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 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

PEARS (MECS) Pathway: PEARS (MECS) pathway – Information for GP Practices v1 – Jul 18

PEARS PLUS – GRR Pathway: PEARS PLUS GRR pathway – Information for GP Practices v1 – Jul18


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

Portsmouth, 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?

Tue 06 August 19 | 2019 AGM Papers
Following on from the AGM held on 05 June 2019 the papers in relation to the event are below. Annual Report Hampshire LOC Accounts18_19 Southampton MECS Report LOCSU Update AGM Minutes


Mon 22 July 19 | Low Value Medications
Over the last 2 years NHS England having been undertaking consultations on medicines that are commonly prescribed and either have little clinical evidence to support their use or might be available Over The Counter( OTC) at chemists without prescription. This has resulted in the publication of national guidance as linked here https://www.england.nhs.uk/wp-content/uploads/2017/11/items-which-should-not-be-routinely-precscribed-in-pc-ccg-guidance.pdf https://www.england.nhs.uk/wp-content/uploads/2018/03/otc-guidance-for-ccgs.pdf Of particular relevance to opticians and optometrists is the advice that lutein and antioxidants ( eg vitamins A C E and zinc should not be prescribed for age related macular degeneration ( ARMD) as there is insufficient evidence to support this and that if patients want to use these or continue to use them then they should purchase them themselves. In addition both conjunctivitis and dry /sore eyes are considered suitable for patients to purchase OTC treatments themselves rather than ask for them to be prescribed by a doctor. This guidance also applies if you are entitled to free prescriptions. For full details see the source documents. A leaflet is also available for patients - OTC Meds leaflet
Tue 11 June 19 | Additional Services Contracts in Hampshire - PEC Services Registration
If your practice does not currently subcontract with PEC Services and would like your practice to be involved;  please read attached information with regards to how to get involved and the compliance which is required; if you wish to participate complete the Registration form via this link  http://bit.ly/opto-reg-portal Currently this will mostly affect practices in Southampton City CCG, West Hants CCG and North Hants CCG areas of operation.

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