being referred they can have images attached to their referral and we would encourage you to add any images you have taken anterior segment, posterior segment, PDFs of VFs & full OCT scans. When a patient has been seen on the OCT pathway due to central distortion / wavy vision and requires referral you MUST upload the DICOM OCT file to the Opera system at the time of referral (please check with your sales rep about how to do this).


Help signing up –

Help with OPERA