Table 1 Summary of key outcomes and standards used in the audit.

From: Referrals from community optometrists to the hospital eye service in Scotland and England

 

Audit outcome

Standard

1

Is the referral to an appropriate professional?

(a) from the referrer’s perspective

(b) from an overall perspective

C.Optom guideline C152: [21] referrals should be ‘to a practitioner with the appropriate knowledge & skills’

2

Is the referral necessary?

C.Optom guideline C143: [21] refer ‘a sign or symptom of injury or disease which you cannot manage’

3

Is the referral accurate?

GOC rules (1999): [39] referral should be written report ‘indicating grounds for thinking the person may be suffering from injury or disease of the eye’

4

What proportion of optometric referrals receive a reply?

(referral reply rate; RRR)

Joint statement: [17] ‘ophthalmologists should send copies of GP letters to the referring optometrist’

Memorandum from Scottish Government: [18] ‘meaningful feedback will be provided to optometrists, copied to the patient’s GP, if a patient is seen by the ophthalmology department’

5

Of optometric referrals that result in a letter to the GP and/or optometrist, for what proportion does the patient receive a copy?

Caldicott review: [20] ‘all communications between different health and social care teams should be copied to the patient’

  1. C.Optom College of Optometrists, GOC General Optical Council, GP general (medical) practitioner.