Next, we focus on specific disease pathways, starting with cataract. We speak again with Clair Bulpin, who provides us with an update on the Gloucester Cataract Direct Referral Scheme (GCDRS). Clair explains recent updates to the scheme as well as future plans. In the second half of this unit, we talk to Clare O’Donnell Head of Eye Science at Optegra health, Manchester. Clare discusses the differences between private and NHS referral pathways and factors to be aware of should a patient wish to be privately referred.