Enhanced Services and Referrals

MECS, Pressure Repeat Reading, and Cataract Direct Referral

These enhanced schemes are running in Sandwell:

Sandwell and West Birmingham MECS intro pack

See below for the Triage form and flow chart:

MECS Triage Form

MECS Triage Flow Chart

Further information about the scheme is available on the patient facing Regional Company Website with details of conditions such as red eye and flashing lights and floaters for patients in Sandwell, Wolverhampton, Walsall, Solihull, Birmingham and Dudley.

MECs formulary

If a patient has a GP in another area, you may be able to join a scheme that runs in that area. Please see this page for a list of websites/contacts for the neighbouring LOCs.

Diabetic Retinopathy Screening

Optometrists in the scheme have been reduced to taking photographs only and no longer grade. All grading is carried out centrally at Heartlands Hospital. It is still a requirement to complete the relevant City and Guilds units to be allowed to capture photographs, as well as attending a 3 day course at Heartlands.

HEFT (Heartlands) won a new contract in 2014 to provide Diabetic Screening services across the whole of the Birmingham, Black Country and Solihull area, with Wolverhampton’s previously separate scheme ending and those sites joining the HEFT scheme. HEFT have indicated they will review the provision of the service with respect to sites offering screening.

Diabetic Screening sites Sandwell Nov2014

For more information on the scheme, including a tool to search for nearest screening site,  please visit www.retinalscreening.co.uk  or contact Paul Galsworthy (programme manager).

Wet AMD Pathway

Suspect Wet AMD should be referred to BMEC urgently by FAX TO 0121 507 6726. Referrals should be made on the following form:

Wet AMD rapid access BMEC form

It is important you follow this pathway for suspect Wet AMD as if you don’t, and the patient is not seen with due urgency, you could considered negligent.

Emergency Referrals

These patients should be sent to BMEC casualty same day. If possible before sending the patient discuss the case with the triage nurse on 0121 507 6883 (or 0121 507 6780) from 7am to 9pm ,or via the switchboard on 0121 554 3801 from 9pm to 7am.

BMEC’s address is:

Birmingham & Midland Eye Centre,
City Hospital,
Western Road (off Dudley Road),
Birmingham
B18 7QH

Buses:  11A, 11C, 82, 83, 87, 89 stop outside hospital main gates on Dudley Road. Bus service 80 stops at junction of Dudley Road and Icknield Port Road

Other Referrals

All other referrals are via the GP on a GOS 18. Unlike in neighbouring Birmingham, there is no requirement to directly refer patients. When referring to a Birmingham GP it is suggested you include something along the lines of “Sandwell Optometrist: We do not directly refer, GP TO ACTION” and draw attention to this on the letter.

In cases where a patient needs to be seen urgently or soon, you should decide if referral via GP is the most appropriate course. Please see this article. You may want to fax referral to BMEC on 0121 507 6785 following Birmingham LOC’s direct referral guidelines.

GP Lists

The LOC current do not keep up to date GP address lists. To find the address of a surgery we suggest using this link to Google that searches only the NHS Choices website. Type your search in the search bar before the “site:www.nhs.uk nhs choices” e.g. To find details on the Sherwood Medical practice you would type: “sherwood medical practice site:www.nhs.uk nhs choices” or to find Dr Jhanjee you would type “Dr Jhanjee site:www.nhs.uk nhs choices”

An archive of old address lists can be downloaded by clicking here , but these are unlikely to be accurate still.

Neighbouring LOCs

To find out what services are running in neighbouring areas, please see this page for website addresses/contact information for neighbouring LOCs