Community Eye care schemes

Community based eye care schemes tend to be based in certain geographical areas because of the previous PCT boundaries or the current CCG boundaries.  Once a scheme is developed with a CCG it is not necessarily adopted by neighbouring CCGs. Hence the patchy nature of community based eye care schemes.

The various schemes are listed below:

North Hants CCG MECS (Minor Eye Condition Service) Scheme

The North Hants MECS scheme was commissioned in September 2013 under the old title of PEARS with help from North Hants CCG, Hampshire LOC and LOSCU who provided the business plans and experience of similar projects across the country. It is based on an extended services contract commissioned directly with twelve practices in the North Hants CCG area in which 25 optometrists have undergone the WOPEC accreditation for the scheme. The practices involved with the scheme are:

 

Services

1 April 2017
31 March 2019

Trading Name Address 1  
MECS & (GRR) Bliinx Eyecare Studio Ganders Barn Kingsley
MECS & (GRR) Boots Opticians Unit 16 Festival Place Basingstoke
MECS & (GRR) Boots Opticians 15 Old Basing Mall Basingstoke
MECS & (GRR) Boots Opticians 30 High Street Alton
MECS & (GRR) Leightons Opticians The Dental Surgery Tadley
MECS & (GRR) Leightons Opticians 90 High Street Alton
MECS & (GRR) Leightons Opticians 9-11 Church Street Basingstoke
MECS & (GRR) Matheson Optometrists Limited 47 Winchester Road Alton
MECS & (GRR) Optimum Vision Clinic The Falcon Garage Tadley
MECS & (GRR) Specsavers Opticians 43 High Street Alton
MECS & (GRR) Specsavers Opticians Festival Place Basingstoke
MECS The Optician 113 High Street Hook
MECS Rawlings Opticians 36 High Street Alton
MECS Brown and Whites Opticians Bourne House Hook

The results of any MECS examination are uploaded onto Webstar, a cloud based information retrieval package from which activity data etc can be examined by the commissioning body.

The service is based on the LOCSU MECS pathway and the guidance document is available below. There may be some local variation allowing for Peer review of the scheme as part of the governance. If you are interested in becoming part of the North Hants scheme contact:

North Hampshire Clinical Commissioning Group

Central 40, Lime Tree Way

Chineham Business Park, Basingstoke

Hampshire, RG24 8GU

MECS Service Specification: PEARS Scheme


Southampton CCG Community Eye Care Schemes

Minor Eye Condition Service

Criteria for inclusion

Patient must be registered with a SCCCG GP practice

The following conditions (note this list is not exhaustive) may present to MECS. Patients must be managed or referred onwardly as appropriate, in a timely way, and within the scope and capability of the practitioner:

  • Loss of vision including transient loss
  • Sudden onset of blurred vision but always consider if a sight test would be more appropriate
  • Ocular pain or discomfort
  • Systemic disease affecting the eye
  • Differential diagnosis of the red eye
  • Foreign body and emergency contact lens removal (not by the fitting practitioner)
  • Dry eye
  • Epiphora (watery eye)
  • Trichiasis (in growing eyelashes)
  • Differential diagnosis of lumps and bumps in the vicinity of the eye
  • Recent onset of Diplopia
  • Flashes/floaters
  • Retinal lesions
  • Patient reported field defects

Community Practices Participating in the Southampton City MECS scheme

A list of participating practices can be found at: http://pecsouthern.org.uk/wp-content/uploads/sites/132/2017/11/MECS-Optician-Practices-Soton-140817.pdf

MECS pathway – information for Opticians

 


GOS18 referrals for Southampton City CCG GP registered patients should be sent directly to SMS (Solent Medical Services – not via the GP) for the following:

  • Suspected glaucoma/OHT, with an intra-ocular pressure >21mmHg <35mmHg with normal optic nerve head and visual field
  • Suspected cataract
  • Vitreo-retinal pathology including floaters
  • Ocular surface pathology (including dry eyes and blepharitis and chronic red eye conditions)
  • Insertion of punctual plugs for dry eyes
  • Macular pathology except wet AMD (macular degeneration) conditions – wet AMD patients are to be urgently referred on to UHS

 

Solent Medical Services  – Providing services to patients registered with Southampton City GP

Solent Medical Services Limited is an NHS-staff owned company, established in May 2007 to provide high-quality, affordable community care services to Southampton and Hampshire NHS patients.

The company currently provides its Community Ophthalmology Service from Newtown Clinic on Lyon Street Southampton. The Service provides as an alternative to traditional acute care and is commissioned and supported as NHS activity by Southampton City and West Hampshire CCGs. We offer the less complex care and treatment that is traditionally provided in hospitals and Secondary Care.

Ophthalmology service 02380 296026

Ophthalmology Referral Form

Referal contact details

 


 

Portsmouth CCG Community Eye Care schemes

South East Hampshire and Fareham and Gosport CCG Community Eye Schemes

For Ophthalmic Contractors Providing LCS Services:

For Ophthalmic Contractors wishing to refer patients for Low Vision to local providers:

St Mary’s Treatment Centre – Post Operative Cataract Care

Post Operative Cataract Care – St Mary’s Treatment Centre (2018)


 

Glaucoma Referral refinement

SE Hampshire  and Portsmouth City 

Portsmouth Hospitals NHS Trust has sub contracted work to a number of practices in SE Hampshire and Portsmouth City. For a fixed fee they carry out a number of tests on patients referred with raised IOPs and refer findings to PHT who then decides whether patient needs to be seen by consultant.

Isle of Wight glaucoma referral refinement scheme


SE Hampshire & Fareham & Gosport

Low Vision Aid services are provided by a number of practices in SE Hampshire through a Service level agreement.

Phillips and Edgworth Ltd 1a Stoke Road
Gosport
Hampshire
PO12 1LT
Morgan – Owen & Coates 37 Lavant Street
Petersfield
Hants
GU32 3EL
20/20 Vision Limited 55 Brockhurst Road
Gosport
PO12 3AP
South Coast Opticians 31 Highcroft Industrial Estate
Horndean
PO8 0B7
20/20 Vision Limited 20 Bridge Road
Park Gate
Hants
SO31 7GE
Martin Steels LTD 4 The Old Flour Mill
Emsworth
Hants
PO10 7BT
Arnolds LTD 69 London Road
Cowplain
Hampshire
PO8 8UJ
Leightons 81  West Street
Fareham
Hants
PO16 0AP
Matheson – Grayshott 3 Victoria Terrace,
Crossways Road
Grayshott
Surrey
GU26 6HJ
Matheson – Petersfield 17 Chapel Street
Petersfield
Hampshire
GU32 3DT
Matheson – Portchester 1 Leith Avenue
Portchester
Fareham
Hants
PO16 8HS
Matheson – Purbrook 20 London Road
Waterlooville
Hampshire
PO7 5LJ
Tombs & Allen 5 Portland Buildings, Stoke Road GOSPORT PO12 1JH
Richard C Arnold 3-4 Exchange Building
High Street
Petersfield
Hampshire
GU32 3JU
Loats Opticians 42A Elm Grove
Hayling Island
PO11 9EF
Boots Opticians Professional Services LTD 21 Westbury Mall, Fareham, Hampshire, PO16 0PE
Denmead Eye Care

The Green, Hambledon Road, Denmead, PO7 6NU

 

Portsmouth City

Low Vision Aid services are provided by a number of practices in Portsmouth City.

Anne Gill Eyecare Ltd 226 London Road North End Portsmouth PO2 9JQ
Boots Opticians 194/204 Commercial Road Portsmouth PO1 1HB
Forrest Optometrists 145 Havant Road Drayton Portsmouth PO6 2AA
Percy Harrison Opticians 117 Elm Grove Southsea Portsmouth PO5 1LH
Portsea IsIand Opticians & The Contact Lens Centre 158-160 London Road North End Portsmouth PO2 9DJ
Specsavers Opticians 22 Palmerston Road Southsea Portsmouth PO5 3QH
Specsavers Opticians 46A High Street Cosham Portsmouth PO6 3AG
Specsavers Opticians 205-205A Commercial Road Portsmouth Portsmouth PO1 4BJ
Matheson Optometrists Ltd The Green, Hambledon Rad Denmead Hants PO7 6NU
Matheson Optometrists Ltd 1 Leith Avenue Portchester Hants PO16 5HG

Low Vision:   Hampshire County Council Sensory Services for Adults have provided information about services. See link: Hampshire County Council Sensory Services for Adults . They have also offered an opportunity to shadow a clinic workers and/or rehabilitation worker. Contact Maxine Wright, 0845 603 5630 if you are interested.


  • Glaucoma Monitoring Service

SE Hampshire  & Portsmouth City 

A number of practices provide a stable glaucoma monitoring service within Portsmouth Hospitals catchment area.


Seeability  

Enriching the lives of people with sight loss and multiple disabilities. www.seeability.org

Eye care resources   https://www.seeability.org/looking-after-your-eyes


Macular Society

https://www.macularsociety.org/

 


What’s New?

Thu 01 March 18 | Optometrist Vacancies - Southampton Eye Unit, University Hospital Southampton NHS FT
The Optometry department would like to recruit 2 enthusiastic and motivated Optometrists to join our expanding service.  The posts will involve working within the glaucoma service and eye casualty, under Ophthalmologist supervision, as well as a variety of core optometric roles.  These could include providing paediatric and adult refractions, post-op cataract and corneal cross linking clinics.  Also, low vision assessments and medical contact lens fitting.  Due to the expanding services we are looking at new ways to see patients and run clinics so there will be some work in peripheral clinic settings as well as virtual clinics and occasional Saturday clinics.  This is a fantastic opportunity to work within this regional center of excellence and join an expanding team of 23 Ophthalmologists and 7 Optometrists, Specialist Nurse Practitioners, Orthoptists and support staff.  The posts are permanent, 5 days (37.5 hrs) per week and will include occasional Saturdays.  Previous experience would be beneficial, but full training will be provided.  The successful candidates will be qualified, GOC registered, with a good work ethic and willing to go the extra mile to provide the best service for the patients.   Further details can be found at  http://jobs.uhs.nhs.uk/job/v963508


Fri 23 February 18 | Direct Referrals to Solent Medical Services & University Hospital Southampton
It has been brought to the attention of the Hampshire LOC that practices in the Southampton area are referring Southampton City GP patients to GPs via GOS 18 for further referral to HES when there is no longer a requirement. You are reminded that the NHS Standard Contract for GOS states:
  1. Where the Contractor or an ophthalmic practitioner employed or engaged by it to perform the Contract is of the opinion that a patient whose sight has been tested pursuant to clause 30— 31.1. shows on examination signs of injury, disease or abnormality in the eye or elsewhere which may require medical treatment; or 31.2. is not likely to attain a satisfactory standard of vision notwithstanding the application of corrective lenses, it shall, if appropriate, and with the consent of the patient— 31.3. refer the patient to an ophthalmic hospital, which includes an ophthalmic department of a hospital, 31.4. inform the patient’s doctor or GP practice that it has done so, and 31.5. give the patient a written statement that it has done so, with details of the referral.
Southampton City CCG have re-confirmed that any Southampton City GP patients should be referred directly to the appropriate service whether it is a MECS Practice, Solent Medical Services (SMS) or UHS. Specifically in respect of SMS, they will see Southampton registered patients for:
  • Suspected glaucoma/OHT, with an intra-ocular pressure >21mmHg <35mmHg with normal optic nerve head and visual field
  • Suspected cataract
  • Vitreo-retinal pathology including floaters
  • Ocular surface pathology (including dry eyes and blepharitis and chronic red eye conditions)
  • Insertion of punctual plugs for dry eyes
  • Macular pathology except wet AMD (macular degeneration) conditions - wet AMD patients are to be urgently referred on to UHS
Details on how to refer to SMS are available on the Hampshire LOC website at http://hampshireloc.org.uk/referral-guidelines/
Wed 20 December 17 | Safeguarding Training for Opticians
Dorset and Hampshire Safeguarding Board run a series of safeguarding courses and Primary Care Commissioning Support at NHSE are looking into the courses being run for the primary care contractors.  At present they offer a series of courses that are run during the day.  These courses are topic specific.  The courses cover level 1, Level 2 and level 3.  The course materials will be available on the safeguarding boards website. Can you let Primary Care Commissioning Support (details below) know if you  would be interested in attending safeguarding training and what levels you would be interested in.   When is the best time to hold the training events?  ie a whole day, half day session in either morning or afternoon or evening only.   How much notice would needs need when the training sessions are organised.? Please email your thoughts as soon as possible so that they can look into arranging the training sessions.   Contact details: Helen Wardle Primary Care Commissioning Support  South Region (Wessex) NHS England Oakley Road | Southampton | Hampshire | SO16 4GX Telephone 0113 824 9850 Email Helen.wardle@nhs.net

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Business Manager: Ian Silk (07808) 658143 | Postal Address: c/o Spire Business Solutions, Unit 21, Portway Business Centre, Old Sarum, Salisbury SP4 6QX