MECS

FOR INFO ONLY AT PRESENT - THIS SERVICE WILL GO LIVE IN JUNE 2019 (est)

 

For Patients and Care Navigators

 

The Bradford, Airedale and Craven Minor Eye Conditions Service (MECS) uses the skills of Optometrists in the community to see and treat patients presenting with a minor eye condition. Management will be maintained within the primary care setting for as many patients as possible – avoiding unnecessary referrals to hospital services. This may be in the form of recommending (for example) over the counter eye drops for conjunctivitis or providing advice on (for example) dry eye conditions.

 

MECS is available to people with new or very recent onset minor eye problems to get the help that they need quickly and easily closer to home.

 

Under this scheme, any patient who is registered with a Bradford or Airedale area GP (including Craven) can access this local service rather than waiting for a GP appointment or referral to a specialist clinic. Patients are able to self-present to an Optometry or Optician’s practice which provides this service. You will need to contact the Opticians first to arrange a suitable appointment date and time.

 

Opening times vary but most are open between 9am and 5.30pm Monday – Saturday, and some 10am – 4.00pm on Sunday.

 

To find a participating practice please click on the list below:

 

BD1 BD2 BD3 BD4 BD5
BD6 BD7 BD8 BD9 BD10
BD11 BD12 BD13 BD14 BD15

BD16

Bingley

BD18

Shipley

BD20/BD21

Keighley

BD23

Skipton

LS29

Ilkley

 


 

For Participating Optometrists

The criteria for MECS examination may include the following acute presentations

  • Loss of vision including transient loss
  • Ocular pain
  • Differential diagnosis of red eye
  • Foreign Body and Emergency contact lens removal (not by the fitting practice)
  • Dry eye
  • Blepharitis
  • Epiphora
  • Trichiasis
  • Differential diagnosis of lumps and bumps in the vicinity of the eye
  • Recent onset flashes and floaters

Exclusion Criteria

The following cases will NOT be treated by the MECS service

  • Patients identified in advance to have severe eye conditions which need hospital attention e.g. orbital cellulitis, temporal arteritis
  • Eye problems related to herpes zoster
  • Adult squints, diplopia
  • Removal of suture
  • Patient reported symptoms that indicate a sight test is more appropriate than MECS
  • Suspected cancers of the eye (or in the vicinity of the eye)
  • Age related macular degeneration
  • Patients that have seen in the MECS service in the previous 3 months for the same condition

 

Patients cannot be seen or treated by the MECS service if their signs or symptoms indicate that they should be seen or managed by an alternative existing service

 


 

Practitioners – Please refer to the following resources which will provide more detailed information about this new service.

 

MECS presentation – updated – This will cover all aspects of the scheme and has been re-written following the MECS evening at Bradford University.

Please take the time to read this as will almost certainly address any queries that you may have, and also includes useful email addresses

There will also be an opportunity for clarification of any aspects of the MECS scheme at the AGM on the evening of Wednesday 12th June 2019. You should have received an invitation for this already.

 

Useful Links:

 

Presentation / PDF

Bradford LOC MECS Example record card.

Audit link (Link to follow)

Claiming Spreadsheet

 


Updated 30/04/19