Claim Forms
LESPR Form (Enhanced Services Patient Record) – for Ophthalmic Claim System
Batches of LESPR forms can be ordered by contacting the FPS Ophthalmic Team. Please click here to view the Ophthalmic Contact Details for this team. However if your supply is running low you can download the PDF above and print extra forms until your batch arrives
Level 1 Enhanced Service (ES – IOP Repeat Measures)
IOP Repeat Measures (Level I ES) – Service Specification – revised December 2022
ES Claim for payment form (Level I & Level II)
Level 2 Enhanced Service (ES – Enhanced Glaucoma & OHT Enhanced Case Finding)
Level II Enhanced Service: Service Sepcification V5 Revised November 2023
Post-Operative Cataract Care Service and Pathway
Post-Operative Cataract Review and Assessment Service – Letter from Mr Raymond Curran June 2024
Post-Operative Cataract Review and Assessment Service – Specification June 2024
Post-Operative Cataract Review and Assessment Service – Contractor Declaration
Post-Operative Cataract Review and Assessment Service – Practitioner Service Agreement
NI PEARS Enhanced Service (ES – Northern Ireland Primary Eyecare Assessment & Referral Services)
SPEARS Pilot Evaluation Report
- GP Acute Eyecare Information NIPEARS Triage – Feb-22
- Services Specification
- Assessment Outcome & Claim Form
- Prescription Request Form
- GP Referral Report
- Patient Eligibility – Inclusion/Exclusion Criteria
- Newsletter August 2018
- Eye Casualty Referral Guidance (Belfast & Western HSCT) – August 2020
- Eye Casualty Referral Form (Belfast & Western HSCT)
NI PEARS Plus Pilot
- NI PEARS Plus Pilot Service Specification – March 2023
- NI PEARS Plus Outcome and Claim Form (PDF Format)
- NI PEARS Plus Pilot Referring Practioner Report – March 2023
- NI PEARS Plus Protocols – March 2023
Important Change to Eye Casualty clinical advice line number
Belfast Trust Eye Casualty Guidance (Updated June 2020)
Additional Information For All Enhanced Services
Forms for Reporting of Adverse Incidents (per LCG area)