Referral guidelines

HES Contact Numbers for Urgent Access – Oct 2016

Basingstoke & North Hants Hospital

Telephone: 01256 313572

Fax no: 01256 313264


 

Southampton General Hospital Eye Unit

Referrals to University Hospital Southampton

Telephone 023 80 8777222

Eye casualty 023 81 206592

Rapid AMD Fax 02381 205752



Lymington Hospital Eye Unit

Telephone: 01590 663000


Southampton Spire Hospital

Telephone: 023 8091 4427

Fax: 023 8051 3162


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 for patients registered with Southampton City GP Practices

Ophthalmology Referral Form                          Solent Medical Services Limited Info

Please refer direct to the SMS Eye Clinic if your Patient has any of the following ….

Suspected Glaucoma/raised Intra Ocular Pressure

Cataracts

Dry Eyes

Blepharitis

Floaters or photopsia duration of 5 days or more

By Fax –

02380 233017

By Phone –

Ophthalmology service 02380 296026

By email –           solent.medical-information@nhs.net

By Post –

Solent Medical Services Ltd

Newtown Clinic

24-26 Lyon Street

Southampton

SO14 0LX

 


QA Hospital Portsmouth – Eye Casualty

Telephone: 02392 286162

Referrals to Hospital Eye Services via GPs

Currently optometrists use the GOS 18, a letter or a practice template for referring to Hospital Eye Services via GPs. Each has its shortcomings. To encourage feedback from consultants it is vital that the name of the referring optometrists and contact details are clear.


St Mary’s NHS Treatment Centre

Milton Road, Portsmouth, Hampshire, PO3 6DW

Please use the following link for Referral Guidance in respect of St Mary’s Ophthalmology Service together with the Referral form.

Contact details are:

Tel:  0333 321 1926    

Fax:  0333 321 1927

E-mail: al.enquiriesportsmouth@nhs.net 

Update 29 Mar 17 – Please can all Optometrists state, on the referral letter for cataract, if the patient has had a laser refractive treatment in the past.


 

Hampshire LOC – Referral Form/template

 A GOS referral form/template has been developed by Hampshire LOC that practices may wish to use as an alternative to the GOS18 or a letter.

The form is designed to provide clear and succinct information and improve the referral process and care for the patient.

It is based on current good practice following discussions by the professional eye care bodies.  Standardised ‘Choose & Book’ definitions are used to facilitate referral to the correct clinic.

The referral form is available in Word and pdf formats. Practices may add their own practice information, including the name of the referring optometrist, and save as their own template for referrals. The form may be then completed at time of referral by typing prior to printing or by hand after printing basic information.

It is hoped that by providing the name of the referrer legibly that the HES will provide feedback so that the optometrist is able to manage the patient appropriately. The illegibility of the names and/or practices of optometrists have prevented this in the past.

Hampshire LOC Referral Template- Word document

Hampshire LOC Referral Template- pdf

Referral Criteria Basingstoke & N.Hants 2011                 – Basingstoke & North Hampshire NHS Foundation Trust

Updated NICE guidelines on glaucoma referral

The Joint Working Group on NICE Glaucoma Guideline has issued updated guidance on referral. These can be viewed on the AOP web site.

Fast Track schemes for Wet AMD:

  • Portsmouth Hospitals NHS Trust
  • Southampton University Hospital
  • Frimley Park

Fax numbers and other contact details for Fast track WET MD referrals for Portsmouth Hospitals NHS Trust, Southampton University Hospitals Foundation Trust and Frimley Park Hospital are available here Copy of Fast Track Contacts 2013

WET MD REFERRAL PATHWAY FAXABLE REFERRAL FORMElectronic Referral Form OPT09-004

Cataract Referrals: Strict criteria are being set out by PCTs, however if you believe you have a patient who should be an exception to these, write a full explanation with referral to GP and request him to apply for patient to be approved as an exception.

NHS Hampshire Cataract Guidelines 11 Sep 09Cataract Guidelines poster

Cataract Pathway- Optometrist letter – 13 July 2011–    from Basingstoke and North Hampshire NHS Foundation Trust Hospital


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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