Patient Brochure - eCare Private Eye Medical Centre V5

eCare Medical Eye Service Take control of your eye health today



Welcome to eCareAt Evolutio we understand that personal eye care is a source of anxiety for many.That’s why we created the eCare Medical Eye Service: an affordable, medicaleye care programme that puts you back in control of caring for your visualhealth. Thousands of people across the country trust the expertise andtechnology within the eCare plan, including the NHS, to maintain both theirclarity of sight and peace of mind.The eCare plan is a medical partnership between your local accredited optometrist and Evolutio’sremotely based ophthalmology care team; familiarity and expertise working together to provide bothoptical assessments and treatment of certain non-surgical and non-emergency eye conditions. Mostimportantly the eCare plan works on a timescale that’s controlled by you, removing the need forwaiting lists and hospital visits, reducing the burden on the NHS.Becoming an eCare plan member is a simple process, maintained on an ongoing basis by affordablefixed monthly or annual payments. These payments cover your visual health assessments, diagnosisand management. The only additional potential payments are for medication if prescribed by ourophthalmology unit. Spectacles and contact lenses are not included within the plan price and,where required, would need to be purchased separately.

eCare creates peace of mind, putting you incontrol of your visual health. First and foremost, we’ll look out for your safety Because the safety of your visual health is our primary concern, eCare operates under the strictest clinical governance of consultant ophthalmologists who personally review all member’s test results. In addition, every eCare clinic adheres to strict clinical protocols and policies, with regular compliance checks, to ensure your visual health couldn’t be in safer hands. We’ve always looked to make it affordable. We understand that ongoing personal eye care costs are one of the biggest concerns. Evolutio’s eCare plan has a series of fixed payment levels relative to your visual health, as assessed by your local eCare accredited optometrist. These payment levels factor in your current individual visual health and potential future personal requirements. The eCare Medical Eye Service is both transparent and inclusive of all diagnostics, including Optical Coherence Tomography (OCT). Payments can either be made annually upfront or split into manageable monthly amounts at 0% APR. We’ll see if we can make it as convenient as possible. Your time is precious, so eCare ensures that your visual health can be regularly monitored within your nearest eCare accredited optometrist, at times and dates that suit you. By utilising the latest in eye health technology, alongside the expertise of a consultant ophthalmologist, eCare removes the need, inconvenience and potential reticence around hospital visits.

Without the help that yourselves“ kindly gave me, I think it might“ have been quite a long time before I could experience the quality of eyesight I now have. A happy eCare patient

A million people in the UK live with sight lossthat could have been preventedWe are continually evolving eye care, delivering the opportunity for patients to managetheir eye health and empowering them to take control.At Evolutio we develop techniques to deliver the most affordable, trusted eye caresystems……because we believe everyone deserves to see the worldclearly. eCare Essentials £14.99 per month 0% APR eCare Enhanced £24.99 per month 0% APR

Getting started with eCareWhere is my local eCare Clinic and how do I join?To find your nearest accredited optician practice with an eCare Clinic, simply call the eCare Team on0203 7807860 or email [email protected]. Then simply arrange a convenient appointment for aninitial consultation at an eCare accredited optician practice.What will happen at my first appointment?At your first appointment at your accredited eCare Clinic, the optometrist will conduct a number of eyeexaminations including taking a high-resolution 3D image of your eye using Optical Coherence Tomography (OCT). The OCT, along with your other examination and diagnostic results, will then be securely transferred to Evolutio’s remotely based ophthalmology unit for a further assessment by a consultant eye doctor. During the first appointment, the optometrist will also undertake an in-depth conversation with you regarding your general visual health. This will help determine your potential eCare plan payment level, so it’s important to answer candidly to ensure you have the correct level of cover. Your eCare plan price is set by your optometrist and is dependent on your personal anticipated future level of care. Generally, plans can range from £14.99 per month (£180 per year) up to £24.99 per month (£299 per year). It’s a relatively small price to pay for such invaluable peace of mind. What happens if I need immediate treatment? During your first appointment, if more serious or immediate visual health concerns are discovered, the optometrist may need to immediately refer you to hospital. Minimising time delay between detection and subsequent treatment is a critical factor in maintaining good visual health. Should you need to receive less immediate medical treatment, then Evolutio’s ophthalmologist unit will assess whether this can be provided within the nearest accredited optician’s eCare Clinic. Our ophthalmologist unit will then also be able to prescribe any medicine that may be required. How do I get referred for an existing eye condition? If you need a medical assessment or treatment for an existing eye condition, you can choose where you would like that assessment. If you choose to be seen at your locally accredited eCare Clinic, then your GP or optometrist will make an initial referral toEvolutio’s ophthalmology unit. Then we can clinically review and check suitability for you to use theeCare Medical Eye Service. If we approve the referral, we will let your local eCare Clinic know and theywill then contact you to make an appointment at your earliest convenience.How is eCare governed and regulated?All our eCare locations operate under our clinical and operational governance framework, mandatingthat the service is undertaken with adherence to a number of policies. Compliance checks are regularlyundertaken to ensure practices and optometrists are observing the eCare rigorous protocols andpolicies that underpin the eCare plan.

Did you know that over half of all sight loss isdue to preventable or treatable causes?Take control of your eye healthtoday.If you were in any doubt about the personal value of joining theeCare Service, then consider for a moment the million peopleliving in the UK with sight loss, that early detection could haveprevented. How well would you cope with impaired vision? Whatlife changing adjustments would you have to make?Evolutio believe in proactively maintaining all-round visual healthrather than just reactively treating eye conditions once theypresent themselves. Prevention, as they say, is better than a cure;and the eCare Service aims to prevent further unnecessary sightloss. For more information on becoming an eCare Member, call the team on 0203 7807860, or email [email protected]

The eCare benefits are clear to see. Fast access to a medical eye care programme local to you. Reassuring, professional service at an affordable price. Simple and convenient ways to pay, spreading the costs monthly. Regular preventative medical eye health checks to the highest level of clinical governance. Treatment focused eye care if and when visual health deteriorates. The opportunity to access a consultant ophthalmologist to oversee your personal eye care. The freedom to manage your eye health away from a hospital setting. Continual access to the latest innovations and technology in eye health. The ability to establish a regular routine of medical eye health checks, enabling early intervention if the need arises and detection of other wider health related issues.We offer transparent pricingwith fixed costs and affordablepaymentsYour eye care plan is comprehensive, including thefollowing diagnostic tests: Digital retinal photography Amsler chart central vision test Access to the unique eCare remote monitoring software Contrast Sensitivity Optical Coherence Tomography Personalised eye health recommendations and treatment plans Prescriptions sent to your GP if required (cost of the prescription is not covered) Colour Visual fields Pressure Checks “Our focus is you”

eCare FAQsHow much will I pay?The amount you pay is dependent upon the outcomes fromyour initial appointment with your eCare clinician.Generally, plans can range from £14.99 per month (£180 peryear) up to £24.99 per month (£299 per year). Your InitialAppointment fee will be at the discretion of your eCareclinician and should be discussed prior to the appointmentoccurring.How do I pay?You can choose to either pay monthly (0% APR) or annually at youreCare Clinic opticians.What visual health conditions does the eCare programmecover?eCare can cover a range of eye conditions, including but not limited to Glaucoma Management,Age-Related Macular Degeneration (AMD), Red Eye/Blepharitis, and Ocular Hypertension. Ask youreCare optometrist for more details on your specific visual health needs and if they will be covered.How often will I visit my eCare Practice?This will depend on which eCare plan level the eCare optometrist recommends at your initialconsultation. If your visual health requires regular monitoring, you may need to attend appointmentstwo or three times a year.Your particular plan price will anticipate this, so you won’t incur further charges, regardless of how oftenyou are seen at your eCare Clinic.Are there any additional costs in the eCare Service?All your appointments within the calendar year, including all your diagnostics and telemedicine arecovered by your annual plan price.Please note that the service does not cover the cost of any prescription issued, glasses or contactlenses prescribed.What is the difference between an Optometrist and a Dispensing Optician? When we talk about visiting the opticians for a routine check-up, invariably you will have your sight tested and eyes examined by an optometrist. An optometrist can identify signs and symptoms of disease in the eyes, as well as problems with general health. A dispensing optician by contrast is not permitted to diagnose or treat eye diseases. They design, verify and fit eyeglass lenses, frames, contact lenses and other devices to correct eyesight.

What is an Ophthalmologist? An ophthalmologist is an eye doctor that specialises in the medical and surgical care of eyes and the visual system. An ophthalmologist has a higher level of training than an optometrist and has the ability to provide prescription only medications, as well as a diagnosis. What are my responsibilities? You are responsible for keeping to your agreed appointment times and follow- ups with the eCare Clinic. Equally so it is your responsibility to follow the eCare optometrist’s advice. If you miss appointments and /or disregard advice provided or do not adhere to prescriptions or treatment plans issued, then you will be personally responsible for any related adverse effects to your visual or general health. Additional fees reasonably incurred forrescheduled examinations, and treatments which otherwise could have been avoided may also becharged. If you are unable to attend an appointment for any reason, then you should give as muchnotice as possible to the eCare Clinic.If you miss more than two consecutive eCare Clinic appointments without good reason, then you maybe discharged from the eCare plan back to the care of your GP.What should I do if I have an emergency?In the event of an eye emergency you should in the first instance contact your optometrist the sameday. You may be required to go directly to hospital Accident and Emergency.Indications of an emergency eye condition would include, but are not limited to, the followingsymptoms, as specified by the College of Optometrists: Chemical injuries Penetrating injuries Sudden severe ocular pain Sudden loss or distortion of vision Sudden and significant increase in floatersIf you are in any doubt to a change in your vision presenting a risk ofimminent sight loss or an emergency, then attending Accident andEmergency is the most appropriate course of action.How are we regulated?eCare clinicians are registered with either the GMC or GOCaccordingly and operate all clinical policies andprotocols as per National Institute of Clinical Excellenceguidelines.How do I sign up?You can either speak to your eCare Clinician or contactour eCare team on 0203 7807860 or [email protected] to discuss your options.

Many common eye diseases such as glaucomcataracts and macular degeneration happgradually and painlessly so it is important to haHow to look after yourregular eye tests to detect and treat them early.eyesUnfortunately, people often delay not only eye exabut regular health checks. That’s why eye doctsometimes discover other issues such as high blopreMsasunrye,cdomiambeonteesyaenddisreaaisesdsucchholaesstgelaroulc. oma, cataracts and macular degeneration happen gradually and painlessly so it is important to have regular eye tests to detect and treat them early.Regular eye tests are important to maximise yovisiUonnfoartnudnamtealyk,epseuorpeleyoouftreenyedes laayrenhoet aolnthlyy.eTyheey cpicekxaumpsebaurltyresigunlsaor hf eeaylethdcisheeacskes. bTheafot’rsewyhoyue’ryeeawaof daoncytosrys msopmtoemtimse, smdaisncyovoefr wothhiecrhisscuaens sbucehtraesatedfouhnigdheabrlloyoednopurgehss.ure, diabetes and raised cholesterol.

Regular eye testsRegular eye tests are important to maximise your vision and make sure your eyes are healthy andwhether you require any spectacles. eCare does not provide assessment of spectacle correctionand you should maintain your regular eye tests with your preferred optometrist. They can pick upearly signs of eye disease before you’re aware of any symptoms, many of which can be treated iffound early enough. Your eCare optometrist will check for a range of eye diseases at the front andback of the eyes including macular degeneration, glaucoma and cataract.If you already wear glasses or contact lenses, remember to take them with you to your all eyeappointments. You may be asked to wear them during the test.SmokingIt’s no secret that cigarette smoking is linked to many health problems, or that it’s the leadingworldwide cause of preventable death. Not as well known are the damaging effects it can haveon the eyes and your vision. Researchers have found that tobacco use can contribute to certainsight-threatening conditions.AlcoholWe all know alcohol can affect our bodies negatively, and these effects can be both short andlong term. But what exactly does alcohol do to our eyes? Excessive alcohol intake damages organssuch as the brain and liver. In the eye you might experience short-term changes such as blurredand double vision which cause dizziness and impaired co-ordination. The eyes are less able to worktogether as a pair (due to muscle weakness) and in the long term the optic nerve can becomedamaged due to alcohol toxicity causing reduced vision and tunnel vision.DietProtecting your eyes starts with the food on your plate. Studies show that a regular intake of dietarynutrients such as omega-3 fatty acids, lutein, zinc and vitamins C & E might help ward off age-related vision problems such as macular degeneration and cataracts. These can be found in thefollowing foods:Green leafy vegetables Oranges and other citrus fruitsSalmon, tuna, and other oily fish Oysters and porkEggs, nuts, beans, and non-meatprotein sourcesEating a well-balanced diet helps you maintain a healthy weight, which makes you less likely toget obesity-related diseases such as type 2 diabetes; diabetes is theleading cause of blindness in adults.SunshineNever look at the sun directly, even during an eclipsebecause it can cause irreversible damage to youreyesight and even lead to blindness. Children areespecially at risk from the harmful effects ofsunlight and studies suggest that sunlightexposure is a risk factor for cataracts andmacular degeneration.



Important InformationeCare Medical Eye Service is part of Evolutio Care Innovations Limited, a company registered inEngland and Wales with company registration number is 08099238 and registered office addressat The Dairy, Stonor Park, Henley on Thames, Oxon RG9 6HF (“Evolutio”).eCare Medical Eye Services is an ophthalmology provider for NHS services across England anddelivers remote clinical decision via telemedicine and face to face consultation to patientsreceiving private and NHS funded medical eye care in the UK. This same telemedicine system isused to provide the service you receive as an eCare Clinic patient.The ophthalmology managed care provided under the eCare Medical Eye Service is providedunder Evolutio’s Clinical Lead Ophthalmologist Mr. Simon Hardman-Lea who is registered withthe Royal College of Ophthalmologists and the General Medical Council.Evolutio complies with the Data Protection Act 1988. Your personal information and data will bemaintained and treated confidentiality and held within our secure data centres for the purposesof the delivering the eCare Medical Eye Service and to develop further clinical services. Your GPwill be made aware of any treatment and diagnosis you receive under the eCare Medical EyeService. We will only give your personal information to third parties where the law requires us todo so.The nature of telemedicine relies on products and services which areoutside of our control such as internet service providers andequipment failure. If any part of the telemedicine systempowering the eCare Medical Eye Service is affectedby an event outside of our control we or the eCareClinic will contact you as soon as possible to letyou know, and provided we do this we will notbe liable for delays caused by such events.ComplaintseCare is committed to dealing with anycomplaint made about its servicesequitably, comprehensively, and in atimely manner.To access a copy of our complaintspolicy or register a complaint you canemail [email protected] or calla member of the team on 02037807860.

eCare Medical Eye examination of your eyes from the optometrist.Service The second part is for the optometrist to discuss what level of care plan you are recommendedPatient Contract to sign up to, and the associated price of the care plan, where a care plan is recommended.These are the terms and conditions upon whichwe provide our eCare Medical Eye Service, and Please see the “Getting started with eCare”together with our eCare Guide and Choice section of our eCare Medical Eye Service GuideLetter, form the contract between us. Please for further details of what happens at the firstread these terms and conditions, the eCare appointment.Guide and Choice Letter carefully. These termsand conditions, the eCare Guide and the You may be charged a fee by the optometristChoice Letter tell you how we will provide the for the first appointment, and such fee may beeCare Medical Eye Service to you, how you reduced or offered for free upon enrolling to anand we may change or end the contract, what eCare plan. The optometrist will let you knowto do if there is a problem and other important whether they are charging a fee for the firstinformation. If you think that there is a mistake in appointment, and if so the amount. Any feethese terms and conditions, the eCare Guide or payable for the first appointment will need tothe Choice Letter then please contact us at be paid direct to the optometrist at their [email protected] to discuss. published rates.About Us If you wish to cancel the first appointment, then we ask if you can provide as much notice asIn these terms and conditions references to possible to the optometrist. Once the first\"we\", \"us\" or \"our\" means Evolutio Care appointment has been completed, you cannotInnovations Limited a company registered in cancel the first appointment, even if you areEngland and Wales. Our company registration within your 14-day cooling off period fromnumber is 08099238 and our registered office is booking the first appointment date.at The Dairy, Stonor Park, Henley-On-Thames,Oxfordshire, England, RG9 6HF. 2. Enrolling on an eCare Plan1. The First Appointment If you would like to enrol on one of our eCare plans then the optometrist will discuss theIn order to get started, and sign up to our eCare options available to you, including details of theMedical Eye Service, you will need to make an charges for the eCare plan appropriate to yourappointment with one of our accredited eye condition.optometrists. Following an initial referral to us byyour GP or optometrist we will send to you a The optometrist will also assist you in signing upChoice Letter, which is a letter confirming the to the eCare plan via our software.care options we provide and fees, and invitingyou to contact us to confirm your choice of 3. eCare Plan Feescare provider within our network. After youhave contacted us to confirm your choice of eCare fees may be paid on a monthly orprovider, the care provider (which may be one annual direct debit which is payable direct toof our own eCare clinics) will contact you to us, or alternatively they may be paid annuallymake a first appointment. direct to the optometrist.There are two parts to your first appointment. eCare plan fees will usually be reviewed on anThe first part is for you to receive a clinical annual basis, usually at the start of each calendar year or following an annual

appointment with the optometrist. Any possible you will be advised of any changes toadjustment based on a review will apply the price of the eCare plan, and anything elseimmediately. Where fees are adjusted on an which may be necessary as a result of yourannual review, your direct debit payment requested change.amount will be adjusted on the next collectiondate. 6. Cancelling an eCare planIf exceptional circumstances arise, for example You may cancel an eCare plan at any timechanges to your eye health, then the during the 14 day’ period following itsoptometrist may consider it appropriate to commencement. After this period, you mayadjust your fees at any other time. Where fees cancel the eCare plan at any time by providingare adjusted, other than an annual review, you us 30 days’ notice.will be provided with one month’s notice. Yourdirect debit payment amount in respect of If you wish to cancel an eCare plan, then youadjusted fees will change on the collection must contact us to let us know by telephone,date following the end of the notice period email or via the cancellation form on ourprovided. website.If you choose to pay by credit card then there Depending on when an eCare plan ismay be an additional charge of 2% up to an cancelled (and whether cancelled by you oradditional amount of £5.00 per transaction. us) will depend on whether you will be required to contribute towards the costs of care4. The start of the eCare plan provided in advance of the cancellation. For example, if at the start of a year you have twoYour eCare plan will not commence until you appointments with an optometrist, andhave completed your application via our immediately afterwards go on to cancel theeCare software, and following your first contract, then we would have the right toappointment with the optometrist, our charge you for the appointments and careophthalmology unit has reviewed your case received to date.notes, diagnostics and optical coherencetomography (OCT) we confirm your eye We may cancel an eCare plan by providingcondition is suitable for care under an eCare you with two months’ notice or immediatelyplan. where we consider your eye condition is no longer suitable for care under our service.Please note that in certain rare cases we mayneed to decline an eCare plan you have If in any month we do not receive a direct debitenrolled onto following a first appointment, if payment, our direct debit provider willfollowing our ophthalmology unit's review of endeavour to collect payment as soon asyour case notes, diagnostics and optical reasonably possible afterwards (usually a fewcoherence tomography (OCT) we consider days afterwards an initial scheduled paymentyour eye condition is not suitable for care under date). We may also adjust future payments toour eCare plan. This might because the health take into account any missed payments. Weof your eyes requires alternative treatment will let you know we are doing this. If wewhich we are unable to provide under our continue to be unable to collect paymentcare. during subsequent months, then we reserve the right to immediately cancel your eCare plan5. Your right to make changes and discharge you back to the care of your GP.If you wish to make a change to the eCare plan 7. Providing the eCare Eye Carethen please contact the optometrist, who will Serviceslet you know if the change is possible. If it is

Location of services. All services are provided at We will only give your personal information tothe premises of accredited eCare optometrist third parties where the law requires us to do so.of eCare clinics. Please also see our privacy policy available on our website www.myeyecare.co.uk.Appointment dates. We will endeavour to keepappointment dates and times, but occasionally 9. How to contact uswe may have to re-arrange a date and wherethis is necessary we will give you as much notice How to contact us. You can contact us byas possible. telephoning our customer service team on 0203 780 7860 or by writing to us atDelays outside our control. If our performance [email protected] or eCare, Evolutio Careof the services is affected by an event outside Innovations Limited, The Dairy, Stonor Park,our control, for example the failure of our Henley on Thames, Oxon RG9 6HF.equipment or internet service providers or ill-health of the optometrist, then we will contact How we may contact you. If we have toyou as soon as possible to let you know and we contact you we will do so by telephone or bywill take steps to minimise the effect of the writing to you at the email address or postaldelay. Provided we do this we will not be liable address you provided to us in your application.for delays caused by the event. \"Writing\" includes emails. When we use the words \"writing\" or \"written\" in these terms, thisSuspending the services. We may have to includes emails.suspend our services to: (a) deal with technicalproblems or make minor technical changes; (b) 10. Other important termsupdate the services to reflect changes inrelevant laws and regulatory requirements; or We may transfer this agreement to someone(c) make changes to the services as requested else. We may transfer our rights and obligationsby you or notified by us to you. We will contact under these terms to another organisation.you in advance to tell you we will besuspending the services, unless the problem is Nobody else has any rights under this contract.urgent or an emergency. This contract is between you and us. No other person shall have any rights to enforce any of its8. Use of your personal information terms.We will use personal information you provide to If a court finds part of this contract illegal, theus in order to: rest will continue in force. Each of the paragraphs of these terms operates separately.  Provide the services; If any court or relevant authority decides that  Process your payment for the services; any of them are unlawful, the remaining  If you agreed during the application paragraphs will remain in full force and effect. process, to inform you about similar Even if we delay in enforcing this contract, we products and services that we provide, can still enforce it later. If we do not insist but you may stop receiving these at immediately that you do anything you are any time by contacting us; and required to do under these terms, or if we delay  Improve our services and clinical in taking steps against you in respect of your research by analysing in an anonymous breaking this contract, that will not mean that form optical coherence tomography you do not have to do those things or prevent (OCT) results. us taking steps against you at a later date. For example, if you miss a payment and we do notYou consent to our processing your personal chase you but we continue to provide thedata for the purposes of the services.

services, we can still require you to make the agree to the change then you must let us knowpayment at a later date. by cancelling your eCare plan as provided in section 6 above of these terms.Conflicts. If there is a conflict between the termsof these terms and conditions, the eCare Which laws apply to this contract and whereGuide, the Choice Letter and any other you may bring legal proceedings. These termsmarketing information we may provide, then are governed by English law and you can bringthese terms and conditions will prevail. legal proceedings in respect of the services in the English courts. If you live in Scotland you canChanging these terms. In certain cases it may bring legal proceedings in respect of thebe appropriate for us to change these terms, for services in either the Scottish or the Englishexample to reflect changes to the law or a courts. If you live in Northern Ireland, you canchange to the way we provide our services. We bring legal proceedings in respect of thewill provide you 30 days notice if we wish to services in either the Northern Irish or the Englishchange these terms. If you wish your eCare courts.plan to continue then you do not need to doanything as the changes will automaticallyapply after this notice period. If you do not

Because everybody deserves to see the world clearlyTel. 0203 780 7860 Email. [email protected] Medical Eye Service is part of Evolutio Care Innovations Limited, a company registered in Englandand Wales with company registration number is 08099238 and registered office address at The Dairy, StonorPark, Henley on Thames, Oxon RG9 6HF (“Evolutio”).