REFERRAL PROCEDURES FOR NHS ENGLAND ARDEN, HERFORDSHIRE AND

Transcription

1 REFERRAL PROCEDURES FOR NHS ENGLAND ARDEN, HERFORDSHIRE AND WORCESTERSHIRE AREA TEAM As per your GOS Contract it is your obligation to be aware of correct referral procedures. At the end of a sight test if you feel a referral is necessary you need to refer in line with this guidance, as outlined in clauses 31 and 100 of the GOS Contract. GENERAL NOTES All referrals need to be legible and should provide all the necessary information about why you are referring. All referral routes are decided by the patient s GP practice and by the Clinical Commissioning Group (CCG) the GP Practice belongs to, not the patient s residence address or the practice that the sight test is undertaken at. Referrals are based on 5 categories: Routine/Urgent/Emergency/2 Week Waits (2WW) and that have been commissioned by the CCG. 1. Routine needing an appointment for a condition that is chronic and not immediately sight threatening. 2. Urgent needing an appointment for a condition that is not immediately sight threatening. 3. Emergency needing an appointment on the same day. 4. Suspected cancers and Wet ARMD. 5. Unlike your GOS contract which is commissioned by the Area Team, are commissioned by CCGs outside of the GOS contract. These include schemes such as Intra Ocular Pressure Referral Refinement Scheme (IOPRRS), Post-Operative Cataract, Pre-Operative Cataract and Primary Eyecare Acute Referral Service (PEARS). Referral processes are different for each geographical area and are detailed on the following pages:

2 July 2014 (version 2) Any changes should be notified to - Telephone

3 Coventry and Rugby CCG Patients should be sent to: University Hospital Clifford Bridge Road Coventry CV2 2DX Patients requiring Ophthalmic emergency care after 4.30pm on weekdays, weekends and bank holidays should be referred to the Ophthalmic on-call doctor (via the UHCW s switchboard on ) instead of attending the Emergency Department. Suspect ocular cancers please refer to the GP. Wet ARMD please send as a fax referral to The address is: Macula Unit, Rugby St Cross, Barby Rd, Rugby CV22 5PX IOPRRS This is commissioned by the CCG and supported by Arden CSU. Any queries please contact Jonathan Westwood or your LOC representative. Contact: Jonathan Westwood Primary Care Contracts Officer Arden Commissioning Support Westgate House Market Street Warwick CV34 4DE jonathan.westwood@ardencsu.nhs.uk

4 Patients should be sent to: University Hospital Clifford Bridge Road Coventry CV2 2DX South Warwickshire CCG Patients requiring Ophthalmic emergency care after 4.30pm on weekdays, weekends and bank holidays should be referred to the Ophthalmic on-call doctor (via the UHCW s switchboard on ) instead of attending the Emergency Department. If you suspect ocular cancers please refer to the patient s GP. Wet ARMD please send as a fax referral to The address is: South Warwickshire NHS Foundation Trust Lakin Road Warwick CV34 5BW IOPRRS This is commissioned by the CCG and supported by Arden CSU. Any queries please contact Jonathan Westwood or your LOC representative. Contact: Jonathan Westwood Primary Care Contracts Officer Arden Commissioning Support Westgate House Market Street Warwick CV34 4DE jonathan.westwood@ardencsu.nhs.uk

5 Patients should be sent to: University Hospital Clifford Bridge Road Coventry CV2 2DX North Warwickshire CCG Patients requiring Ophthalmic emergency care after 4.30pm on weekdays, weekends and bank holidays should be referred to the Ophthalmic on-call doctor (via the UHCW s switchboard on ) instead of attending the Emergency Department. If you suspect ocular cancers please refer to the patient s GP. Wet ARMD please send as a fax referral to The address is: Macula Unit, Rugby St Cross, Barby Rd, Rugby CV22 5PX This is commissioned by the CCG and supported by Arden CSU. Any queries please contact Jonathan Westwood or your LOC representative. Contact: Jonathan Westwood Primary Care Contracts Officer Arden Commissioning Support Westgate House Market Street Warwick CV34 4DE jonathan.westwood@ardencsu.nhs.uk

6 To The Practice Telephone Safe haven fax: Redditch and Bromsgrove CCG The Practice Ophthalmology Service, Rose House, Bell Lane Office Village, Bell Lane, Little Chalfont, Amersham, Bucks, HP6 6FA thepractice.cats@nhs.net The Practice Ophthalmology service is on Choose and Book. All referrals are triaged by Ophthalmologists within 2 working days. If the referral is not appropriate thy will onward refer to the Hospital Eye Service within 48 hours or same day if urgent. The patient's GP will be advised if they have referred the patient on. All patients are telephoned to book a convenient appointment or they can call on An appointment will be allocated within a maximum of 4 weeks for all referrals. Once the patient has been seen they will write to the patient's GP with the outcome. If you require any assistance when referring a patient, please call the Referrer support line on To The Practice as above Patients should be sent to: Kidderminster Treatment Centre Bewdley Rd, Kidderminster, Worcestershire DY11 6RJ Birmingham Midlands Eye Centre, is a tertiary referral centre where patients can also go if they have an emergency eye issue outside of normal office hours: City Hospital NHS Trust, Dudley Road, Birmingham, West Midlands B18 7QH If you suspect ocular cancers please refer to the patient s GP within 24 hours of the attendance. Wet ARMD please send as a fax referral to Worcester Royal Hospital Charles Hastings Way, Worcester, WR5 1DD None currently

7 Wyre Forest CCG Direct to the Ophthalmology Department of the patients choice Direct to the Ophthalmology Department of the patients choice Patients should be sent to: Kidderminster Treatment Centre Bewdley Rd, Kidderminster, Worcestershire DY11 6RJ Birmingham Midlands Eye Centre, is a tertiary referral centre where patients can also go if they have an emergency eye issue outside of normal office hours: City Hospital NHS Trust, Dudley Road, Birmingham, West Midlands B18 7QH If you suspect ocular cancers please refer direct to the Ophthalmology Department of the patient s choice, within 24 hours of attendance Wet ARMD please send as a fax referral to Worcester Royal Hospital Charles Hastings Way, Worcester, WR5 1DD IOPRRS PEARS Post-Operative Cataract Pathway Contact: Heather McDonald Wyre Forrest CCG Locality Office Kidderminster Health Centre Bromsgrove Street Kidderminster DY10 1PG Tel or Fax

8 South Worcester CCG Direct to hospital of patient s choice. Patients can attend other hospitals for treatment as long as it is planned, routine and within the NHS standard treatment pathway, ie anywhere as long as PbR is applicable (and it is not an emergency). Direct to hospital of patient s choice. Patients in the 1 st instance should be sent to: Kidderminster Treatment Centre, Bewdley Rd, Kidderminster, Worcestershire DY11 6RJ this is available Monday to Friday Outside these hours please send to either: BMEC - please contact the department on Gloucester Royal Hospital - please contact the doctor on call on or contact switchboard on who will then bleep the doctor on call. Birmingham Midlands Eye Centre, is a tertiary referral centre where patients can also go if they have an emergency eye issue outside of normal office hours: City Hospital NHS Trust, Dudley Road, Birmingham, West Midlands B18 7QH Cheltenham General Hospital - please contact the doctor on call on If you suspect ocular cancers please refer direct to hospital of patient s choice, within24 hours of attendance. Wet ARMD please send as a fax referral to Worcester Royal Hospital Charles Hastings Way, Worcester, WR5 1DD IOPRRS PEARS Post-Operative Cataract Pathway Contact: Caroline Salmon NHS South Worcestershire Clinical Commissioning Group The Coach House John Comyn Drive Perdiswell Worcester WR3 7NS Mobile:

9 Herefordshire CCG Via patients GP practice BUT please note there is a Direct Referral service in operation for cataract and suspect glaucoma patients Patients should be sent to: The County Hospital, Wye Valley NHS Trust Telephone: Address: The County Hospital, Union Walk, Hereford, Herefordshire, HR1 2ER If you suspect ocular cancers please refer to the GP. Wet ARMD please send as a fax referral to or as an (if you have nhs.net ) to amd.fasttrack@nhs.net Direct Referral to Hospital Service Cataract Operation GP informed 4-6 week Post-operative Assessment by Optometrist refer back to hospital if necessary and/or for a the second eye operation Glaucoma Suspect Referral Refinement involving second reassessment of IOPs, visual fields and optic discs refer directly to hospital if glaucoma confirmed or now highly suspected GP Eye Referral Scheme where the GP refers non-urgent cases to an optometrist that otherwise would have been referred to the hospital. Optometrist refers on to hospital those deemed to be urgent (this scheme soon to be changed to a PEARS). Children s scheme where orthoptists screen out at year 1 children and refer to optometrists. Optometrists then examine them and refer to the hospital the few deemed requiring further examination. HOLOMS: Optometry Ocular Hypertension Monitoring the patient is seen by the optometrist every 6 months instead of the hospital. The hospital will see the patient after 3 years unless the optometrist finds significant changes before. Contact: Leslie Stewart Contract Management Team NHS Staffordshire and Lancashire CSU Brockington Hafod Road Hereford HR1 1SH Tel: Secure Fax: leslie.stewart@nhs.net

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11 HOSPITAL ADDRESS TELEPHONE NUMBER Worcester Hospital Charles Hastings Way Worcester Worcestershire WR5 1DD Alexandra Hospital Redditch Hereford County Hospital Evesham Community Hospital Cheltenham General Hospital Gloucestershire Royal Hospital Kidderminster Hospital and Treatment Centre Birmingham and Midland Eye Centre Woodrow Drive Redditch Worcestershire B98 7UB Union Walk Herefordshire HR1 2ER Waterside Evesham Worcestershire WR11 1JT Sandford Road Cheltenham Gloucestershire GL53 7AN Great Western Road Gloucester Gloucestershire GL1 3NN Bewdley Road Kidderminster Worcestershire DY11 6RJ City Hospital Dudley Road Birmingham B18 7QH

12 Optometrist ADDRESS 1 ADDRESS 2 TOWN POST CODE Tel No. Perrigo 25 Load St Bewdley DY12 2AE Boots Opticians 52 St. Andrews Square, Droitwich WR9 8HE Ellin, RJ 41 Ombersley St Droitwich WR9 8QS Waller & Waller 18 St Andrews St Droitwich Specsavers Droitwich 10 St Andrews Square Droitwich WR9 9HE James Osborne 1-3 Swan Lane. Evesham WR11 4PA CG Stephens 2 Church St Kidderminster DY10 2AD Chapman & Myers Kidder 9 Rowland Hill Centre Kidderminster DY10 1ES Edmund Proctor Associates Sherington House 20 Birmingham Road Kidderminster DY10 2BX Philip Crawford 8 Oxford St Kidderminster DY10 1BB Boots Kidderminster Unit 15 Weavers Wharf Kidderminster DY10 1AA Specsavers 2 Coventry St, Swan Centre Kidderminster DY10 2DQ K Holland 16 Graham Rd Malvern WR14 2HL John & Diane Miller Chartwell House, 38 Church St Malvern WR14 2AZ Waller & Waller Pershore 65 High St, Pershore Peter J Smith 14 High St, Pershore WR10 1BG Hagley Eyecare 41 The Old Woodyard, Hagley Hall Stourbridge DY8 1QU Julian Hill Opticians 108 Hagley Road Oldswinford Stourbridge DY8 1QU Chapman 12 New St, Stourport on Severn DY13 8UY Seymour & Easlea Unit 4 2 Lombard Street Stourport on Severn DY13 8DT Specsavers Stourport 45 The High St Stourport on Severn DY13 9JW Jelley, AC 14 Teme St Tenbury Wells WR15 8BA Actons Opticians Cornmarket Corner Worcester WR1 2DR Boots Opticians High St Worcester WR1 2EU G A Roberts Ltd. 38 St Johns St Worcester WR2 5AJ Specs Express 10 St Swithins St Worcester WR1 2PS Specsavers 64 Broad St Worcester WR1 3LY NB for Worcestershire PEARS Accredited Optometrists