North East Essex CCG

WHAT WE DO

Referral Management

Enhanced Optometry Services

eCare Ophthalmology Service

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

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.

Cataract Policy

Required (1st or 2nd eye)

  • 6/12 or worse in the worst eye
  • List reasons why the patient’s vision and lifestyle are adversely affected by 
cataract and risks/benefits of surgery (e.g. glare, work affected, reading problems, anisometropia, co-manage other conditions etc)
  • Smoking cessation discussed and appropriate contact details provided
  • Smoking status included in referral

2nd Eye

  • ‘Urgent’ if aniso >2.5D causing BV problems

Preferred

Restricted Procedures

Requires prior approval

  • Benign Skin Lesions
  • Blepharoplasty
  • Chalazia
  • Dysthyroid eye disease
  • Face Lifts and Brow Lifts
  • Vision therapy/Vision training/Behavioural optometry
  • Benign Skin Lesions
  • Blepharoplasty
  • Chalazia
  • Dysthyroid eye disease
  • Face Lifts and Brow Lifts
  • Vision therapy/Vision training/Behavioural optometry

Useful Documents

Referral Pro-forma

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

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Ophthalmology Referral Guidance

Evolutio Ophthalmology Referral Guidance Nov 17

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