NHS Barking and

Dagenham CCG

NHS Havering CCG

NHS Redbridge CCG

A service overview, who we

are and what we do

Dougie Mason

Senior NHS Services Manager

Christian Dutton

Clinical Optometrist

BSc(Hons.) MScClinOpt FCOptom Prof. Cert. Glauc

Who are we?

We are one of the leading NHS and private

ophthalmology providers in England, delivering

referral management and community

ophthalmology to 24 NHS CCGs.

We supply the expertise, resources, bespoke technology and overarching governance structures

to enable demand management and community

integration for commissioners of care services.

web: www.evolutio-uk.com

tel: 0203 780 7860

email: support@evolutio-uk.com

nhs email: LCHevolutio@nhs.net

We believe everyone

deserves to see the world

clearly.

Contact Us

Clinical eCare delivery sites include:

Barking and Dagenham (live Dec)

Bournemouth/Poole

Ipswich

Colchester

Sub-contractor Network

Over 75 sub-contactor sites

Delivery of ophthalmology referral management and community services

Formed to bridge the gap between primary, community and secondary care provision

Service design to support community optometry and enhance clinical skills

Working across 24 CCG’s and over 143 hospitals within our network

Delivered NHS ophthalmology care to >60,000 patients

>11% England’s population in contract with Evolutio

Clinically-led organisation – consultant on Board of Directors

Significant ophthalmology, optometry and NHS experience within management team

Who are evolutio?

We currently deliver:

Minor Eye Care Services (MECS)

Enhanced Optometry Services (EOS)

General Ophthalmology

Stable Glaucoma/OHT Management

New Glaucoma Assessments (inc, Gonioscopy)

Minor surgery

YAG Laser (PI, PCO)

Where we currently work

Basildon & Brentwood CCG

Barking and Dagenham CCG

Dorset CCG

Greater Peterborough CCG

Havering CCG

Ipswich & East Suffolk CCG

Mansfield & Ashfield CCG

Newark & Sherwood CCG

Newbury & District CCG

Nottingham West CCG

Nottingham North and East CCG

Redbridge CCG

Rushcliffe CCG

Slough CCG

Thurrock CCG

South Gloucestershire CCG

West Suffolk CCG

Bracknell & Ascot CCG

North & West Reading CCG

South Reading CCG

Wiltshire CCG

Windsor, Ascot & Maidenhead CCG

Wokingham CCGNorth East Essex CCG

Paperless systems

Fully integrated, end to end IT solution

Summary Care Record (SCR) validation

NHS e-RS integration

N3 connected optometry

We use bespoke technology designed for the provision of ophthalmology services, bringing

and supporting optometry into the digital age

Bespoke and Innovative IT Solutions

Shared electronic medical records

Proprietary telemedicine, including

remote OCT ‘B-scan’ manipulation

Fully automated communications

24/7 system support

Central Resource and Infrastructure

Our dedicated NHS Patient Services Team support patients throughout the care pathway

Central team

for patient

calls (9am –

5.30pm)

Informed

choice

discussion for

onward

referral to

secondary

care

Booking via

NHS e-RS

Dedicated

clinical

advice line

(8am – 8pm)

IT support for

sub-

contractors

Contract

management

team

Service Overview: Community Optometry

Evolutio Care Innovations Limited have been awarded the contract by NHS Barking and Dagenham CCG, NHS Havering CCG and NHS

Redbridge CCG (BHR CCG’s). Some of the service objectives include:

• Providing care closer to home• Reducing referrals to secondary care• Ensuring a more equitable and sustainable service• Maximising community care though a multi-disciplinary workforce

Service includes:

• Enhanced Optometry Services (optometry delivered)• Stable Glaucoma/OHT Management (ophthalmology led/optometry delivered)• Minor Surgery/Oculoplastics (Consultant/GPwSI delivered)

Referral routes include: Walk-in; self referral; central management and triage (via Evolutio)

Community Optometry now has the opportunity to provide EOS under the new contract to your patients. Each community service provider must:

• Use eVonnect (our free bespoke software) for central patient record management• Work to standardised protocols• See patients within 2-6 weeks depending upon the pathway

Service go-live: 1st December 2018

The Care Pathway

Community Ophthalmology Service

• EOS (Optometry led/delivered)• Stable glaucoma

(ophthalmology led/optometry delivered)

• Minor surgery (ophthalmology led/delivered)

Includes all diagnostics as part of ‘one stop shop’ model

Fully integrated across primary, community and secondary care –full ability to onward refer via NHS

e-Referral where required

Secondary Care

Initiate patient choice and book

appointmentinto community clinic through

eRefer or secondary care

via NHS e-RS

Onward referral to

HES if required

Referral quality check through

eRefer and Summary Care

Record validation

GP

Ophthalmology Telemedicine Case Review

All suspect glaucoma/stable

glaucoma patients will be reviewed remotely/virtually by

bespoke telemedicine application(inc OCT or imaging), treatment plan, diagnosis, follow up or Rx

System Generated

Recall (where required)

Rejected back to GP

Red Flags

Discharge back to primary care

where appropriate

Clinical triage against local

pathways, NICE guidance

Telemedicine Case Review

(if appropriate)

Referral via NHS e-RS

48 hours (referral – triage – choice offer)

Optometrist

If a provider,

patient can walk-in or clinician can self refer into

the service (no central

triage)

Referral via

NHS e-RS

Referral via

eRefer or Fax

Service model

Affordable; Accessible; Convenient

Clinics no more than 25 minute journey

Retail driven open times

Delivered by local clinicians

Locations selected by activity demands

Integrated pathways from referral to treatment

Robust central triage ensuring inclusion compliance

One-stop-shop, holistic approach to eye care

Consultant-led delivery and leadership

Consultant review of cases (where required)

Onward referral via NHS e-RS / patient choice

Well informed patients

Interactive transport advice provided during choice call

Accessible community clinics, using a shared

care model combining the skills and resources

of optometry and ophthalmology

What does this mean for Community Optometrists?

Community Providers

You now have the opportunity to:

• Deliver the community EOS service from your practice• Work within the evolutio clinical governance framework

• Work using standardised clinical protocols

• Access to consultant ophthalmology panel for case review (where appropriate)

• Potential to provide stable glaucoma management under consultant oversight

To become an eCare affiliate speak to one of the team on 0203 780 7860 or email affiliate@myecare.co.uk

Non-Participating Practices

For those who don’t want to get involved…you can now send referrals directly into the

service rather than send via the GP, ensuring that patients are seen quicker in the

community

LCHevolutio@nhs.net(nhs.net to nhs.net emails only)

email

0333 240 7729Fax

How to Refer

www.evolutio-uk.com/eRefer eRefer

BHRCCG’s Acceptance CriteriaConditions/symptoms included in the service:

BHRCCG’s Exclusion CriteriaConditions excluded from the service that will need Acute Hospital intervention:

• Under 18’s (refer to HES)

• Sudden Onset Diplopia/Orthoptics

• Sudden Loss of Vision

• Painful Loss of Vision

• Diabetic Retinopathy

• Ophthalmic Emergencies (CoO Guidelines)

• Suspected Malignancies

• Conditions Requiring Surgery (not listed above)

• Patients with Post Operative/Traumatic Complications

• Patients Requiring Second Surgical Opinion

• Patients who could be seen under GOS

ENHANCED OPTOMETRY SERVICES

• Dry/Itching/Burning Eyes

• Watering Eyes

• Differential Diagnosis of Red Eye

• Blepharitis

• Trichiasis

• Benign Eyelid Lesions

• Pinguecula/Pterygium

• Floaters/Flashing Lights

• Blurred Vision

GLAUCOMA

• IOP Repeat Measures

• Suspected Glaucomatous Field Defect

• Community Management of Stable

Glaucoma/OHT

MINOR SURGERY (GPwSI /Consultant)

• Curettage of Benign Eyelid Lesions

• Syringe/Probe of Nasolacrimal Duct

• Occlusion of Lacrimal Punctum (temporary)

• Removal of External Foreign Body

• Ectropion and Entropion Repair

eRefer

Quick and easy to complete an electronic referral

Negate the risk of faxes and letters not arriving

GP’s informed via NHS Mail – no more GP letters

N3 and ERS connected (NHS systems)

Attach hi-resolution images and photographs with no image degradation

Follow the patient throughout their care pathway

Download from: https://www.evolutio-uk.com/how-to-refer/

Right from the start all the staff were

so kind and polite, it made me feel

nice and relaxed. The optician who

examined my eyes explained

everything to me. He was kind and

first class, a 100% experience. 10/10

Explanation in detail, seen on

time. An excellent service.Everyone was so helpful and

explained everything so well.

I would recommend to

everyone. 10/10

Friendly efficient service,

everything explained well

Very fast at being seen.

Lovely welcome and

treatment

Very professional staff.

Friendly and relaxed.

I was seen just after my

appointment time. Both the

optician and the assistant

were very pleasant

Efficient, welcoming and

friendly. Tests were very

good

What our patients say…