In 2004, St Helens and Knowsley PCTs set up a direct referral system for local optometrists to refer patients to the Eye Department of St Helens hospital, part of St Helens & Knowsley NHS trust.
It is hoped that the scheme can be expanded to cover other hospital trusts in the area.
In Warrington and Halton, optometrists have referred direct to the HES for many years. All patients are seen at a triage clinic at North Cheshire NHS Trust within 2 weeks.
There are Wet AMD services available locally at St Helens and Warrington eye departments. Local optometrists are encouraged to refer rapidly to these services where they suspect the presence of wet AMD. This page includes versions of the AMD atlas document, where the referral form can be printed already with the required fax number. If faxed directly, the service will contact the patient and arrange an initial assessment within 2 weeks.
The documents used by local optometrists are available on this page. Most of them are generic documents and could, therefore be used by optometrists in other areas.
- St Helens Wet AMD referral form
- Warrington Wet AMD referral form
- Electronic Referral form
- NICE Referral Proforma
- Referral Guidance
- Referral Spreadsheet with links
- Electronic GOS18
- Referral criteria for Warrington optometrists
- Referral routes for Warrington optometrists
Optometrists use an electronic Referral pro-forma. This allows each referral letter to be typed, printed and saved as a unique file on the practice PC.
There is also an electronic GOS18 available for referrals to non-participating trusts.
The LOC has now developed new guidance on optometric referrals. There is a document with advice on making more appropriate referrals and an Excel spreadsheet, which has liknk to internet pages for each condition mentioned. These links allow differential diagnosis, patient information or links to support groups. The spreadsheet is an evolving document and the LOC Adviser would welcome any assistance in updating and improving it.
If you have any comments to make or want more information, please contact the LOC adviser, Bob Wilkes firstname.lastname@example.org