Refer to the sub-specialist, not to a queue
Send it straight to the surgeon who should see it. You get a letter after every visit, and the patient comes back to you once they are stable.
When to send, and what to send with it
Cataract and lens
Refer when
- Vision affecting daily activity despite best correction
- Glare that stops night driving
- Any cataract with co-existing retinal disease
Please include
- Current refraction
- Any pre-existing retinal or corneal findings
Glaucoma
Refer when
- IOP above 24 mmHg on repeat
- Any field defect consistent with glaucoma
- Cup-to-disc ratio above 0.7 or an asymmetry above 0.2
Please include
- Two IOP readings with time of day
- Field printouts if you have them
- Disc photos where available
Cornea
Refer when
- Topography suggesting keratoconus in anyone under 30 — treat as urgent
- Recurrent erosion not settling
- Any corneal ulcer — phone us the same day
Please include
- Topography maps
- Contact lens history
Retina
Refer when
- New distortion or central scotoma — within one week
- Diabetic maculopathy on screening
- Sudden floaters with flashes — same day
Please include
- OCT if you have it
- Diabetic status and last HbA1c
Oculoplastics
Refer when
- Lid lesion that is changing, bleeding or causing lash loss
- Ectropion or entropion with surface compromise
- Watering that has not settled with lid hygiene
Please include
- A photograph of the lesion if possible
- Duration and rate of change
What you get back
A letter after every visit
You get the findings, the plan and the outcome — not just a discharge note at the end.
Direct surgeon contact
Each surgeon has a line for referrers. You will not be routed through reception to ask a clinical question.
Urgent seen same day
Ring the referrer line and we will fit an acute case into that day's list.
The patient comes back to you
We do not take over routine care. Once stable, they return to your practice.
Urgent pathway
Suspected retinal detachment, corneal ulcer, giant cell arteritis, chemical injury or sudden painless vision loss — ring the referrer line and we will fit them into that day’s list. Do not send these by letter.
Referral paperwork
General referral form
PDF · 1 page
Urgent referral pathway
PDF · 2 pages
Glaucoma shared-care protocol
PDF · 4 pages
Post-operative co-management
PDF · 3 pages
Demo build — the form files are not attached yet.