New IOP referral refinement scheme for Buckinghamshire LOC

19 July 2012

Buckinghamshire LOC’s IOP referral refinement scheme, which was launched in March 2012, is now fully up and running. 

Scheme overview

  • This scheme is a single Goldmann repeat process after tonometry giving IOP over 21mmHg in either eye.  
  • Age banding, in line with the "Guidance on the referral of Glaucoma suspects by community optometrists", jointly produced by The College of Optometrists and The Royal College of Ophthalmologists, is only applied after the Goldmann measurement..
  • Visual Field and disc assessment must have already been done.
  • Only patients with normal discs and fields (not suspicious of Glaucoma) join this scheme - those patients requiring referral are referred direct to the hospital trust.
  • Any practice not on the scheme continues to refer raised IOPs through the normal channels - this number of practices will steadily reduce.
     

Working with the Primary Care Trust and OptoManager

We were keen to show the Primary Care Trust that the scheme would be self-managing in terms of administration and auditing so asked LOCSU and Webstar Health to present OptoManager-the electronic reporting software-to the PCT.  The PCT welcomed the product and agreed to take on the costs of auditing and managing the service using this software which was great news.  We are currently working with our local ophthalmologists and Sali Davis, LOCSU Operations Manager, to tailor the OptoManager product so it reflects the needs of our scheme in Buckinghamshire.  

Webstar Health, who worked with LOCSU to develop the original software, have also demonstrated the software as part of the accreditation training sessions for participating optometrists and we will be rolling it out shortly. 

We were very grateful to the PCT who provided funding to help with the purchase of Goldmann tonometers in many participating practices – we did negotiate a discounted price for them from Keeler. 

Training 

The four glaucoma specialist ophthalmologists on the patch require every accreditee to attend a hands-on "training/refreshment" session on Goldmann along with scheme familiarisation. This is run jointly by the hospital trust and the LOC approximately one evening per month until as many practices as possible have been covered.  Each session provides accreditation for 18 optometrists (three optometrists plus tutor per slit-lamp station in the Eye Unit at Stoke Mandeville Hospital). For the small numbers of people who have not been able to make the sessions, training will be provided by the Chair of the LOC. 

Numbers of participants

There are currently 51 accredited optometrists working across 28 practices participating in the scheme.  This is out of a total of 62 practices.  We are keen to expand the scheme to cover as many practices as possible. 

Lessons learned? 

Working closely with Webstar Health and LOCSU has been really helpful in terms of moving our scheme on from a paper-based system. 

 

Bruce Gilson, Chair of Buckinghamshire LOC 
 

Contact us

Dates for the diary

North & North East Lincolnshire LOC's AGM

The Humber room, The Ropewalk, Maltkiln Road, Barton-on-humber

Annual AGM

2018-04-27 18:30:00 - 2018-04-27 21:00:00

Contact name: Ralph Worfolk

Contact email: rw@smithwalker.co.uk

Sefton LOC's AGM

Pioneer Bar, 107 Liverpool Rd, Crosby, L23 5TD

Annual AGM

2018-04-30 18:00:00 - 2018-04-30 21:00:00

Contact name: Paul Newell

Contact email: sefton.loc@gmail.com

Kent & Medway LOC's AGM

Charlotte Room, Marriott Tudor Park, Ashford Road, Bearsted, ME14 4NQ

Annual AGM

2018-05-01 18:00:00 - 2018-05-01 21:00:00

Contact name: Michelle Martins

Contact email: michelle@jclconsulting.co.uk

Cumbria LOC's AGM

Greenfields Hotel, Wigton, Cumbria

Annual AGM

2018-05-01 18:00:00 - 2018-05-01 21:00:00

Contact name: Bruce Avery

Contact email: braveryoptom@talktalk.net

Manchester LOC's AGM

The Chancellors Hotel, Chancellors Way, Moseley Way, Fallowfield, Manchester, M14 6NN

Annual AGM

2018-05-02 18:30:00 - 2018-05-02 21:00:00

Contact name: Lindsey Flynn

Contact email: lindsey-flynn@hotmail.com

Devon LOC's AGM

Exeter Court Hotel, Kennford, Exeter, Devon EX6 7UX

Annual AGM

2018-05-08 18:30:00 - 2018-05-08 21:00:00

Contact name: Jonathan Drew

Contact email: jdrew@devonloc.co.uk

West Sussex LOC's AGM

Chesham House Centre, 124 South Street, LancingĀ  BN15 8AJ

Annual AGM

2018-05-08 19:00:00 - 2018-05-08 21:00:00

Contact name: Jackie Oxley

Contact email: jackie.oxley@googlemail.com

Leicestershire & Rutland LOC's AGM

Belmont Hotel, De Montfort Street, Leicester, LE1 7GR

Annual AGM

2018-05-08 19:00:00 - 2018-05-08 21:00:00

Contact name: Cindy Jones

Contact email: leics_rutland_loc@btinternet.com

Durham LOC's AGM

Ramside Hall Hotel, Durham, DH1 1TD

Annual AGM

2018-05-09 18:15:00 - 2018-05-09 21:00:00

Contact name: Richard Naisbitt

Contact email: secretary@durhamloc.co.uk

Bolton LOC's AGM

Britannia Bolton Hotel, Beaumont Road, Bolton, BL3 4TA

Annual AGM

2018-05-09 18:15:00 - 2018-05-09 21:00:00

Contact name: Karen Hunter

Contact email: karenhjones@btinternet.com

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