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*Please note the urgent advice contact telephone number for Torbay Hospital has been updated*
This information provides guidance on the management of ophthalmology patients across Devon during the COVID-19 pandemic. The information is based on national guidance from the Royal College of Ophthalmologists, the College of Optometrists and NHS England.
Only patients suspected of cancer should be referred under the 2WW pathway.
There will be patients who need to be seen and treated urgently. These may include, but are not limited to, those with the following conditions:
Decisions regarding such patients must be based on their risk of significant harm if treatment is delayed.
Urgent Care will continue to be provided in line with normal triage processes on a case by case basis. All these services can be accessed by primary care, optometrists, and via A&E.
Eye units have expanded their triage facilities to support their A&E services and are available for advice and making urgent appointments on the contact numbers below.
Monday – Friday, 08:30 to 18:00: 01752 439330
Saturday – Sunday, 09:00 to 13:00: 01752 439330
All other times: On call ophthalmologist via switchboard: 01752 202082
Monday – Friday, 8:00 to 18:00: 07818 562917
All other times: On call ophthalmologist via switchboard tel: 0300 456 8000 (local rate) or 01803 614567
General urgent referrals: ndht.eyes@nhs.net
Monday – Friday, 8:00 to 20:00: 01271 322461
All other times: On call ophthalmologist via switchboard: 01271 322577
Monday – Saturday, 09:00 to 17:00: 01392 402399
All other times: On call ophthalmologist via switchboard: 01392 411611
Many optometrists and opticians continue to provide modified services in the community.
Optometry referrals will where possible follow this flow chart to link into hospital eye services:
The Royal College of Ophthalmologists: Ophthalmology and Optometry Patient Management during the COVID-19 Pandemic
All new routine referrals will be clinically triaged and will either be added to a waiting list or, if appropriate, A&G will be given.
Please ensure that a practice-based system is in place to check daily for returning referrals with A&G.
Prior to making a routine referral, please ensure that any appropriate Policy or CRG has been reviewed and that all the suggested investigations and management options have been considered.
Existing new and follow-up routine appointments have been cancelled and changed to telephone / video consultation where appropriate.
All non-urgent elective operations have been suspended temporarily.
All units are actively processing follow up appointments to balance the risk of sight loss against the need for social distancing.
Necessary outpatient consultations are being delivered remotely by telephone or virtual consultation where possible.
Where remote consultation is not possible all units continue to run sight saving services re-designed to support social distancing measures where possible.
Immunosuppressed patients are considered high risk and should be advised to self isolate or shield for 12 weeks.
Most of the highest risk patients have been identified and contacted individually.
Follow this flow chart if uncertain: Guide to social distancing for rheumatology and ophthalmology patients
Monday – Friday, 08:30 to 18:00: 01752 439330
Saturday – Sunday, 09:00 to 13:00: 01752 439330
All other times: On call ophthalmologist via switchboard: 01752 202082
Monday – Friday, 8:00 to 18:00: 07818 562917
All other times: On call ophthalmologist via switchboard tel: 0300 456 8000 (local rate) or 01803 614567
General urgent referrals: ndht.eyes@nhs.net
Monday – Friday, 8:00 to 20:00: 01271 322461
All other times: On call ophthalmologist via switchboard: 01271 322577
Monday – Saturday, 09:00 to 17:00: 01392 402399
All other times: On call ophthalmologist via switchboard: 01392 411611
Many optometrists and opticians continue to provide modified services in the community.
Optometry referrals will where possible follow this flow chart to link into hospital eye services:
The Royal College of Ophthalmologists: Ophthalmology and Optometry Patient Management during the COVID-19 Pandemic
As below or via switchboard. Please direct to secretary of respective consultant where possible.
Appointment queries: 01752 439305
Wet AMD Coordinator: 01752 439363
Appointment queries: 01803 656350
Email: sdhct.pac@nhs.net
Macular service: 01803 655179
Appointment queries: 01271 322577
Wet AMD referral: ndht.failsafe@nhs.net
Appointment queries: 01392 406922
COVID-19 clinical guidance for ophthalmologists
Ophthalmology and Optometry Patient Management during the COVID-19 Pandemic
This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group
Last updated: 10-06-2020
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