Is the eye red? NO ………………………….YES YES See within 48 hours Book sight test Problem with R L Has it come on suddenly? NO YES See within 24 VISION If gradual, when did it start? < 3 months See within 48hrs (Vision Loss, Disturbance, of > 3 months Book sight test vision, Double vision) Problem with FLASHES and/or FLOATERS When did it start or when did it last change or when did it get worse < 6 weeks See within 24hrs 6-12 weeks (symptoms increased) See within 24hrs 6-12 (symptoms same) See within 48hrs > 12 weeks Book sight test
WHITE British Irish Other BLACK African Caribbean Other MIXED RACE ASIAN White & Black African White & Black Caribbean White & Asian Indian Pakistani Bangladeshi Other OTHER BACKGROUND Gypsy / Traveller Chinese Other What is your religion or belief? Buddhist Christian Jewish Muslim Sikh None Other THIS SECTION TO BE COMPLETED BY OVER 16s ONLY What is your sexual orientation? Heterosexual / straight Homosexual / gay man Lesbian / gay woman Bisexual Do not wish to say Is your gender the same as you were assigned at birth? Yes No What is your marital status? Single Co-habiting Married In a civil partnership Legally separated Divorced Widowed July 2013
Primary Eye Care (Heart of West Midlands) Ltd Eye Conditions Service Document name: Primary Eyecare (Heart of West Midlands) Ltd : Managing Subcontractor Performance Date created: Jan 16 Author: C Barlow Approved by: I Hadfield P Rockett Jan 16 Primary Eyecare (Heart of West Midlands) Ltd: Managing Subcontractor Performance Definitions The following definitions will in this document: Primary Eyecare (Heart of West Midlands) Ltd will be known as “the Company” A practice providing community services will be known as “the subcontractor”. The Clinical Commissioning Group(s) commissioning services from the Company will be known as ‘the commissioner’ Introduction It is the Company’s responsibility to manage the subcontractors involved in undertaking community services. This Standard Operating Procedure explains how the Company will manage its subcontractors’ performance, and ensure that the commissioner’s requirements will be fully met at all times. The Company’s clinical governance and performance lead will be the coordinating commissioner’s main point of contact within the Company. The Clinical Governance and Performance Lead will be responsible for the monitoring of all clinical governance and quality assurance arrangements including dealing with complaints and monitoring and managing the performance of the network of optical practice subcontractors in line with the Company’s Standard Operating Procedure. This includes: Analysing subcontractor performance reports on a monthly basis to identify optical practices that require performance management intervention. Implementation of the appropriate performance management measures. Addressing training needs and implementing any training. Designing communications to sub-contractors e.g. monthly news bulletin. The contract between the Company and the subcontractor will set out the subcontractor’s responsibilities in managing the optometrists providing the service and ensuring that the commissioner’s requirements are fully met at all times. Any performance shortfalls and/or complaints identified with the subcontractor will be resolved by the Company.