Referral guidelines

HES Contact Numbers for Urgent Access

Basingstoke & North Hants Hospital

Telephone: 01256 313572

Fax no: 01256 313264

Southampton

Eye Referrals for Patients  – patients registered with a Southampton City GP

Eye referrals to University Hospital Southampton (UHS) – Southampton City CCG Patients

Eye Referrals to University Hospital Southampton (UHS) – Patients not with Southampton City GP

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 09– Cataract Guidelines poster

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