Please click here for guidance from NHS England and Herefordshire CCG on referral pathways within Herefordshire.
- All referrals need to be legible and should provide all the necesary information about why you are referring.
- All referral routes are decided by the patient's GP Practice and by the CCG the GP's 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 Wait (2WW) and Local Enhanced Optical Services that have been commissioned by the CCG.
- Routine - needing an appointment for a condition that is chronic and not immediately sight threatening. The CCG have directed us to make these referral via the Patients GP - but please note that there is a Direct Referral service in operation for cataract and suspect glaucoma patients.
- Urgent - needing an appointment for a condition that is not immediately sight threatening. The CCG have directed us to make these referrals via the Patients GP
- Emergency - needing an appointment on the same day. Patients should be sent to: The County Hospital, Union Walk, Hereford HR12ER. Telephone: 01432 355444
- 2 Week Waits - Suspected cancers and Wet ARMD. If you suspect ocular cancers, the CCG have directed us to make these referral via the Patients GP. Wet ARMD referrals should be made via the Macular Fast Track Scheme.
- Local Enhanced Services
- Direct Referral of Cataract
- Post Cataract Scheeme
- Glaucoma Suspect Referral Refinement
- PEARS - where a patient either self-refers with an acute ocular problem (less than 2 weeks) or if the GP requests a PEARS examination. Optoemtrist refers on tohospital those deemed to be urgent.
- Children's School Screening Pathway
- HOLOMS : Optometry Ocular Hypertension and Monitoring
Please note that this guidance has been issued by Herefordshire CCG. However it is important for each practitioner to consider the urgency of referral carefully, and the implication of referral route on the timescale. Please be aware that Urgent (but not emergency) referrals, while advised by the CCG to be referred to a GP, may sometimes need referral within a timescale that cannot be met via GP referral ( ie BRVO/CRVO/6th nerve palsy to name but a few). If you feel that referral via GP will not result in action within a sufficiently timescale, then it is recommended to call the Eye Casualty at Victoria Eye Unit for advice.
The LOC is aware of the need for further clarification on referral pathways and protocols. This is something we are looking to review soon.