Last updated: 23 January 2015 Metro South Health | GP Referral Directory 1 Contents Neurology .................................................................. 52 Antenatal Shared Care Ophthalmology .......................................................... 55 Neurosurgery ............................................................. 53 Orthopaedics ............................................................. 56 General antenatal referral information ........................ 4 Occupational Therapy – Driving Assessment ............ 57 Early Pregnancy Assessment Unit (Logan Hospital) .. 5 Occupational Therapy – Hand Clinic (QEII/Redland) 58 Recommended minimum antenatal shared care schedule checklist....................................................... 6 Occupational Therapy/Physiotherapy – Hand Elbow Wrist Therapy Clinic (Logan/Beaudesert) .................. 59 Hospital Specialty Outpatient Clinics Occupational Therapy – Lymphoedema Service ....... 60 Occupational Therapy – Vascular Therapy Clinic ...... 61 General referral criteria ............................................... 9 Paediatrics ................................................................. 62 Bulk billed (private) clinics......................................... 10 Palliative Care ........................................................... 63 Alcohol and Drug Assessment .................................. 11 Persistent Pain Management..................................... 64 Allergy and immunology............................................ 12 Antenatal................................................................... 13 Physiotherapy – Continence and Women’s Health Clinic .......................................................................... 65 Antenatal Diabetes and Endocrinology ..................... 14 Physiotherapy – Musculoskeletal Clinic ..................... 66 Audiology (adult) ....................................................... 15 Physiotherapy – Oncology Clinic ............................... 67 Audiology (paediatric) ............................................... 16 Physiotherapy – Rehabilitation Clinic ........................ 68 Bowel Cancer Screening .......................................... 17 Plastic Surgery .......................................................... 69 Brain Injury Rehabilitation ......................................... 18 Prosthetic/Orthotic and Podiatry ................................ 70 Cancer Services ....................................................... 19 Radiation Oncology ................................................... 71 Cardiac Surgery ........................................................ 20 Respiratory ................................................................ 72 Cardiology................................................................. 21 Rheumatology ........................................................... 73 Child Protection ........................................................ 22 Sexual Health ............................................................ 74 Colposcopy ............................................................... 23 Sleep Disorders ......................................................... 75 Complex Obesity Service.......................................... 24 Speech Pathology ..................................................... 76 Dermatology ............................................................. 25 Spinal Cord Injury (Paraplegia and Tetraplegia) ........ 77 Diabetes.................................................................... 26 Social Work (Sexual Assault Response / Beaudesert Hospital) .................................................................... 78 Dietetics .................................................................... 27 Endocrinology ........................................................... 28 ENT / Head and Neck / Thyroid Surgery................... 30 Gastroenterology ...................................................... 31 General Surgery ....................................................... 32 Breast and Endocrine (General Surgery) .................. 34 Colorectal Surgery .................................................... 36 Stomal Therapy and Wound Consultancy (Nurse Led) .................................................................................. 79 Thoracic Surgery ....................................................... 80 Transplant.................................................................. 81 Urology ...................................................................... 82 Vascular Medicine and Wound Clinic ........................ 84 Vascular Surgery ....................................................... 85 Upper Gastrointestinal Surgery................................. 37 General Medicine...................................................... 38 Addiction and Mental Health Services Geriatric Medicine ..................................................... 39 Acute Care Teams (ACT) .......................................... 88 Gynaecology ............................................................. 40 Mood Academic Clinical Unit (ACU) .......................... 89 Haematology............................................................. 42 Psychosis Academic Clinical Unit (ACU) ................... 90 Heart Recovery Service / Cardiac Rehabilitation ...... 43 Rehabilitation Academic Clinical Unit (ACU) ............. 91 Hepatobiliary ............................................................. 44 Resource and Access Academic Clinical Unit (ACU) 92 Hepatology................................................................ 45 Consultation Liaison Psychiatry Services .................. 93 Hypertension............................................................. 46 Addiction Academic Clinical Unit (ACU) .................... 94 Hypertonicity Clinic ................................................... 47 Child and Youth Academic Clinical Unit (ACU).......... 95 Immunology .............................................................. 48 Older Adult Academic Clinical Unit (ACU) ................. 96 Infectious Diseases ................................................... 49 Maxillo-Facial ............................................................ 50 Acute Mental Health Inpatient Services Academic Clinical Unit (ACU)..................................................... 97 Renal (Nephrology)................................................... 51 Transcultural Mental Health ....................................... 98 Metro South Health | GP Referral Directory 2 Metro South Health | GP Referral Directory 3 General antenatal referral information This section contains specific information for antenatal shared care at Beaudesert Hospital, Logan Hospital and Redland Hospital. Uncomplicated pregnancies • • • • ensure all minimum referral criteria (see p. 9) are met including a copy of the required pathology tests: Refer privately for detailed scanning (dating, morphology) Expect the first hospital visit with the consultant to be offered after 20 weeks You will be responsible for the care until she is seen by a doctor at the hospital Note: The mother will be required to see the midwife and the consultant before a booking is confirmed. Complicated pregnancies Please refer urgently to the Antenatal Clinic and specify the reason in the referral letter and include relevant specialist correspondence. The letter will be triaged within the same week. Please ensure you copy pathology results to the hospital clinic directly from the laboratory. High risk of gestational diabetes (GDM): • • • Risks for GDM include: previous GDM or baby over 4000g, polycystic ovarian syndrome, strong family history, glycosuria, or BMI greater than 30, multiple pregnancy and at risk ethnicity (Aboriginal and Torres Strait Islander, Pacific or South Sea Islander, Indian subcontinent, South East Asia, Middle Eastern or African) If there is a high risk, please request a glucose tolerance test (GTT) in the first trimester. Hospital visits Hospital visits usually occur at 36 and 41 weeks (Logan) / 40 weeks (Redland). This will be increased if clinically indicated. At 41 weeks, an induction is booked for approximately 10 days post the estimated delivery date. Metro South Health | GP Referral Directory 4 Early Pregnancy Assessment Unit (Logan Hospital only) Logan Hospital offers an Early Pregnancy Assessment Unit for the assessment of early pregnancy complications. Eligibility criteria Women may be referred directly to the unit if they have: • • a positive pregnancy test or suspected pregnancy, and a pregnancy less than 20 weeks completed gestation, and are experiencing any of the following symptoms: • • • • • pain or vaginal bleeding but are clinically stable no bleeding but with a non viable pregnancy a confirmed stable ectopic pregnancy to be treated conservatively pregnancy of unknown location, stable and requiring follow up hypermesis gravidarum requiring follow up Accessing the service • • Telephone the Early Pregnancy Assessment Unit nurse on (07) 3299 8456 to book an appointment Follow up with a referral to Dr Mano Haran via fax on (07) 3299 8963. Service times Opening hours and location • • 8 am to 4 pm, Monday to Friday (except public holidays) Building 2, Logan Hospital precinct Outside these times • • Telephone the on-call Obstetrics and Gynaecology registrar on (07) 3299 8027, or Telephone (07) 3299 8899 and ask Logan Hospital switchboard to page the on-call Obstetrics and Gynaecology registrar. Metro South Health | GP Referral Directory 5 Recommended minimum antenatal shared care schedule checklist First visit 20 weeks GP/Midwife visit preferably before 12 weeks Doctor booking in visit Pregnancy confirmed, maternal counselling commenced Tobacco/drug and alcohol cessation screening completed Pre-pregnancy weight, height and BMI recorded (refer to dietitian if high) Urine dipstick/MSU performed Antenatal blood tests ordered with consent and counselling: blood group and antibodies (status checked/identified), full blood count, diabetes mellitus (if indicated), syphilis, rubella, hepatitis B, hepatitis C, HIV ordered Ultrasounds ordered: Antenatal screening bloods Free Beta-hCG and Papp A after 10 completed weeks and preferably 3–5 days prior to Nuchal USS. Note: request slip to include EDD and current maternal weight Nuchal Translucency 11–13 weeks+6 days Diagnostic Morphology 18–20 weeks Genetic Counselling and testing discussed as appropriate: Chorionic Villus Sampling 11–13 weeks/Amniocentesis 16–18 weeks as indicated Booking in referral sent: Birth centre care options discussed (if applicable) Pap smear offered if due Normal breast changes discussed Examination performed Folate and iodine supplementation discussed 12-18 weeks Post diagnostic morphology ultrasound assessment and general health check attended Appropriate model of care confirmed and documented (after risk assessment completed) Maternal counselling including tobacco / drug and alcohol cessation continued (if applicable) Further discussion with midwife (if applicable) Consent obtained from Rh negative women for prophylactic Anti D (staple inside Pregnancy Health Record) Expected date of birth confirmed Model of care confirmed Blood/scan results reviewed Initiation of breastfeeding / baby led feeding discussed Positioning and attachment of baby discussed Skin to skin contact discussed 25 weeks Full assessment including abdominal palpation and foetal auscultation performed and foetal movements discussed Request slip given to women for blood tests to be performed between 26–28 weeks: • Full blood count (FBC), and Glucose Challenge for all women (GTT when indicated) • For Rh negative women, Rhesus Antibody blood screen Benefits of rooming-in discussed (baby/woman staying together) Physical activity, exercise and rest discussed Home safety and hazard identification for injury prevention discussed Midwife booking in visit 28 weeks Booking in Visit – demographic, social, medical and obstetric history documented ± allied health referrals arranged SAFE Start or similar tool: Commenced Completed Referred Tobacco screening / drug and alcohol screening / EDS (EPDS) / maternal counselling completed Models of care discussed and preference identified (page a5) Urine dipstick/MSU repeated Recommended weight gain and healthy eating discussed and information given Physiotherapy discussed Reasons to breast feed discussed / breast feeding education provided Antenatal classes offered: Accepted Declined Booked Pathology results checked First dose of Anti D for Rhesus negative women attended (page a4) Exercise and rest revisited SIDS and SUDI discussed and pamphlet given 31 weeks Maternal counselling on tobacco / drug and alcohol cessation revisited Breastfeeding education provided, recommending exclusive breastfeeding for around the first six months of baby’s life Birth preferences discussed Length of hospital stay and time of discharge discussed Postnatal community supports discussed Continued over Metro South Health | GP Referral Directory 6 34 weeks Second dose of Anti D for Rhesus negative women attended EDS (EPDS) reviewed, repeated and recorded Expressing of breast milk and safe storage discussed 36 weeks Visit at 36 weeks, then as clinically indicated every 1– 2 weeks until 41 weeks At each standard antenatal visit: • Revisit maternal counselling on tobacco / drug and alcohol cessation / breastfeeding education • Discuss signs of early labour and when to come to hospital • Review blood results At 36 weeks: Elective caesarean section booked (if applicable) Full blood count 38 weeks Signs of early labour and when to come to hospital discussed Breastfeeding information reviewed Blood results reviewed 40 weeks Maternal counselling on tobacco / drug and alcohol cessation revisited Maternal concerns discussed and addressed Induction of labour for week 40 (+10–14 days) plus or minus membrane sweep discussed 41 weeks Assessment of maternal and baby wellbeing completed (arrange for CTG if indicated) Monitoring if indicated as per current fetal surveillance guidelines Induction of labour for week 40 (+10–14 days) (i.e. 42 weeks) re-discussed Metro South Health | GP Referral Directory 7 Metro South Health | GP Referral Directory 8 Hospital Specialty Outpatient Clinics This section contains specific information for referring patients to specialty outpatient clinics at: • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland hospitals. General referral criteria Referrals to specialist outpatient services within Metro South Health must be in writing, and as a minimum contain the following: • • • • • • • • • Patient demographics including Medicare number and Interpreter requirements Patient’s mobile phone contact number and an alternate postal or contact address (if not the same as usual residence) Reason for referral (including the problem to be assessed, degree of loss of function, pain experienced) Results of relevant investigations (pathology, radiology, histology) Current medications and doses, prescribed and over the counter (note any recent changes in drug therapy) Allergies (drug/topical preparation) Relevant information about the patient’s condition such as previous medical/surgical treatment (include systemic and topical medications prescribed for the condition) and details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes) Relevant psychological and social issues impacted by condition Smoking and alcohol history. Where to send your referral The Metro South Health Central Referral Hub processes all specialist outpatient referrals. Please ensure the referral is “named”. Telephone: Facsimile: Post: Central Referral Hub Metro South Health PO Box 4195 Eight Mile Plains QLD 4113 Secure e-Transfer: Automatically directed to the Central Referral Hub 1300 364 155 1300 364 248 Urgent referrals To arrange a VERY URGENT outpatient appointment, please phone the relevant hospital’s switchboard and ask to speak to the Registrar of the relevant specialty: • Princess Alexandra Hospital – (07) 3176 2111 • QEII Jubilee Hospital – (07) 3182 6111 • Logan Hospital – (07) 3299 8899 • Redland Hospital – (07) 3488 3111. Metro South Health | GP Referral Directory 9 Bulk billed (private) clinics Metro South Health’s public hospitals offer private (bulk billed) services in many outpatient clinics. This means that your patient has the right to choose to be treated as a private patient within any facility listed in this guide and can be bulk billed for the service with no gap payment. These funds will allow for the delivery of improved clinical services to the local community and your patients. If seen as a bulk billed (private) patient, the benefits will be that: • • your patients will have access to one of our staff specialists with right of private practice, and the consultation and investigations performed will be bulk billed. How to refer to a bulk billed clinic To refer your patient to a private (bulk billed) clinic, please include a named referral to one of our staff specialists with Right of Private Practice. Staff specialists with Right of Private Practice who offer a bulk billed clinic are listed with ‘(BB)’ next to their name in this guide. Further information For further information about private (bulk billing) clinics, please contact: • • • • Logan Hospital Private Practice: (07) 3299 8590 Princess Alexandra Hospital Private Practice: (07) 3176 2721 QEII Jubilee Hospital Private Practice: (07) 3182 6392 Redland Hospital Private Practice: (07) 3488 3524 Metro South Health | GP Referral Directory 10 Alcohol and Drug Assessment Locations • Princess Alexandra Hospital Referral criteria Minimal referral information that is useful includes: • • • • drug(s) of abuse basic demographic and medical information quantity of substance used, and recent (ie within the last month) relevant blood tests. Note: In cases where a higher level of urgency is considered, referrers can contact ADAU directly (eg assessment for detoxification at HADS (RBWH) ; or where patient has just recently been detoxified and needs an outpatient program) on Ph: 3176 5191 Specialists PAH: Dr Gerald Feeney (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 11 Allergy and immunology Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • FBC Skin testing RAST results IgE Note: If urgent review is required, please contact the Immunology Registrar via the Princess Alexandra Hospital switchboard on (07) 3176 2111 or Dr Patrick Hogan on (07) 3176 5900. Specialists PAH: • Dr David Gills • Dr Richard Wong • Dr Patrick Hogan (Immunology/Allergy) • Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 12 Antenatal Locations • • • Beaudesert Hospital Logan Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • LNMP, Gravida, Parity, EDC Blood tests: FBC, HepB, HepC, HIV, Syphilis serology, Blood group and antibodies Rubella MSH/Chlamydia Dating and Morphology Ultrasound scans Aneuploidy screening (GTT for selective patients) First trimester combined screening results if the patient identifies as Aboriginal or Torres Strait Islander Specialists Logan Hospital: Dr Mano Haran (BB) Dr Sabaratnam Ganeshananthan (BB) Dr Janet Draper (BB) Dr Yoga Gounden (BB) Dr Leela Sharma (BB) Dr Hasthika Ellepola (BB) Dr Drew Moffrey (BB) Dr Poi Leng Lee Dr Suhad Hassan Dr Mahomed Khatree Dr Bryan Kenny Redland Hospital: Dr Wendy Dutton (BB) Dr Philip Moon (BB) Dr Saman Senevirathna (BB) Dr Piratheepan Kandasamy (BB) Dr Ravi Wlaisinghe (BB) Beaudesert: Dr Asif Shazad Dr Ashar Ali Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 13 Antenatal Diabetes and Endocrinology Locations • Logan Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Specialists Logan Hospital: Dr Elizabeth Jarvis (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 14 Audiology (adult) Locations • • Logan Hospital Princess Alexandra Hospital Referral criteria Minimum information required: • • • • • • • Name Contact details (address and phone) Patient demographics Date of birth Reason for referral Description of problem Previous assessments/reports Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 15 Audiology (paediatric) Locations • Logan Hospital Referral criteria Minimum information required: • • • • • • • Name Contact details (address and phone) Patient demographics Date of birth Reason for referral Description of problem Previous assessments/reports Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 16 Bowel Cancer Screening Locations • • Logan Hospital Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Send referral to Logan Hospital: Phone: (07) 3299 8077 Fax: (07) 3299 8129 Princess Alexandra Hospital: Phone: (07) 3176 1047 Fax: (07) 3176 1295 Metro South Health | GP Referral Directory 17 Brain Injury Rehabilitation Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • Collateral information including that of type and severity of acquired brain injury, previous management and ongoing treatment including that of medications. Other relevant medical information, including CT/MRI scans, EEG and blood tests. Note: The service does not offer a primary medico-legal assessment. Note: Cases where the predominant presentation is that of mental health or substance use are best managed before referral. Specialists PAH: Dr Ron Hazelton (on leave until May 2015) Dr Wilbur Chan Dr David Douglas Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 18 Cancer Services Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • Any old pathology results which might help determine the duration/progression of a blood abnormality Scan and x-ray results Histology Operative reports Previous cancer treatments (chemotherapy, radiation). Specialists PAH: Dr Warren Joubert (BB) Dr Victoria Atkinson (BB) Dr Euan Walpole (BB) Dr Elizabeth McCaffrey (BB) Dr Kate Cuff (BB) Dr Damien Thomson (BB) Dr Margaret McGrath (BB) Dr Maree Colosimo (BB) Dr Brian Chan Prof Ken O’Byrne Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 19 Cardiac Surgery Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • chest x-ray U&e’s/LFT’s & HbA1c for diabetic patients ECG FBC RFT’s if indicated by long term smoking or chronic lung disease cardiac risk factors exercise tolerance previous Cardiology assessment data where performed, including formal echo angiogram disc either with referral or to PAH catheter laboratory. Note: Patients with valvular heart disease or suspected coronary artery disease must have been assessed by a Cardiologist prior to surgical referral. Note: Referral to a cardiac surgeon is an internal referral between specialists. Specialists PAH: Dr Julie Mundy (BB) Dr Wingchi Lo Dr Paul Peters Dr Christopher Cole Dr Masashi Ura Dr Johann (Andre) Stroble Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 20 Cardiology Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • Significant symptoms, e.g. chest pains, breathlessness, syncope or palpitations Exercise tolerance Results of any recent cardiac investigations, e.g. ECG, CXR, Echo, stress test LFT, FBC, TFT, cholesterol, electrolytes, lipid profile Details of any prior cardiac surgical/interventional procedures IHD risk factors (Htn, smoking, +FHx, +BMI, diabetes, +cholesterol/hyperlipidemia). Specialists Logan: Dr VR Prasad Challa (BB) Dr Bruno Jesuthasan (BB) Dr Arun Dahiya (BB) Dr Shashi Ranjan (BB) PAH: Dr Paul Garrahy (BB) Dr Gerard Connors Dr Stephen Cox (VMO) Dr Kieran Dauber (VMO) Dr Paul Gould (BB) Dr John Hill (BB) Dr Gerald Kaye (BB) Dr Dariusz Korczyk (BB) Dr Richard Lim (BB) Dr Arnold Ng (BB) Dr Sudhir Wahi (BB) Dr William Wang (BB) Dr Anthony Camuglia (VMO) QEII: Dr Bennett Franjic (BB) Redland: Dr Daljeet Gill (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 21 Child Protection Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Contact the relevant hospital child protection officer for advice. Send referral to Logan Hospital: Phone: (07) 3299 9102 Fax: (07) 3299 8035 Princess Alexandra Hospital: Phone: (07) 3176 2610 Fax: (07) 3176 5759 QEII Jubilee Hospital: Phone: (07) 3182 5353 Fax: (07) 3182 5494 Redland Hospital: Phone: (07) 3488 4256 Fax: (07) 3488 4251 Metro South Health | GP Referral Directory 22 Colposcopy Locations • • • • Beaudesert Hospital Logan Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • copy of relevant Pap smear (and swabs if relevant) copy of previous biopsy and/or LLETZ if applicable copy of previous Pap smears as well if reason for referral is a low-grade abnormality. Note: Always refer symptomatic patients (i.e. persistent post-coital bleeding) regardless of Pap test results. Specific comorbidity information: • Previous genital warts • Infectious disease – sexual transmitted agents • Any other concurrent medical problem • Concurrent pregnancy • Therapeutic abortion, D&C or Ablation within past 4 weeks Specific symptom information : • Abnormal appearing cervix • Abnormal vaginal bleeding • Provide any considered relevant by the referring Physician Specific tests/investigations if available: • Histopathological reports – for any surgical procedure, biopsy or cytology – PAP Smear • History & Physical • All related DI – Reports • All relevant Consultation reports Specialists Beaudesert: Dr Herath Padmasiri (Anura) Logan: Dr Mano Haran) QEII: Dr Louis MacPherson Dr Anton Marineanu (BB Redland: Dr Wendy Dutton (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 23 Complex Obesity Service Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • Current height, weight and BMI Summary of weight loss initiatives taken by patient and health care provider prior to referral Details of any allied health support in place to assist with weight loss ( any GPMP/TCA in place ) Copies of most recent blood results or relevant investigations Ensure all co morbidities clearly stated Note: Bariatric (weight loss) surgery is not available within the Princess Alexandra Hospital. Specialists PAH: Dr Trisha O’MooreSullivan (BB) Dr Lisa Hayes (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 24 Dermatology Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Note: Any black spot under a nail must always be categorised as a Cat 1. Specialists PAH: Dr Jason Wu Dr Victoria Shepherd Dr Michael Freeman Dr Greg Siller (Teledermatology) Prof Peter Soyer Dr Scott Webber (Cutaneous MM patients only) Dr Kayrn Lun Dr David Francis Dr Brian De Ambrosis Dr Erin Meniman Dr Kiarash Khosrotehrani Dr Perry Wilson Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 25 Diabetes Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and details of the following: • • Required o type of diabetes and duration of disease o presence of any diabetes complications o current medications o blood pressure o HBA1c o FBE, ELFTs o Fasting Lipids - Chol, LDL, HDL, Tg o Urinary microalbumin. Useful: o previous medications tried for the diabetes o previous allied health reviews o history of smoking o copy of GPMP/TCA o licence status o weight/BMI. Specialists Logan: Dr David Roberts (BB) Dr Maung Khant (BB) Dr Elizabeth Jarvis Prof Richard Jackson PAH: A/Prof Anthony Russell (BB) Dr Clair Sullivan (BB) Dr Ross Cuneo (BB) A/Prof Warrick Inder (BB) Dr Lisa Hayes (BB) Dr Emily Mackenzie (BB) Prof David McIntyre (BB) QEII: Dr Shanthi Kannan Redland: Dr Joel Iedema (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 26 Dietetics Locations • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital Redland Hospital Wynnum Health Service Referral criteria For QEII, Logan, PAH, Redland Hospital and Wynnum Health Service: Hospital Dietitians will respond to internal referrals for adult patients: • • being discharged from hospital requiring on-going dietetic intervention to reduce the risk of deterioration and re-admission or from the hospital out-patient (OPD) clinics if the person is a current patient with a UR number and currently attending specialist OPD. Dietetics is unable to accept direct referrals from external community sources including GP’s. For Redland Hospital: Hospital Dietitians will respond to internal referrals for paediatric patients: • • being discharged from the hospital requiring on-going dietetic intervention to reduce the risk of deterioration and re-admission or from the hospital Paediatric out-patient (OPD) clinics if the child is a current patient with a UR number and currently attending specialist OPD. Dietetics is unable to accept direct referrals from external community sources including GPs. For Beaudesert Hospital: External referrals are accepted from GPs and medical specialists for adult patients residing within the area (postcodes 4285, 4280 & 4287). This is an equivalent service as provided by Community Dietitians in other locations. Please provide: • • • • • • Patient details – Name, DOB, Address & Phone Number/s Medical History Medication List Reason for referral Relevant Pathology (for Diabetes HbA1c) Translator if required Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 27 Endocrinology Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • hormone levels relevant investigations - any relevant imaging studies. For a pituitary problem: • • • • • • • • • • morning prolactin LH, FSH oestradiol (testosterone if male) TSH, T4, Cortisol ACTH growth hormone IGF1 ELFT FBE For thyrotoxicosis: • • • TSH, T4, T3, ESR, TSH receptor antibodies (Primary hypothyroidism should be be managed by the GP and not require specialist referral). For calcium disorder: • • • • • ELFT ionised calcium PTH Vitamin D and 1,25(OH)2 Vitamin D, 24 hour urine calcium. If primary hyperparathyroidism include bone mineral density and US kidneys or AXR KUB. For osteoporosis: • • • • • • • • • • • FBE ELFT ESR Vitamin D PTH, ionised calcium TSH serum EPP testosterone (in males) antitransglutaminase antibodies bone mineral density and vertebral x-rays or x-rays of fractures if relevant For adrenal insufficiency: • • • short synacthen test, morning cortisol and ACTH, renin and aldosterone Continued over Metro South Health | GP Referral Directory 28 For Cushing’s syndrome: • • • • 24 hour urine free cortisol, 1mg dexamethasone suppression test, Morning cortisol ACTH For suspected phaeochromocytoma: • • Plasma metanephrines x2, CT adrenals For Hyponatremia: • • • • paired serum and urine osmolarity and sodium, TFTs 9am cortisol ELFT profile full medication list For hypogonadism: • • morning LH, FSH, oestradiol progesterone (testosterone if male) prolactin. For Adrenal lesion: • • • • • • ELFT aldosterone:rennin ratio plasma metanephrines DHEAS 24 hr urine free cortisol 1mg dexmethasone suppression test with baseline ACTH For PCOS: • • • • • • • • FSH, LH prolactin TFTs free testosterone DHEAS fasting glucose fasting lipids consider pelvic ultrasound (day1-4 menstrual cycle) Specialists Logan: Dr David Roberts (BB) Dr Maung Khant (BB) Prof Richard Jackson PAH: Dr Emily Mackenzie (BB) Dr Trish O’Moore (BB) Dr Clair Sullivan (BB) Dr Judith Hadwen Dr Anthony Russell Dr Ross Cuneo (BB) Prof Ken Ho (BB) Dr Warrick Inder (BB) Dr Lisa Hayes (BB) QEII: Dr Shanti Kannan Redland: Dr Joel Iedema (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 29 ENT / Head and Neck / Thyroid Surgery Locations • • Logan Hospital Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and the following tests/investigations are highly recommended: For hearing loss, tinnitus, vertigo, unilateral ear symptoms: • audiology, pure tone audiogram (children and adults) For sinusitis or unilateral sinus pathology – adults: • CT scan paranasal sinuses +/- contrast For cancer or lump in neck > 4 weeks – adults: • • initially CT with contrast or USS of neck +/- FNA routine bloods (FBC, LFT’s, U/E’s, Creatinine, Ca++) For nasal fracture with cosmetic displacement: • request appointment within 5-7 days after injury to allow for surgery within 14 days, if required For head and neck skin cancer: • biopsy (punch) for histology For dysphagia (adults) – not essential: • modified barium swallow For thyroid: • TFT’s, , FBC, Ca++ U/S +/- FNA Specialists Logan: Dr Bernard Whitfield (BB) Dr Simon Nasser Dr Ryan Sommerville Dr Raefe Gundelach Dr James Bowman Dr Elizabeth Hodge PAH: Dr Benadict Panizza Dr Chris Perry Dr Scott Coman Dr Bernard Whitfield (BB) Dr Ben Wallwork Dr James Bowman Dr Raefe Gundelach Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 30 Gastroenterology Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • Presence or absence or alarm symptoms in patients with upper abdominal symptoms Family history of colorectal neoplasia in patients with lower abdominal symptoms E/LFT’s, FBS and ESR or CRP (all patients) Results of any scopes undertaken For Abdominal pain: • imaging US or CT For Dyspepsia: • H.pylori testing (breath test or stool antigen) For Anaemia: • iron studies, B12, folate For Diarrhoea: • stool M/C/S, O/C/P. C difficile toxin, coeliac serology • . Specialists Logan: Dr Carolyn McIvor (BB) Dr Rob Brodribb (BB) Dr Sneha John (BB) Dr Mark Norrie Dr Thein Htut (BB) PAH: Dr Terrance Tan (BB) Dr Lara Kane Dr Bradley Kendall Dr Graeme Macdonald Dr Paul Clark Dr Rebecca Ryan Dr Caroline Tallis Dr Elizabeth Powell QEII: Dr Terrence Tan Dr David Hewitt Dr Sanjeev Naidu (BB) Redland: Dr Tariq Masood (BB) Dr Mahi Ranasinghe (BB) Dr Tony Leece (endoscopy) IBD and Motility: Dr Gerald Holtmann Dr Neal Martin (BB) Dr Daniel Burger Interventional: Dr Luke Hourigan Dr Nadia Maqboul Dr Sauraph Gupta (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 31 General Surgery Locations • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • • • • Patient demographics Reason for referral BMI Clinical History Investigations: FBE, LFT’s, Lipase, Hepatitis serology (if indicated), U/sound and CTs Medications Interpreter needed for which language etc. Medicare details including your provider number Please indicate sub-specialty Recent/previous endoscopy/colonoscopy report Imaging (film and reports) For Endocrine surgical cases: Tests required as per endocrinology section for appropriate organ. For dominant thyroid nodules prefer U/S +/-FNA Investigations: • FBE • TFTs/Antibodies • Ultrasound or CT thyroid • FNA solitary nodule after imaging • Nuclear Scan (Hyperthyroid only) Adrenals: • Serum K+ • Urinary catecholamines For Breast lesions: See Breast and Endocrine, p. 34. For Hepatobiliary: • • Gallbladder Mass/Lesion: Ultrasound, ELFT, FBC Obstructive Jaundice: Ultrasound, ELFT History of ano-rectal bleeding: • • PR Proctoscopy Logan Hospital offers paediatric surgery Metro South Health | GP Referral Directory 32 Specialists Beaudesert: Dr Peter Wysocki (BB) Logan: Dr Brian McGowan (BB) Director Dr Romi Das Gupta (Paediatrics) Dr James Bowman Dr Saranga (Mahi) Ranasinghe (BB) (Gen. Surg) Dr Tony Leece (Gen Surg) Dr Mark Daoud Dr Mikhail Mastokov Dr Peter Wysocki (BB) (Gen Surg) Dr Martin Wullschleger (Gen Surg ASU) Dr Carl Lisec (Gen Surg ASU) PAH: Breast and Endocrine: Dr Ian Bennett Dr David Wilkinson Dr Neil Wetzig Dr Peter Vujovic Dr Simone Geere (Fellow) Breast Care Nurses: Amanda Smith (on leave) Teresa Clark Juanita Ryan Metro South Health | GP Referral Directory QEII: Dr Sanjeev Naidu (Director) (BB) Dr Anthony Griffin (BB) Dr Shamsul Islam Dr Ray Lancashire Dr Adam Louie Dr Iain Thompson (BB) Dr Geoff Muduioa (BB) Dr Praga Pillay (BB) Dr Chris Gillespie (BB) Dr Lee Brewster (BB) Dr Chung-Kwun Won (BB) Redlands Dr Charles Nankevill (Director) Dr Jack Ashworth Dr Mikhail Mastakov (BB) Dr Saranga Mahi Ranasinghe (BB) Dr Ian Vela (BB) Dr Heidi Cameron 33 Breast and Endocrine (General Surgery) Locations • • • Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, as well as the following: For Endocrine Surgical Cases: Endocrine Cases requiring: • Intensive pre-operative assessment and control of endocrine function and/or are likely to require postoperative intensive care management such as: o phaeochromocytoma o functional endocrine tumours o goitres with significant retrosternal extension o complicated recurrent goitres along with: o primary, secondary, tertiary or recurrent primary hyperparathyroidism Such cases require multidisciplinary care and both endocrinology and endocrine surgical component. Should be referred to the Princess Alexandra or Mater Hospitals. Evaluation: Tests required as per endocrinology section for appropriate organ. For dominant thyroid nodules refer U/S +/- FNA For Breast Lesions: If lesions are impalpable and a localisation procedure is required prior to excision then cases should be referred to Princess Alexandra or Mater Hospitals so that localisation and excision can be performed at the same campus. This facility is not available at other Metro South Health Hospitals. If cases require multi-disciplinary care including chemotherapy and/or radiotherapy prior to or after surgery, they should be referred to the Princess Alexandra or Mater Hospitals. Evaluation • • <35 years with: o breast lump or Ultrasound both breasts o thickening or o axillary mass o if a localised or suspicious lesion Core biopsy > 35 years with: o breast lump or o thickening or o axillary mass or Bilateral mammogram and ultrasound o skin ulceration or o nipple distortion or o bloody or clear nipple discharge o and no recent mammogram o if a localised or suspicious lesion Core biopsy o If bloody or clear nipple discharge send smear of d/c for cytology Metro South Health | GP Referral Directory 34 Specialists PAH: Breast and Endocrine Surgery: Dr Ian Bennett Dr David Wilkinson Dr Neil Wetzig Dr Peter Vujovic Dr Simone Geere (Fellow) QEII: Breast and Endocrine Surgery: Dr Muduioa (BB) Breast Care Nurses: Amanda Smith (on leave) Teresa Clark Juanita Ryan Logan: Dr Brian McGowan (BB) (Director) Dr Bernard Whitfield (BB) Dr Simon Nasser Dr Ryan Sommerville Dr Raefe Gundelach Dr James Bowman Dr Vijay Kanagarajah (BB) Dr Saranga (Mahi) Ranasinghe (BB) Dr Peter Wysocki (BB) Dr Tony Leece Dr Mark Daoud Dr Mikhail Mastokov Redland: Dr Heidi Cameron Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 35 Colorectal Surgery Locations • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • Patient demographics Reason for referral Clinical History Investigations Medications Recent Colonoscopy report Interpreter needed for which language etc. Note: Changes in bowel habit suggestive of irritable bowel syndrome; refer to Gastroenterology. Note: Routine screening for family history of colorectal cancer; refer to Gastroenterology. Note: Perianal pathology to be redirected to QEII Hospita in the first instance, then Logan and Redland Hospital. Note: Some appropriate investigation by the referrer will facilitate the referral process. Specialists Beaudesert: Dr Peter Wysocki Logan: Dr Tim Slack Dr Chris Gillespie PAH: Dr Nicholas Lutton Dr Peter Gourlas Dr Brian MeadeDr Tim Slack Dr Bernard McEntee (Fellow) Metro South Health | GP Referral Directory QEII: Dr Chris Gillespie (faecal incontinence) Dr Tim Slack Redland: Dr Charles Nankevill Dr Jack Ashworth Dr Mikhail Mastakov (BB) Dr Saranga Mahi Ranasinghe (BB) Dr Ian Vela (BB) 36 Upper Gastrointestinal Surgery Locations • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: Reflux symptoms: • • • History to include: findings of heartburn, waterbrash, volume reflux, nocturnal choking or coughing attacks, odynophagia Refer to Upper GI if medical management has failed Diagnostic studies: gastroscopy (desirable not essential) Stomach Mass/Lesion: • Refer urgently to PAH, no additional tests required Oesphageal Mass, Lesion: • Refer urgently to PAH, no additional tests required Specialists PAH: Dr Mark Smithers Dr Ian Martin Dr Iain Thomson Dr Andrew Barbour Beaudesert: Dr Peter Wysocki Logan: Dr Tim Slack Dr Chris Gillespie QEII: Dr Chris Gillespie (faecal incontinence) Dr Tim Slack Melanoma: Dr Chris Allan Redland: Dr Charles Nankevill Dr Jack Ashworth Dr Mikhail Mastakov (BB) Dr Saranga Mahi Ranasinghe (BB) Dr Ian Vela (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 37 General Medicine Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • List of names and contact details of other health providers (including pharmacists, home and community services) to whom the patient has been referred or from whom the patient has been referred or from whom care is being received • Copies of specialist letters / hospital discharge summaries / allied health evaluations or other correspondence relating to care received in the past from other health providers, either public or private, which are relevant to current referral • X-ray and scan reports Specialists Logan: Dr David Roberts (BB) Dr Maung Khant (BB) Dr Kyaw Sanhla (BB) Prof Richard Jackson Dr Gunasiri Mallikarachchi (BB) PAH: Dr Ian Scott Dr Graham Hall Dr Su-Mien Yeoh Dr Peter Pillans Dr Amgad Said Dr Susana Milosevic Dr Xena Caney QEII: Dr Thein Htut Dr Mandeep Mathur (BB) Dr Judy Flores (BB) Dr John Storie Dr Alan Lam Redland: Dr Sagarika (Chamundri) Attudawage (BB) Dr Joel Iedema (BB) Dr John Tamargo (BB) Dr Sanjaya Herath (BB) Dr Timothy Ryder (General and Respiratory Medicine) (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 38 Geriatric Medicine Locations • • • • Princess Alexandra Hospital Logan Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • medical history current living arrangements community services currently in place CT scan films recent results: FBC, E/LFT, B12, folate, TSH, MSU Medication list home access issues name and contact details of patient’s carer Primary referral criteria for this service includes: • • • • • advanced age or frailty usually with cognitive impairment and/or physical disability medical problems requiring assessment for treatment, rehabilitation or support complex multiple medical system disorders difficulty with activities of daily living with potential for improvement with therapeutic intervention from a specialised multi-disciplinary team resident in the community or residential care with complex medical issues For Memory Clinic: • • • recent MMSE CT brain Carer contact details For Falls Clinic: • a fall in the last 6 months For Dementia: • • General referral criteria and Recent imaging: CT head Note: Patients should bring all medications taken, their usual walking aid, their usual footwear and their CT scan films. Specialists PAH: Dr Glenise Berry Dr Paul Varghese Dr Ruth Hubbard Dr Phil Aitken Dr Salih Salih Dr Lisa Kelly QEII: Dr Amanda Siller Dr Jerry Wong Dr Andrew Pearson Redland: Dr Phillip Aitken Logan: Dr Lillian Wong Dr Aisling Fleury Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 39 Gynaecology Locations • • • • Beaudesert Logan Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: Abnormal pap smear - refer to Colposcopy, p. 27. Postcoital bleeding / Cervical polyp • Pap smear • HVS, endocervical swab (for chlamydia and gonorrhoea) Intermenstrual bleeding • Pelvic US (TVS and TAS) • Pap smear • HVS, endocervical swab (for chlamydia and gonorrhoea) Menorrhagia • Pelvic US (TAS and TVS) • Pap smear • FBC and iron studies, TSH (if clinical indicated) Post menopausal bleeding • Pelvic US (TAS and TVS) • Pap smear Uterine fibroids / known Endometriosis • Pelvic US (TAS and TVS) Pelvic pain / Dysmenorrhoea • Pelvic US (TAS and TVS) • HVS, endocervical swab (for chlamydia and gonorrhoea) Ovarian cyst / Pelvic mass • Pelvic US (TAS and TVS) • CA 125 • other tumor markers o for patients > 35 years include CEA, CA 19-9, inhibin o for patients < 35 years include hCG, AFP, LDH Prolapse / Urinary incontinence • MSU for MCS • Patient should be referred for 3 months to physio for pelvic floor exercises prior to referral Infertility • FBC, TFT, Prolactin, FSH (D3), Progesterone (D21), AMH (if appropriate) • Testosterone/FAI and glucose screen (if PCOS suspected) • Pelvic US (TAS and TVS) • HSG • HVS, endocervical swab (for chlamydia and gonorrhoea) • Semen analysis of partner Recurrent pregnancy loss (RPL) • FBC, TFT, glucose screen, antibodies screen, thrombofilia screen, infectious screen (Hep B and C, Rubella, Syphillis, HIV) • Pelvic US Continued over Metro South Health | GP Referral Directory 40 Specialists Beaudesert: Dr Herath Padmasiri (Anura) Logan: Dr Mano Haran (BB) Dr Janet Draper (BB) Dr Sabaratnam Ganeshananthan (BB) Dr Hasthika Ellepola (BB) Dr Leela Sharma (BB) Dr Yoga Gounden (BB) Dr Ravi Walsinghe Dr Luke Waldrip (BB) Dr Anupinder Kaur (BB) Dr Poi Leng Lee (BB) Dr Stephen Elgey (BB) Dr Mohammed Khatree QEII: Dr Louis MacPherson Dr Lew Lander Dr Anton Marineanu (BB) Dr Michael O’Brien Dr Michael Wynn-Williams Dr David Salter Redland: Dr Wendy Dutton (BB) Dr Piratheepan Kandasamy (BB) Dr Philip Moon (BB) Dr Samas Seneviratna (BB) Dr Ravi Walisinghe (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 41 Haematology Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • Any pathology results that may indicate duration/progression of blood abnormality Previous radiation treatment. Specialists PAH: Dr Sally Mapp (BB) Dr Devinder Gill Dr Maher Gandhi Dr Peter Wood (BB) Dr Robert Bird (BB) Dr Paula Marlton (BB) Dr Anthony Mills (BB) Dr Peter Mollee Dr Helen Wordsworth (BB) Dr Andrew Perkins (BB) Dr Matthew Hourigan Dr Colm Keane Logan: Dr Robert Bird (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 42 Heart Recovery Service / Cardiac Rehabilitation Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Community clinics Referral criteria Please include all of the general referral criteria listed on page 9. Eligibility: • • • • • • • • • • • Myocardial Infarction (STEMI & Non STEMI) Re – vascularisation procedures; o Angiogram/PTCA – 2 wks post o CABG – 4 wks post Stable angina Unstable angina Acute coronary syndrome Controlled Heart failure Cardiomyopathy Heart Valve replacement Pacemaker / AICD insertion Cardiac Transplant High cardiac risk factors Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 43 Hepatobiliary Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: Liver Mass/Lesion: • • • Ultrasound Scan ELFT FBC Pancreatic Mass/Lesion: • • • Ultrasound Scan ELFT FBC Gall bladder Mass/Lesion: • • • Ultrasound ELFT FBC Obstructive Jaundice: • • Ultrasound ELFT Note: Uncomplicated gallstones do not need to be seen in the specialist HPB service at PAH, but should be redirected to the other MSH General Surgical departments. Specialists PAH: Dr Thomas O’Rourke Dr Peter Hodgkinson Dr Shinn Yeung Dr Kellie Slater Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 44 Hepatology Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • abdominal ultrasound or CT scan E/LFTs FBE HCV: must have HCV RNA data and be HCV RNA positive HBV: HBV serology including HBeAg status, HBV DNA and aFP Suspected haemochromatosis: iron studies and HFE genotyping Deranged LFTs: HCV and HBV serology and ideally auto-antibody screen (ANA, ASMA, AMA) Liver lesion: aFP and written reports of the abdominal US and/or CT scans Specialists PAH: Dr Elizabeth Powell Dr Katherine Stuart Dr Lara Kane Dr Graeme MacDonald Dr Rebecca Ryan Dr Caroline Tallis Dr Paul Clark Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 45 Hypertension Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • BP recordings List of medications Pathology test and X-rays relevant to the referral. Specialists PAH: Professor Michael Stowasser Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 46 Hypertonicity Clinic Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9. This clinic is a specialised medical and allied health run clinic created to assist inpatients and outpatients post brain injury, who experience muscle tightness / hypertonicity as a major limitation to functional recovery, carer burden or pain. The Hypertonicity Clinic: • • • • • Assesses adult patients with Acquired Brain Injury (incl. CVA/Stroke) or Traumatic Brain Injury (TBI) from QLD and Northern New South Wales. Accepts appropriate referrals from a specialist consultant, GP or Allied Health staff. Sees any patient deemed appropriate at the triage consultation. Assesses any patients with muscle ‘tightness’ as major cause of functional limitation, pain or carer burden. Requires patients to have suitable follow-up (medical and allied health) post intervention but this is not necessary for the initial consultation. Specialists PAH: Dr Ron Hazelton Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 47 Immunology Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Note: If review is urgent, please contact the Immunology Registrar via the Princess Alexandra Hospital switchboard on (07) 3176 2111. Specialists PAH: Dr David Gillis Dr Richard Wong Dr Patrick Hogan Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 48 Infectious Diseases Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Specialists Logan: Dr Marjoree Sehu (BB) PAH: Dr Geoffrey Playford Dr David Looke Dr Michael Whitby Dr Wendy Munckhof Dr Naomi Runnegar Dr Marjoree Sehu Dr Cheryn Palmer QEII: Dr David Looke (BB) Redland: Dr Naomi Runnegar (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 49 Maxillo-Facial Locations • • Logan Hospital Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • Hard or electronic copies of imaging Relevant microbiology/pathology For Facial Fractures: • • CT face Contact registrar to arrange an outpatient appointment within 5-7 days For Mandibular fractures: • OPG and PA mandible (plain films) For Salivary Glands: • Sialogram or US or CT as indicated For Skin Cancer (head/neck/face): • Any biopsy results For Orthognathic cases or Facial Deformity: • • • OPG PA ceph, Lateral ceph (plain films) For dental or bony pathology: • OPG For TMJ: • • OPG in open and closed mouth positions TMJ plain films Note: If possible all imaging should be uploaded to PACS. Alternatively hard copy or CD copy versions will be accepted Specialists Logan: Dr Matthew Hawthorne Dr Richard Harris PAHDr Alistair Reid Dr George Chu Dr Anthony Crombie Dr Matthew Voltz Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 50 Renal (Nephrology) Locations • • • Logan Hospital Princess Alexandra Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • ELFT (blood) FBC Urine albumin : creatine ratio relevant scan reports (e.g. renal ultrasound) for transplant recipient: calcineurin inhibitor trough level (e.g. Tacrolimus or Cyclosporin level) Specialists Logan: Dr Ken-Soon Tan (BB) Dr Elizabeth Jarvis (BB) Dr Jeremy Frazier (BB) Dr Roshini Malasingam (BB) PAH: Prof David Johnson (BB) Dr Scott Campbell (BB) Dr Carmel Hawley (BB) Dr Nikky Isbel (BB) Dr David Mudge (BB) Dr Carolyn Van Eps Dr Ross Francis (BB) Dr Magid Fahim (BB) Dr John Burke (BB) Redland: Dr David Mudge (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 51 Neurology Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • presence and duration of neurological symptoms EEG EMG X-rays nerve condition studies if relevant CT scan results only if available For Headaches: • ESR (A high ESR in an older person with systemic symptoms may indicate temporal arteritis. Such a patient requires prompt assessment and treatment). For First Seizure Clinic (Private Practice Clinic, PAH): • Named referral to Dr Michael Walsh Specialists Logan: Dr Meenakshi Raj PAH: Dr Helen Brown Dr Simone Headrick Dr Alison Reid Dr Michael Walsh (BB) Dr Carolyn DeWytt Dr Caroline Airey QEII: Dr Helen Brown (BB) Redland: Currently unavailable Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 52 Neurosurgery Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • presence and duration of neurological signs and symptoms work status weight loss / appetite / lethargy fever and sweats CT scan and MRI results treatment to date history of malignant disease general medical condition For Pituitary Tumours: Please refer in the first instance to Endocrinology. • Hormone levels including anterior pituitary function tests, PRL, cortisol, IGF1/GH, T4, FSH/LH Prolactin. CT and MRI results For Brain and Vascular Disorders: For any malignant brain tumour please contact the on call registrar rather than refer to general neurosurgery clinic. The patient will be reviewed urgently at brain tumour clinic. • Please obtain a CTA for Vascular disorders such as Aneurysm and patients must bring the scans with them to appointment For Brain Trauma: • Please include an up to date CT Scan For Movement Disorders such as benign essential tremor, Parkinson disease and dystonia: Please refer in the first instance to Neurology – the referral will be forwarded to Neurosurgery if appropriate for surgery. For Trigeminal Neuralgia and other Cranial Nerve abnormalities: • • Provide details of severity of pain and other symptoms to assist in triage of appointment (ability to eat/drink, weight loss, triggers, maintenance of hygiene, CT) Patients must bring scans For Spine: • • • Plain film and CT/MRI, FBC, ELFT, ESR, rheumatoid serology in specific cases. Any weakness, myelopathy or cauda equina signs must be documented so they may obtain urgent review For any lumbar spondylolisthesis plain lateral standing films in flexion and extension are helpful in addition to the CT/MRI For Peripheral Nerves: • nerve conduction studies (all NCS referrals to Princess Alexandra Hospital Neurology Department) should be completed prior to review For Acoustic Neuromas: • CT and MRI results and hearing tests required. Please included size and neurology in referral. Note: PAH also has a physiotherapist-led Specialised Spinal Physiotherapy Screening Clinic. Continued over Metro South Health | GP Referral Directory 53 Specialists PAH: Dr Bruce Hall (Director) Dr Jeff Webster Dr Richard Laherty Dr Robert Campbell Dr Sarah Olson Dr Damian Amato Dr Martin Wood Dr Rumal Jayalath (BB) Dr Michael Weidmann Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 54 Ophthalmology Locations • • Princess Alexandra Hospital QEII Jubilee Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • • Past ocular history –trauma/operations General medical history, e.g. diabetes, hypertension, asthma Relevant psychosocial and social issues impacting on activities of daily living ,e.g. driving ,work, leisure, mobility Any social support or if the patient lives alone Note if the patient is a contact lens user Visual acuity and best corrected visual acuity with glasses Optometry report if available Computerised perimetry results if available If diabetic, indication of recent control of BSL e.g. HbA1c Note: Referrals containing insufficient information or that are illegible will be returned to the Central Referral Hub. This may result in delayed appointment/treatment for your patient. Note: Patients are expected to be able to sit in an examination chair for Slit Lamp inspection of eyes. It needs to be stated if this is not possible, so that other options are prepared. Specialists PAH: Dr Andrew Apel Dr Albert Aralar Dr Russell Bach Dr Mark Donaldson Dr Erwin Groenveld Dr John Harrison Dr Lily Ooi Dr Andrew Smith Dr Kate Slaughter Dr Stephen Ohlrich DR Kevin Vandeleur Dr Phung Vu Dr Joshua Hann Dr Ken Hutchinson QEII: Dr Oswald Rumbach Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 55 Orthopaedics Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • x-ray, CT, EMG For bone/joint pain (including shoulders): plain x-ray - 2 planes AP and lateral For shoulders with rotator cuff tear: ultrasound results For soft tissue swelling: ultrasound if diagnosis uncertain For nerve entrapment: results of nerve conduction studies For inflammatory disease: FBC, ESR, CRP, rheumatoid factor, ANA Note: • • All Orthopaedic Oncology should be directed to Princess Alexandra Hospital. Spine Referrals should be directed to PAH and Logan Sub-Specialties: • • • • • Orthopaedic Fracture Clinic Upper Limb Clinics Lower Limb Clinics Spinal Clinics (PAH and Logan) Orthopaedic Oncology Clinic (PAH) Allied Health Screening Clinics: • • Orthopaedic Physiotherapy Screening Clinics (Logan and PAH) Orthopaedic Podiatry Triage Clinic (OPodTC) Specialists Logan: Dr Iulian Nusem (BB) Dr Majid Jabur (BB) Dr Joerg Rhau Dr Abdullah Shamimudeen (BB) Dr Ian Cheung Dr Andrew Letchford PAH: Dr John Albietz Dr Geoff Askin Dr Anthony Athanasiouv Dr Cameron Cooke Dr Ken Cutbush Dr Ian Dickinson Dr Simon Gatehouse Dr Ben Hope Dr Alok Jhamb Dr Lloyd King Dr Lawrie Malisano Dr John North Dr Mark Robinson Dr Mark Ross Dr Michael Schuetz Dr Scott Somerville Dr Peter Steadman Dr Nicola Ward Dr Richard Williams Dr Shireene Senewiratne Dr Mark Dekkers Dr Michael Wagels Dr Kate Campbell QEII: Dr Christopher Bell Dr Phil Dalton Dr John Dodsworth Dr Tyson Doneley (BB) Dr Prue Fitzpatrick(BB) Dr Peter Johnstone Dr Ross Kennedy Dr Gary Nielsen Redland: Dr Lloyd King Dr Nicola Ward Dr Kate Campbell (BB) Dr Steven Hatcher Dr Glenn Davies Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 56 Occupational Therapy – Driving Assessment Locations • • • Princess Alexandra Hospital QEII Jubilee Hospital Community clinics Referral criteria Please include all of the general referral criteria listed on page 9. The Occupational Therapy driving assessment and rehabilitation service will: • • • Provide Occupational Therapy Driving assessments in manual or automatic cars. Facilitate Occupational Therapy Driving Rehabilitation programs in cars. Prescription of car modifications. Referrals are accepted from any health professional on the condition the referral has a doctor’s signature to medically clear a patient to complete the Occupational Therapy Driving Assessment. Note: A client cannot be accepted for an occupational therapy driving assessment if any of the following apply: • Doctor has not signed the referral form to state the Client is medically fit to undertake the assessment, or • Heavy vehicles referrals • Motor cycles referrals Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 57 Occupational Therapy – Hand Clinic (QEII/Redland) Locations • • • QEII Jubilee Hospital Redland Hospital Wynnum Health Service Referral criteria Please include: • • • • • • • • • • • Patient details : Name, DOB, postal address, phone number(s) Referring doctor’s / therapist’s details Any interpreter requirements Medical diagnosis Reason for referral History of present complaint (including duration of symptoms) Relevant medical / surgical history Current medications Results of investigations (x-rays, pathology etc) Previous treatment for condition referred for including outcome. Any restrictions / limitations to treatment eg: precautions, ROM restrictions. When indicated: • • Operation notes Post operative instructions / protocol Note: For QEII Hospital, no paediatric clients (under 14 years old) are accepted. Redland Hospital accepts paediatric clients. Note: Shoulder injuries are excluded. Note: Clients in the Logan and Beaudesert areas should be referred to the Logan Hospital Hand Elbow Wrist Therapy Clinic (see p. 60). Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 58 Occupational Therapy/Physiotherapy – Hand Elbow Wrist Therapy Clinic (Logan/Beaudesert) Locations • • Beaudesert Hospital Logan Hospital Referral criteria Please include: • • • • • • • • • • • Patient details : Name, DOB, postal address, phone number(s) Referring doctor’s / therapist’s details Any interpreter requirements Medical diagnosis Reason for referral History of present complaint (including duration of symptoms) Relevant medical / surgical history Current medications Results of investigations (x-rays, pathology etc) Previous treatment for condition referred for including outcome. Any restrictions / limitations to treatment eg: precautions, ROM restrictions. When indicated: • • Operation notes Post operative instructions / protocol Note: Logan Hospital accepts referrals for all paediatric musculoskeletal conditions providing the patient has no, or is not at risk of, neurodevelopmental delay requiring specialist paediatric intervention. Note: Chronic conditions > 6 months duration are not accepted, unless the patient has received some active medical intervention, e.g. surgery or injection therapy. Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 59 Occupational Therapy – Lymphoedema Service Locations • • • Princess Alexandra Hospital Redland Hospital Wynnum Health Service Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • Cancer diagnosis Previous/ current cancer treatment Previous/ current lymphoedema treatment. Eligibility criteria: • • Have lymphoedema: Have a previous diagnosis of cancer Have had cancer treatment or cancer affecting the area of swelling. For example: Breast cancer with an axillary clearance to the right axilla with lymphoedema in the right arm or breast Melanoma to the left leg with radiotherapy to the left groin with lymphoedema in the left leg SCC removed from the right leg with lymphoedema in the left arm Bilateral leg lymphoedema, removal of BCC to face Are a patient of Metro South Hospital and Health Service Reside in Metro South catchment, or Have undergone cancer treatment at Princess Alexandra Hospital within the past 6 months. Not in Redlands/Wynnum catchment Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 60 Occupational Therapy – Vascular Therapy Clinic Locations • • • Princess Alexandra Hospital QEII Jubilee Hospital Community clinics Referral criteria Please include: • • • • • • • • • • • • Doppler/ABPI results should accompany referral or a referral for these investigations is preferred. Patient details : Name, DOB, postal address, phone number(s) Referring doctor’s / therapist’s details Any interpreter requirements Medical diagnosis Reason for referral (if for garment prescription to include mmHg rating and preferred length) History of present complaint (including duration of symptoms) Relevant medical / surgical history Current medications Results of investigations (x-rays, pathology etc) Previous treatment for condition referred for including outcome. Any restrictions / limitations to treatment eg: precautions, ROM restrictions. Note: PAH does not provide vascular service for non-cancer patients. Note: QEII accepts referrals for peripheral oedema management and post-DVT management. Does not provide ulcer management or lymphoedema management. Medical officer referral only. Note: Redland and Wynnum does not provide vascular service by Occupational Therapy. A Physiotherapy vascular service is available in the community. Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 61 Paediatrics Locations • • • Beaudesert Hospital Logan Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: If relevant: • • • Relevant Medical/Surgical History – Standard history plus include any antenatal or perinatal factors such as drug/alcohol exposure, pre-term delivery or low birth weight Recent Investigations –Please summarise basic audiometry and vision test reports. Organise these to be completed if not already. Relevant Social History – indicate parental relationship issues, mental illness, substance abuse or disability; family in crisis; Child Protection/DOCS involvement; literacy/language considerations for parent/carer or other relevant information. For Paediatric Development (Logan and Redland Hospitals): • • Under 5 years of age and currently not attending Prep Chronic ongoing conditions with medical needs or significant delays in two or more developmental domains (Fine motor; Gross motor; Social/Emotional; Language and Cognitive) – most likely Intellectual Impairment. Failure to Thrive Referrals (FTT): • All available weights including birth weight need to be recorded. Include a copy of the growth chart and if possible head circumference and length measurements ideally in a chart format. Note: For Logan Hospital: General Paediatrics up to 16 years of age. Referrals for Paediatric Surgery should be directed to the Department of Surgery. Referrals for Paediatric ENT should be directed to the Department of ENT. Note: For Redland Hospital: General Paediatric, paediatric respiratory, and paediatric private practice clinics, up to 16 years old. No paediatric surgical or ENT services. Specialists Beaudesert Dr Ryan Mills (BB) Logan: Dr Jan Cullen (BB) Dr Richard Roylance (BB) Dr Ryan Mills (BB) Dr Ronald James Dr Peter De Buse Dr Marion Thomas Dr Tuan Nguyen (BB) Dr Navid Adib Dr Stephen Withers Redland: Dr Shivanand Hebbandi (BB) Dr Vishal Kapoor (BB) Dr Haseena Mohamed (BB) Dr Jagriat Nayak (BB) Dr Rosemary Fahy (BB) Dr Salil Gandhi (BB) Dr Wei Soto (developmental paediatrics) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 62 Palliative Care Locations • • • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Wynnum Health Service Community clinics / home visits Referral criteria Please include all of the general referral criteria listed on page 9, and: • • Please triage the urgency for the patient according to the following categories: o Urgent – needs to be contacted within 24 hours o Priority – needs to be contacted within 3 days o Routine – needs to be contacted within 7 days All referrals are reviewed by the nurse daily and the Palliative Care Service can visit at home if the patient is too ill to attend the clinic. Specialists Logan: Dr Basil McNamara (BB) PAH: Dr Mark Deuble QEII: Dr Greg Parker Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 63 Persistent Pain Management Locations • • Princess Alexandra Hospital Community clinic Referral criteria Please include all of the general referral criteria listed on page 9. • Reason for referral • History of patient’s pain condition eg when/how did it start and pain characteristics such as dull, radiating, burning or stabbing pain • Investigations undertaken, copies of relevant investigations and specialist reports • Medications, dosage and adverse reactions • Previous treatment to include allied health treatment, other procedures, surgery, pain specialist procedures Note: The geographical area covered by the Persistent Pain Management Service (PPMS) is broader than Metro South as it includes suburbs within West Moreton District. Please refer to the Central Referral Hub for more information. Specialists PAH: Dr Aston Wan Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 64 Physiotherapy – Continence and Women’s Health Clinic Locations • • • • Beaudesert Hospital Logan Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include: • • • • • • • • • • • Name Date of birth Address Contact number Reason for referral Length of time of the condition/symptoms Any significant investigations Any medications Any plans for adjunctive services/surgical input/investigations Referring clinician’s clinical assessment Social history Specific hospital intake criteria: Logan Hospital: • Female adults only Beaudesert Hospital: • • • • • • Maternity services only Female adults only Nil Pregnancy related Musculoskeletal pain (pre or post natal). Not for pelvic floor dysfunction (incontinence, pelvic organ prolapse, post gynaecological surgery, post gynaecological surgery and pelvic pain conditions.) Nil post mastectomy and axillary node or lymphoedema services Nil obstetric anal sphincter injuries QEII Hospital: • Nil Paediatric services Redlands Hospital: • Female adult patients only Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 65 Physiotherapy – Musculoskeletal Clinic Locations • • • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Wynnum Health Service Community clinics Referral criteria Please include: • • • • • • • • • • • Patient details: Name, DOB, postal address, phone number(s) Referring doctor’s / physiotherapist’s details Any interpreter requirements Medical diagnosis Reason for referral History of present complaint (including duration of symptoms) Relevant medical / surgical history Current medications Results of investigations (x-rays, USS, pathology etc) Previous treatment for condition referred for including outcome Any restrictions / limitations to treatment e.g. WB status, precautions, ROM restrictions When indicated: • • Operation notes Post operative instructions / protocol Age eligibility: • • • QEII, Redland and Wynnum accept referrals for patients aged 12 yrs or older. PAH accepts referrals for patients aged 16 yrs or older. Logan and Beaudesert accept referrals for all paediatric musculoskeletal conditions providing the patient has no, or is not at risk of neurodevelopmental delay requiring specialist paediatric intervention. Logan Hospital chronic referrals: • • • Chronic conditions > 6 months duration are not accepted, unless the patient has received some active medical intervention, eg. surgery or injection therapy. A pre-operative trial of physiotherapy or pre-operative strengthening programme is also eligible. All chronic paediatric (under 18 years old) musculoskeletal referrals are accepted. Logan Hospital hand therapy: • Inter hospital referrals for hand therapy conditions are currently not accepted at Logan currently unless the medical follow care is transferred also. Respiratory conditions: Referrals for respiratory conditions accepted and treated within musculoskeletal outpatients at: • • PAH Redland and Wynnum Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 66 Physiotherapy – Oncology Clinic Locations • • • • Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Wynnum Health Service Referral criteria Please include: • • • • • • • • • • • Patient details: Name, DOB, postal address, phone number(s) Referring doctor’s / physiotherapist’s details Any interpreter requirements Medical diagnosis Reason for referral History of present complaint (including duration of symptoms) Relevant medical / surgical history Current medications Results of investigations (x-rays, USS, pathology etc) Previous treatment for condition referred for including outcome Any restrictions / limitations to treatment e.g. WB status, precautions, ROM restrictions When indicated: • • Operation notes Post operative instructions / protocol Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 67 Physiotherapy – Rehabilitation Clinic Locations • • Princess Alexandra Hospital Redland Hospital Referral criteria Please include: • • • • • • • • • • • • Patient details: Name, DOB, postal address, phone number(s) Referring doctor’s / physiotherapist’s details Any interpreter requirements Medical diagnosis Reason for referral History of present complaint (including duration of symptoms) Relevant medical / surgical history Current medications Results of investigations (including x-rays, pathology) Functional mobility statue Falls history: frequency, circumstance, injuries Social history: community services, family support, mode of transport When indicated: • • Operation notes Post operative instructions / protocol Note: PAH and Redland Physiotherapy Rehabilitation services accept referrals for patients 17years or older. Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 68 Plastic Surgery Locations • • Princess Alexandra Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • For Skin Lesions: biopsy results, details of site and size of the lesion For Chronic sores and ulcers: include photo as appropriate Congenital or acquired deformities: attach a photo as appropriate Note: Plastic surgery referrals for Hand Surgery are categorised separately through the Orthopaedic Outpatient department (Dr Senewiratne) Note: Spinal Cord Injury: are triaged in plastics but seen in a Spinal Injuries clinic only if a previous patient of the Queensland Spinal Cord Injury Service. Note: Benign cysts and lumps on trunk and limbs AND Benign moles not on face can be redirected to General Surgery if shorter waiting time. Specialists PAH: Dr David Theile Jnr Dr Daniel Rowe Dr Paul Belt Dr Lily Vrtik Dr James Emmett Dr Gerard Bayley Dr Anthony Kane (on leave) Dr Greg McDermant Dr Shireen Senewiratne Dr Michael Wagels Dr Sam Yang Redland: Dr Michael Wagels Melanoma Clinic: Dr Gerard Bayley Dr Mark Smithers Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 69 Prosthetic/Orthotic and Podiatry Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Prosthetic/Orthotic Service: Services are available primarily to residents of the Metro South Health catchment. This service is available to patients referred from all Queensland health services, General Practitioners or Medical Specialists. Podiatry Service: This service treats outpatients identified with ’acute complications’ primarily of the Metro south Health catchment. This service is available to patients referred from all Queensland health services, General Practitioners, Medical Specialists and Podiatrists. Eligibility for podiatry services is based on the risk classification outlined below: Category Indications Waiting period 1 Acute complication—current foot ulcer with or without infection; charcot / neurathropathic joint; dry gangrene; acute ischaemia < 2 weeks 2 High risk foot—clients with previous foot ulceration AND two or more of: peripheral vascular disease; peripheral neuropathy; significant foot deformity 1-3 months 3 At risk foot—clients with no previous foot ulceration or amputation AND one or more of: peripheral vascular disease; peripheral neuropathy; significant foot deformity > 3 months 4 Low risk foot Not eligible Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 70 Radiation Oncology Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • Scan and x-ray results Histology Operative reports Previous radiation treatment Specialists PAH: Dr Bryan Burmeister (BB) Dr Margot Lehman (BB) Dr Jennifer Harvey (BB) Dr Sandro Porceddu (BB) Dr Tao Mai (BB) Dr Matthew Foote (BB) Dr David Pryor (BB) Dr Andrew Puller (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 71 Respiratory Locations • • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • Degree of functional impairment i.e. the degree that the presenting problem is affecting activities of daily living, e.g. breathlessness The information provided to the patient (if possible), e.g. possible lung cancer diagnosis X-ray and CT scan reports (most important for suspected malignancy) Additional valuable information for triage: • • • Recent pathology - FBC, E/LFT, ABGs if applicable; and any recent results of specific tests, e.g. pertussis, legionella, mycoplasma Smoking history Spirometry (only if available) Note: Patients are required to bring any radiology images with them to the appointment Specialists Logan: Dr Khoa Tran (BB) Dr Josie Stroud (BB) Dr Tim (Timothy) Ryder Dr Luke Garske Dr Tim Ryder Dr Veenu Mubarak (BB) PAH: Dr Craig Hukins (BB) Dr John Upham (BB) Dr Theron Sather Dr Geoff Eather Dr Greg Keir (BB) Dr Michelle Murphy Dr Luke Garske Dr Michael Fanning QEII: Dr Greg (Gregory) Keir (BB) Redland: Dr Tim Ryder Dr Theron Sather (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 72 Rheumatology Locations • • Princess Alexandra Hospital QEII Jubilee Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • ESR CRP FBC E/LFT For Ankylosing Spondylitis: • • Family History, Nature of backpain & Xray Pelvis FBC, ESR/CRP, E/LFT, HLA - B27 If Clinically appropriate: • • • Rheumatoid Factor and anti-CCP antibodies CCP antibodies / ANA / DNA / ENA CK & Urinalysis Specialists PAH: Dr Chin Soon Ng Dr Thomas Dr Martin Devereaux Dr Phillip Vecchio Dr Lansberg QEII: Dr Louise McCormack Ankylosing Spondylitis: Dr Matthew Brown (BB) Dr Philip Robinson (BB) Dr Sateesh Shankaranarayana Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 73 Sexual Health Locations • • Logan Hospital Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9. Note: A referral is not necessary, however conditions requiring immediate treatment are to be faxed immediately to Sexual Health on (07) 3176 5540. Specialists Logan: Dr Cheryn Palmer PAH: Dr Cheryn Palmer Dr David Jardine Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 74 Sleep Disorders Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • Patient’s current occupation Details of any driving impairment related to sleep symptoms Full results of all previous sleep investigations Note: Referrals should be made on the specific Sleep Disorders Centre Referral Form (available on request from the Central Referral Hub). Specialists PAH: Dr Craig Hukins (BB) Dr Geoff Eather (BB) Dr Luke Garske (BB) Dr Greg Keir (BB) Dr Michelle Murphy (BB) Dr Theron Sather (BB) Dr Khoa Tran (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 75 Speech Pathology Locations • • • • • • Beaudesert Hospital Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Wynnum Health Service Referral criteria Details required on the referral should include: • • • • • • • • Patient’s full name and address Telephone contact number – home and mobile (if available) DOB Relevant hospital UR numbers Preferred language and interpreter requirement (desirable if ESL) Medicare number Referring practitioners full name, address, phone contact, provider number, signature Date of referral Relevant information relating to the patient’s condition: • • • • • • • • Reason for referral Presenting symptoms (evolution and duration) Diagnosis Details of previous interventions & treatments pertaining to presenting condition, (eg Ba swallows, modified barium swallows) Details of medical/surgical history Current medications In the case of Referral for Voice/Dysphonia – mandatory requirement for ENT review prior to speech pathology assessment Other referrals made to allied health clinicians, community services and ,relevant specialists Relevant information relating to psychosocial elements impacting on or relating to current condition: • • • • • Employment Education Home ADL’s Other functional impact on life Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 76 Spinal Cord Injury (Paraplegia and Tetraplegia) Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • Level of spinal cord injury Date of spinal cord injury Co-morbidities and status of conditions Bladder management (spontaneous, IDC, SPC, CISC, other) Bowel management (relevant aperients) Medication list Any relevant medical history Eligibility: • • • Adult patients with spinal cord damage from traumatic and non traumatic causes Cauda equine syndrome Adult spina bifida Plastics clinic eligibility: • • Existing patients of Spinal Injuries Service Must have had a prior review in a general clinic Note: Only people with neurological impairment are seen at this clinic. Patients with back pain and disc disease should be referred to Orthopaedic/Neurosurgery Spinal clinics. Note: Acute spinal cord problems such as autonomic dysreflexia/sepsis should be referred to the nearest emergency department. Specialists PAH: Dr Sridhar Atresh Dr Timothy Geraghty Dr Susan Urquhart Dr W Chan Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 77 Social Work (Sexual Assault Response / Beaudesert Hospital) Locations • • Beaudesert Hospital Logan Hospital (Sexual Assault Response Team only) Referral criteria Sexual Assault Response Team (SART) will accept referrals, including self-referral, for this service if: • • • • Sexually assaulted within the last two years 14 years and over Male or female Live within Metro South’s catchment area. Note: Referrals for under 14 year olds should be made to Dept of Child Safety (DOCS): • • During business hours: Phone 1300 682 254 After hours or on weekends: Phone 1800 177 135 or 3235 9999 Whilst SART is based at Logan Hospital, appointments can be arranged at other health facilities within Metro South. Referrals from the Police Support Link and Metro North Health Service will continue to go directly to SART as these referrals require a response within 48 hours as per MOU. Beaudesert Hospital will accept referrals from general practitioners, other health professionals and self referrals relating to health. Inclusion for this service would be: • • • • • • • • • • • Adjustment to illness Loss and grief Linking into appropriate services for: Domestic violence Sexual assault Substance Abuse Homelessness Practical issues Emergency relief Advocating to government and non-government agencies Support with transition from home to residential aged care facilities Note: Social work services at other hospitals are only available for internal referrals. Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 78 Stomal Therapy and Wound Consultancy (Nurse Led) Locations • • • Logan Hospital Princess Alexandra Hospital QEII Jubilee Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • Medical history Medication list Pathology results eg. Biopsies/swabs Current wound care regimen Xray/Doppler/ultrasound reports Duration of wound If for stoma: o Surgical history o Type of stoma if known Note: Please phone to arrange an appointment. Urgent cases are seen on the day of referral where possible. Note: QEII Hospital runs an inpatient service however referrers can also refer to the Emergency Department and the Stomal Therapist with review the patient. Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 79 Thoracic Surgery Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • chest x-ray U&e’s/LFT’s ECG FBC Specialists PAH: Dr Wingchi Lo Dr Paul Peters Dr Christopher Cole Dr Masashi Ura Dr Andrie Stroebel Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 80 Transplant Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • • • • • • • • • Risk factors Exercise tolerance Occupational exposure Previous x-rays / CT scans for comparison Chest x-ray U&E’s / LFT’s ECG FBC Respiratory function tests CT scan if lung lesion is present Specialists PAH: Liver transplant: Dr Jonathan Fawcett Dr Stephen Lynch Dr Anthony Griffin Dr Kellie Slater Dr Shinn Yeung Dr Tim O’Rourkey Dr Peter Hodgkinson Dr David Lockwood Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 81 Urology Locations • • • Princess Alexandra Hospital QEII Jubilee Hospital Redland Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and the results of the following relevant investigations: Bladder outlet obstruction / LUTS: • • • MSU for MCS ELFT’s, FBC Desirable information: o Cytology x 3 for urgency/frequency o Renal USS with residual o pharmacological history Elevated PSA / prostate disease: • • PSA results Desirable information: o MSU for MCS o ELFT’s o FBC o medical / surgical history o family history Incontinence: • • • MSU for MCS ELFT’s Desirable information: o residual volumes (USS) o time and volume chart o medical / surgical / social history Macroscopic haematuria: • • • MSU for MCS, cytology ELFT’s, CT: non-CON, CON, delayed excretory or any available imaging Note: CT to be performed only if patient has normal creatinine EGFR >60 If <60 Renal USS and KUB should be conducted as an alternative Microscopic haematuria: • • < 50 non-smokers: MSU for MCS, cytology renal USS + KUB all others: MSU for MCS, cytology x3, ELFT’s, CT: non-CON, PV Con, delayed excretory Note: CT to be performed only if patient has EGFR >60. If <60 Renal USS and KUB should be arranged Penile cancer: • • • • • No minimum information requirements MSU for MCS, Cytology x 3 urethral swab sexual health history medical /surgical history Penile discharge: • • • Consider redirecting referral to Sexual Health Urine PCR for NG/Chlamydia sexual health history Continued over Metro South Health | GP Referral Directory 82 Erectile dysfunction: • medical / surgical history/ medication list Renal / staghorn calculi : • • • MSU for MCS ELFT’s, FBC KUB + non-contrast CT Ureteric stones: • • • MSU for MCS ELFT’s, FBC KUB + non-contrast CT or any available imaging Please repeat KUB (if visible on plain film) or CT2/52 after first presentation or 1/52 prior to appointment to confirm stone is still present Renal lesions / Complex cysts: • • • • • • • MSU for MCS FBS ELFT’s CRP renal USS cytology triple phase CT (if solid lesion or suggested by USS) Urethral stricture: • • • • MSU for MCS renal USS with residual surgical / medical history ascending and descending urethrogram Urinary tract infection: • • • • MSU for MCS previous MSU results renal tract USS with post void residual pharmacological history Testicular tumour / mass: • • • • • • • MSU for MCS ELFT’s FBC Alfafetoprotein (aFP) B-hCG, LDH USS testes, CXR medical / family history Specialists PAH: Dr Simon Wood Dr Jannelle Munns Dr Malcolm Lawson Dr Peter Heathcote Dr Eric Chung Dr Malone Urology/Surgical: Dr Anthony Griffin Dr David Gotley Dr Iain Thomson QEII: Dr Jason Paterdis (BB) Dr Peter Campbell Dr Andrew Hadley Dr Peter MacTaggart Dr Malcolm Lawson Dr Hans Goosen Dr Roger Hinsch Redland: Dr John Preston Dr Ian Vela (BB) Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 83 Vascular Medicine and Wound Clinic Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: For Vascular Medicine Clinic: • • • • • Referral to include: o History & comorbities (diabetes, thyroid disease, CAD, PAD, CVA/TIA, renal disease, smoker) o Current medications with dosage For Thromboembolism: o US assessment for DVT o CTPA for PE For Hypertension: o Home or 24-hour BP monitoring o Secondary HTN: renal artery stenosis screening, cortisols, rennin/aldosterson, urinary catecholamines For Renovascular disease: o BP measurement o Recommended tests: Renal Artery Duplex US, CTA, Lipids, glucose, creatinine, electrolytes For Claudication: o Cardiovascular risk factors o Recommended tests: Ankle-brachial index, Duplex US, CT angiography Nurse-Led Venous Leg Ulcer Wound Clinic: Only venous leg ulcers are to be referred to the nurse led wound clinic. Prior to triage the patient must have: • • • Been assessed by either a vascular surgeon or vascular physician to be the medical officer that the patient is under a duplex scan determining that there is no arterial disease Ankle brachial index of 0.8 -1.2 PAH Allied Health Lymphoedema Clinic: • Refer to Occupational Therapy Lymphoedema guidelines on p. 65. Specialists PAH: Dr Andrew McCann Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 84 Vascular Surgery Locations • Princess Alexandra Hospital Referral criteria Please include all of the general referral criteria listed on page 9, and: • • Any relevant investigations that have been performed eg CT scan Details of investigations especially CT scans, MR Scans, duplex US studies Specialists PAH: Dr John Quinn Dr Tim McGahan Dr Toby Cohen Dr Mark Ray Dr Andrew Cartmill Dr Peter Hansen Send referral to Metro South Health Central Referral Hub Phone: 1300 364 155 Fax: 1300 364 248 Secure e-Transfer Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains Metro South Health | GP Referral Directory 85 Metro South Health | GP Referral Directory 86 Metro South Addiction and Mental Health Services Metro South Addiction and Mental Health Services offers community, inpatient and acute care services which may be undertaken in the client’s home, in GP surgeries or in emergency departments. Services are provided for all age groups across a range of programs from child and youth, to adult, to older persons, to specialist programs. Contact information / referrals For more information and referrals, please contact one of the following telephone numbers. • • • Bayside Mental Health Service: (07) 3825 6000 Logan-Beaudesert Mental Health Service: (07) 3089 2176 Princess Alexandra Mental Health Service: 1300 858 998. Other helpful numbers • • • • Alcohol & Drug information services (24 hours): 1800 177 833 Homeless Persons Information Queensland Housing advice and support: 1800 47 47 53 Suicide-call back service (free telephone counselling): 1300 659 467 After Hours Suicide Support Service: 1800 859 585 Metro South Health | GP Referral Directory 87 Acute Care Teams (ACT) Profile The Acute Care Teams provide the point of access to the public mental health service for individuals with acute mental health illness. • • • • • • accept referrals into the service (from both self and others), gather information from individuals provide mental health assessments and treatments coordinate admissions to mental health inpatient units refer the individual, carer and family to the appropriate service providers both within and outside the mental health service provides an after-hours/24 hour service for all mental health community teams. Eligibility criteria Any individual (between 18 and 65 years of age) that may be presenting with acute mental health signs and symptoms. Following triage the team will determine the service response time and the most suitable pathway of care. This may include contact within 24 hours or notification of a scheduled appointment for assessment, and development of a management plan. For individuals with an acute mental health crisis, service provision is prioritised in collaboration with emergency services as the need for service and urgency is established. Contact For new and existing consumers: • • • Cleveland: 3825 6000 Logan-Beaudesert: 3299 2176 Woolloongabba: 1300 858 998 Metro South Health | GP Referral Directory 88 Mood Academic Clinical Unit (ACU) Profile The Mood ACU provides specialist assessment and treatment for consumers between 18 and 65 years of age who experience severe and complex disorders of mood, anxiety and personality. Community and inpatient services are available according to consumer and family assessment of needs. Eligibility criteria All new referrals are to be directed to the local Acute Care Team who determines the appropriate pathway for the individual. Appropriate referrals will then be made to the Mood ACU for the ongoing support and treatment of individuals presenting with a mood disorder. Information provided at the time of referral, in consultation with the Mood ACU will determine the service response time. Contact For new consumers: • • • Cleveland: 3825 6000 Logan-Beaudesert: 3299 2176 Woolloongabba: 1300 858 998 For existing consumers: • • • • • • • Beenleigh: 3827 9855 Browns Plains: 3412 3200 Cleveland: 3825 6000 Inala: 3714 1555 Logan Central: 3290 8999 Macgregor: 3167 8311 Woolloongabba: 3176 1009 or 3176 1010 Metro South Health | GP Referral Directory 89 Psychosis Academic Clinical Unit (ACU) Profile The Psychosis ACU provides specialist assessment and treatment for consumers between 18 and 65 years of age who experience psychosis, schizophrenia and other psychotic disorders. Community and inpatient services are available that cater to the needs of the consumer and their carers that include the family. Eligibility criteria All new referrals are to be directed to the local Acute Care Team that will determine which is the appropriate pathway for the individual. Appropriate referrals will then be made to the Psychosis ACU for the ongoing support and treatment of individuals presenting with symptoms of psychosis. Information provided at the time of referral, in consultation with the Mood ACU will determine the service response time. Contact For new consumers: • • • Cleveland: 3825 6000 Logan-Beaudesert: 3299 2176 Woolloongabba: 1300 858 998 For existing consumers: • • • • • • • Beenleigh: 3827 9855 Browns Plains: 3412 3200 Cleveland: 3825 6000 Inala: 3714 1555 Logan Central: 3290 8999 Macgregor: 3167 8311 Woolloongabba: 3176 1009 or 3176 1010 Metro South Health | GP Referral Directory 90 Rehabilitation Academic Clinical Unit (ACU) Profile The Rehabilitation ACU is a highly responsive, assertive recovery orientated multidisciplinary service, aimed at improving functional outcomes for consumers who are between 18 and 65 years of age with a mental illness and would benefit from a specialised rehabilitation service. This service focuses on mental health rehabilitation with an explicit belief that people can and do recovery from mental illness. Eligibility criteria All new referrals are to be directed to the local Acute Care Team that will determine which is the appropriate pathway for the individual. Appropriate referrals typically will be made to the Rehabilitation ACU, from another Academic Clinical Unit within Metro South Addiction and Mental Health Services. Contact For new consumers: • • • Cleveland: 3825 6000 Logan-Beaudesert: 3299 2176 Woolloongabba: 1300 858 998 For existing consumers: • Community Care Unit Coorparoo: 3727 7200 • Mobile Intensive Rehabilitation Teams: o Logan: 3089 4030 o Macgregor: 3167 8430 • Early Psychosis Service: 3167 8444 • Transitional Housing Team: 3339 4646 Metro South Health | GP Referral Directory 91 Resource and Access Services Academic Clinical Unit (ACU) Profile The Resource and Access Services ACU, as well as providing Acute Care Services, can offer access to a further range of supports and programs. Acute Care Team Refer to above section Recovery, Resources and Partnership Team (RRPT) These teams are engaged in a wide array of activities aimed at improving consumer’s mental health and their access to other health and community services through strengthening the partnerships between the Mental Health Service and community based services. Homeless Health Outreach Team (HHOT) HHOT is a multidisciplinary team providing a health service to people within the Logan-Beaudesert region who are experiencing homelessness, mental health issues and substance misuse issues. Alternatives to Admission/Hospitalisation Alternatives to Admission/Hospitalisation provides safe, sub-acute alternatives to care for people who are experiencing severe and acute mental health illness who would otherwise be likely to require admission or increased hospital stay. Eligibility criteria For information about how to access any of these programs please contact our numbers listed for the individual teams. Contact • • • • Acute Care Teams (ACT): o Cleveland: 3825 6000 o Logan-Beaudesert: 3299 8552 o Woolloongabba: 1300 858 998 Recovery, Resource and Partnership Teams (RRPT): o Cleveland: 3825 6000 o Logan-Beaudesert: 3089 4130 o Woolloongabba: 1300 858 998 Homeless Health Outreach Team (HHOT): 3089 4020 Alternatives to Admission/Hospitalisation: o Upper Mt Gravatt: 3339 4646 o Logan: 3089 4130 Metro South Health | GP Referral Directory 92 Consultation Liaison Psychiatry Services Academic Clinical Unit (ACU) Profile Consultation Liaison and Psychiatry Services (CLPS) Academic Clinical Unit (ACU) are specialised mental health teams who provide comprehensive mental health specialist assessment, feedback and brief intervention to adult inpatients of the general hospital. The CLPS team assists the medical treating staff by providing diagnostic, management and referral advice for their patients who are suffering from a mental health illness or disorder or psychological distress. Eligibility criteria Any patient admitted to a medical or surgical ward of the Metro South Health Service can be referred to the CLPS ACU by a medical staff member from the treating medical team for an assessment of significant mental health problems. All referrals to the CLPS ACU undergo a triage process to assess acuity and risk of harm to self and others. Contact • • • Princess Alexandra Hospital: 3176 2831 Redland Hospital: 3825 6000 Logan Hospital: 3299 8015 Metro South Health | GP Referral Directory 93 Addiction Academic Clinical Unit (ACU) Profile The Addiction ACU strives to achieve a specialist service, within a harm minimisation policy with a “no wrong door” philosophy, where individuals directly or indirectly affected by their own or another’s alcohol and/or drug use, can access a comprehensive alcohol and drug assessment and a range of specialist interventions. Eligibility criteria Individuals can self-refer to the Addiction ACU by phone or in person, or can be referred from other ACUs, services or agencies. On referral an intake form will be completed to gather personal demographics and relevant clinical information. This information will be discussed at a Multidisciplinary Team meeting on the next business day and will be allocated to an Addiction ACU clinician to follow up. Urgency is assessed at the time of referral. Contact • • • Bayside Community Mental Health Building: 3488 4365 Inala Community Health: 3275 5300 Logan Community Health: 3290 8923 Provide services and outreach clinics to: • Browns Plains • Beaudesert • Carole Park • Eight Mile Plains • South Brisbane • Stradbroke Island • Wynnum After hours assistance is available via the Alcohol and Drug Information Service with is a free confidential 24/7 telephone counselling service: 1800177833 or 38375989. Metro South Health | GP Referral Directory 94 Child and Youth Academic Clinical Unit (ACU) Profile The Child and Youth ACU is comprised of specialised mental health teams that provide a comprehensive response to the varying needs of infants, children and young people with mental health problems or mental disorders and their families/ carers in the community. Eligibility criteria Targets mental health problems and disorders in infants, children and adolescents (aged 0 to 18 years) that are: • • • • • • • severe and/or complex likely to represent emerging or diagnosable mental disorders not responding to reasonable interventions at other levels of care severely compromising quality of life and developmentally appropriate functioning not amenable to treatment through alternative, equally appropriate, or more appropriate services requiring coordination/ integration across multiple services likely to benefit from the range of interventions our service offers. Contact For new consumers: • • Cleveland: 3825 6000 Logan-Beaudesert: 3089 4100 For existing consumers: Inpatient Services • Logan Hospital: 3299 8482 • Community Services: o Browns Plains: 3412 3100 o Beenleigh: 3827 9866 o Cleveland: 3825 6000 o Logan Central: 3089 4100 We also provide an outreach clinic to Beaudesert Hospital. Note: All services in the Princess Alexandra catchment are provided by the Mater Childrens’ Hospital. Please call (07) 3163 8111 for more information. Metro South Health | GP Referral Directory 95 Older Adult Academic Clinical Unit (ACU) Profile The Older Adult Academic Clinical Unit (ACU) provides specialist mental health assessment and treatment for people aged 65 years and over who have developed severe and/or complex psychiatric disorders. Priority is given to those who may benefit from clinical interventions that are not usually able to be delivered by GPs or other primary care providers. Community, inpatient and extended treatment services are available according to assessed needs. This service can provide clinical advice over the phone to support primary and aged care providers. Eligibility criteria All new referrals are to be directed to the local Acute Care Team. It is very important to indicate if you think an urgent response is required (e.g. immediate, within 24 hours, etc.) and why. If relevant, referrals should involve the person’s appointed Guardian or Attorney for Health Matters if it is clear that the person has lost the ability to understand and make healthcare decisions. GP referrals preferred. Contact For new consumers: • • • Cleveland: 3825 6000 Logan-Beaudesert: 3299 2176 Woolloongabba: 1300 858 998 For existing consumers: Inpatient Services • Princess Alexandra Hospital (Grevillea Place): 3176 2609 Community Services • Cleveland: 3825 6000 • Logan Central: 3089 4070 • Woolloongabba: 3176 1018 Metro South Health | GP Referral Directory 96 Acute Mental Health Inpatient Services Academic Clinical Unit (ACU) Profile Acute mental health inpatient units are designed to provide care to individuals who are experiencing an acute episode of mental illness to minimise the psychological distress of individuals, stabilises mental health status and prove information and access to appropriate pathways of care. If an individual is admitted to an acute inpatient unit it is often because their mental illness is not manageable in a less restrictive setting, such as community based support. It is preferable that consumers are admitted to inpatient services voluntarily, however on occasion admission under the Mental Health Act 2000 may occur. The Mental Health Act 2000 provides for the involuntary assessment and treatment, and the protection, of persons with mental illness. Eligibility criteria Admission or referral to the acute mental health inpatient units can come from: • • • • • Other ACUs Emergency Department presentations Emergency Services Private Hospitals Other Health and Hospital Services. This process is coordinated by the patient flow manager at each site during business hours. After hours this service is provided by a mental health assessment team. Contact Acute mental health inpatient units are at the following locations: • Logan Hospital o Ward 2A (Adolescent): 3299 8482 o Ward 2B (Adult): 3299 8798 o Ward 2C (Adult): 3299 8103 • Redland Hospital o Yugaipa Ward (Adult): 3488 3613 • Princess Alexandra Hospital o East Wing (Adult): 3176 2662 o West Wing (Adult): 3176 5380 o Grevillea Place (Older Adults): 3176 2609 Metro South Health | GP Referral Directory 97 Transcultural Mental Health Academic Clinical Unit (ACU) Profile The Transcultural Mental Health Academic Clinical Unit provides specialist statewide consultation services for culturally and linguistically diverse (CALD) individuals, families, communities and organisations to facilitate culturally responsive mental health care with a focus on complex mental health problems across all age groups and continuum of care. Primary, secondary and tertiary consultation is provided at consumer, carer, clinician, support worker and organisational levels. Includes specialist functions delivered in relation to service development, workforce education and early intervention. Eligibility criteria Referrals can be made by self, family, friend, multicultural sector agency, mental health service, other health services, or any other service provider in consultation with consumers from all age groups and where possible their family. Referral is for assessment of complex mental health problems, particularly where there are significant cultural barriers and/or mental health problems that arise from complex interactions of settlement and adjustment issues and pre or post migration trauma. Contact This statewide service can be accessed by calling: • 3167 8333 (in Brisbane) • 1800 188 189 (free call outside Brisbane). Note: The Transcultural Mental Health ACU is NOT able to respond to acute and emergency matters. Metro South Health | GP Referral Directory 98 Metro South Health | GP Referral Directory 99
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