Clinic Clinic Information Suitable for Referral Not Suitable for Referral

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1 PBC Services Clinic Clinic Information Suitable for Referral Not Suitable for Referral Diabetes One Off Clinic Donnington Medical The Health Centre, Wrekin Drive Donnington TF2 8EA Contact: Bryan Henshall One session per month Wednesday All patients with type 2 diabetes, especially patients who are sub-optimally controlled where additional therapies are being considered Type 1 diabetes unless specialist outpatient care has been declined Pregnancy and preconception counselling CKD 5 Post renal transplant Continuous Subcutaneous Insulin Infusion (Insulin Pumps) Multiple co-morbidities Children and adolescents under the age of 18 years Dr Darren Warner, Consultant Diabetologist.

2 Paediatrics Woodside Paediatrics Woodside Medical Woodside Health Centre Wensley Green Woodside TF7 5NR Contact:- Kirsty Arkinstaw One clinic per month (Dr Parepalli) Two clinics every 6 weeks (Dr Jayaraman) All general Paediatric conditions Patients not registered with a NHS Telford and Wrekin STCG GP Patients who are over the age of 18 years of age Patients with associated significant eye trauma Patients who require emergency treatment/surgery Red Flags This list is not exclusive and any general paediatric problem may be appropriate for referral Dr Parepalli Consultant Paediatrician (SaTH) Dr Jayaraman Consultant Paediatrician (New Cross).

3 Dermatology Woodside Dermatology Woodside Medical Woodside Health Centre Wensley Green Woodside TF7 5NR Contact:- Glenis Shimmon Fortnightly Dr Charlotte Hart GPwSI Dr Simone Oliweicki Consultant Dermatologist Uncomplicated Psoriasis: Guttae Chronic Plaque Scalp Nail Lesions: Epidermal cysts Histiocytoma Symptomatic Benign naevi Symptomatic Seborrhoeic keratoses Solar (Actinic) keratoses Bowen s disease Uncomplicated Eczema: Atopic Discoid Irritant Hand Stasis Seborrhoeic Asteototic Other conditions: Lichen planus Pruritus Urticaria Vitiligo Polymorphic light eruption Non scarring alopecia Generalised hair loss Tinea Rosacea Hyperhidrosis Pityriasis versicolor Dermatological conditions not suitable to be seen in the Dermatology Clinic should be referred to the Dermatology Service at Shrewsbury and Telford Hospitals Trust: Skin cancer, especially malignant melanoma and squamous carcinoma Bullous dermatoses Acne Severe Psoriasis Severe Eczema Severe drug eruptions such as vasculitis and Stevens- Johnson syndrome

4 Dermatology Donnington Medical The Health Centre Wrekin Drive Donnington TF2 8EA Weekly Thursday 9 12 noon Dr James Milligan - GPwSI Dr Stephen Murdoch and Dr Simone Oliweicki Consultant Dermatologists Clinic Types: Assessment and minor surgery for benign skin lesions, Acne, Basal Cell Carcinoma, Eczema and Dermatitis, Nails, Not Otherwise Specified, Patch Testing Clinical Terms: Clinical Findings: Acne Angio-oedema and/or urticaria Balanitis Candidiasis of mouth Capillaritis Cellulitis Cheilitis Cutaneous horn Disorder of hair Disorder of hair growth Disorder of nail Disorder of skin Disorder of skin of vulva Disorder of sweat gland Excessive sweating Furunculosis of skin AND/OR subcutaneous tissue Granulomatous disorder of the skin and subcutaneous tissue Haemangioma of skin and subcutaneous tissue Hair and hair follicle diseases Herpes simplex Herpes zoster Itching Dermatological conditions not suitable to be seen in the Dermatology Clinic should be referred to the Dermatology Service at Shrewsbury and Telford Hospitals Trust: Malignant melanoma and squamous cell carcinoma Bullous dermatoses Severe Psoriasis Severe Eczema Vulval dermatoses

5 Keratinising cyst Lipoma (clinical) Loss of hair Lupus erythematosus Melanocytic naevus Nail changes Oedema Panniculitis Photosensitivity Purpuric disorder Pyogenic granuloma Raynaud's disease Raynaud's phenomenon Rosacea Seborrhoea Skin pigmentation Superficial mycosis Ulceration of vulva Vulval superficial dyspareunia Vulvodynia Procedures: Cryotherapy to skin lesion Curettage of skin lesion Excision of lesion of skin Referral for minor surgery Patch testing

6 Endoscopy The Surgery Wellington Road Newport Shropshire Weekly Clinic 1.30pm to 4.00pm Thursday & Friday Dr Jonathan FitzGerald- Fraser - GPwSI Abdominal pain/ibs Nausea Vomiting Swallowing difficulties Gastric Reflux unresponsive to standard acid suppression Dyspepsia The service is not available to: Patients not registered with a Wrekin Commissioning Group GP Patients who are under the age of 18 years of age Patients who require emergency treatment / Surgery Patients who cannot be treated as a day case and / or local anaesthetic Inability to give informed Consent Requiring sedation Unstable angina Recent M.I. Haematemesis and melaena Dysphagia Replacement heart valves Insulin requiring diabetics Uncontrolled heart failure Severe COPD Two week rule criteria Warfarin treatment needs to be discussed

7 Gynaecology (HealthHarmonie) Donnington MP The Health Centre Wrekin Drive Donnington TF2 8EA Stirchley MP Sandino Road Stirchley Telford TF3 1FB Menorrhagia Prolapse Primary & Secondary Amenorrhoea Polycystic Ovarian Syndrome (PCOS) (within PLCV guidelines only) Abnormal Uterine Bleeding under 40 s Dysmenorrhoea Irregular bleeding Vaginal discharge / genital pruritus Premenstrual syndrome Menopause symptoms / treatment The service is not available to: Patients not registered with a Wrekin Commissioning Group GP Patients who are under the age of 18 years of age Patients who require emergency treatment / Surgery Patients who cannot be treated as a day case and / or local anaesthetic Inability to give informed Consent Requiring sedation Two week rule criteria Weekly Thursday 9 12 noon HealthHarmonie Consultants