Buying health services for local people

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Community eye care – Information for GPs

Scope of the service

The Community Eye Care LES has been running for a number of years, but recent feedback suggested that most GPs are not aware that they may refer to this service.

The service accepts:

  • ROUTINE REFERRALS
  • for patients who are AGED 18 YEARS AND OVER and
  • REGISTERED WITH A SCARBOROUGH AND RYEDALE CCG GP

Eye conditions within the scope of the service

  • Assessment and management advice for dry Age Related Macular Degeneration until the condition can be managed within GOS arrangements
  • Assessment and management advice for blurred vision
  • Assessment and management advice for field loss
  • Assessment and investigation of floaters and flashes for differential diagnosis of Posterior Vitreous Detachment or retinal detachment, with immediate onward referral to HES for retinal detachment.
  • Investigation and management advice for headaches to rule out eye conditions as a cause
  • Investigation and management advice for non-penetrating foreign bodies where necessary referring back to GP for Prescription only Medicine to assist healing
  • Assessment and management advice for red eyes, dry eyes and sore eyes including conditions such as conjunctivitis (bacterial, allergic and viral) and dry eyes
  • Assessment and management advice for lid disease i.e. blepharitis, entropion, ectropion, Meibomian gland dysfunction
  • Assessment and management advice for diplopia
  • Assessment and management of pigmentary changes in fundus including peripheral degenerations, choroiditis, macula changes and choroidal naevi

Exclusions

  • Patients under 18 years of age
  • Clinically Urgent sight threatening conditions, acute loss of vision, all eye emergencies and all 2 week wait referrals will not be included within this LES and should be referred to the local HES as per usual GP practice and community optometrist procedures.

Specific conditions excluded from this service include but are not restricted to:

  • Sudden onset diplopia
  • Painful eyes with reduced vision
  • Wet Age Related Macular Degeneration
  • Suspected cancer conditions

Also outside the scope of this scheme is:

  • Routine refraction
  • Diabetic retinopathy screening

How to refer

Patients may self-refer. Referrers, such as GP practices or community pharmacy, may sign-post patients directly to the service. A list of providers and contact details is below.

N.B. Patients should be instructed to state that they are ringing for an appointment for a minor eye condition when contacting the practice, so that they are not booked in for a sight test in error.

Filey Opticians, 17b West Avenue, Filey, YO14 9AA, 01723 512100

Robinsons Opticians, 9 Newbiggin, Malton, YO17 0JF, 01653 692283

Robinsons Opticians, 14 Eastgate Square, Pickering, YO18 7DP, 01751 472737

Specsavers Opticians, 94 Westborough, Scarborough, YO11 1LD, 01723 501990

Pagan & McQuade, 108 Westborough, Scarborough, YO11 1LD, 01723 371250

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