All other referrals are via the GP on a GOS 18. There is also no PEARS scheme running locally.
In cases where a patient needs to be seen urgently or soon, you should decide if referral via GP is the most appropriate course. Please see this article.
If you see a patient who has a GP from a Neighbouring CCG you may be able to join that scheme and refer using those protocol e.g. a patient with a Wolverhampton GP could be referred for Cataracts or have repeat pressures or even PEARS but you would need to join that scheme first.
To find out what services are running in neighbouring areas, please see this page for website addresses/contact information for neighbouring LOCs