Tools for planning and commissioning

The CCEHC has designed frameworks to help commissioners and providers improve patient flows and ease capacity issues with service systems.

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These tools support strategic planning, commissioning and provision of services, and their organisation and delivery to facilitate improving patient flows and easing capacity problems within  service systems.


SAFE - Systems and assurance framework for eye health 

SAFE presents the core constructs and technical tools to support high level, strategic planning, commissioning and provision of eye health and care services. It provides the basis for commissioners, provider organisations and clinicians to adopt a systems-based approach, covering whole pathways and working across traditional service footprints, to deliver efficiencies and transformation at scale. The clinical areas currently covered by SAFE include cataract, glaucoma and age-related macular degeneration: 


The frameworks developed by the CCEHC are aimed at improving patient flows within a service system and easing capacity problems within the hospital eye service. These provide the overall architecture for how pathways of care within a service system are organised, delivered and monitored, based on clinical risk stratification of a patient’s condition and the skills and competence of the health care practitioner.

Primary Eye Care Framework (2016, updated 2018)

Primary Eye Care services are commissioned by Clinical Commissioning Groups (CCGs) to improve the quality of referrals for specialist ophthalmic opinion (usually within the Hospital Eye Service). They include supplementary services that are necessary prior to referral.

Community Ophthalmology Framework (2015, update 2018)

Community ophthalmology services are commissioned by CCGs. This service involves the assessment and management of patients whose eye conditions are at low-risk of deterioration who are either referred by primary care for further assessment or discharged from secondary care for monitoring, in order to release capacity and improve patient flows within the system.

Low Vision, Habilitation and Rehabilitation Services Framework (2017, updated 2018)

The services required to support patients with varying levels of sight impairment and sight loss straddle health and social care and are integral components of eye care pathways. This framework serves to ensure these are not overlooked and provide consistency in their commissioning and provision. These services are commissioned by both CCGs and Social Services.