Needle in a haystack: Finding the glaucoma patients that are going blind

Ms Wai Siene Ng- Consultant Ophthalmologist

Prof James E Morgan – Clinical Director, Consultant Ophthalmologist

Gareth Bulpin- Eye Care Digitilization Lead

Sharon Beatty – Community Optometric Lead


Cardiff and Vale University Health Board


Glaucoma is one of the leading causes of blindness in the UK. The National Patient Safety Agency has highlighted the impact of delays to follow-up for patients with glaucoma and consequent risk of significant sight loss. The lack of capacity in clinical services to manage glaucoma only increases this risk. We propose a more radical model in which a technician-led service allows for rapidly reviewed new patients by specialists. All clinical data will be entered into the electronic patient record (OpenEyes) and reviewed by the consultant virtually. This format of referral refinement can massively impact on reducing new referral appointments as well as allow for the detection and fast-tracking of advanced glaucoma cases.

Project Aims

Glaucoma patient flowchart


Key Outcomes

317 new patients were seen in 3 months from 1st June 2020 – 30th September 2020

Outcomes of Community ODTC pie-chart

Next Steps

Our Exemplar Experience

I have enjoyed the connections and advise received through being put in touch with contacts within my health board especially finance. The various workshops were also very enlightening and helped with my journey in propagating change.


Bevan Exemplars Innovation Showcase: December 2020