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:
- 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 https://hampshireloc.org.uk/referral-guidelines/