Referral Information

Referral Pack

Useful Guidance on Referrals

Referral Information Required

Making sure to provide the right information

Emergency

(Same Day) Referral

Urgent

(One Week Day) Referral

MECS

Minor Eye Conditions Service

WET AMD

WET AMD referrals To BMEC

Diabetics

Retinopathy Screening

Cataracts

Cataract Surgery

Eyelid Surgery

Useful Guidance

Orthoptics

Referral Details

Routine Referrals

Single Point of Access (SAP)

Health Harmonie

Useful Guidance

Neighbouring CCGS

Useful Guidance

This is an introduction to the referral procedures in Solihull including MECS, Cataract and IOP repeat measures pathways

Referrals The Heart of West Midlands Optical Confederation have kindly provided information on how to send different types of referrals. This includes a list of providers, their contact details and some of the local pathways. Please visit: loc-online.co.uk/heartofwestmidlandsoc/referrals/ CUES The Heart of West Midlands Optical Confederation have kindly provided information on the CUES pathway. This includes which patients & symptoms are eligible for a CUES appointment, the obligations of the practice, timeframes for making contact, DNA/FTA policies and a pharmacy list.

Tor more information visit: loc-online.co.uk/heartofwestmidlandsoc/cues-practices/ 

Download the Solihull Referral Pack

Download the Solihull Referral Pack here

This also contains list of tel/fax/email contacts.
For patients with a Birmingham and Solihull GP ONLY for all other CCG’s GP patients you should follow local pathways.
All non-urgent referrals must continue to be sent through the Single Point of Access to ease the pressures in Hospital at this time (see routine referrals section below).

Referral Information Required

When referring patients please ensure information is accurate and includes the following:

  • Full name as appears on GP and HES records
  • Gender (in notes as it doesn’t print on Optomanager)
  • Date of birth
  • Address
  • Contact number
  • Registered GP (ensure correct one)
  • Also useful if NHS number if known. Health Harmonie require this in order to refer.

Emergency (Same Day) Referral

15.04.20 UPDATE – LATEST GUIDANCE

Please only send patients that really must be seen for urgent and emergency care.

Please continue to use the fast track AMD service for urgent macula concerns.

Patients with COVID 19 symptoms [MECS first contact triage section 5] who need to be seen PLEASE DO NOT SEND TO BMEC DIRECTLY THEY MUST HAVE TELEPHONE TRIAGE FROM BMEC they may need to wait until symptom free for 48 hours before any face to face assessment. Most patients will receive a senior triage assessment first.

Please ensure you have the patient’s correct telephone contact number.

Opening hours A&E

  • Mon-Sat 9.00 – 19.00
  • Sun and bank hols 9.00 – 18.00
  • Out of hours patients should attend their local hospitals A&E department.

BMEC has a single contact number 0121 507 4440 with a decision tree to enable your call to be directed appropriately OPTION 1 for dedicated urgent and emergency triage this is manned 9-4 Mon to Sat

Outside of these hours please call 0121 507 6779 see clinic times above

Patients who do need to be seen will only be allowed one escort.

If you are unable to get through and you feel that the patient care cannot be delayed then in extreme need you can call 0121 553 1831 and ask for on call ophthalmologist.

Telephone BMEC triage on 0121 5076780 for advice. Send your patient with directions and a GOS 18 or MECS referral letter to:
City Hospital
Dudley Road
B18 7QU
BMEC is open from 8.30am to 7.00pm.

Conditions to refer as an emergency can include:

  • Acute glaucoma
  • CRAO <12 hours old
  • Corneal foreign bodies
  • Pulsating proptosis
  • Hypopion
  • Papilloedema
  • Pre-retinal haemorrhage
  • Retinal Detachment
  • Sudden severe ocular pain
  • Unexplained sudden loss of vision
  • Uveitis
  • Chemical injuries
  • Hyphaema
  • Orbital cellulitis
  • Penetrating injury
  • Retinal breaks and tears
  • Sight threatening keratitis
  • Suspected temporal arteritis
  • Vitreous haemorrhage
  • 3rd nerve palsy
  • Vitreous detachment symptoms with Shafer’s sign

Urgent (1 Week) Referral

Complete GOS 18 and fax to:
Solihull/Heartlands Hospital 0121 424 8954 and mark “Urgent”.
You may wish to telephone BMEC for advice first on the number above.

Please use the email address below for urgent and appropriate referral to University Hospitals Birmingham sites.
QE = Queen Elizabeth hospital
HGS = Heartlands Good Hope and Solihull hospitals
QE = bookingofficeuhb@nhs.net
HGS = uhb-tr.appointments-centre@nhs.ne

Conditions to refer urgently can include:

  • Atopic keratoconjunctivitis
  • Suspected lid tumours
  • Chlamydial conjunctivitis
  • Suspected ocular carcinoma
  • Sudden onset diplopia
  • Proliferative diabetic retinopathy
  • Suspected Horner’s syndrome
  • Keratoconjunctivitis sicca
  • Macular off retinal detachment
  • Commotio retinae Rubeosis
  • Suspected Horner’s syndrome
  • Corneal hydrops with neovascularisation
  • Proptosis with normal vision and ocular movements
  • Vernal keratoconjunctivitis with active limbal/corneal involvement

MECS – Minor Eye Conditions Service

This has now ceased as of 31.07.20

A Minor Eye Conditions Service (MECS) examination will provide a timely assessment of the needs of a patient presenting with an eye condition. This will be undertaken by an accredited optometrist within suitably equipped premises who will manage the patient appropriately and safely. Management will be maintained within the primary care setting for as many patients as possible, thus avoiding unnecessary referrals to hospital services. Where referral to secondary care is required it will be within agreed protocols to a suitable specialist with appropriate urgency.

WET AMD

URGENT COMMUNICATION WET AMD REFERRALS to BMEC

The fax machine at BMEC is no longer in service. All referrals should be made via nhs.net email swbh.team-eyereferrals-fasttrackamd@nhs.net

If you do not have an nhs.net email account to securely send patient data then you should urgently apply for an nhs.net email account https://forms.office.com/r/SzaDjwpZxM

If you have recently sent a referral since 12-07-21 please call 0121 507 6705 option 2 with details of your referral.

THIS NUMBER IS NOT FOR ANY OTHER COMMUNICATION ABOUT REFERRALS.

 

Referrals for BSol CCG patients to UHB and spamedica wet AMD clinics are not affected by this notice.

UHB / Birmingham Heartlands / Good Hope / Solihull Hospitals:

Email to uhb-tr.wetarmdhgs@nhs.net

QE
Email to uhb-tr.wetarmdqehb@nhs.net

BMEC / Sandwell Hospital [SWB], University Hospitals Birmingham, Queen Elizabeth [UHB QE ] and University Hospitals Birmingham , Heartlands, Good Hope and Solihull [UHB HGS] all have rapid access clinics for patients with Wet AMD. In addition BSol CCG have commissioned a wet AMD service provided by Spa Medica for BSol CCG GP patients only

Diabetics

Retinopathy screening takes place at designated optometry practices and ophthalmology departments. Patients have to be registered with the retinopathy screening service to access screening and will be invited periodically by the NHS by letter when screening is due.

 

Cataracts

NICE decision aid for cataract surgery can be found here.

For full information see:
Powerpoint: Practice information for cataract service

Birmingham and Solihull residents with BSOL GP: (if no other co-morbidity) refer directly via OPERA online. You will need to be accredited to provide this service. Contact Solihull LOC for advice on how to become accredited.

Practitioners will be required to have performed a sight test as required by the Opticians Act either paid for privately or through GOS. This should include dilated fundus examination where necessary, a cataract pre-operative questionnaire completed before referral and offered choice of provider (see drop down box on OPERA).

Remember, when referring a patient for cataract surgery who is already under the care of a particular ophthalmologist for another condition e.g. glaucoma or AMD, the patient should only be referred to the consultant that is already caring for the other condition.

Patients who fall outside the above criteria can be referred on a GOS 18 via their GP.

Current waiting times for cataract surgery for Birmingham and Solihull CCG can be viewed on the eye health area of their website:

Cataract waiting times

The Pre and Post Cataract Services became available to Practices on Sunday the 31st January 2021.

Practices had until the 16th February to move over from OPTOManager to OPERA and close down as many existing episodes as possible

User guides and videos for the Pre and Post Cataract services are now available on OPERA

Cataract Referral Service – Useful Resources

Post Cataract transfer guide

Pre and Post Cataract user video/webinar 

Optometrists can also be accredited to provide Cataract post-op services for Spa Medica and Optegra. Contact the clinics directly for information on fees paid and training provided. (via OPERA). Help with OPERA.

Eyelid Surgery

Please see the following guidance and policy for eyelid surgery:

Eyelid surgery – Birmingham and Solihull CCG

You can also download the policy and a useful guide for patients by following the above link.

You may of course refer your patient privately for treatment of eyelid problems excluded under this policy.

For out of area patients please check the relevant policy with their CCG.

 

Ocular Hypertention

Solihull residents with a Solihull GP need to be referred directly via Optomanager online once you have taken 2 separate sets of readings with a Goldmann/Perkins tonometer that are over 24mmHg with no other signs of glaucoma. Optometrists need to be accredited to provide this service. Contact Solihull LOC for advice on how to become accredited.

Refer on GOS 18 by fax to Solihull/Heartlands Hospital on 0121 424 4532.

Orthoptics

Refer on GOS 18 by fax to Solihull/Heartlands Hospital on 0121 424 8954.

Routine Referrals

From 02/11/2020, Routine referrals for conditions such as chronic open angle glaucoma must be referred via a new Single Point of Access (SAP) operated by Health-Harmonie. Contractors will have received details of the new pathway direct from Health-Harmonie.

Conditions NOT seen by Health Harmonie:

  • Suspected Cancers
  • Patients who need cataract surgery
  • Patients with diabetic retinopathy
  • Wet AMD
  • Patients likely to need inpatient surgery
  • Patients under the age of 6

These conditions need to be referred directly to the hospital using our local pathways.

All other patients should be referred to their GP on a GOS 18 stating clearly what action the GP needs to take and the urgency of that referral.

University Hospitals Birmingham appointments email:
uhb-tr.appointments-centre@nhs.net

From 02/11/2020, Routine referrals for conditions such as chronic open angle glaucoma must be referred via a new Single Point of Access (SAP) operated by Health-Harmonie. Contractors will have received details of the new pathway direct from Health-Harmonie.

Conditions NOT seen by Health Harmonie:

  • Suspected Cancers
  • Patients who need cataract surgery
  • Patients with diabetic retinopathy
  • Wet AMD
  • Patients likely to need inpatient surgery
  • Patients under the age of 6

These conditions need to be referred directly to the hospital using our local pathways.

All other patients should be referred to their GP on a GOS 18 stating clearly what action the GP needs to take and the urgency of that referral.

University Hospitals Birmingham appointments email:
uhb-tr.appointments-centre@nhs.net

Neighbouring CCGS

For more information regarding neighbouring CCGs please refer to the respective LOC website. Email contacts for LOC and website details can be found below.

Birmingham
https://www.loc-net.org.uk/birmingham/
ian.hadfield@nhs.net

Wolverhampton
http://www.wolvesloc.net/
wolvesloc@gmail.com

Dudley
http://dudleyloc.co.uk/
whitestar123@hotmail.com

Sandwell
http://sandwell-loc.co.uk/
sandwellloc@hotmail.co.uk

Walsall
https://www.walsall-loc.co.uk/
aishajeewa@gmail.com

Still not found what you need?

Please contact us to ask a question. If we can we’ll later add this to the referral details above.