Document 21010
Summary of referral proforma/thresholds/NICE guidance and other guidelines for ENT/Gastro/Gynae/Urol /Derm RSS 2013/2014 A’brookes proforma (N3) CCG policy CCG proforma NICE CG RSS checklist Addenbrookes ENT Referral Guidelines ENT GPSI Head and neck fast track Audiology Allergic Rhinitis Other guidelines GPSI service inclusions/exclusions CG27 yes yes yes Chronic Rhinitis grommets tonsillectomy vertigo Nasal polyps Discharging ear Snoring/OSA tinnitus globus Checklist on policy CKS Policy checklist Western Sussex Hospital Guidelines yes yes Use proforma yes yes Use proforma Western Sussex Hospital guidelines Western Sussex Hospital guidelines Western Sussex Hospital Guidelines Plymouth referral guidelines-no date Western Sussex Hospital Guidelines Globus sensation patient.co.uk Gastroenterology Dyspepsia Irritable Bowel Syndrome Upper GI Fast Track Diarrhoea yes yes yes yes yes CG17 CG61 Use proforma CATCH/Addenbrooke’s guidelines CKS Acute and Chronic Diarrhoea Gynaecology CATCH Women’s Health Pages Anovulatory bleeding Cervical Polyps Chronic Pelvic pain Colposcopy Gynae fast track Heavy menstrual bleeding IMB/PCB CATCH CATCH also Kernow CCG Guidelines Addenbrookes protocol (N3), ELIC Infertility IUD problems Ovarian cysts PCOS Premenstrual syndrome Prolapse Use proforma no yes yes yes no CG27 Addenbrookes referral guidelines (N3) CG44 yes yes CATCH IMB CATCH PCB Post coital Bleeding –Addenbrooke’s Pathways CG156 yes yes Use proforma CATCH ovarian cysts and Top Tips CATCH PCOS CKS guidelines RCOG Pelvic organ prolapse patient info Ring pessary self management sterilisation Sterilisation reversal Urinary incont/prolapse Vulval disorders no yes yes Use proforma yes CCS pathway (some links need updating) York RSS guidelines Camurology guidelines Urology Male LUTS yes no haema Urology Fast Track yes turia (prostate, testicular, penile, haematuria) phimosis Dr Christine Emerson CATCH updated 16/04/2014 CG97 CG27 Camurology Summary of referral proforma/thresholds/NICE guidance and other guidelines for ENT/Gastro/Gynae/Urol /Derm RSS 2013/2014 balanitis circumcision yes yes A’brookes proforma (N3) CPHN policy CPHN proforma NICE CG Other guidelines prostatitis epididymitis Camurology prostatitis Camurology epididymitis Surgical referral Addenbrooke’s checklist RSS checklist Dermatology Benign skin lesions Acne Alopecia areata Basal cell carcinoma Eczema (hand) Eczema (not hand) Fungal infection skin/nails hyperhidrosis Leg ulcers Molluscum contagiosum Solar keratoses psoriasis urticaria Viral warts Solitary non-pigmented lesion yes yes yes Addenbrooke’s Acne Addenbrooke’s Alopecia areata Adddenbrooke’s BCC Addenbrooke’s Eczema Yes yes Yes (for botulin um) Addenbrookes fungal skin/nails Addenbrooke’s hyperhidrosis Yes (for botulinu m) yes CG153 Addenbrooke’s leg ulcers Addenbrooke’s mollscum Addenbrooke’s solar keratoses Addenbrooke’s psoriasis Addenbrooke’s urticaria Addenbrooke’s viral warts CATCH dermatology pages Consider pre-op check list before referring for surgery (Template and summary available soon) Common reasons for patients not being fit for surgery found at Pre-operative Assessment Clinic (POAC) 1. Hypertension - BP >160/90 after 3 consecutive readings 2. Diabetes – HbA1c > 64 mmol/mol – elective surgery; >75 mmol/mol - urgent (cancer, symptomatic carotid artery stenosis) 3. Recent worsening of angina 4. New onset AF diagnosed at POAC 5. AF heart rate > 100 bpm 6. Chest infection (on day of surgery or within 2 weeks of surgery) 7. New heart murmur diagnosed on auscultation of the chest Dr Christine Emerson CATCH updated 16/04/2014 Summary of referral proforma/thresholds/NICE guidance and other guidelines for ENT/Gastro/Gynae/Urol /Derm RSS 2013/2014 The following information would be of great help both to the Trust and to the patients if it were to be present in all referral letters Current BP reading Any diagnosis of hypertension If under investigation for any other condition Height Weight BMI Smoking status If diagnosed diabetic the current HbA1c (with date of measurement) Cardiac history and most recent echo/angiogram date and result Known previous MRSA and C diff status Dr Christine Emerson CATCH updated 16/04/2014
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