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Summary of referral proforma/thresholds/NICE guidance and other guidelines for ENT/Gastro/Gynae/Urol /Derm
RSS 2013/2014
A’brookes
proforma
(N3)
CCG
policy
CCG
proforma
NICE
Clinical
Guidance
Addenbrookes ENT Referral Guidelines
ENT
GPSI
Allergic Rhinitis
Audiology
Chronic Rhinitis
Discharging ear
globus
grommets
Menieres
Nasal polyps
Snoring/OSA
tinnitus
tonsillectomy
vertigo
Other guidelines
yes
GPSI service inclusions/exclusions
CKS
Checklist
on policy
yes
Western Sussex Hospital Guidelines
Western Sussex Hospital Guidelines
Globus sensation patient.co.uk
yes
yes
CKS
Western Sussex Hospital guidelines
Plymouth referral guidelines-no date
Western Sussex Hospital Guidelines
yes
yes
Western Sussex Hospital guidelines
Gastroenterology
Dyspepsia
Irritable Bowel Syndrome
Diarrhoea
yes
yes
yes
yes
CG17
CG61
CATCH/Addenbrooke’s guidelines
CKS Acute and Chronic Diarrhoea
Gynaecology
CATCH Women’s Health Pages
Anovulatory bleeding
Cervical Polyps
Chronic Pelvic pain
Colposcopy
Heavy menstrual bleeding
IMB/PCB
CATCH
CATCH also Kernow CCG Guidelines
Addenbrookes protocol (N3), ELIC
Infertility
IUD problems
Ovarian cysts
PCOS
Premenstrual syndrome
Prolapse
no
yes
yes
no
CG44
yes
CATCH IMB CATCH PCB Post coital Bleeding –
Addenbrooke’s Pathways
CG156
yes
CATCH ovarian cysts and Top Tips
CATCH PCOS
CKS guidelines
RCOG Pelvic organ prolapse patient info
Ring pessary self management
sterilisation
Sterilisation reversal
Urinary incont/prolapse
Vulval disorders
no
yes
yes
yes
CCS pathway (some links need updating)
York RSS guidelines
Urology
Camurology guidelines
balanitis
circumcision
Epididymal cysts
epididymitis
Camurology balanitis
yes
Dr Christine Emerson CATCH updated 09/05/14
yes
Camurology epididymal cysts
Camurology epididymitis
Summary of referral proforma/thresholds/NICE guidance and other guidelines for ENT/Gastro/Gynae/Urol /Derm
RSS 2013/2014
A’brookes
proforma
(N3)
hydrocele
Incontinence
LUTS (male)
Phimosis/paraphimosis
prostatitis
PSA measurements
Renal stone
UTI
Varicocele
Scrotal swellings
yes
CPHN
policy
CPHN
proforma
NICE CG
CG97
no
Leg ulcers
Molluscum contagiosum
psoriasis
Solar keratoses
Solitary non-pigmented
lesion
urticaria
Viral warts
Camurology hydrocele
Camurology incontinence
Camurology
Camurology phimosis
Camurology prostatitis
Camurology PSA
Camurology renal calculi
Camurology chronic cystitis
Camurology varicocele
CKS scrotal swellings
CATCH dermatology pages
Dermatology
Acne
Alopecia areata
Basal cell carcinoma
Benign skin lesions
Eczema (hand)
Eczema (not hand)
Fungal infection skin/nails
hyperhidrosis
Other guidelines
yes
Addenbrooke’s Acne
Addenbrooke’s Alopecia areata
Adddenbrooke’s BCC
yes
yes
Yes
yes
Addenbrooke’s Eczema
Yes
(for
botulin
um)
yes
Addenbrookes fungal skin/nails
Addenbrooke’s hyperhidrosis
Yes
(for
botulinu
m)
CG153
Addenbrooke’s leg ulcers
Addenbrooke’s mollscum
Addenbrooke’s psoriasis
Addenbrooke’s solar keratoses
yes
Addenbrooke’s urticaria
Addenbrooke’s viral warts
Common reasons for patients not being fit for surgery found at Pre-operative Assessment Clinic (POAC)
1. Hypertension - BP >160/90 after 3 consecutive readings
2. Diabetes – HbA1c > 64 mmol/mol – elective surgery; >75 mmol/mol - urgent (cancer, symptomatic carotid
artery stenosis)
3. Recent worsening of angina
4. New onset AF diagnosed at POAC
5. AF heart rate > 100 bpm
6. Chest infection (on day of surgery or within 2 weeks of surgery)
7. New heart murmur diagnosed on auscultation of the chest
The following information would be of great help both to the Trust and to the patients if it were to be present in all
referral letters
Dr Christine Emerson CATCH updated 09/05/14
Summary of referral proforma/thresholds/NICE guidance and other guidelines for ENT/Gastro/Gynae/Urol /Derm
RSS 2013/2014
Current BP reading
Any diagnosis of hypertension
If under investigation for any other condition
Height
Weight
BMI
Smoking status
If diagnosed diabetic the current HbA1c (with date of measurement)
Cardiac history and most recent echo/angiogram date and result
Known previous MRSA and C diff status
Dr Christine Emerson CATCH updated 09/05/14
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