{"id":94,"date":"2021-04-29T05:38:52","date_gmt":"2021-04-29T04:38:52","guid":{"rendered":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/?page_id=94"},"modified":"2026-10-24T18:17:48","modified_gmt":"2026-10-24T17:17:48","slug":"referral-pathways","status":"publish","type":"page","link":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/referral-pathways\/","title":{"rendered":"Referral Pathways"},"content":{"rendered":"<h1><strong>Please be aware this website is no longer updated.<\/strong><\/h1>\n<h1><strong>Please visit <a href=\"http:\/\/www.cornwall-loc.co.uk\">www.cornwall-loc.co.uk<\/a> for the up to date website.\u00a0<\/strong><\/h1>\n<h2><\/h2>\n<h2><strong>Electronic Referral Service (E-RS) Support:<\/strong><\/h2>\n<p data-start=\"962\" data-end=\"1141\">Cornwall has introduced an electronic referral system for routine and urgent optometry-to-ophthalmology referrals, which are now submitted via the NHS e-Referral Service (e-RS).<\/p>\n<p data-start=\"1148\" data-end=\"1317\">This change does not affect other referral pathways. Referrals for wet AMD, emergencies, and non-ophthalmology conditions should continue to follow existing processes.<\/p>\n<p data-start=\"1324\" data-end=\"1583\">The NHS Kernow Referral Management Service (RMS) will manage all optometry-to-ophthalmology referrals submitted via e-RS for patients registered with a GP practice in Cornwall or Devon. When selecting a service, please ensure <strong data-start=\"1550\" data-end=\"1570\">\u201c<\/strong>NHS Kernow RMS<strong data-start=\"1550\" data-end=\"1570\">\u201d<\/strong> is chosen.<\/p>\n<p data-start=\"1590\" data-end=\"1650\">Further guidance is available in the documents linked below.<\/p>\n<p><a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2026\/01\/FAQs-Optom-e-RS-CIOS-v1.0.pdf\" target=\"_blank\" rel=\"noopener\">ERS Registration &amp; FAQ&#8217;s<\/a><br \/>\n<a style=\"font-size: 1rem;\" href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2026\/01\/CIOS-e-RS-optometry-user-guide-v2.0.pdf\" target=\"_blank\" rel=\"noopener\">ERS User Guide<\/a><\/p>\n<h2><strong>Community Eye Care services: Introduction<\/strong><\/h2>\n<p>For many years the Department of Health has been trying to encourage delivery of more routine and minor emergency eyecare outside the hospital, and into community optical practices. The aim of this is to free up capacity in the hospital, and to help cope with increasing demand from both the ageing population and new technologies such as wet age-related macular degeneration (AMD) treatments.<\/p>\n<p>Here in Cornwall and the Isle of Scilly, community optical practices are successfully and safely delivering\u00a0 enhanced services as part of local eye care pathways which link into the hospital as appropriate.<\/p>\n<p>This means that patients with a range of eye health problems are diagnosed, and often treated, by specially trained community optometrists situated in local practices, without the need to travel to hospital. This is the main advantage of this service, as getting to and negotiating a large hospital may be daunting, especially for old or frail patients. Other key benefits are:<\/p>\n<ul>\n<li>\n<div>\u00a0Increased choice for patients \u2013 they may be able to attend a practice close to home, or one with which they are familiar<\/div>\n<\/li>\n<li>Speedy assessment \u2013 many practices can offer appointments within a few days.<\/li>\n<li>Convenient appointment times \u2013 many practices can offer weekend or evening appointments.<\/li>\n<li>Explanation of eye problems \u2013 most optometrists will have time to discuss eye health problems with the patient, and to answer questions, providing valuable reassurance.<\/li>\n<\/ul>\n<p>Information on each of the community eye care pathways is provided below.<\/p>\n<h2 style=\"text-align: left;\"><strong>Post &#8211; Operative Cataract Pathway\u00a0<\/strong><\/h2>\n<p><strong>After a cataract operation, <\/strong>where there have been no complications from the surgery and you don&#8217;t suffer from any other eye conditions, the hospital may give you a choice of accredited high street opticians practices who can perform your follow up appointment within 6 weeks after the operation.<\/p>\n<p>This saves you from having to return to the hospital outpatients for follow-up. The Optometrist examines your eye to ensure that it has healed and to ensure there are no complications developing as a result of the surgery. Your vision is also checked at this appointment to ensure that you have a good visual outcome.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2021\/06\/pathwaycat.pdf\">Patient Cataract Journey<\/a><\/li>\n<li>Post Operative Cataract update (OCT 2016)\u00a0<a href=\"http:\/\/www.primary-eyecare-cornwall.co.uk\/uploads\/8\/2\/5\/6\/82564694\/post_op_cataract_update.key\">http:\/\/www.primary-eyecare-cornwall.co.uk\/uploads\/8\/2\/5\/6\/82564694\/post_op_cataract_update.key<\/a><\/li>\n<\/ul>\n<h2><\/h2>\n<h2><strong>GAT &amp; OHT<\/strong><\/h2>\n<ul>\n<li>GAT referral form to other practice\/practitioner. <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2022\/10\/GAT-px-record-card-NEW.pdf\">GAT intra practice referral form<\/a><\/li>\n<li>GAT &amp; OHT Patient referral pathway and NICE guidelines. <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2021\/06\/gat_and_oht_service_spec_flow_diagrams.pdf\">GAT and OHT service spec flow diagrams<\/a><\/li>\n<li>OHT Monitoring Scheme patient leaflet. <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2021\/06\/eye_services_for_patients_at_risk_of_glaucoma_9.2.2017.pdf\">Eye services for patients at risk of glaucoma<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 style=\"text-align: left;\"><strong>Minor Eye Conditions (MEC\u2019S)<\/strong><\/h2>\n<p>Aims of a MECS service<\/p>\n<ul>\n<li>A MECS consultation provides a timely assessment of the needs of a patient presenting with an eye condition (usually within 24 hours of the patient presenting to the practice if the condition is deemed urgent, or within 14 days if deemed non-urgent)<\/li>\n<li>Reduce unnecessary visits to the hospital eye service or A+E<\/li>\n<li>Reduce the pressure on GP practices<\/li>\n<li>Quick access to high quality eye services<\/li>\n<li>Appropriate and timely referral to the hospital eye service when necessary<\/li>\n<\/ul>\n<p>Who can provide the service?<\/p>\n<ul>\n<li>\u00a0Specially trained and accredited community optometrists and dispensing opticians.<\/li>\n<\/ul>\n<p>What is a \u201cMinor Eye Condition\u201d?<\/p>\n<p>Basically something that has changed with your eyes recently (usually within the last three days). This includes but is not limited to:<\/p>\n<ul>\n<li>Red eyes<\/li>\n<li>Sore\/painful eyes<\/li>\n<li>Sudden onset of blurred vision or loss of vision<\/li>\n<li>\u201cFlashes and floaters\u201d<\/li>\n<\/ul>\n<ul>\n<li>PharmOutcomes Website &#8211; <a href=\"https:\/\/pharmoutcomes.org\/pharmoutcomes\/\">Click Here<\/a><\/li>\n<li>MECS Patient referral pathway: <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2021\/07\/Overall-MECs-Pathway-PDF.pdf\">Overall MECs Pathway PDF<\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-132\" src=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2021\/06\/9D12E2CF-779F-40EC-A669-9855A4EF77E6.jpeg\" alt=\"\" width=\"161\" height=\"92\" \/><\/p>\n<h2><strong>Emergency Eye Casualty\u00a0<\/strong><\/h2>\n<p>RCHT is happy for this form to be used in order to streamline the service and improve patient access.\u00a0The form must be completed in full and emailed to\u00a0rch-tr.emergencyeyeclinic@nhs.net\u00a0using a secure NHS e-mail account and a copy must also be sent to the patient&#8217;s GP. Patients who are referred to the service should be given a \u2018What happens next\u2019 form.<\/p>\n<ul>\n<li>EEC Form (PDF) &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2022\/05\/Emergency-Eye-Clinic-Referral-Form-Jul19.pdf\">Click here.<\/a><\/li>\n<li>EEC Form (Docx) &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2025\/12\/Emergency-Referral-Template.docx\">Click here.<\/a><\/li>\n<li>Email address: <a href=\"mailto:rch-tr.emergencyeyeclinic@nhs.net\">rch-tr.emergencyeyeclinic@nhs.net<\/a><\/li>\n<\/ul>\n<h2><strong>WARM clinics<\/strong><\/h2>\n<p>DeMac \u2013 Direct E-referrals to Macular service was launched in 2018. It has been designed in collaboration between Kernow CCG, the Local Optical Committee and the Royal Cornwall Hospital team. NHS England is happy for this to be used in order to streamline the service and improve patient access<br \/>\nThe form must be completed in full and emailed to rcht.demac@nhs.net using a secure NHS e-mail account and a copy mjust also be sent to the patient&#8217;s GP. Patients who are referred to the service should be given a \u2018What happens next\u2019 form.<br \/>\nThis initiative is for the referrals for patients with macular pathology only and it does not affect any other referrals to ophthalmology.<br \/>\nOnce the referral is received, patients will first undergo retinal scans and photographs. These results will be analysed virtually 2-3 days later and based on the clinical findings, patients will then be booked urgently or routinely in to appropriate clinic to see a doctor or a specialist nurse. Patients who are not found to have any abnormality on scans and photographs will not be brought back into clinic.<\/p>\n<p><a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2025\/12\/DeMAC-Referral-Form.docx\">DeMAC Referral Form.<\/a><\/p>\n<p><a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2022\/02\/DeMac-what-happens-next-2018.pdf\">DeMAC What Happens Next.<\/a><\/p>\n<h2><strong>LOW VISION<\/strong><\/h2>\n<p>Low vision assessments and loans of LVAs, is a service provided by for the hospital by iSight Cornwall in Truro.<\/p>\n<p>They offer Low Vision assessments throughout Cornwall. To be able to access this service a patient requires a referral from their optician or eye hospital consultant \u2013 iSight Cornwall are unable to book an appointment without one.<\/p>\n<p>To complete a referral, you must have seen a patient with the last 12 months.<br \/>\nIf the patient is under the care of RCHT their consultant can refer at their next appointment. You may also be able to request this over the phone.<\/p>\n<p>Low Vision assessments are carried out by Tara Butler, who works with iSight Cornwall and the Opthalmology department as an Eye Clinic Liaison Officer (ECLO).\u00a0 If you have a patient that requires the services of an ECLO and not just a LV assessment please mark this on any referral sent, as a longer appointment is required.<\/p>\n<ul>\n<li>Isight Cornwall Referral Form (Docx) &#8211; <a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-content\/uploads\/sites\/53\/2025\/12\/ISightCornwall-Referral.docx\">Click here<\/a><\/li>\n<li>Isight Cornwall Online Referral Form &#8211; <a href=\"https:\/\/www.isightcornwall.org.uk\/referrals\/nhs-referrals\/\">Click here<\/a><\/li>\n<li>Referral Email address: <a style=\"font-size: 1rem;\" href=\"mailto:info@isightcornwall.org.uk\">info@isightcornwall.org.uk<\/a><\/li>\n<\/ul>\n<p>Contact details for iSight Cornwall:<br \/>\niSightCornwall<br \/>\nThe Sight Centre<br \/>\nNewham Road<br \/>\nTruro<br \/>\nTR1 2DP<br \/>\nTel: 01872 261110.<br \/>\nEmail: <a style=\"font-size: 1rem;\" href=\"mailto:info@isightcornwall.org.uk\">info@isightcornwall.org.uk<\/a><\/p>\n<h2 style=\"text-align: center;\">For more information please see the Primary Eyecare Cornwall website\u00a0<a href=\"http:\/\/www.primary-eyecare-cornwall.co.uk\/\">http:\/\/www.primary-eyecare-cornwall.co.uk\/<\/a><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>Please be aware this website is no longer updated. Please visit www.cornwall-loc.co.uk for the up to date website.\u00a0 Electronic Referral Service (E-RS) Support: Cornwall has introduced an electronic referral system for routine and urgent optometry-to-ophthalmology referrals, which are now submitted via the NHS e-Referral Service (e-RS). This change does not affect other referral pathways. Referrals &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/referral-pathways\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Referral Pathways&#8221;<\/span><\/a><\/p>\n","protected":false},"author":503,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-94","page","type-page","status-publish","hentry"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/pages\/94","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/users\/503"}],"replies":[{"embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/comments?post=94"}],"version-history":[{"count":12,"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/pages\/94\/revisions"}],"predecessor-version":[{"id":841,"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/pages\/94\/revisions\/841"}],"wp:attachment":[{"href":"https:\/\/www.loc-online.co.uk\/cornwall-islesofscilly-loc\/wp-json\/wp\/v2\/media?parent=94"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}