South Reading CCG - Part of West Berks STP

WHAT WE DO

Referral Management

Ophthalmology Service

Data Analytics

The service is provided by both Evolutio and HealthHarmonie; Evolutio provide clinical triage and HealthHarmonie providing clinical services. Where patients require a community appointment, HealthHarmonie will contact the patient to book an appointment into one of the available clinics. There are currently 10 community providers.

 

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

Please only send referrals relating to glaucoma/OHT to Evolutio.

Anything outside of criteria needs to be referred via the GP (unless it is an emergency in which case you should contact eye casualty).

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

Please note that cataract referrals are not included within this service and should not be sent to Evolutio. Please send to the patient’s GP for onward referral.

Required (1st eye)

  • VA 6/12 or worse in the worst eye

Second eye

  • VA 6/12 or worse in the 2nd eye
Cataract Policy

Restricted Procedures

http://www.fundingrequests.cscsu.nhs.uk/berkshire-west/cosmetic-and-other-surgeries-berkshire-west/

Aesthetic/Cosmetic Procedures

  • Chalazia
  • Xanthelasma
  • Haemangioma
  • Blepharoplasty
  • Botox

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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