North Lincolnshire CCG - Minor Eye Care Service (MECS)

Tender description

North Lincolnshire Minor Eye Service (MECS), which comprises of two parts. Part A - Primary Eye Care Part B - Glaucoma Referral Refinement The service (both part A & B) covers all patients aged 18 and over registered with a North Lincolnshire GP practice Part A - provides assessment and management of patients presenting with recent and significant changes of eye care conditions, or the onset of changes that may include the following (subject to final specification): • Red eye • Flashes and floaters • Blurred vision • Diplopia • Ocular pain and irritation • Dry eye • Non-penetrating foreign body • Corneal foreign body • Eye infections that have not responded to treatment • Systemic disease affecting the eye • Epiphora (watery eye) • Trichiasis (in growing eyelashes) • Differential diagnosis of lumps and bumps in the vicinity of the eye • Retinal lesions • Field defects • Lid disease i.e. blepharitis, entropion, Meibomian gland dysfunction. Where necessary follow up after 2/3 weeks from the time of assessment to consider alternative treatment advice if no improvement. Part B – provides repeat diagnostic tests for patients where an initial pressure test suggests a risk of glaucoma. This repeat testing is to confirm the risk of disease thus improve the accuracy of referrals and detect unnecessary referrals to the hospital eye service. The service will be accessed via GP referral, pharmacy referral, self-referral and referrals from other ophthalmic practitioners who do not provide this service.