NHS East Berkshire CCG - Formally Bracknell and Ascot CCG

WHAT WE DO

Referral Management

Enhanced Optometry Services

Data Analytics

GP Inclusion List

If your patient’s GP is contained within the GP inclusion document then you need to refer via the Evolutio pathway if they meet the inclusion criteria

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Inclusion Criteria

Within the Ipswich and East CCG service we are able to receive all non-emergency (see College Guidelines) referrals via normal methods (fax, nhs.net, ERS and eRefer)

How to refer

Local threshold policies and prior approval pathways

CCGs are increasingly implementing threshold policies and prior approval / independent funding request (IFR) pathways for particular conditions to ensure finite resources are managed to provide the population with as wide a range of healthcare interventions and to prioritise resource allocation based on evidence of the clinical effectiveness and safety of treatments, their cost effectiveness and affordability, and on which interventions provide the best health outcomes.

Where Evolutio run a referral refinement service, we are tasked with policing these policies. If a referral is outside of threshold or is not sent with an accompanying prior approval form / IFR where required by the CCG we will have to unfortunately return the referral to you.

Threshold Information

Cataract Policy

Required (1st or 2nd eye)

  • VA 6/12 or worse in the worst eye OR
  • Reasons
    • Lifestyle impairment
  • Must understand the general benefits and risks of surgery
  • Must be willing to undergo surgery if offered
Cataract Policy

Restricted Procedures

  • Aesthetic/Cosmetic Procedures – chalazia, xanthelasma, haemangioma
  • Blepharoplasty
  • Botox

All lid lumps require prior approval

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Click for IFR Details

Useful Documents

Ophthalmology Referral Guidance

Evolutio Ophthalmology Referral Guidance Nov 17

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Referral Pro-forma

Use this our referral pro-forms to fax your referrals to Evolutio

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Ophthalmic Referral Good Practice

Presentation – Circle Event, Reading 25th Sept 18

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