COVID 19 Urgent eyecare David Hill Peter Mc

COVID -19 Urgent eyecare David Hill & Peter Mc. Elduff

Background • LOCSU CUES (COVID urgent eyecare service) • Remote consultations • Joint working • Reducing hospital and GP footfall • Central access

LOC objectives • • Ease of access Funding at point of access Inclusive of our membership Local support

Service aims • Use the skills and equipment in the community • Reduce burden on secondary care • Minimise risk to patients at high risk of COVID mortality • Provide practices with a further revenue stream

Access • 2 main routes 1. Direct contact with your practice • Patients contacting you as the eye expert • Sign posted by local GP or pharmacy 2. Sent following triage by Evolutio clinicians • From 111, GP or pharmacy after calling 0800 number • May be your patient

Available at this practice if you have a Suffolk GP

Access options 2 Via 0800 1 Direct contact Evolutio triage and decide on action Make px record Send to ESP Evolutio triage page Decide on virtual/f 2 f Sent to pending appointment

Enter patient details Select walk in

Enter patient details Select walk in Complete triage questions

Other questions: Diplopia Pain Floaters

Access to medications • Recommendation to purchase • Signed order • Request for GP to prescribe

Outcomes • Treat and Discharge • Advice and Guidance (A & G)

Advice and Guidance • West Suffolk Hospital • Acute call on-call via switchboard 01284 713000 • Less urgent email wsh-tr. EYEsecs@nhs. net • Ipswich Hospital • Acute phone on-call 01473 712233 or mobile 07703 378991 • Less urgent Mr Vayalambrone: clinical questions/image review, Deepak. Vayalambrone@esneft. nhs. uk

Outcomes Treat and Discharge Advice and Guidance Refer routinely (new referral via Evolutio) Refer urgent (direct to hospital after speaking to on-call) • Follow-up • •

Inclusion and exclusion • Urgent recent onset conditions • • • Painful eyes Red eyes Sudden/transient loss of vision New flashes/floaters Trauma • Only adults (18+) • Those better served by a ST • Your own contact lens patients

Record keeping/communicating/training • Complete records within 24 hours of deciding on management • Promote future self-care • Given written information to reinforce verbal information • No exams to join

Ethics • Respect loyalty to patients own optometrist • Do not solicit service outside the scope of the scheme • Patient details should not be added to the practice reminder system • Could a ST be more appropriate

Audit, feedback and compliance • • • Numbers of patients seen Record keeping Adherence to local protocols Serious incidents Number kept out of HES Follow-up numbers Outcome of HES referrals Patient satisfaction Evolutio surveys

Tariffs Initial appointment • Anterior eye assessment - £ 38. 16 • Posterior eye assessment - £ 47. 70 • Virtual consultation - £ 25. 00 Follow - up • Anterior eye - £ 24. 12 • Posterior eye - £ 30. 15

Next steps • • • Email Owen: owen. thom@evolutio-uk. com Complete online registration Current ESP’s need a contract variation Compliance session run by Evolutio Small group software training if needed

Thank you • Questions