Referral routes into Secondary Care by Specialty and Clinic January 2017

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Transcription:

Referral routes into Secondary Care by Specialty and Clinic January 2017 C&B specialty Clinic / Comments Breast (from 7 th November 2016) (for other symptomatic see Surgery-Breast) Referral route ENT (from 12th December 2016) Haematology (from 9 th January 2017) Lower GI (from 12th December 2016) Lung (from 7 th November 2016) Malignancy of Unknown Origin (from 9 th January 2017) 2WW Malignant Lymph Nodes (from 12th December 2016) Max Fax/Head and Neck (from 9 th January 2017) Skin (from 25 th July 2016) Urology (from 7 th November 2016) Upper GI Direct to Gynaecology Direct to Allergy Allergy Cardiology Children & Adolescent Services Arrhythmia Cardiology Genetics Congenital Heart Disease Heart Failure Hypertension Ischaemic Heart Disease Lipid Management Valve Disorders Allergy Audiology Cardiology Community Paediatric Dentistry Orthodontics Dermatology Developmental/Learning Disabilities Diabetes Endocrinology ENT Gastroenterology Gynaecology July 2016

Complementary Medicine Dentistry Orthodontics Dermatology Diabetic Medicine Diagnostic Endoscopy and Haematology Immunology Metabolic Disorders Nephrology Neurology Ophthalmology Not Otherwise Specified Ophthalmology Orthoptics Ophthalmology Strabismus/Ocular Motility Oral and Maxillofacial Surgery Orthopaedics Other Medical Plastic Surgery Respiratory Rheumatology Surgery Not otherwise specified Urology Not referred via the See pathway Not referred via the Direct to Acne Basal Cell Carcinoma (If lesion is on face consider referral to Oral Maxillo-Facial) Connective Tissue Disease Cosmetic Camouflage Eczema and Dermatitis Hair Laser Clinics Leg Ulcer Male Genital Skin Disorders Nails Patch Testing for Contact Dermatitis Psoriasis Skin Surgery for Benign Lesions Vulval Skin Disorders Erectile Dysfunction General Diabetic Management Renal Diabetes Please refer via GI and Liver (either Upper or Lower GI)

Diagnostic Imaging Not referred via the Direct to Diagnostic Pathology Not referred via the Direct to Diagnostic Physiological Measurement Audiology Echocardiography (To find Palpitation Clinical Assessment Service) Dietetics Not dealt with by the Direct to Balance/Dizziness Ear Facial Plastic and Skin Lesions Ear, Nose & Throat Endocrinology and Metabolic Medicine General Medicine Hearing Tests/Aids search by Diagnostic Physiological Measurement/Audiology Neck Lump / Thyroid Nose / Sinus Salivary Gland Snoring (not Sleep Apnoea) Throat (incl Voice / Swallowing) Tinnitus Adrenal Disorders Gynaecological Endocrinology Lipid Disorders Metabolic Bone Disorders Pituitary & Hypothalamic Thyroid / Parathyroid There is no General Medicine Clinic on Choose and Book for Scarborough Hospital. Please refer into the appropriate sub-specialty. Genetics Genetics Genito-Urinary Medicine Geriatric Medicine GI and Liver (Medicine and Surgery) Not dealt with by the. Open access patients can refer themselves and information can be found at https://yorsexualhealth.org.uk Cognitive Disorders Falls Metabolic Bone Diseases Movement Disorders Stroke (not TIA) Colorectal Surgery Gallstones Direct to service

Gynaecology Haematology Hepatology Inflammatory Bowel Disease (IBD) Lower GI (medical) excl IBD Upper GI and Dyspepsia (including bariatric surgery) Colposcopy Family Planning Infertility Menopause Menstrual Disorders Pelvic Pain Perineal Repair Post-Menopausal Bleeding Recurrent Miscarriage Urogynaecology/Prolapse Vulval and Perineal Lesions Clotting Disorders Haemaglobinopathies Health Promotion Not referred via the Direct to Immunology Autoimmune Disease Immunodeficiency Infectious Diseases Not referred via the Direct to Interventional Radiology Not referred via the Direct to Learning Disabilities Not referred via the Direct to service Mental Health Adults of all ages Mental Health Child and Adolescent Nephrology Neurology Not referred via the Direct to service Not referred via the Direct to service Hypertension Nephrology Renal Diabetes Cognitive Disorders Epilepsy Headache Neuromuscular

Neurosurgery Parkinsons/Movement Disorders Stroke (not TIA) Transient Ischaemic Attack Movement Disorders Spinal Obstetrics Not referred via the Direct to Occupational Therapy Not referred via the Direct to service Ophthalmology Oral and Maxillofacial Surgery Orthopaedics Cataract Cornea Diabetic Medical Retina External Eye Disease Glaucoma Laser (YAG Capsulotomy) Low Vision Neuro-Ophthalmology Oculoplastics/Orbits/Lacriminal Orthoptics Other Medical Retina Squint / Ocular Motility Vitreoretinal Facial Deformity Facial Plastics Head and Neck Lumps (not 2WW) Oral Surgery Salivary Gland Disease Foot and Ankle Fracture (non-emergency) Hand and Wrist Hip Joint Injections (do not refer to Physiotherapy) Knee Limb Deformity/Reconstruction Oncology (established diagnosis) Podiatric Surgery Shoulder and Elbow

Orthotics Prosthetics and Spine Back Pain (not Scoliosis/Deform) Spine Neck Pain Spine Scoliosis and Deformity Sports Trauma Not referred via the Direct to Pain Management Pain Management Palliative Medicine Not referred via the Direct to Physiotherapy Community Physiotherapy Rheumatology Physiotherapy Paediatric Physiotherapy 16 years old) (under Pregnancy/Women s Health Physiotherapy Blue assessments Podiatry Badge Physiotherapy ( ordinary musculoskeletal physiotherapy appointments). *Does not include Joint injections: for joint injections refer to Orthopaedics Community physiotherapy (patient homes and nursing homes) - for patients needing home assessments, falls or balance problems *Does not include Joint Injections: For joint injections refer to Orthopaedics Direct to Service Not referred via the Direct to Service Not referred via the Direct to Service Not referred via the Direct to Service Blue Badge assessments Direct to NYCC Podiatry (Spring Hill HDFT) Direct to Service Podiatry (Selby Podiatry in conjunction with Echo) Direct to Service Rehabilitation Not referred via the Direct to Respiratory Medicine Rheumatology Allergy Asthma COPD Cystic Fibrosis Interstitial Lung Disease Occupational Lung Disease Tuberculosis Bone / Osteoporosis Inflammatory Arthritis Musculoskeletal Other Autoimmune Rheumatic Disease Spinal Disorder Sleep Medicine Excessive/Intrusive Sleepiness

Speech and Language Therapy Sports and Exercise Medicine Surgery Breast Surgery Cardiothoracic Surgery Not Otherwise Specified Surgery Plastic Surgery Vascular Urology Insomnia Parasomnia and Other Sleep Disorders Sleep Apnoea/Sleep Disordered Breathing Not referred via the Direct to Not referred via the Direct to FH of Breast Cancer (non 2WW) Mammoplasty (non 2WW) Oncology Established Diagnosis (non 2WW) Other Symptomatic Breast (non 2WW) Cardiac Surgery Thoracic Surgery Endocrine Surgery Hernias Lumps and Bumps Basal Cell Carcinoma Burns Craniofacial Gynaecology and Perineal Reconstruction Laser Lower Limb Mammoplasty Minor Plastic Surgery Upper Limb Vascular Malformation Arterial Leg Ulcer Lymphoedema Varicose Veins (In) Continence Erectile Dysfunction/Andrology Haematuria (not 2WW) Male Infertility Prostate Urinary Calculus Vasectomy under local anaesthetic not on Direct to service

Currently carried out by Haxby Clinic or Doncaster Vasectomy under general anaesthetic (cannot be referred to for a general anaesthetic unless IFR approval given. All vasectomy referrals should be done as local anaesthetic referrals direct to the primary care clinics)

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