Covid-19 Management Advice
28th June 2020
Piers Ricketts (Chief Executive of Eastern AHSN & Chair of the AHSN Network) on behalf of East of England local authorities/local government and regional NHS working together in partnership asks ALL PRIMARY CARE WORKERS to read his letter and complete the survey mentioned.
17th June 2020 Primary Care Team NHS England and NHS Improvement East of England
issued the the following documents relating to the resumption of General Ophthalmic Services (GOS):
For Optometrists providing NHS emergency optometry services in the COVID situation.
Following assessment of your patient’s needs, please use this order form when you request that a GP prescribes the medicine that you have recommended.
This should be sent securely – e.g. by NHS mail – to the patient’s GP.
Dr Alistair Lipp
Medical Director – Professional Standards & Responsible Officer
COVID-19:- Clinical Lead Out-of-Hospital services
NHS ENGLAND - Novel Coronavirus (Covid-19)
2. KEY WORKER STATUS:
On 20/03/2020 17:57, GREAVES, Sharon (NHS ENGLAND & NHS IMPROVEMENT - X24) wrote:
To All Optical Contractors: Covid-19 - Maintaining educational provision for Key NHS Workers
We have received a number of queries from colleagues in primary care following the publication of the national guidance around the school provision for key workers. We can confirm that all primary care providers and their staff are included within the NHS Key Worker definition.
Optical team email: firstname.lastname@example.org
NHS England Webpage:www.england.nhs.uk
b). Advice on NCT use
in the UK, the College of Optometrists guidance states:
'Where possible, avoid the use of air-puff tonometry, particularly if it means you need to get close to the patient, as this may also generate aerosols, which may be a source of infection. If you normally use air-puff tonometry you should consider whether you need to do tonometry at this time, for example if the patient has normal discs and visual fields.'
This means that with immediate effect we should stop routine NCT for all customers unless you feel it is clinically justified based on clinical signs, such as narrow anterior angles or a change to disc appearance. If NCT is not measured for those who would normally recieve this test routinely, record 'NCT not taken as per Covid-19 guidance' underneath where NCT is currently recorded.
If tonometry is clinically indicated then GAT would be the first choice, but NCT can be used in the absense of applanation equipment.
Free slit lamp breath shields
Ophthalmic societies around the world are recommending enhancing your protective protocols and to install slit lamp protective breath shields.
ZEISS are providing free protective breath shields that can be installed easily on most slit lamps regardless of make or model.
To order your free shields visit:
6. LOCSU - Covid-19 update 11 March 2020
7. Optical Fees Negotiating Committee (OFNC)
OFNC is working with NHSE on financial support and adjustment to contract requirements. LINK