Mid Essex referral pathway document showing correct referral method for your region.
Basildon & Brentwood referral pathway document showing correct referral method for your region.
Castle Point and Rochford and Southend referral pathway document showing correct referral method for your region.
Thurrock referral pathway document showing correct referral method for your region.
Specific 2 week cancer referral form for Southend Hospital.
The following documents are the restriction policies issued by Mid Essex.
For cataract referrals:
The “completed proforma” is simply the referral form.
Please state on the referral that the patient wishes to have the operation.
The “Decision Making Leaflet” only needs to be issued to a patient who is unsure whether they would like cataract surgery.
“Using the patient’s own words” can be as simple as “the patient reports difficulty driving at night” or “the patient reports they can no longer read their books” etc.
- Mid Essex Cataract Restriction Policy: Catacacts Mid Essex CCG service restriction policy – sept16. Cataracts decision making leaflet
- Mid Essex Bletheroplasty Restriction Policy: blepharoplasty-meccg-service-restriction-policy-sept16
- Mid Essex Chalazia Restriction Policy: chalazion-mid-essex-ccg-service-restriction-policy-sept16
- Mid Essex Dysthyroid Restriction Policy: dysthyroid-eye-disease-mid-essex-ccg-service-restriction-policy-sep16
South CCGs Cataract Service Restriction policy
Alternative referral routes
A reminder that Ophthalmology activity can be referred to BMI Hospital, Southend or the Chelmsford Day Hospital. This alternative provision has been put in place at the request of Southend hospital who have asked the CCG for help in diverting up to 25% of all referrals and associated follow up activity away from Southend hospital.
Both BMI and The Chelmsford are commissioned to provide Consultant led NHS Ophthalmology services and can see all general ophthalmic activity. They will accept referrals for general ophthalmic conditions (anything you would usually send to Southend or Orsett hospital) with the following exclusions:
- Any emergency condition should be referred as usual to the Southend Hospital Eye Service
- Patients with potential cancer of the eye
- Patients with a squint
- Patients with a potential neurological condition
- Patients with a potential macular condition
- A patient with incapacitating disease that is a constant threat to life
- A patient who has an unstable mental condition and is receiving psychiatric treatment
- A patient who is grossly obese with a BMI>40
- Patients under 18 years of age
SOUTHEND PRESCRIBING GUIDELINES FOR DRY EYE SYNDROME
Southend and Castle Point and Rochford CCGs have recently agreed a new protocol for the prescribing of drops for dry eye syndrome. Where possible patients who have a GP in either of these CCGs should be asked to self-fund their drops if they are able. For those patients who require their medications funded by the NHS the following should be followed:
Any drops that are needed to be prescribed by the GP should not be requested by the brand name, they should be requested by the active ingredient. Eg Sodium Hyaluronate, not Hycosan; Paraffin based eye ointment, not lacrilube etc. This will allow the GP to prescribe the correct eye drop from their agreed formulary. Brand specific drops will need to be self funded.
For more details please view Dry Eye Prescribing Guidelines