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:
July 2014 (version 2) Any changes should be notified to - Telephone 01138 253143
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 02476 9654000) instead of attending the Emergency Department. Suspect ocular cancers please refer to the GP. Wet ARMD please send as a fax referral to 01788 663391. 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
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 02476 9654000) 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 01926 600020. 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
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 02476 9654000) 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 01788 663391. 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
To The Practice Telephone - 01527 212162 Safe haven fax: 01494 765531 Redditch and Bromsgrove CCG The Practice Ophthalmology Service, Rose House, Bell Lane Office Village, Bell Lane, Little Chalfont, Amersham, Bucks, HP6 6FA Email: 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 01494 690950. 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 01494 690900. 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 0121 554 3801 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 01905 733947 Worcester Royal Hospital Charles Hastings Way, Worcester, WR5 1DD None currently
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 0121 554 3801 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 01905 733947 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. 01527 482903 or 01562 513517 Fax. 01562 213512
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 0900-1700. Outside these hours please send to either: BMEC - please contact the department on 0121 507 6780 Gloucester Royal Hospital - please contact the doctor on call on 03004 228 358 or contact switchboard on 03004 222 222 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 0121 554 3801 Cheltenham General Hospital - please contact the doctor on call on 03004 223 200 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 01905-733947 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: 07747 862 138
caroline.salmon@worcestershire.nhs.uk 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: 01432 355 444 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 01432364426 or as an email (if you have nhs.net email) 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: 01432 260354 Secure Fax: 01432 260188 leslie.stewart@nhs.net
HOSPITAL ADDRESS TELEPHONE NUMBER Worcester Hospital Charles Hastings Way Worcester Worcestershire WR5 1DD 01905 763 333 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 01527 503 030 01432 355 444 01386 502 449 03004 222 222 03004 222 222 01562 823 424 0121 507 6712
Optometrist ADDRESS 1 ADDRESS 2 TOWN POST CODE Tel No. Perrigo 25 Load St Bewdley DY12 2AE 01299 403722 Boots Opticians 52 St. Andrews Square, Droitwich WR9 8HE 01905 774661 Ellin, RJ 41 Ombersley St Droitwich WR9 8QS 01905 773054 Waller & Waller 18 St Andrews St Droitwich 01905 772729 Specsavers Droitwich 10 St Andrews Square Droitwich WR9 9HE 01905 790660 James Osborne 1-3 Swan Lane. Evesham WR11 4PA 01386 47997 CG Stephens 2 Church St Kidderminster DY10 2AD 01562 822803 Chapman & Myers Kidder 9 Rowland Hill Centre Kidderminster DY10 1ES 01562 822276 Edmund Proctor Associates Sherington House 20 Birmingham Road Kidderminster DY10 2BX 01562 745850 Philip Crawford 8 Oxford St Kidderminster DY10 1BB 01562 822577 Boots Kidderminster Unit 15 Weavers Wharf Kidderminster DY10 1AA 01562 824 474 Specsavers 2 Coventry St, Swan Centre Kidderminster DY10 2DQ 01562 823552 K Holland 16 Graham Rd Malvern WR14 2HL 01684 573942 John & Diane Miller Chartwell House, 38 Church St Malvern WR14 2AZ 01684 892727 Waller & Waller Pershore 65 High St, Pershore 01386 552505 Peter J Smith 14 High St, Pershore WR10 1BG 01386 556150 Hagley Eyecare 41 The Old Woodyard, Hagley Hall Stourbridge DY8 1QU 01562887138 Julian Hill Opticians 108 Hagley Road Oldswinford Stourbridge DY8 1QU 01384 374232 Chapman 12 New St, Stourport on Severn DY13 8UY 01299 822729 Seymour & Easlea Unit 4 2 Lombard Street Stourport on Severn DY13 8DT 01299 877171 Specsavers Stourport 45 The High St Stourport on Severn DY13 9JW 01299 877999 Jelley, AC 14 Teme St Tenbury Wells WR15 8BA 01584 811445 Actons Opticians Cornmarket Corner Worcester WR1 2DR 01905 22156 Boots Opticians 72-74 High St Worcester WR1 2EU 01905 25613 G A Roberts Ltd. 38 St Johns St Worcester WR2 5AJ 01905 423217 Specs Express 10 St Swithins St Worcester WR1 2PS 01905 613037 Specsavers 64 Broad St Worcester WR1 3LY 01905 729779 NB for Worcestershire PEARS Accredited Optometrists