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Morecambe Bay

From 1st June 2026, the Lancashire and South Cumbria Eye Care Navigation Service (ECNS) is launching, introducing a new referral endpoint for routine GOS18 referrals on the IT platform, OPERA.

If you missed the event, please see below for the link to the recording of the session and the presentation slides:

Lancashire and South Cumbria Eye Care Navigation Service Launch Event Slides

Lancashire and South Cumbria Eye Care Navigation Service Launch Event Recording

What’s changing?

  • Routine GOS18 referrals
    • Select: “ROUTINE GOS18 REFERRALS ECNS – LANCS AND SC – NOT FOR CUES OR GERS” in OPERA
    • Choosing any other routine endpoint will also automatically be redirected into ECNS for clinical triage
  • Urgent GOS18 referrals
    • Continue selecting a specific provider endpoint as usual
    • These will be automatically redirected into ECNS for clinical triage
  • Emergency referrals
    • No change – continue to use existing local emergency pathways
  • Referrals for community services (e.g. CUES, GERS, Low Vision Service).
    • No change – continue referring to a named provider after a no choice conversation
  • Children’s referrals – Please choose named providers as normal.

As part of the rollout of the Eye Care Navigation Service (ECNS) in Lancashire and South Cumbria, all participating practices are required to use secure communication methods when sharing patient information.

We understand that some practices are not yet using the recommended IT platform, OPERA and may have different levels of access to secure email. Please follow the guidance below depending on your setup:

What you need to

If your practice:

  • Is not using the IT platform, OPERA, and
  • Does not have an nhs.net email address

You must register to use KnowBe4 (formerly Egress) as soon as possible to securely send and receive patient information. 

Please find the link here – 

KnowBe4 Switch | Authentication

Accessing Encrypted Emails – a Guide for non NHSmail users

Encryption Guide for NHSmail

If you already have an Egress log in, you can sign in using your existing log in details. 

If your practice:

  • Is not using the IT platform, OPERA, but 
  • Does have an nhs.net email address

You should send referrals securely via NHSmail to the ECNS hub at: cnech.pecservices@nhs.net

Why this is important

Using a secure, approved communication method is essential to:

  • Protect patient confidentiality
  • Meet NHS information governance requirements
  • Ensure safe and timely delivery of the Eye Care Navigation Service

If you have any questions or require further support, please contact Primary Eyecare Services via email at hello@referral.support with ‘L&SC Eye Care Navigation Service’ in the subject header.