Referral guidelines

HES Contact Numbers for Urgent Access

Basingstoke & North Hants Hospital

Telephone: 01256 313572

Fax no: 01256 313264


 

Southampton General Hospital Eye Unit

Updated 05 February 2019

If you are a Southampton based practice or a peripheral practice please take note of the following.

The fax machine in Eye Casualty is broken beyond repair!

If you have a secure email account i.e nhs.net please email referrals to  uhs.eyecasualty@nhs.net 

If you do not have an nhs.net account please use the following fax number 02381 204 120. This fax is not in Eye Casualty but it will be checked once in the evening and one in the morning commencing Wednesday 06 February 2019.

Follow this link for:  Referrals to University Hospital Southampton

Telephone 023 80 8777222

Eye casualty 023 81 206592

Southampton ECLO information  The ECLO is Ruben Barelli.  023 81208737  ruben.barelli@hants.gov.uk

Patient Support Office


 

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 using the contact details above.

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

 


Lymington Hospital Eye Unit

Telephone: 01590 663000


Southampton Spire Hospital

Telephone: 023 8091 4427

Fax: 023 8051 3162


 

QA Hospital Portsmouth – Eye Casualty

Telephone: 02392 286162

Referrals to Hospital Eye Services 

Currently optometrists use the GOS 18, a letter or a practice template for referring to Hospital Eye Services. Each has its shortcomings. To encourage feedback from consultants it is vital that the name of the referring optometrists and contact details are clear. Glaucoma and Cataract patients should be referred to St Mary’s NHS Treatment Centre as per the guidance below


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?

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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