Please see below the current list of all L&D services available for booking on the ESR/C&B system. This list can be downloaded by visiting the www.ldh.nhs.uk/gps-professionals/gp-admin-updates/ page of our GP website. This list will be regularly updated so please visit the page above to keep up to date with all our services on the ESR/C&B system. For any queries please email our Outpatients Booking Dept Manager 2WW 2WW Bone N Service not available at L&D 2WW 2WW Brain Y All referrals to Luton must be discussed by the referrer with a neurologist via medical secretaries: 01582 497175/718295/497240 2WW 2WW Breast Y 2WW 2WW Cancer Unknown Primary N Internal access only to MDT 2WW 2WW Children & Young People Y 2WW 2WW Gynaecology Y 2WW 2WW Haematology Y 2WW 2WW Head & Neck Y 2WW 2WW Lower GI Y 2WW 2WW Lung N Weekly MDT for all referral. Waiting for new functions to enable assessment first prior to booking as some patients go direct to diagnostic. 2WW 2WW Sarcoma N Service not available at L&D 2WW 2WW Skin Y 2WW 2WW Upper GI Y 2WW 2WW Urology Y Allergy Allergy N Service not available at L&D Cardiology Arrhythmia Y Cardiology Cardiology Genetics N Service not available at L&D Cardiology Congenital Heart Disease Y Cardiology Heart Failure Y Cardiology Hypertension Y Cardiology Ischaemic Heart Disease Y Cardiology Lipid Management Y Cardiology Not Otherwise Specified Y Cardiology Rapid Access Chest Pain inc ECG N Referrals to be made via ICE, backup is fax to 01582 497467 Cardiology Valve Disorders Y Childrens & Adolescent Services Allergy Y Childrens & Adolescent Services Audiology N Service not available at L&D 1of11
Childrens & Adolescent Services Cardiology Y Childrens & Adolescent Services Community Paediatrics N Service not available at L&D Childrens & Adolescent Services Dentistry/Orthodontics Y Childrens & Adolescent Services Dermatology Y Childrens & Adolescent Services Developmental/Learning Disabilities Y Childrens & Adolescent Services Diabetes Y Childrens & Adolescent Services Endocrinology Y Childrens & Adolescent Services ENT Y Childrens & Adolescent Services Gastroenterology Y Childrens & Adolescent Services Gynaecology Y Childrens & Adolescent Services Gynaecology & Preganancy Advice N Service not available at L&D Childrens & Adolescent Services Haematology Y Childrens & Adolescent Services Immunology Y Childrens & Adolescent Services Metabolic Disorders Y Childrens & Adolescent Services Nephrology Y Childrens & Adolescent Services Oncology (Establis Disgnosis) Y Childrens & Adolescent Services Ophthal - Not Otherwise Sepcified Y Childrens & Adolescent Services Ophthal - Orthoptics Y Childrens & Adolescent Services Ophthal - Strabismus/Ocular Motility Y Childrens & Adolescent Services Oral Maxillo Facial Y Childrens & Adolescent Services Orthopaedics Y Childrens & Adolescent Services Other Medical Y Childrens & Adolescent Services Plastic Surgery Y Childrens & Adolescent Services Respiratory Y Childrens & Adolescent Services Rheumatology Y Childrens & Adolescent Services Surgery - Not Otherwise Specified Y Childrens & Adolescent Services Urology Y Dentistry & Orthodontics Endodontics N Service not available at L&D Dentistry & Orthodontics Not Otherwise Specified N Dentistry & Orthodontics Orthodontics Y Dentistry & Orthodontics Periodontics N Service not available at L&D Dentistry & Orthodontics Prosthodontics N Service not available at L&D Dentistry & Orthodontics Surgical Dentistry N Service not available at L&D Dermatology Acne Y 2of11
Dermatology Basal Cell Carcinoma Y Dermatology Connective Tissue Disease Y Dermatology Cosmetic Camouflage N Service not available at L&D Dermatology Eczema & Dermatitis Y Dermatology Hair Y Dermatology Laser Clinic N Internal access only Dermatology Leg Ulcer Y Dermatology Male Genital Skin Disorder Y Dermatology Nails Y Dermatology Not Otherwise Specified Y Dermatology Oncology (Establis Disgnosis) Y Dermatology Patch Testing for Contact Dermatitis N Internal referrals only to this service. Refer patients using Dermatitis clinic type. Dermatology Psoriasis Y Dermatology Skin Surgery for Benign Lesions Y Dermatology Vulval Skin Disorders Y Diabetic Medicine Erectile Dysfunction Y Diabetic Medicine General Diabetic Management Y Diabetic Medicine Podiatry & Foot N Referral to be made to SEPT (South Essex Partnership Trust) Diabetic Medicine Preganancy and Maternal Y Diabetic Medicine Renal Diabetes Y Dietetics Cardiovascular Disease Risk Assessment N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Diabetes N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Eating Disorders - see Mental Health N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Food Allergy & Intolerance N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Gastroenterology N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Not Otherwise Specified N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Undernutrition N Referrals to be made to SEPT (South Essex Partnership Trust) Dietetics Weight Management N Referrals to be made to SEPT (South Essex Partnership Trust) Ear Nose and Throat Balance/Dizzyness Y Ear Nose and Throat Ear Y Ear Nose and Throat Facial Plastics & Skin Lesions Y Ear Nose and Throat Neck Lump/Thyroid Y Ear Nose and Throat Nose/Sinus Y 3of11
Ear Nose and Throat Not Otherwise Specified N Ear Nose and Throat Oncology (Establis Disgnosis) N Ear Nose and Throat Salivary Gland Y Ear Nose and Throat Snoring (not Sleep Apnoea) Y Ear Nose and Throat Throat (incl Voice/Swallowing) Y Ear Nose and Throat Tinnitus Y Endocrinology and Metabolic Medicine Adrenal Disorders Y Endocrinology and Metabolic Medicine Endocrine Pregnancy Y Endocrinology and Metabolic Medicine Gynaecological Endocrinology Y Endocrinology and Metabolic Medicine Lipid Disorders Y Endocrinology and Metabolic Medicine Metabolic Bone Disorders Y Endocrinology and Metabolic Medicine Not Otherwise Specified Y Endocrinology and Metabolic Medicine Oncology (Establis Disgnosis) N Service not available at L&D Endocrinology and Metabolic Medicine Pituitary & Hypothalamic Y Endocrinology and Metabolic Medicine Thyroid/Parathyroid Y GI & Liver (Medicine & Surgery) Colorectal Surgery Y GI & Liver (Medicine & Surgery) Gallstones Y GI & Liver (Medicine & Surgery) Hepatology Y GI & Liver (Medicine & Surgery) Inflamatory Bowel Disease (IBD) Y GI & Liver (Medicine & Surgery) Lower GI (Medical) exc IBD Y GI & Liver (Medicine & Surgery) Oncology (Establis Disgnosis) N GI & Liver (Medicine & Surgery) Upper GI (Incl Dyspepsia) Y General Medicine General Medicine N General Medicine Transient Ischaemic Attack N Fax referrals to Stroke office 01582 718267 Genetics Genetics N Service not available at L&D Genito-Urinary Medicine Genito-Urinary Medicine N Service not available at L&D Geriatric Medicine Cognative Disorders N Service under review may be added to ERS Geriatric Medicine Falls Y Geriatric Medicine Metabolic Bone Disease Y Geriatric Medicine Movement Disorders Y Geriatric Medicine Not Otherwise Specified Y Geriatric Medicine Stroke (not TIA) Y Gynaecology Colposcopy N Suspended at L&D until referral pathway clarified. Gynaecology Early Pregnancy Assessment N Self referral 4of11
Gynaecology Family Planning N Gynaecology Infertility Y Gynaecology Menopause Y Gynaecology Menstrual Disorders Y Gynaecology Not Otherwise Specified Y Gynaecology Oncology (Establis Disgnosis) Y Gynaecology Pelvic Pain Y Gynaecology Perineal Repairs Y Gynaecology Post Menopausal Bleeding Y Gynaecology Pregancy Advisory Service N Service not available at L&D Gynaecology Psychosexual Y Gynaecology Recurrent Miscarriage Y Gynaecology Urogynaecology/Prolapse Y Gynaecology Vulval & Perineal Lesions Y Haematology Anti Coagulant Y Haematology Clotting Disorders N Will be added to E-RS Haematology Haemoglobinopathies N Will be added to E-RS Haematology Not Otherwise Specified N Will be added to E-RS Haematology Oncology (Establis Disgnosis) N Will be added to E-RS Immunology Auto Immune Disease N Service not available at L&D Immunology Immunodeficiency N Service not available at L&D Immunology Not Otherwise Specified N Service not available at L&D Infectious Diseases Bone & Joint Infection N Service not avilable at L&D Infectious Diseases Chronic Fatigue Syndrome N Service not avilable at L&D Infectious Diseases Fever N Service not avilable at L&D Infectious Diseases HIV N Referral to Luton Sexual Health Service 01582 560584 Infectious Diseases Not Otherwise Specified N Infectious Diseases Travel Advice N Infectious Diseases Tropical Infection N Service not available at L&D Infectious Diseases Tuberculosis N Service under review may be added to ERS Infectious Diseases Viral Hepatitis (not Hep A) N Service under review may be added to ERS Mental Health - Adults of all ages N Service not availble at L&D Mental Health - Child and Adolescent N Service not availble at L&D Nephrology Hypertension N 5of11
Nephrology Nephrology Y Nephrology Renal Diabetes Y Neurology Cognititve Disorders Y Neurology Epilepsy Y Neurology Headache Y Neurology Neuromuscular Y Neurology Not Otherwise Specified Y Neurology Oncology (Establis Disgnosis) N Service not availble at L&D Neurology Parkinsons/Movement Disorders Y Neurology Stroke (not TIA) Y Neurology Transient Ischaemic Attack N Fax referrals to Stroke office 01582 718267 Neurosurgery N Service not availble at L&D Ophthalmology Cataract Y Ophthalmology Cornea Y Ophthalmology Diabetic Medical Retina Y Ophthalmology External Eye Disease Y Ophthalmology Glaucoma Y Ophthalmology Laser (YAG Capsulotomy) Y Ophthalmology Low Vision N This is a community clinic run by Sight Concern Ophthalmology Neuro - Ophthalmology Y Ophthalmology Not Otherwise Specified Y Ophthalmology Occuloplastic/Orbit/Lacrimal Y Ophthalmology Oncology (Establis Disgnosis) N Ophthalmology Other Medical Retina Y Ophthalmology Squint/Ocular Motility Y Ophthalmology Vitreoretinal Y Oral Maxillo Facial Facial Plastics Y Oral Maxillo Facial Head & Neck Lumps (not 2ww) Y Oral Maxillo Facial Not Otherwise Specified Y Oral Maxillo Facial Oncology (Establis Disgnosis) Y Oral Maxillo Facial Oral Surgery Y Oral Maxillo Facial Salivary Gland Disease Y Orthopaedics Foot & Ankle Y Orthopaedics Fracture - non emergency N Fracture Clinic referral fax to 01582 582474 6of11
Orthopaedics Hand & Wrist Y Orthopaedics Hip & Knee Y Orthopaedics Limb Deformity/Reconstruction N Service not availble at L&D Orthopaedics Oncology (Establis Disgnosis) N Service not availble at L&D Orthopaedics Podiatric Surgery N Orthopaedics Shoulder & Elbow Y Orthopaedics Spine - Back Pain (non sciolosist/deformity) Y unpublis due to backlog Orthopaedics Spine - Neck Pain Y unpublis due to backlog Orthopaedics Spine Scoliosis Y unpublis due to backlog Orthopaedics Sports Trauma Y Pain Management Pain Management N Paper referrals until further notice. Palliative Medicine N Service not availble at L&D Respiratory Medicine Allergy Y Service under review may be added to ERS Respiratory Medicine Asthma Y Service under review may be added to ERS Respiratory Medicine COPD Y Respiratory Medicine Cystic Fibrosis Y Respiratory Medicine Interstitial Lung Disease Y Service under review may be added to ERS Respiratory Medicine Not Otherwise Specified Y Respiratory Medicine Occupational Lung Disease Y Respiratory Medicine Oncology (Establis Diagnosis) Y Service under review may be added to ERS Respiratory Medicine Tuberculosis Y Rheumatology Bone/Osteoporosis Y Rheumatology Inflammatory Arthritis Y Rheumatology Musculoskeletal Y Rheumatology Other Autoimmune Rheumatic Disease Y Rheumatology Spinal Disorder Y Sleep Medicine Excessive/Intrusive Sleepiness Y Sleep Medicine Insomnia N Service not availble at L&D Sleep Medicine Parasomnia & other Sleep Disorders Y Sleep Medicine Sleep Apnoes/Sleep disordered breathing Y Surgery - Breast FH Breast Cancer (non 2ww) N Refer direct to Family History Service Surgery - Breast Mamoplasty (non 2ww) N 7of11
Specialty Name (on CAB) Clinic Type Publis Surgery - Breast Oncology (Establis Diagnosis) (non 2ww) N Service Comments Surgery - Breast Other Symptomatic Breast (2ww) Y Listed under specialty of 2ww Surgery - Cardiothoracic Y Service not availble at L&D Surgery - Not Otherwise Specified Endocrine Surgery Y Surgery - Not Otherwise Specified Hernia Y Surgery - Not Otherwise Specified Lumps & Bumps Y Surgery - Plastic Basal Cell Carcinoma Y Surgery - Plastic Burns Y Surgery - Plastic Craniofacial Y Surgery - Plastic Gynaecology & Perineal Reconstruction N Service not availble at L&D Surgery - Plastic Laser Y Surgery - Plastic Lower Limb Y Surgery - Plastic Mamoplasty Y Surgery - Plastic Minor Plastic Surgery Y Surgery - Plastic Not Otherwise Specified Y Surgery - Plastic Oncology (Establis Diagnosis) N Service not availble at L&D Surgery - Plastic Upper Limb N Service not availble at L&D Surgery - Plastic Vascular Malformation N Service not availble at L&D Surgery - Vascular Arterial Y Surgery - Vascular Leg Ulcer Y Surgery - Vascular Lymphodema N Service under review may be added to ERS Surgery - Vascular Not Otherwise Specified Y Surgery - Vascular Varicose Veins Y Urology (In) Continence Y Urology Erectile Dysfunction/Andrology Y Urology Haematuria (not 2ww) Y Urology Male Infertility Y Urology Not Otherwise Specified Y Urology Oncology (Establis Diagnosis) Y Urology Prostate Y Urology Urinary Calculus Y Urology Vasectomy N Service not availble at L&D Services without plan to be added to E-Referral 8of11
Health Promotion Exercise N Service not availble at L&D Health Promotion Smoking Cesation N Service not availble at L&D Health Promotion Weight Management N Service not availble at L&D Learning Disabilitities Learning Disabilities N Service not availble at L&D Physiotherapy Cardiovascular N Physiotherapy Gynaecological Physiotherapy N Physiotherapy Musculoskeletal N Physiotherapy Neurological N Physiotherapy Not Otherwise Specified N Physiotherapy Obstetric Physiotherapy N Physiotherapy Oncology (Establis Disgnosis) N Physiotherapy Respiratory N Physiotherapy Urological Physiotherapy N Orthotics & Prosthetics Orthotics N TBC Orthotics & Prosthetics Prosthetics N TBC Podiatry At risk Foot N Podiatry Biomechanical N Podiatry Nail Surgery N Podiatry Not Otherwise Specified N Podiatry Podiatric Dermatology N Podiatry Podiatric Health Education N Podiatry Podiatric MSK -inc rheumatology N Podiatry Podiatric Surgery - exc nail surgery N Rehabilitation Obstetrics Antenatal N Obstetrics Diabetes N Obstetrics Endocrine Pregnancy N Obstetrics Genetics N Obstetrics Haemoglobinopathies N Obstetrics Maternal/Foetal Risk N Obstetrics Maternal Medicine N Obstetrics Multiple Pregnancy N Occupational Therapy Upper Limb Splinting N Occupational Therapy Wheelchair/Seating N Service not availble at L&D 9of11
Speech and Language Therapy Communication N Speech and Language Therapy Swallowing N Sports and Exercise Medicine N Service not availble at L&D Diagnostic Endoscopy Colinic Imaging Assessment/Advice N No direct to test service at L&D Diagnostic Endoscopy Flexible Sigmoidoscopy N No direct to test service at L&D Diagnostic Endoscopy Gastroscopy N No direct to test service at L&D Diagnostic Imaging Bone Density Scan (Dexa) N Requests direct to Imaging Diagnostic Imaging CT N Diagnostic Imaging Fluoroscopy & Barium Studies N Diagnostic Imaging Intravenous Urogram (IVU) N Diagnostic Imaging MRI N Diagnostic Imaging Nuclear Medicine N Diagnostic Imaging Ultrasound N Diagnostic Imaging Plain Xray N Diagnostic Pathology Blood Tests N Diagnostic Physiological Measurement Audiology - Hearing Assess / Reassess N Diagnostic Physiological Measurement Audiology - Hearing Aid Assess and Fit N Diagnostic Physiological Measurement Cardiac Physiology - BP Monitoring N Diagnostic Physiological Measurement Cardiac Physiology - ECG N Diagnostic Physiological Measurement Cardiac Physiology - Echocardiogram N Diagnostic Physiological Measurement Audiology - Hearing Aid Review N Diagnostic Physiological Measurement GI Physiology - Urea Breath Test N Diagnostic Physiological Measurement Neurophysiology - EEG (Routine) N Diagnostic Physiological Measurement Neurophysiology - Nerve Conduction Studies N Diagnostic Physiological Measurement Respiratory - Blood Gas N Diagnostic Physiological Measurement Respiratory - Full Lung Function N Diagnostic Physiological Measurement Pre and Post Exercise ABPI N Diagnostic Physiological Measurement Respiratory - Oxygen Assessment N Diagnostic Physiological Measurement Respiratory - Sleep Apnoea Screening N Diagnostic Physiological Measurement Urodynamics - Free Flow / Residual Urine N Diagnostic Physiological Measurement Vascular -ABPI measurement N Diagnostic Physiological Measurement Vascular -Aortic Anneurysm Assessment N 10of11
Health Promotion Exercise N Service not available at L&D Health Promotion Smoking Cesation N Service not available at L&D Health Promotion Weight Management N Service not available at L&D Complimentry Medicine General Medicine N Service not available at L&D Complimentry Medicine Musculoskeletal/Rheumatology N Service not available at L&D Complimentry Medicine Oncology (Establis Disgnosis) N Service not available at L&D Complimentry Medicine Podiatry N Service not available at L&D Complimentry Medicine Psychological Medicine N Service not available at L&D Complimentry Medicine Womens Health N Service not available at L&D 11of11