PCSE – Future service developments for Ophthalmic Payments

PCSE is committed to delivering NHS England’s vision for more modern, efficient and easy to use support services.  Planning for how we will achieve this transformation for ophthalmic payments is now underway.

Our aim is to design and implement systems that will simplify and, where possible, speed up the payment process to ensure we deliver the most effective service for you.

The existing GOS forms are being re-designed and we are working towards the introduction of an electronic GOS solution.  The new developments will introduce three options for submitting GOS forms:

  1. The electronic solution, referred to as eGOS*, will provide an interface between Practice Management Systems (PMS) and PCSE systems.  Customer information will be populated directly from the details already captured in the PMS, which will allow claims to be submitted with electronic signatures, removing any requirement for hard copy, handwritten paper forms. The forms will be automatically validated and practices will be able to see the status of each claim on the PMS.

* Please note: eGOS is the name for PCSE’s brand new electronic GOS service and shouldn’t be confused with a past electronic solution on Open Exeter.

  1. The PCSE portal will offer a web-based option for submitting GOS forms online for those practices that don’t have an integrated PMS system.  Customer details will be submitted via the portal and practices will be required to obtain a handwritten signature via a signature book which will be kept locally in the practice.
  1. The re-designed GOS paper forms will allow claims to either be handwritten or entered in programmable PDFs, which can be printed locally in practices and then mailed to PCSE.  This will enable bulk scanning by PCSE.  The information required for the forms will remain largely unchanged, it is just the layout and look that will be updated.

The move to electronic processes will see a more modern way of working and should help to reduce the workload of practice staff.

Other benefits include the option of being able to view the status of a claim via eGOS or the portal which will enable practices to simplify their reconciliation processes.

PCSE is working with PMS providers to develop the eGOS system and is consulting with representatives from across the optical community on all the changes.

It is anticipated the new developments will be introduced in Spring 2018.  If you have any further questions please contact your PCSE National Engagement Team representative, Gill Appleby (Email: gill.appleby@capita.co.uk).

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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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