NT HOSPITALS 3

TOP END SPECIALIST AND
REFERRAL DIRECTORY
Produced by GP - Hospital Liaison Project RDH
Updated October 2014
NT HOSPITALS
Darwin Private Admissions
3
3
CARDIOLOGY
Warfarin Initiation
14
14
34
OBSTETRIC CARE - PUBLIC
RHEUMATOLOGY
38
39
RDH LIAISON and ENQUIRIES 4
DERMATOLOGY
REFERRAL INFORMATION
ENDOCRINOLOGY& DIABETES 16
MENTAL HEALTH
6
EXERCISE AND SPORTS
Psychology and Counselling services39
6
GASTROENTEROLOGY - Procedural,
IBD and General Gastroenterology
Clinics
18
INTERPRETER SERVICES
ABORIGINAL INTERPRETER
SERVICE
5
TRANSLATING AND
INTERPRETING SERVICE (TIS)
NATIONAL
7
15
NT RESPIRATORY & SLEEP
OUTPATIENTS SERVICES
18
GENETICS
19
GERIATRICS
20
Darwin Psychological Directory- Darwin
Directory of Psychological Services39
Alice Springs Psychological DirectoryAlice Springs Directory of Psychological
Services
39
PSYCHIATRY
43
RESULTS
8
HAEMATOLOGY
23
Pathology
8
HEPATOLOGY –Liver Clinic
24
Radiology
9
HOSPITAL IN THE HOME
25
IMMUNOLOGY and ALLERGY
26
INFECTIOUS DISEASES
27
Urodynamic assessment for women
47
Colposcopy
EMERGENCY DEPARTMENT
10
INTENSIVE CARE MEDICINE
11
CDC
27
MEDICINE
12
Notifications
27
ACUTE and GENERAL MEDICINE12
NEUROLOGY
28
ALCOHOL and OTHER DRUGS
ONCOLOGY
29
S8 prescribing
Darwin Withdrawal Service
ALLERGY
13
13
13
14
PALLIATIVE CARE
31
REHABILITATION AND MEDICAL
PAIN SERVICE
32
RENAL
33
MATERNAL & CHILD HEALTH
45
GYNAECOLOGY
45
47
SEXUAL & REPRODUCTIVE HEALTH
48
51
GP Shared Care
51
Antenatal Clinic
52
Midwife Care
52
Medical Obstetric Antenatal Clinics
53
RDH Delivery Suite
53
Home Birth Options
54
OBSTETRIC CARE - PRIVATE 55
OTHER PREGNACY RELATED
SERVICES/CLINICS
56
Pregnancy Counselling
56
Healthdirect Australia
56
Anti-D
56
Early Pregnancy Loss Clinic RDH57
Surgical Termination of Pregnancy
(STOP)
58
PAEDIATRICS
59
Reproductive Medicine Unit
48
SURGERY
62
Family Planning Welfare NT
48
GENERAL
62
Clinic 34
48
ENDOSCOPY
64
HAND SURGERY
66
Mobile Outreach Services (MOS)48
Mandatory Reporting
49
HEAD AND NECK SURGERY
67
LAPROSCOPIC BANDING SURGERY
67
MAXILLOFACIAL and HEAD AND
NECK SURGERY
68
NEUROSURGERY
69
PLASTIC AND RECONSTRUCTIVE75
OPHTHALMOLOGY
70
SPORTS MEDICINE
76
UROLOGY
77
VASCULAR
77
OTOLARYNGOLOGY (Ear, Nose and
Throat)
73
ORTHOPAEDIC or TRAUMA
DEPARTMENT OF SURGERY Visiting Specialists
74
Page 2
Every effort is made to ensure this information is correct at the time of printing. Please email any changes to [email protected]
78
NT HOSPITALS
Royal Darwin Hospital
Royal Darwin Hospital
PO Box 41326
CASUARINA NT 0811
Ph: 8922 8888
Fax: 8922 8286
Download: Royal Darwin Hospital Campus
Map
Darwin Private Hospital
PO Box 42571
CASUARINA NT 0811
Ph: 8920 6011
Admissions Manager 0499 513 860
Fax: 8920 6008
Alice Springs Hospital
PO Box 2234
ALICE SPRINGS NT 0871
Ph: 8951 7777
Fax: 8951 7988
PO Box 421
GOVE NT 0881
Ph: 8987 0211
Fax: 8987 0399
PMB 73
KATHERINE NT 0851
Ph: 8973 9211
Fax: 8973 9000
PO Box 346
TENNANT CREEK NT 0861
Ph: 8962 4399
Fax: 8962 4311
Alice Springs Hospital
Gove Hospital
Gove District Hospital
Katherine Hospital
Katherine Hospital
Tennant Creek Hospital
Tennant Creek Hospital
Darwin Private Admissions
Back to index
Call DPH Admissions Manager 0488 513 860.
Provide patient name, DOB, Health fund details and reason for admission.
DPH will find a suitable consultant and contact your practice to arrange
transfer.
RDH LIAISON & ENQUIRIES
General Enquiries Fax request to Community Liaison on 8922 7865
All requests must be accompanied by: patient’s consent; reference to the specific information that you want to receive; and a return to sender fax
number.
Note: The Community Liaison Nurse only works from 8.00am - 4.00pm. Therefore information requests requiring same day attention needs to be
faxed before 1.00pm. Otherwise allow 24 - 48 hours for information requests to be actioned.
Urgent requests should be accompanied by a phone call to Community Liaison Nurse through the RDH switchboard on 8922 8888, pager 427,
or if she is not available to the CNC of the Discharge Planning Resource Unit via mobile 0401 110 401.
Form - Authority to Obtain Medical Information
Mental Health Services requests for Information Fax Community Liaison Nurse on 89426568
All requests must be accompanied by: a signed patient’s consent; reference to the specific information that you want to receive; and a return to
sender fax number.
For in-patient discharge planning and summaries contact Martin Musco, Community Liaison Nurse, on 892 27628 or mobile 0401 116 080.
Marty works from the In-patient Unit and has extensive networks across the Top End
For all other requests, a signed release of information form should be forwarded to the Director of Psychiatry's Office Ph: 8922 7921 or Fax:
8922 7742)
Back to Mental Health
Back to index
REFERRAL INFORMATION
Adequate and timely information exchange between treating doctors is essential for safe and effective patient care. However, studies of referral
letters have consistently reported that specialists are dissatisfied with their quality and content. The concerns most often expressed are the
frequent absence of an explanation for referral, medical history, clinical findings, test results and details of prior treatment.
Good quality referral helps to reduce the unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of
confidence in medical practitioners. (eMJA: Improving doctors' letters)
What is a referral?
Summary Referral Information for GPs.pdf
Sub-specialty list for Royal Darwin Hospital
Checklist for written referrals
Referral urgency triage categories
Waiting List for Outpatient Appointments at RDH (current as of June 2014)
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INTERPRETER SERVICES
ABORIGINAL INTERPRETER SERVICE
Aboriginal Interpreter Service
The Aboriginal Interpreter Service provides a 24 hours 7 days a week central booking service for government and non-government agencies that
require on-site Aboriginal languages interpreters. Bookings should be made with as much notice as possible – a week is preferred, especially if
the assignment will entail arranging travel for the interpreters.
Darwin
Telephone: 08 8999 8353
Fax: 08 8999 8855
Office Hours: 8:00am - 4:30pm After hours service Ph: 08 8999 8353
Location: Ground Floor, RCG House, 83-85 Smith St, DARWIN
Postal Address: PO Box 4450, DARWIN, NT 0801
Alice Springs
Telephone: 08 8951 5576
Fax: 08 8951 5244
Office Hours: 8:00am - 4:30pm After hours service Ph: 08 8999 8353
Location: Leichardt Building, 21 Gregory Terrace, ALICE SPRINGS
Postal Address: PO Box 1596, ALICE SPRINGS NT 0871
AIS at Royal Darwin Hospital (RDH):
The Aboriginal Interpreter Service provides interpreters for five mornings per week at RDH. The interpreters undertaking this work are organised
on a rotating roster to provide a variety of language coverage in any given month. Wherever possible the interpreters are chosen to reflect the
dominant languages represented at the hospital in that week.
Payment
Payment for use of the AIS is made from a health budget provided specifically for the AIS (Other Government services and departments also
have their own budget). Payment for the service does not come out of existing health budgets.
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TRANSLATING AND INTERPRETING SERVICE (TIS) NATIONAL
Translating and Interpreting Service (TIS) National
The Department of Immigration and Citizenship (DIAC) provides the TIS National interpreting service with over 170 languages/ dialects
available. TIS National is available 24 hours a day, seven days a week.
To use an interpreter over the telephone.
Telephone: 131 450
To book an on-site interpreter to attend an appointment.
See: On-Site Interpreter Booking Form
To pre-book a telephone interpreter.
See: Telephone Interpreter Pre-Booking Form
For Medical Practitioners to register for free interpreting services.
See: Medical Practitioners Free Interpreting Registration Form
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RESULTS
Sending results to NT Hospitals - GPs are requested to ask for a copy of results to be sent to Jade Care Clinical when
requesting tests for patients they are referring to Royal Darwin Hospital (RDH). This will make it easier for the hospital clinicians to
obtain the results and improve the efficiency of results management internally within RDH. Addressing Referrals to RDH - For
Medicare purposes it is requested that GPs also nominate the Specialist by name when referring for hospital appointments.
Pathology
RDH Pathology results
8922 8299
Maine Health results
136 199 (24/24 hotline) or 8945 2377
Pre-test Collection Information
Healthscope results
1300 134 111
Sullivan Nicolaides results
8920 2111
Radiology
RDH Radiology results
8922 8512
NT Medical Imaging results
8923 3999
Darwin Medical Imaging
8948 1166
Territory Ultrasound & Xray
8988 3582 (Humpty Doo)
Territory Xray
1300 689 729
(name changing to Regional Imaging)
8971 9595 (Katherine)
Diagnostic Imaging Pathways - A clinical decision support tool and educational resource for diagnostic imaging.
InsideRadiology – Clinical and technical information for health professionals about radiology tests and image – guided treatments
plus information about radiology tests and procedures for health consumers.
Back to index
EMERGENCY DEPARTMENT
Dr Didier Palmer (Director)
Dr James Fordyce
Dr Nadi Pandithage
Dr Kerrie Jones
Dr Will Sargent
Dr Mark De Souza
Dr Sandra Brownlea
Dr Adrienne Deans
Dr Kirsten Hrabar
Dr Justine Miller
Dr Mark Ross (also 0.5fte careflight)
Dr Sander Manders (also 0.5fte careflight)
RDH Emergency Dept Triage Ph: 8922 8125
Referral to ED Fax: 8922 8904, or send with patient.
healthdirect Australia is a FREE 24-hour telephone health advice line staffed
by Registered Nurses to provide expert health advice and direct patients, as
appropriate, to local health services. Afterhours, and in preference to contacting
the Emergency Department at their regional hospital, GPs should advise their
patients to call healthdirect Australia on 1800 022 222.
Use GP ACCESSLINE 8922 7900 to speak directly to the lead ED registrar or
consultant. Duty consultant available via Accessline til midnight weekdays and
1800hrs on weekends and via switchboard after those hours
NOTE: Please do not give Accessline number to patients; it is for doctor (or
doctor’s delegate) to doctor communication.
If patients are referred to RDH /Emergency Department please:
 Do not indicate to patients they will be admitted but rather that they will be
assessed at the Emergency Department. ED has access to range of
investigations and treatments and a short stay unit that may make
admission to the main hospital unnecessary. It is also possible for them to
be referred for admission to Hospital in the Home.
 Ask about whether patients have private insurance or are keen to be
assessed privately as this can save unnecessary delays and extend waits
in the Emergency Department.
 Remember other options such as the acute medical clinic or early
pregnancy clinic
On arrival, the triage nurse will priority triage patients according to the
assessment of time the patient can wait to be seen.
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INTENSIVE CARE MEDICINE
Dr Dianne Stephens (Director) Co-Director Surgery and Critical Care
Dr Paul Goldrick
Dr Sarah Collins
Dr Peter Harbison
Dr David Closey
Dr Sidharth Agarwal
Dr Lewis Campbell
Dr Gabby Weidman
ANAESTHETICS
Dr Brian Spain (Director)
Dr Philip Blum
Dr Fiona Barron
Dr Keen Cheah
Dr Andrew Fenton
Dr Clare Hayes-Bradley
Dr Saskia Hensen
Dr Hamish Holland
Dr Daniel Holmes
Dr Daniel Jolley
Dr David Koskuba
Dr Indra Kumarasena
Dr Nicholas Lerch
Dr Andrew Magness
Dr Andrew Mitchell
Dr Michael Purvis-Smith
Dr Susie Nou
Dr Fiona Readon
Dr Jonathon Stacey
Dr Helge Suhr
Dr Stanley Tay
Dr Helen Wardill
NATIONAL CRITICAL CARE &TRAUMA RESPONSE CENTRE
Dr Len Notaras
Dr Ian Norton Director
Dr Malcolm Johnston-Leek
Back to index
Director
Disaster Preparedness and Response
Director Pre-Hospital Services
Medical Director St Johns Ambulance
Level 8
Royal Darwin Hospital
Ph: 8944 8277
Fax: 8922 6966
MEDICINE
Medical referral should be to the relevant subspecialist by name.
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Medical Clinics are held at both RDH and Palmerston with a visiting service to remote and regional centres
RDH provides 3 acute medical clinics/week which are an alternative to ED referral and can provide “urgent appointments” in the registrar clinics.
Note: Where patients are referred privately a fee may be charged for private consultation. A reduced fee or bulkbilling may be negotiated for some patients.
It is therefore advisable for patients to have their Medicare card available.
ACUTE and GENERAL MEDICINE
- Public Patients seen at Outpatients Department RDH with some clinics also held at Palmerston
Acute medical clinic
Dr Elio Gagliardo, ®
General Physician
Public/private®
(Forwarding results to RDH
or other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals.
This will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency of results
management internally within
RDH.)
General medical clinic
® =Rights of private practice at RDH
Back to index
The acute medical outpatient clinic provides fast access for patients who
need an urgent physician assessment but do not require admission.
Refer in circumstances where early intervention may alter the outcome and
prevent admission or reduce patient complications, morbidity and mortality.
Examples of suitable referral may include acute medical problems such as
TIA or acute or chronic conditions where the patient is not responding to GP
treatment- exacerbation of COPD, decompensating CCF.
Appointments are made directly by discussing the clinical case with Dr Elio
Gagliardo – contact via hospital switchboard.
Send referral to Dr Elio Gagliardo OPD: Fax 8945 3068
Dr Michael Lowe®
Dr Erana Gray®
Private, General
Physician
Service
Referrals to NT Medical Specialist, 21 Vanderlin Drive, Wanguri, NT 0810
Tel: 08 8927 7026
Fax: 08 8927 7038
Email: [email protected]
Public/private®
Refer to Dr Lowe or Dr Gray General Medical Clinic patients where Subspecialty referral is not indicated.
Send referral to OPD: or Fax: 8945 3068
General Medical clinics are held at both RDH and Palmerston
ALCOHOL and OTHER DRUGS
– Patients are seen in Building 9 North, Royal Darwin Hospital
Public
Dr Maria San Pedro
Dr Shirley Hendy
S8 prescribing
For further information see Poison Control website
Schedule 8 Substances
Introduction Information
Fact Sheets
RDH OPD Appointments Ph: 8922 8399 Fax: 8922 8403
Patients are seen in: Building 9 North, Rehabilitation Building
In the Northern Territory prescribing and supply of Schedule 8 medicines is controlled by the
Poisons & Dangerous Drugs Act & Regulations. The prescribing and supply of Schedule 8
substances must conform with these Schedule 8 and Restricted Schedule 4 Clinical Practice
Guidelines as required under section 31X of the Poisons and Dangerous Drugs Act.
Poisons Control
2nd Floor, Casuarina Plaza, 258 Trower Road, Casuarina NT
PO Box 40596, Casuarina NT 0811
Forms for Medical Practitioners
Darwin Withdrawal Service
Outpatient and outreach withdrawal services are available for individuals who wish to
withdrawal from alcohol, opiates, cannabis, amphetamines and Benzodiazepines.
Clients are assessed by a medical team to identify the best withdrawal option. The ADS
Withdrawal Services team then provides medication (if needed), support and counselling.
Withdrawal may take place at the Royal Darwin Hospital (for high risk clients), in supported
accommodation (e.g. CAAPS, Banyan House or the Salvation Army) or include home visits.
Darwin Withdrawal Services are open five days/week from 8am to 4.30pm;
Building 9 North, Royal Darwin Hospital
Ph: 08 8922 8399 Fax: 08 8922 8403
Postal Address: PO Box 40596, Casuarina NT 0811
Drug and Alcohol Clinical Advisory Service
(DACAS)
24 hour clinical advice to medical practitioners, pharmacists and other health professionals
phone 1800 111 092
Alcohol and Drug Information Service (ADIS)
ADIS is a 24 hour, 7 day a week confidential telephone service, offering information, advice,
referral and crisis counselling for people with problems related to drugs and
alcohol.
Phone:1800 131 350
Back to index
ALLERGY
Dr Peter Bourke®
Public/private
®
See Immunology and Allergy
CARDIOLOGY
- All patients seen at NT Cardiac Services. All referrals should be sent to NT Cardiac Services.
Dr Marcus Ilton®
Dr Nadarajah Kangaharan®
(Kanga)
Dr Colin Farquharson®
Dr Robert Minson (visiting)
NT Diagnostic Services (NT
Cardiac Services)
Cardiology
Public/private®
and private
Exercise Stress Test
Holter Monitor
Pacemaker check
ECG
Echocardiogram
All patients are seen at DPH – all referrals public and private sent to NT
Cardiac Services (First floor Darwin Private Hospital, adjacent to Corella
Ward). A rotating service from Flinders Medical Centre compliments the
existing local service. Address to Cardiologist by name
Appointments: Fax to NT Cardiac Services: 8945 1365 Ph: 8920 6250
Appointments: Phone: 8920 6250
Please also fax referral to NT Cardiac Services: 8945 1365
NT Diagnostic Services patient information sheet
Book 8922 28468
RDH Stress testing
Exercise fitness testing
Katherine Hospital
Gove Hospital
Warfarin Initiation Protocol
Exercise stress test
Public
Fitness Testing: Stress
Private
tests and medicals.
Outpatient appointments: 8973 9218
Holter Monitor: 8973 9295, 8973 9188
Outpatient appointments: 8987 0295
Echocardiogram: 8920 6250
Stress Test: 8987 0295
Holter Monitor: 8987 0295
The protocol suggests a range of doses suitable for the initiation and management of patients on warfarin. The prescribing
doctor should consider patient factors and use their clinical judgment when selecting a dose within the range suggested.
Warfarin Initiation Protocol RDH
® =Rights of private practice at RDH
Back to index
See Exercise Stress Testing for referral process, referral form and patient
information.
See EXERCISE AND SPORTS
DERMATOLOGY
- Patients are seen at OPD RDH
Dr Bruce McGeorge ®
Dermatologist
Public/private®
and private
Send public/private® referral by fax to RDH Dr McGeorge Dermatology
OPD on Fax: 8945 3068.
Patients are seen at RDH. Please identify urgency and any relevant patient
factors. Specialist will review referrals and referrals will be waitlisted
accordingly (as per other OPD clinics)
Urgent referrals: please mark referral as urgent or Category 1.
Dr McGeorge currently conducts one minor ops theatre per week.
Private Rooms,
Territory Medical Group, Nightcliff
Woolworths Complex
159 Dick Ward Drive
Nightcliff, NT 0810
Ph: 8948 4333 Fax: 8948 4322
E: [email protected] W: www.nightcliffmedical.com
Dr Lachlan Warren
Visiting service to RDH and Public
Katherine Hospital
Visiting service from Adelaide every 6-8 weeks. All patients are now seen at
RDH.
Dr Jenny Menz
Visiting service to RDH and
Gove Hospital
Send referral to Consultant by name, Dermatology OPD via SEMS or Fax:
8945 3068
Dr Vincent O’Brien
Visiting service rotating
Referrals will now be prioritised as above.
Dr Emma Hiscutt
Visiting
Private
Referrals to NT Medical Specialist
21 Vanderlin Drive, Wanguri, NT 0810
PO Box 43347, Casuarina NT 0810
Tel: 08 8927 7026
Fax: 08 8927 7038
Email: [email protected]
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
ENDOCRINOLOGY& DIABETES
- Public Patients seen at RDH Outpatients and Palmerston
RDH Public clinics (monthly
Palmerston Diabetes Clinic)
(monthly Danila Dilba Main
Clinic and Men’s Clinic)
Endocrinology- general
and diabetes, thyroid
Public/private®
Send public/private® referral to relevant Consultant by name, Endocrinology
OPD Appointments via SEMS or Fax: 8945 3068
Please note Palmerston Clinic referral preference, all referrals should be
addressed to Dr Louise Maple-Brown or Dr Sridhar Chitturi or both.
Three clinics at RDH per week:
Diabetes clinic- 2 specialists and registrar
Diabetes Services Available via RDH (current October 2010)
Endocrinology clinic – 2 specialists and registrar
Thyroid clinic – 1 specialist and registrar
One clinic at Palmerston – Diabetes only, first Wednesday of the month
commencing 6 October 2010. Held at the Palmerston Health Precinct, cnr
Roystonea
Ave
and
Temple
Tce
Palmerston
NT
0830
Download Map
Referral for the Danila Dilba Main Clinic and Men’s Clinic is via Danila Dilba
Phone: 08 8942 3444.
Dr Louise Maple-Brown®
Diabetes only
Public/private®
Send public/private® referral to Dr Louise Maple-Brown RDH OPD
Appointments via SEMS or Fax: 8945 3068
Dr Louise Ciin®
Diabetes/Endocrinology
(both General Endocrine
and Thyroid)
Endocrinology/
Diabetes/Obstetric
Medicine
Public/private®
Send public/private® referral to Dr Ciin at RDH OPD Appointments via
SEMS or Fax: 8945 3068.
Public/private®
Endocrinology/Diabetes – send public/private® referral to Dr Sridhar Chitturi
RDH at Endocrinology OPD Appointments via SEMS or Fax: 8945 3068
(Forwarding results to RDH
or other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals.
This will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency of results
management internally within
RDH.)
Dr Sridhar Chitturi®
Obstetric Medicine – send referrals to Medical Obstetric Antenatal Clinics
Fax referrals to: 08 8922 6750.
Private
Please fax referrals to: 08 8945 5700
Specialist Suites
Darwin Private Hospital
Rocklands Dr, Tiwi, NT 0810
Ph: 8945 5000 Fax: 8945 5700
Email: [email protected]
Dr Diane Howard
Diabetes Foot clinic
General Endocrinology/
Diabetes/Thyroid
Private referral
only
All clinics are held in Darwin Private Hospital
Referrals: Fax: 8920 6183 or Email: [email protected]
Patients will be contacted with appointment details by receptionist, after
prioritisation by Dr Howard.
Public
Diabetes Foot clinic – For review and management of diabetic ulcers.
GPs can also request that the Registrar review patient and provide
recommendations on diabetes management while patient attends at this
clinic.
Send referral to RDH Foot Clinic OPD Appointments via SEMS or Fax:
8945 3068
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
EXERCISE AND SPORTS
Private service only held at Territory Sports Medicine
Dr Geoff Thomson
Dr Stuart Down
Exercise and Sports
Physician
Private only
Territory Sportsmedicine
8 Parap Place, Parap
For appointments contact Territory Sportsmedicine on Ph: 8941 6677, Fax:
8981 4155 or email: [email protected]
Services offered:
 Sports Physicians including assessment of those with medical needs
such as asthma, diabetes and cardiac problems.
 Fitness Testing: Stress tests and medicals.
GASTROENTEROLOGY - Procedural, IBD & General Gastroenterology Clinics
Public Patients seen at Outpatients Department RDH
Dr Edmund Tse®
Public/private® & Private
Dr Suresh Sivanesan®
Public/private® & Private
Dr Guru Iyngkaran®
Public/private® & Private,
visiting service to
Katherine Hospital.
Dr Viet Pham Nam
(Forwarding results to RDH
or other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals.
This will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency
of
results
management internally within
RDH.)
Public/private®
Send referral via Secure Electronic Messaging Service SEMS to Consultant
by name Gastroenterology OPD or referrals to be faxed on 8945 3068.
Please refer to general surgeons (endoscopy) or open access gastroscopy
where appropriate.
Please indicate if referral is for Procedural, Inflammatory Bowel Disease IBD
& General Gastroenterology clinic
Private
Referrals to NT Medical Specialist
21 Vanderlin Drive, Wanguri, NT 0810
PO Box 43347, Casuarina NT 0810
Tel: 08 8927 7026
Fax: 08 8927 7038
Email: [email protected]
Breath tests and Capsule Endoscopies available on site.
See ENDOSCOPY
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
GENERAL MEDICINE
Public Patients seen at Outpatients Department RDH
See ACUTE and GENERAL MEDICINE
(Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.)
GENETICS
- Public Patients seen at Outpatient Department RDH
Please refer to appropriate specialty area who can arrange interstate assessment if considered necessary.
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
GERIATRICS
- Public Patients seen at Outpatient Department RDH and Palmerston
Dr Michael Lowe®
Dr John Death®
Dr David Fonda®
Geriatrics Assessment.
Support to ACAT.
Public/private®
Send public/private® referral to Dr Michael Lowe/John Death, Geriatrics at
RDH OPD via SEMS or Fax: 8945 3068
Memory Clinic
Dr Michel Lowe®
Public/private®
Send public/private® referral to Dr Michael Lowe OPD via SEMS or Fax:
8945 3068, Referrals can also be forwarded via ACAT see below
(Forwarding results to RDH
or other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals.
This will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency of results
management internally within
RDH.)
Memory clinics are held every two weeks at RDH General and at
Palmerston Specialist Clinic from time to time – same referral pathways –
OPD and ACAT but please note on referral that patient would like to be
seen at Palmerston
Dr David Fonda ® (visiting)
Geriatric continence clinic
Dr Phillip Morris (visiting)
Psychogeriatrician
Public/private®
RACGP guidelines on dementia recommend the following tests as part of
the work up of the demented patients and should be completed prior to
referral:
● Hb,WBC, ESR
● renal function/electrolytes
● liver function
● thyroid function
● blood sugar
● serum calcium and phosphate
● urine – WBC, protein, sugar (culture if delirium)
● serum B12, folate levels
● CT scan without contrast
● CXR (if delirium)
● syphilis serology (if indicated – usually indicated in NT)
● HIV testing (if specific indications).
Referrals public/private® will be via the continence link nurses at community
health centres. Dr Fonda will do clinics every 3 months at Palmerston
Health Precinct. Corner Roystonea Avenue and Temple Terrace
Download Map
Referral via the psychogeriatric team at the ACAT offices.
Form – Psychogeriatric Service Referral
Aged Care Assessment Team (ACAT)
ACATs provide information on suitable care options and can help arrange
access or referral to appropriate residential or community care services such
as Home and Community Care (HACC). An ACAT assessment and approval
is required before people can access residential aged care, Community Aged
Care Packages (CACPs) or Extended Aged Care at Home (EACH) Packages
If you wish Doctor Lowe to see a patient as part of their ACAT work up
please include a medical referral with your ACAT referral--including your
provider number, list of current medications etc. Clients may be referred to
the ACAT team by any concerned person – not necessarily by doctors. If
the ACAT team considers that Doctor Lowe needs to see such clients, they
will contact the GP for a referral if the GP sees appropriate.
Occasionally the ACAT team is called in situations where it is very difficult to
find out who the GP is. In these situations we will do our best to keep the
GP informed once we find out who they are.
Form – Aged Care Assessment Team (ACAT) Referral
Location
Alzheimer's Australia offers a range of support, information, education and
counselling services.
Contact the National Dementia Helpline on 1800 100 500 or see relevant
information on NT web site.
Phone
Fax
Darwin
8922 7392
8922 7392
Darwin Rural
8944 8651
8944 8651
Katherine
8973 8503
8973 8503
Nhulunbuy
8987 0432
8987 0432
Alice Springs Urban
8951 6735
8951 6735
Alice Springs remote
8951 5047
8951 5047
Barkly Team
8962 4201
8962 4201
Dementia Monitoring Program provides individualised practical help for
people with memory problems who live alone, or who have minimal family or
other social support. This assistance can be very flexible, and may include
transportation, help with budgeting and bill-paying, an occasional outing or
visit to the home. It also includes a weekly exercise group for those who are
physically active and keen to maintain their fitness. A major benefit of this
scheme is that it can maintain a regular check of the client's needs, and
report back to GP if there is a problem.
The Living With Memory Loss program is available to people dealing with
dementia or memory loss, and their family members and/or friends. The
program is conducted by Alzheimer’s Australia NT at various locations in the
Territory. For further information, or to find out when the next course will be
held, contact Darwin Support Services on Ph: 08 8948 5228 or Alice
Springs Support Services on Ph: 08 8952 979.
Dementia Behaviour Management Advisory Service (DBMAS) is a
nationwide network of services funded by the Australian Government that
provides clinical support for people caring for someone with dementia who is
demonstrating behavioural and psychological symptoms of dementia (BPSD)
which are impacting on their care.
The NT DBMAS office is staffed between 8.00am and 4.30pm (CST) on
weekdays.
After hours support and assistance is available on 1800 699 799, the
national after hours telephone service.
Contact DBMAS 24/7 on freecall 1800 699 799
DBMAS is a government funded program and there is no cost to accessing
the service. DBMAS will make appropriate referrals to other support
services as required. NT DBMAS Brochure.
Adult Guardianship
Darwin
Executive Office of Adult
Guardianship
Level 1, Health House
87 Mitchell Street
Darwin NT 0800
Ph: (08) 8922 7343
Fax: (08) 8922 7304
Office of Public Guardian
Ground Floor, Casuarina Plaza
Cnr Trower Road and Vanderlin Drive
Casuarina NT 0810
Ph: (08) 8922 7116
Advice about Adult Guardianship can be obtained from the following:
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
Alice Springs
Executive Office of Adult
Guardianship
Territory Housing Building
2/21 Gregory Terrace
Alice Springs NT 0870
Ph: (08) 8951 6028
Fax: (08) 8952 4395
Office of Public Guardian
Flynn Drive
Alice Springs NT 0870
Ph: (08) 8951 6741
HAEMATOLOGY
- Public Patients seen at Outpatient Department RDH
Dr Ferenc Szabo®
Dr Akash Kalro®
Dr Tina Noutsos®
Haematology
Thrombosis Clinic ®
Provides specialist advice
in thrombosis related
issues. Difficult cases will
be discussed in a
multidisciplinary forum.
Dr Ferenc Szabo, Dr Akash
Kalro or Dr Tina Noutsos.
Public/private®
Send public/private® referral to specialist by name Haematology OPD via
SEMS or Fax : 8945 3068
(Forwarding results to RDH or other NT Hospital - please request a copy
of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results
management internally within RDH.)
Public/private®
Please note that this is NOT a Warfarin Clinic.
(See Warfarin Initiation Protocol RDH )
Appropriate Referrals would include:
1. Length of anticoagulation in newly diagnosed patients with Deep Vein
Thrombosis (DVT) and/or Pulmonary Embolism (PE).
2. Anticoagulation in patients with recurrent DVT and/or PE.
3. Anticoagulation in pregnancy.
4. Anticoagulation pre and post-surgery in patients on anticoagulants or at
risk of DVT/PE.
5. Thrombophilia screening and interpretation of results.
6. Risk assessment of family members of patients with history of DVT/PE.
7. Risk assessment of individuals who work in special environment.
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
HEPATOLOGY –Liver Clinic
– Public Patients are seen at Outpatient Department RDH or Clinic 34, Health House, Darwin
Dr Erana Gray ®
Dr Christine Marshall®
(Forwarding results to RDH
or other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals.
This will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency of results
management internally within
RDH.)
Liver Clinic and visiting
service to Gove and
Katherine Hospitals
Public/private®
& Private
Send public/private® referral to Specialist by name or Consultant Physician
Hepatology at OPD via SEMS or Fax: 8945 3068
All referral sent to RDH will now be seen at RDH and won’t be redirected to
Clinic 34. Patients can be directly referred to clinic 34 for HCV if desired, or
equally to RDH. Liver Registrar assists in the liver clinic, and thus patients
may be seen by them, under specialist supervision.
Clinic also provides a liver biopsy service at RDH.
Liver Clinic Pre-referral work up recommendations
Appropriate referrals:
 Proven or suspected cirrhosis
 HBV likely to need Rx (see CARPA)
 HCV PCR positive
 Haemochromatosis
 Proven or suspected autoimmune liver disease
Discouraged referrals:
 Uninvestigated raised LFTs
 Mildly raised LFTs and likely NAFLD
 Surgical problems – biliary colic, gallstones, post-op problems
(Surgical OPD)
 HCV antibody positive, PCR negative
 Luminal gastro problems (Visiting gastroenterologists)
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
HOSPITAL IN THE HOME
(Forwarding results to RDH
or other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals.
This will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency of results
management internally within
RDH.)
Infectious Diseases &
General Physician
Public/private®
GPs can now refer directly to RDH hospital-in-the-home (HITH) programme
( i.e. GPs no longer need to refer via ED) HITH treatment is safe and is
associated with high levels of patient satisfaction, with less disruption to
normal life and without a potentially prolonged wait in the emergency
department first.
Once a patient is admitted to HITH, the Hospital takes full responsibility for
all medical and nursing issues until the patient is discharged back to the
care of the GP. Patients that deteriorate whilst on the HITH programme will
be admitted to Royal Darwin Hospital.
GPs can refer during weekday working hours by telephoning the
Infectious Diseases Physician on call via Royal Darwin Hospital
switchboard Ph: 8922 8888. Afterhours referral via ED.
The Darwin and Palmerston metropolitan areas are covered as far as
Humpty Doo. (If your patient lives in the Darwin Rural Area, still consider a
referral as arrangements can often be made.)
Suitable Patients are those who are medically stable, have appropriate
social supports (including a designated support person, telephone, safe and
hygienic home environment and able to communicate effectively) and are
able to consent to home-based therapy may benefit from a direct referral.
Common indications for HITH include:
 Cellulitis and other skin and soft tissue infections
 Uncomplicated diabetic foot infections
 Deep venous thrombosis
 Others – call if you think you have a suitable candidate
Referral Information
Back to index
IMMUNOLOGY and ALLERGY
- Public Patients are seen at Outpatient Department RDH
Dr Peter Bourke®
Adult and Paediatric
service
Public/private®
Public/private® referral to Dr Peter Bourke OPD via SEMS or Fax: 8945
3068
Patients either seen at RDH OPD or Palmerston Health Precinct. Corner
Roystonea Avenue and Temple Terrace.
Download Map
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
INFECTIOUS DISEASES
– Public Patients are seen at Outpatient Department RDH
Dr Bart Currie®
Dr Nick Anstey®
Dr Nick Coatsworth®
Dr Erana Gray®
Dr Sarah Huffam®
Dr Ric Price®
Dr Anna Ralph®
Dr Emma Spencer®
Dr Steven Tong®
Infectious Diseases
CDC
Surveillance of selected communicable
diseases and outbreak investigation;
initiation of appropriate control measures;
development and monitoring of immunisation
programs; reports on outbreaks of
communicable diseases of public health
importance to health professionals and the
general community
The Notifiable Diseases Act requires doctors
to notify diseases which are scheduled under
the Act. Download Notifiable conditions to
be reported in the NT
Communicable
Diseases Centre
Building 4 RDH
Notifications
Public/private®
Some of the diseases are designated as
urgently notifiable (marked with a phone
symbol
) and some are non-urgent.
Clinic 34
® =Rights of private practice at RDH
Back to index
Sexual Health & Infectious diseases clinics
(sexual health/viral hepatitis and HIV)
Specialist clinic conducted by ID specialist on call on rotational basis
Send referral to Specialist by name or Dr Currie and colleagues Infectious
Diseases at OPD via SEMS or Fax: 8945 3068
Address
Dr Vicki Krause Director
CDC Darwin
CDC Katherine
CDC Nhulunbuy
Phone
8922 8510
8922 8044
8973 9049
8987 0359
Fax
8922 8310
8922 8310
8973 9048
8987 0355
There are two ways to notify a disease:
1.
Telephone local CDC number - any of the diseases on the list can be
notified by telephone.
2.
Notification Form - this form can be filled in and sent postage-free to
the Centre for Disease Control or by fax .
If CDC requires further information or if a public health response is required,
we will always get in contact with you. Please contact us .
Liver clinic referrals that require specialist input should all be referred to
RDH.see Liver Clinic
NEUROLOGY
- Public Patients seen at Outpatient Department RDH
(Please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and
improve the efficiency of results management internally within RDH.)
Dr Jim Burrow®
Neurology,
Nerve Conduction studies
Public/private®
& Private
Public/private® referral to Dr Jim Burrow or Consultant Physician
Neurology OPD via SEMS or Fax: 8945 3068
or contact Samantha Dapiran - Division of Medicine on Ph: 8944 8098 or
Fax: 8922 8463
Private Appointments via to Specialist Suites, DPH
Please fax referral - Fax: 8945 5700
Ph: 8945 5000
Nerve Conduction Studies
Dr Jim Burrow®
Public/private®
& Private
Public/private® and Private Appointments are via Dr Jim Burrow’s private
rooms
Specialist Suites, DPH
Please fax referral - Fax: 8945 5700
Ph: 8945 5000
EEG
Dr Jim Burrow®
Public/private®
& Private
EEG Nurse Elke Pohl
Please fax referral – Fax: 8944 8388
Ph: 8922 8440
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
ONCOLOGY
- All Patients are now seen at the Alan Walker Cancer Care Centre
- All referrals should be sent directly to the Alan Walker Care Centre by fax: 8944 8222. Ph: 8944 8220
Dr Narayan Karanth®
Medical Oncology
Public/private®
Send public/private® referral to Consultant by name Oncology OPD via
SEMS or Fax: 8945 3068
All Patients are now seen at the Alan Walker Cancer Care Centre. All
referrals should be sent directly to the Alan Walker Cancer Care Centre by
Fax: 8944 8222 or Ph: 8944 8220
Currently there are 3 consultant clinics & 3 registrar clinics and an urgent
clinic on Thursday morning (short one). The regular clinics are done on
Mon/ Wed/ Fri (all mornings). Clinics are supported by breast care nurse &
cancer support nurse.
In case of urgency, GPs should contact the medical oncology registrar
through the hospital switch board. Consultant can be approached if registrar
is not reachable.
(Forwarding results to RDH or other NT Hospital - please request a copy
of results to be sent to Jade Care Clinicals.
This will make it easier for the hospital clinicians to obtain the results and
improve the efficiency of results management internally within RDH.)
Dr Narayan Karanth®
Medical Oncology
Public/private®
& Private
Send Public/private® referral to NT Medical Specialist Ph: 08 8927 7026,
Fax: 08 8927 7038, Email [email protected]
Dr Siddhartha Baxi
Radiation Oncologist
Public
Dr Sid Selva (visiting)
Send referral to or Dr Baxi or Consultant Physician Radiation Oncology
OPD via SEMS or Fax: 8945 3068
All Patients are now seen at the Alan Walker Cancer Care Centre. All
referrals should be sent directly to the Alan Walker Cancer Care Centre by
Fax: 8944 8222, Ph: 8944 8220
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
The Alan Walker Cancer
Care Centre (AWCCC)
Radiation Oncology
Medical Oncology
Haematology
Allied health support
The AWCCC provides a comprehensive range of services including:
radiation and medical oncology, haematology, chemotherapy nursing, and
allied health ( social workers, physiotherapy, dietetics, Aboriginal liaison
support)
Referral to the medical oncology should be addressed to AWCC.
Northern Territory Radiation Oncology (NTRO) provides the radiation
oncology services to the AWCCC. The NTRO operates as an outpatient
facility, Monday to Friday 8.00am to 4.30pm. NTRO is located on the
premises of the Royal Darwin Hospital - see site map on NTRO website.
NTRO is supported by the Royal Adelaide Hospital Cancer Centre and is
staffed by radiation oncologists, physicists and radiation therapists.
Treatments not supported at the AWCCC are paediatrics, stereotactic
radiosurgery, total body irradiation, brachytherapy and positronic emission
tomography. PATS services will still remain available for patients requiring,
and still receiving, treatment outside of the Territory.
Patients travelling from outside of the Darwin region for Radiation Oncology
treatment will be offered unit-style accommodation at the Mirambeena
Street Facility in Darwin. (Offers separate male / female accommodation
wings or family rooms; access to domestic cooking facilities or the option of
catered meals; and patient transport to the AWCCC.)
Fax referrals to: 8944 8222, Ph: 8944 8220
Post- NT Radiation Oncology Pty Ltd , PO Box 41326, Casuarina, NT 0811
Please visit www.NTRO.com.au
Radiation Oncology Clinical
Radiation Oncology Patient Information.
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
PALLIATIVE CARE
- Public patients are seen at Outpatient Department RDH or at Top End Palliative Care
Dr Anthoulla Mohamudally®
Dr Wendy Terry ( visiting)
Dr Michael Barbato ( visiting)
Palliative Medicine
Physician
Allied Health Team (Social
Worker, Occupational
Therapist, Dietitian,
Physiotherapist, Pastoral
Carer)
Public/private®
Refer to Palliative Care:
Public Patients are seen at both Outpatient Department RDH or at Top End
Territory Palliative Care,
Building 58 (Menzies Building), Royal Darwin Hospital
PO Box 41326, Casuarina NT 0810
Ph: 8922 6761 or Fax: 8922 6775
After a referral is received an assessment will be undertaken. Once a patient
is accepted onto the service the palliative care team will work with GPs to
tailor a suitable plan of care.
Patient/family member may also self-refer.
Bereavement care and support is available to family members and
significant others.
Advanced Care Planning and end of life decision making
Advanced care planning for Territorians pamphlet
Form - Natural Death Act Declaration
Form -Statement of Choices
Hospice
The Hospice is a specialised 12 bed short-stay facility located on the
grounds of RDH in Darwin. The hospice accepts admissions for active
symptom management, as a transition to home from hospital, or for care in
the final stage of illness. There is limited access for respite care.
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
REHABILITATION AND MEDICAL PAIN SERVICE
- All Public Patients seen at Building 15
Dr Gavin Chin®
Director, Rehabilitation &
Medical Pain Service
Public/private®
and private
All rehabilitation/medical pain patients are seen at building 15 ( near
laundry) –Download: Royal Darwin Hospital Campus Map (Adobe PDF
document - 169KB)
Public referrals to Dr Chin/Flavell Rehabilitation: Fax: 8922 8900
Ph: 8922 8866
Private referrals through RDH specialist suites, DPH
Appointments: Ph: 8945 5000 Fax: 8945 5700
Note: Dr Chin will either see patients at hospital specialist suites or at
Integrated Rehabilitation NT
Dr Howard Flavell®
Rehabilitation
Public/private®
Territory Integrated Pain
Service (TIPS)
Multidisciplinary Pain
Management Clinic
Public
Integrated Rehabilitation NT
– Dr Gavin Chin
Private Rehabilitation and
Private
Pain Management clinic
with DPH inpatient service.
Located next to NT Cardiac Services (First floor near Corella Ward)
Also provides private foot orthotic and specialist footwear for adults and
children.
Phone or Fax: 8981 3645 or Email: [email protected]
Dr Vernon Hill
Visiting Pain Service
Patients usually seen at RDH Specialist Suites DPH.
Public patients via tertiary referral.
Send referrals to TIPS.
Fax: 8922 8900
Ph: 8922 8866
Assessment by multidisciplinary team with medical support, close liaison
with the Royal Adelaide Hospital Pain Service
Referrals with completed pain assessment to TIPS:
Fax: 8922 8900
Ph: 8922 8866
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
RENAL
- Public patients are seen at Outpatient Department RDH
GPs to send in referral
The Department of Renal Services is very happy to receive referrals from GPs who need help in the management of their renal patients. A referral with the
main immediate problem together with a list of prescribed medications and relevant past history would be helpful. This can be sent to the Royal Darwin
Hospital where appointments will be organised to see the patient at RDH or at the Palmerston campus.
We provide the following services:
1. Assessment of patients with haematuria and proteinuria.
2. Assessment of renal impairment.
3. Preparation for renal replacement therapy.
4. Donor assessment for potential live transplant donors.
5. Renal calculi.
6. Hypertension
7. Electrolyte abnormalities
(Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital
clinicians to obtain the results and improve the efficiency of results management internally within RDH.)
Address
Phone
Fax
Dr Gregory Perry®
Director Renal Services
Public/private®
All public/private® patients currently seen at RDH
Dr Asanga Abeyaratne®
Nephrology
Public/private® Send referral to Specialist by name or to Dr Perry and colleagues, Renal
Clinic at RDH OPD via SEMS or Fax: 8945 3068.
Dr Jacqui Hughes®
Nephrology
Public/private®
(Forwarding results to RDH or other NT Hospital - please request a copy
Dr William Majoni®
Nephrology
Public/private® of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results
Dr Madhivan Sundaram®
Nephrology
Public/private® management internally within RDH.)
Dr Paul Lawton
® =Rights of private practice at RDH
Back to index
Nephrology
Private only
Specialist Suites, DPH
8945 5000
8945 5700
NT RESPIRATORY & SLEEP OUTPATIENTS SERVICES
- Public patients are seen at Outpatient Department RDH
Physician Name
Service
Resident Local
Respiratory and Sleep
Specialist- RDH
General respiratory and
sleep consultation,
Pulmonary function test,
Home oxygen, Sleep
studies and Bronchoscopy
Public/
Private
Address, contact details and Service offered
Phone
Fax
All public patients currently seen at RDH – Please see below for private referrals
Send referral to Physician by name Respiratory Clinic via Secure Electronic
Messaging SEMS to Respiratory OPD or Fax public referrals to Respiratory OPD on
8945 3068
Dr Subash
Heraganahally®
Respiratory and Sleep
Physician –RDH and DPH
Public/
private® &
Private
Dr Rebecca Pearson
Respiratory Physician
Public/
private® &
Private
Dr Csaba Varga®
Respiratory Physician
Public/priva
te® only
Please ensure to send all relevant patients information such as CXR/ CT and
Pulmonary Function Tests performed prior to the appointment. (Forwarding results
to RDH or other NT Hospital - please request a copy of results to be sent to Jade
Care Clinicals. This will make it easier for the hospital clinicians to obtain the results
and improve the efficiency of results management internally within RDH.)
Respiratory link team supports post-discharge care for severely ill patients with
respiratory illness, especially COPD & Bronchiectasis, to maintain their
independence supported by Nurses Ms Tina Quirk, Kay Farquharson
(RDH/Remote) Ph: 08 8944 8059 Fax: 08 8922 8111 and Coralie Brannelly, Aoife
Bradley (Darwin community) with Dr Subash Heraganahally or Dr Csaba Varga, Dr
Rebecca Pearson (Respiratory Physician) and case conferencing with GPs.
Long term Oxygen issues contact
Community Respiratory Nurse
Specialist Nurse Unit, Casuarina
Ph: 08 8985 8158 Fax: 08 8985 8038
Urgent Respiratory and Sleep consults for both urban and remote patients can
be discussed with the respiratory registrar at RDH. Can be contacted through
RDH switch board Ph: 08 8922 8888
Visiting Respiratory
and Sleep specialist –
RDH
Dr Robert Edwards
Respiratory and Sleep
Physician – Visiting once
every 2 months from QLD
Public &
Private
All public patients currently seen at RDH – Please see below for private referrals
Send referral via Secure Electronic Messaging Service SEMS to Consultant
Physician Respiratory OPD or Fax public referrals to Respiratory OPD on 8945
3068
Please ensure to send all relevant patients information such as CXR/ CT and
Pulmonary Function Tests if performed prior to the appointment
Bronchoscopy referral.
(Forwarding results to RDH or other NT Hospital - please request a copy of results
to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to
obtain the results and improve the efficiency of results management internally within
RDH.)
Dr Rebecca Pearson
Respiratory Physician
Public/
private® &
Private
Private Appointments via Specialist Suites, DPH
Please fax referral to Fax: 8945 5700
Ph: 8945 5000
Dr Robert Edwards
Visiting service bi-monthly
Respiratory and sleep
specialist
Public &
Private
Private referral contact Pam at Central Specialist Clinic
GPO Box 2045 Darwin 0801
Ph: 8981 9966
Fax: 8941 0595
Private Rooms Qld Ph: 07 3832 1717 / 07 3870 4511
Or at:
NT Medical Specialist
21 Vanderlin Drive, Wanguri, NT 0810
PO Box 43347, Casuarina NT 0810
Ph: 8927 7026, Fax: 8727 7038
Email: [email protected]
Please complete and forward the Referral for Sleep Consultation / Studies Form
Dr Shalini Bastlampillai
Visiting service
Respiratory and sleep
specialist
Private
Sleep Lab available for diagnostic sleep studies and CPAP studies.
NT Medical Specialist
21 Vanderlin Drive, Wanguri, NT 0810
PO Box 43347, Casuarina NT 0810
Ph: 8927 7026, Fax: 8727 7038
Email: [email protected]
Please complete and forward the Referral for Sleep Consultation / Studies Form
Diagnostic sleep studies,
Queensland
Respiratory Laboratory Sleep Apnoea, Restless
Dr Robert Edwards
Leg Syndrome, Insomnia,
Snoring, Narcolepsy,
Obesity Hypoventilation
Syndrome, Cheyne
Stokes Respiration and
Type II Respiratory
Failure.
Public &
Private
Sleep Lab available for diagnostic sleep studies and CPAP studies
Please fax the referral to 8920 6008 and the staff will contact the patient with
the next available appointment. Patients will be automatically assigned to a sleep
specialist or you can specify specialist on the referral.
Phone: 8981 9966/ 8941 0595
Referral template is available on their website with a medical director referral format
available.
Sleep Study Information
Referral Information
RDH Pulmonary
Function Laboratory
Respiratory Physician Dr Subash Heraganahally
Dr Csaba Varga
Refer Public/private®
Referral to OPD via SEMS or Fax: 8945 3068 or book through Pulmonary Function Nurse
Phone: 8922 7620
The Pulmonary Function Laboratory is located on the ground floor of the hospital in Area 2 of
the Outpatients Department. Patients should arrive 10 minutes before booked time to allow for
check-in with the receptionist and should also be instructed to take their Medicare Card to their
appointment.
Form – Pulmonary Function Laboratory
Pulmonary Function Laboratory Patient Information
Respiratory
Rehabilitation Program
Respiratory CNC,
Department of Health
‘Inspirations’ - A Pulmonary Rehabilitation Program for people living with Chronic Lung
Conditions at Palmerston Community Care Centre. Next course commences Sept 2012.
Phone: 8944 8059, Fax: 8922 8111
Email: [email protected]
Form: Referral for Pulmonary Rehab Program
Inspirations Program Brochure
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
RHEUMATOLOGY
- Public patients are seen at Outpatient Department RDH
Dr Peter Bourke (Allergy
and Immunology) and
Rheumatology
Public
Dr Rory Hannah (Allergy
and Immunology) are
currently covering
Rheumatology, new
consultant to be advised in
November 2014
Dr Mary Samuel
All public patients currently seen at RDH.
Send referral to Rheumatology OPD on fax number 8945 3068 or fax number 8922
7822 or email to [email protected]
Phone queries to Carly, Rheumatology Nurse 8944 8313.
Please ensure to send all relevant patients information and work up is performed prior
to the appointment.
Information about referrals to Rheumatology at RDH, dated September 2012
(Forwarding results to RDH or other NT Hospital - please request a copy of results
to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to
obtain the results and improve the efficiency of results management internally within
RDH.)
Rheumatology
Private
Private Patients are seen at Private rooms: Tiwi Medical Centre
8/5 Tiwi Gardens Rd
Appointments: Phone: 8945 5811 or Fax: 8945 5822
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
MENTAL HEALTH
- Public patients are seen at Tamarind Centre, Ross Smith Drive, Parap
Psychology and Counselling services
Darwin Psychological Directory- Darwin Directory of Psychological Services
Alice Springs Psychological Directory- Alice Springs Directory of Psychological Services
Crisis Assessment Triage Team and GP Liaison Call 1800 68 22 88
see attached information letter
Mental Health Services
Top End Mental Health Services
Tamarind Centre, Parap - General Inquiries & Appointments Fax: 8999 4999 Phone: 8999 4988
Crisis Assessment Triage Team & GP Liaison
Adult Team
Child and Adolescent Team
Education and Training Team
CATT team
Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) on 1800 682 288
GP Liaison Service


GP Liaison Service for GPs in the Darwin urban region offers review and advice to GPs in the management of non-urgent mental health matters
and associated medication management issues. Mental health issues may include; significant mood or anxiety disorders, trauma, or psychosis
The GP Liaison service does not provide initial assessment for clients that have not been commenced on treatment or do not have a Mental Health
Care Plan in place. These options should be trialled by the primary care provider prior to any referral. However, a referral for a review of client
under treatment may be arranged. General Practitioners are provided with written reports to assist in the ongoing management of complex
presentations.


-
-
If issues are related to addiction problems then Department of Health Alcohol and Other Drugs services should be contacted not TEMHS. AOD –
8922 8399 or Amity house - 1800 684 372 for alcohol and drug issues
GP Liaison has limited resources, as such, before they any referrals, they ask that:
GPs have active consent from the patient for them to be referred to GP Liaison.
GP will have commenced a treatment regime, and monitored the efficacy of medications, prior to referring in for the GP Liaison Service.
GP have explored other intervention options such as a Mental Health Care Plan.
GP commits to remain as primary care provider for the patient and will implement management plan
GP is to provide a comprehensive history, including, presenting issue, past and current treatments, interventions tried and other services involved
in the referral
Please do not refer to GP Liaison for diagnostic clarification. This function can be discussed with TEMHS intake service (89994988) or via private
practitioners.
Please remember:
 Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) on 1800 682
288
 For review referral your primary concern must be one around mental illness and the client should be on treatment that is not currently therapeutic
prior to referral. If this is not the case you will be provided with appropriate advice via phone or return letter.
 Other services and options exist to provide you with assistance, such as: AOD - 892 28399 or Amity house - 1800 684 372 for alcohol and drug issues
 Mental Health Care plan for psychotherapies and treatment for emotional issues, often the most appropriate first line intervention with high
prevalence disorders.
 Headspace, for Youth mental health support.(Up to 24 years) 89315999
 Patients cannot self-refer into GP Liaison.
 Should your patient fail to attend their appointment, the referral will be closed. You will be notified and are able to re-refer if you wish.
The Mental Health and Related Services Act is the legislation that governs the delivery of mental health services in the Northern Territory and the
treatment of people with mental illness in hospitals and the community.
Voluntary admission - a patient is not subject to any order under the Mental Health and Related Services Act. The patient may be managed as a
voluntary patient in the community or in a hospital. Referral may be made by GP, mental health worker, self or other e.g. a parent or family member.
Patient must consent to treatment and admission.
Involuntary admission is an admission because of mental illness or mental disturbance. Patients must accept any necessary psychiatric treatment that is
ordered. The patient may be admitted as:
1. an involuntary client in the community under a Community Management Order, or
2. an involuntary patient in the hospital. Whilst admitted involuntarily, the patient cannot leave the hospital without permission.
Mental Illness - the doctor must be satisfied that the patient has a mental illness and because of that illness:
 needs treatment that is available at the hospital; and
 without treatment, they are likely to seriously harm themself /someone else or become more unwell.
Mental Disturbance
 Patient does not fulfil the criteria for involuntary admission on the grounds of mental illness; and
 their behaviour is, or has over the past 48 hours, been so irrational as to lead to the conclusion that:
o for some reason they are not functioning normally; and
o their behaviour has been so abnormally aggressive or irresponsible to justify the need for psychiatric assessment or care in hospital.
The following brochures provide more information about specific areas of the Act:
Rights and Responsibilities (Adobe PDF document - 712KB)
Involuntary Admission (Adobe PDF document - 719KB)
Voluntary Admission (Adobe PDF document - 716KB)
Community Management (Adobe PDF document - 717KB)
Community Visitor Program (Adobe PDF document - 668KB)
Mental Health Review Tribunal (Adobe PDF document - 716KB)
Forms for practitioners:
Under the Act, any medical practitioner registered to practice in the Northern Territory can make a Recommendation for Psychiatric Examination. To do so,
please complete Form 9 - Entry to Mental Health Services (Adobe PDF document - 464KB) Part A and fax to:
Darwin Region: (08) 8922 8878
Katherine Mental Health Service: (08) 8973 8724
Nhulunbuy Mental Health Service: (08) 8967 0415
Tennant Creek Mental Health Service: (08) 8962 4300
Alice Springs Mental Health Service: (08) 8951 7710
Top End Mental Health Services –
Adult Services
Dr Rob Parker, Director
Dr Anne Patton
Dr Sharon Crabbe
Dr Mali De Silva
Dr Veruska Krigovsky
Dr Caroline Little
Dr Kevin Smith
Dr Rajiv Werasundera
Dr Suriya Shanmugham
Dr Stephen Robertson - Forensics
All public outpatient consultations are at:
Tamarind Centre,
Ross Smith Ave, Parap
Referrals: Phone 8999 4988. Fax: 8999 4999
Referral process to TEMHS:
Any acute mental health crisis should be discussed with the 24 hour Northern Territory
Crisis Assessment and Triage Team (CATT) on 1800 682 288
GP Referrals – ring and discuss your referral with GP Liaison team on 1800 682 288, this is
best done when you have the client with you. The triage clinician will discuss presentation
and available options with you. Then send your referral or a completed GP Liaison referral
form by fax to (08) 8942 6568
CATT team can then advise on:
 best location for patient to be assessed:
o Depending on patient location and CATT workload , CATT team may be able to attend
patient or will see in Building 9 on RDH campus – opposite Cowdy ward
o Tamarind Centre during working day hours
o If patient is likely for admission, the usual practice will be to refer patient to ED where
facility/infrastructure is better setup for this process
 options for transport of patient
o
o
o
Personal arrangements
Ambulance
Police should be considered last resort and only if patient is dangerous, also needs
escort.
If GP believes the patient requires an urgent psychiatric assessment, please contact
NTCATT.
GP can complete Entry to Mental Health Services Form 09. This enables patient to be
detained for 6 hours and requires the patient to be assessed by an Authorised Psychiatric
Practitioner (APP) or a Designated Mental Health Provider DMHP. For remote patients the
assessment may be done by telephone and/or via a DMO who can liaise with APP.
Where a medical officer refers for a psychiatric assessment it may be that the patient is
assessed by either an APP or DMHP. While there is no mandated requirement to inform the
referring medical officer of the outcome of this process it is considered best practice that the
referring MO should be informed of the outcome especially should the situation arise that
admission was not deemed necessary.
Phone
Phone
Darwin Team
8999 4988
Katherine Team
8973 8722
After Hours and Emergency
1800 682 288
After Hours and Emergency -Katherine
8973 9211
Inpatient Unit (at RDH Campus)
8922 8850
Forensic Team (at RDH Campus)
8922 7800
East Arnhem Team
8987 0400
Darwin Rural Team (at RDH Campus)
8922 8317
After Hours Emergency –East Arnhem
8987 0211
PSYCHIATRY
- Public patients are seen at Outpatient Department Tamarind Centre, Ross Smith Avenue PARAP
Address
Phone
8973 8722
Fax
Public/private®
Palmerston GP Super Clinic
Palmerston Health Precinct
3 Gurd St Farrar (Corner Roystonea Avenue
and Temple Terrace)
Palmerston
Email: [email protected]
8919 8919
8931 3737
No Public Service
Provision of psychiatric
opinions on patients over
18yrs, not requiring stimulant
medication or ADHD
assessment for whom a
Mental Health Care Plan has
been prepared, will be made.
3 clinical sessions per week,
including assessment and
treatment advice, medicolegal and worker’s comp.
1-2 session / week
Assessment and care
planning only, work related
Private
Territory Medical Group - Bayside
Shop 3, 9 Keith lane
Fannie Bay NT 0820
08 8941 3729
8948 4322
Private
PO Box 42478
Casuarina 0811
Private Rooms in Malak. Patients will be
advised of address at time of appointment
confirmation.
0466 585 078
8927 4024
1 session / week
Assessment and care
planning only
Saturday videoconference
Private
Please send your referrals to :
CDU Medical Centre
PO Box 41291, Casuarina, NT 0810
Lakeside Drive, Alawa, NT 0820
08 8901 8800
8901 8811
Dr Jill Pettigrew
Katherine
Public
Dr Sharon Crabbe ®
Public and sessional private
Dr Mary Frost
Dr Tricia Nagel
Dr Dinesh Arya
E: [email protected]
Letter of Introduction
Psychsupport
Online service providing advice from psychiatrists
within 24 hours.
 General adult psychiatry
 Child & adolescent psychiatry
 Old age psychiatry
 Drug and alcohol psychiatry
Free Phone: 1800 200 588. You will be asked some brief questions and a
psychiatrist will call you back within 24 hours.
Free Fax: 1800 012 422. Using the faxback form, provide details regarding
the issue for discussion. A psychiatrist will then fax or phone you to discuss
case details.
Email: www.psychsupport.com.au
- is a secure and password protected website. Log in and submit your
questions online. For your username and password, call 1800 200 588.
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
MATERNAL & CHILD HEALTH
GYNAECOLOGY
Note all public consultations occur in the OPD - 8th floor, main block, RDH
Dr Margaret O’Brien (Head of
Division until 1 July 2013) ®
Obstetrics & Gynae
Public/private®
Address
Public/private® referral to Specialist by
name at RDHOPD via SEMS or Fax:
8945 3068
Phone
Fax
8945 3068
8945 6911
8945 6922
8948 4333
8948 4322
Dr Jane Thorn ®
(Forwarding results to RDH or other NT
Hospital - please request a copy of
results to be sent to Jade Care Clinicals.
This will make it easier for the hospital
clinicians to obtain the results and
improve the efficiency of results
management internally within RDH.)
Dr Sujatha Thomas®
Dr Kirsten Connan ®
Dr Nader Gad®
Gynae, Colposcopy,
Urodynamic studies,
Novasure Endometrial
Ablation and Adiana
Tubal Sterilisation.
Public/private®
Privare, Gynae
only
Public/private® referral to Dr Gad,
Consultant Gynaecologist OPD via SEMS
or Fax: 8945 3068
Private referral to
Darwin Gynaecology Specialist Clinic
Casuarina Shopping Village
23A/54 Bradshaw Terrace, Casuarina
Dr Wahin Lee®
Dr Peter Beaumont
Gynae X Clinic Only
(STOP Clinic)
Public/private®
See Surgical Termination of Pregnancy
Please refer to Dr Lee Gynae X clinic via
SEMS or Fax: 8945 3068
Dr Gina Wulf
Gynae, Colposcopy
Private Gynae
only
Private Rooms
Territory Medical Group - Nightcliff
Woolworths Complex, 159 Dick Ward
Drive NIGHTCLIFF NT 0810
E: [email protected]
Address
Private Rooms
Territory Medical Group - Nightcliff
Woolworths Complex, 159 Dick Ward
Drive NIGHTCLIFF NT 0810
E: [email protected]
Phone
8948 4333
Fax
8948 4322
Dr Oseka Onuma
Gynaecology,
Urogynaecology & Pelvic
Reconstructive Surgery,
Urodynamics,
Labioplasty &
Vaginoplasty
Private
Dr Andrew Miller
Obstetrics,
Gynaecology
Private STOP
No Public Service
Private only
Consulting Suite, DPH
8920 6201/
8945 5233
8920 6248
Dr Stephen O'Callaghan
Obstetrics only,
Subspecialist in
Maternal-Fetal Medicine
No Public Service
Private only
Consulting Suite, DPH
8927 0108
8927 0118
Dr Jenny Mitchell
Obstetrics,
Gynaecology
No Public Service
Private only
Consulting Suite, DPH
8920 6173
8920 6183
Assoc Prof Ossie Petrucco
Visiting private
gynaecology service
Private only
Book through private rooms in Adelaide,
Patients seen in DPH consulting suites.
8364 3376
8364 6315
Dr Alex Crandon
Gynae, Oncology,
Tertiary referral only
Visiting service
public
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
GYNAECOLOGY SERVICES
Urodynamic assessment
for women
Dr Nader Gad®
Public/private®
and Private
Also See Urology
Dr Oseka Onuma
Colposcopy
(Forwarding results to RDH or
other NT Hospital - please
request a copy of results to be
sent to Jade Care Clinicals. This
will make it easier for the
hospital clinicians to obtain the
results and improve the
efficiency of results
management internally within
RDH.)
Private
Public/private® Referral: to Colposcopy
Clinic
Patient does not need to attend
Gynaecology OPD first.
Private referral: See Drs Miller, Mitchell,
Wulf
Address
Public/private® referral to RDH
Outpatients via SEMS or Fax: 8945 3068
Phone
Fax
Private referrals to Dr Nader Gad
Darwin Gynaecology Specialist Clinic
Casuarina Shopping Village
23A/54 Bradshaw Terrace, Casuarina
8945 6911
8945 6922
Territory Medical Group - Nightcliff
8948 4333
8948 4322
Woolworths Complex, 159 Dick Ward
Drive, Nightcliff, NT 0810
E: mailto:[email protected]
RDH OPD via SEMS to Consultant Gynaecologist Colposcopy Clinic or Fax:
8945 3068
Indicate for colposcopy, and attach PAP/ HPV results.
Referrals that indicate "for continuing care and management” will be valid for
the entire treatment of the patient’s condition and the patient will not need to
get another referral for treatment and follow up that continues beyond 12
months.
Provide a Patient Information Sheet
Results are given to patient by the Colposcopist at a three week follow up
appointment when further follow up is also organised.
A letter to the GP will be written on all new patients with a referral letter and for
previous patients if further problems occur. The letter will provide information
as to the colposcopy findings and the continuing care plan.
If a pap smear only was performed, a copy will be sent to the referring GP and
the patient advised to contact their GP for the result.
GPs can obtain recent results by faxing a signed patient information release
form to Pathology for recent results (or to the Community Liaison on 8922 7865
for older results). Remember to request specific results (e.g. PAP smear result
and biopsy result) otherwise only one result may be sent.
® =Rights of private practice at RDH
Back to index
SEXUAL & REPRODUCTIVE HEALTH
Reproductive
Medicine Unit
Family Planning
Welfare NT
Dr Stephanie Girle
Dr Nicky Purser
Rotating support from
Adelaide
Public &
Private
Contraception including Implanon, IUD
insertion; management of sexual
dysfunction including psychological
support from clinical psychologist;
office gynaecology; pregnancy issues
including first trimester ante-natal and
post-natal care; well woman screening
Dr Erana Gray
Clinic 34
Sexual Health &
Infectious diseases
clinics (viral hepatitis
and HIV)
Sexual Assault
Referral Centre
(SARC)
Mobile Outreach
Services (MOS)
Dr Nathan Ryder
HIV and sexual health, available
Monday – Wednesday at Clinic 34, HIV
specialist nurse Peter Nibbs
Counsellor and doctor available 24
hours to discuss adult and child acute
or historical sexual assault cases. Child
and adult forensic examinations.
Counselling available to anyone who
may have experienced any form of
sexual assault or sexual abuse, either
recently or in the past.
Mobile counselling service to
Indigenous communities to assist with
healing of children and families who
may have been subjected to child
sexual assault
Address
Phone
Fax
Reproductive Medical Unit, DPH
8945 4211
8945 4255
Darwin and Palmerston
Head Office and Darwin Clinic
Unit 2 The Clock Tower,
Coconut Grove, NT 0810
PO Box Nightcliff NT 0814
Katherine -Katherine Clinic
Community Health Centre
Government Building, First Street
Katherine NT 0850
Offers a walk in STI screening service
Appointments also following GP referral
Grd Flr Health House, Mitchell St
Darwin
Phone 8999 2678
Fax 8999 2688
8948 0144
8948 0626
8971 3153
8973 8570
8999 2678
8999 2688
Darwin (24/7)
Katherine
Nhulunbuy
Coconut Grove
8922 6472
8973 9211
8962 1715
Freecall: 1800 193 121
Phone: 8948 0144
8922 6499
Offices in Darwin, Tennant Creek,
Katherine and Alice Springs
1800 993 064
Mandatory
Reporting
Domestic and Family Violence Act
•Another person has caused / likely to
cause serious physical harm to
someone else, with whom the other
person is in a domestic relationship
•The life or safety of another person is
under serious or imminent threat
because domestic violence has been,
is being or is about to be, committed.
(Source: Domestic and Family Violence
Amendment Act 2009)
The following toolkit, flowchart and fact sheet have been prepared by the Domestic and
Family Violence Policy Team in Department of Children and Families to help
government and non-government service providers understand and meet the new
mandatory reporting obligations
The Toolkit contains information and resources regarding partial confidentiality, risk
assessment, safety planning, and staff safety. The Toolkit provides suggestions and
ideas to assist organisations implement processes and policies to meet the new
reporting requirements
Mandatory Reporting Toolkit (Mandatory Reporting Toolkit.rtf)
The Flowchart is a useful outline of reporting processes and policies in steps you need
to take.
Mandatory Reporting Flowchart (Mandatory Reporting Flowchart.rtf)
This fact sheet gives an overview of the new obligations under sections 124 and 125 of
the Domestic and Family Violence Act.
Mandatory Reporting Fact Sheet (Mandatory Reporting Fact Sheet.rtf)
If you have a question about implementing the mandatory reporting of serious harm you
may want to check out the Frequently Asked Questions (Frequently Asked
Questions.rtf).
For further information contact the Domestic and Family Violence Policy
Team: Contact Us
Care and Protection Children Act 2007
Amendments were made to Section 26
of the Act on 20 August 2009 to change
the reporting obligations regarding
sexual offences involving children.
• <18 suffered/ likely to suffer harm or
exploitation
• <14 has been/ likely to be a victim of
a sexual offence (any sexual activity) •
14&15 years whi has been or is likely to
be sexually active with someone where
there is more than 2 years difference in
age (additional reporting requirement
for health practitioners)
 • 18 has been, or is likely to be
sexually active with a person that has
a relationship of ‘special care’ (i.e.
caring, instructing or supervising
relationship
Notifiable Diseases
Fact Sheet – REPORTING HARM AND SEXUAL OFFENCES INVOLVING CHILDREN
In the Northern Territory every person is required to report suspected child abuse and
neglect. The purpose of imposing a legal obligation on people to report suspected child
abuse and neglect to the department, is to protect children/young people from further
harm. Child abuse can be prevented. Identification and reporting of child abuse
are the beginnings of intervention and prevention of such abuse. By protecting the
child/young person and helping the family, future abuse can be reduced, even
eliminated.
Reports can be made to the 24 hour toll free number 1800 700 250
This booklet provides information for professionals reporting child abuse and neglect.
Reporting Child Abuse and Neglect (Reporting Child Abuse and Neglect Booklet.rtf)
The Notifiable Diseases Act requires doctors to notify diseases which are scheduled
under the Act.
See Notifications
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
OBSTETRIC CARE - PUBLIC
RDH OPD appointments - send referral to Antenatal Clinic OPD via SEMS or Fax: 8945 3068. Phone: 8922 8699
Note: The orange Hand Held Record should be completed. All public referrals should initially be referred to first antenatal clinic.
FOR ALL PATIENTS
GPs should:
 Confirm pregnancy and offer healthy pregnancy advice.
 Provide information on options of care – shared, private and public. Assess suitability and interest in GP shared care.
 GPs will need to provide first trimester care for all public patients (and the majority of private patients).
 All public referrals should initially be to first antenatal clinic.
 The orange hand held record should be completed, and provides a useful prompt and checklist to assist with comprehensive assessment.
 The pregnancy information kit (available from the NTML) should be provided to all women in their first pregnancy and as appropriate
 Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.
At the first antenal clinic visit at RDH, a women’s suitability for models of antenatal care will be assessed. If a woman is assessed as low risk, the woman has
the choice of continuing Shared Care with GP, or attending the Midwives Clinic at RDH, the Community Midwives Program, or continuing with the antenatal
clinic. See pamphlet “Pregnancy Care at RDH-Birthing Option “
Note: Women will not be offered these options for maternity care until her routine ANC is complete and no problems are identified.
For public patients ANC will also organise the fetal morphology scan for 18 weeks. If the woman has uncertain dates and no previous ultrasound RDH
usually do a dating scan at the first antenatal clinic but it is preferable for the GP to organise this.
Amniocentesis is available at the public hospital-performed from 15 weeks GA, or consider private referral for Amniocentesis: (Referral to Dr S O’Callaghan
-CVS and Amniocentesis available or Dr A Miller - Amniocentesis, note private fee would apply)
Second Trimester screening: 14w - 20w6d for maternal bloods only.
OPTION
REFERRAL
COMMENTS
Shared care between GP and Medical ANC/Obstetrician at RDH
GP Shared Care
Refer to First ANC indicating patient
would like to continue with GP Shared
Care.
Referral to RDH First ANC via SEMS
or fax: 8945 3068
Phone : 8922 8699
Women should be referred to first ANC between 12 - 20 weeks and then again at
36, 40 & 41 weeks.
GP provides majority of antenatal care. GP CARE in PREGNANCY GUIDE
Delivery at RDH Delivery Suite 6th floor Main ward block RDH.
Antenatal Clinic
All public referrals should
initially be referred to first
antenatal clinic.
Midwife Care
Note there are 3 current models
of midwifery care:

Midwives Clinic (MWC)

Community Midwives
Program (CMP)

Midwifery Group
Practice (MGP)
RDH First ANC Appointments: To
Antenatal OPD via SEMS
Phone : 8922 8699
Fax: 8945 3068
Note: all consultations occur in
OPD Clinic
8th floor
Main ward block, RDH
Refer to First ANC indicating patient
would like to continue care through
MWC or through CMP.
RDH First ANC Appointments: OPD
via SEMS
Phone: 8922 8699
Fax: 8945 3068
Note: all RDH consultations occur in
OPD Clinic
8th floor
Main ward block
RDH
Consultations also held at RDH
Specialist Suite at Palmerston Health
Precinct. Corner Roystonea Avenue
and Temple Terrace
Download Map
Patients who are considered not suitable for GP Shared Care or Midwife based
care will continue in ANC. Complete relevant sections of orange hand held
record.
As patients are not usually seen til 14 weeks GPs should provide first trimester
care GP CARE in PREGNANCY GUIDE
(Forwarding results to RDH or other NT Hospital - please request a copy of
results to be sent to Jade Care Clinicals. This will make it easier for the hospital
clinicians to obtain the results and improve the efficiency of results management
internally within RDH.)
1 Midwives Clinic (MWC)
Referral for MWC required before 22 weeks gestation. Midwife ANC based at
RDH OPD Clinic located on 8th floor, Main ward block, RDH. Delivery is at RDH
Delivery Suite 6th floor Main ward block RDH. Complete relevant sections of
orange hand held record.
2 Community Midwives Program (CMP)
CMP care is available only for low risk women. Strict entry criteria apply. Places
are limited. The model of care is very popular. Women can register their interest
directly to the Birth Centre from 14 weeks but will require a first visit in the
Antenatal Clinic. GPs should refer to ANC and indicate that the women would like
to be considered for CMP. GPs should complete relevant sections of orange hand
held record. CMP provides continuity of care through antenatal, intrapartum and
postnatal with care provided by midwives. Some places are reserved for women
with high social needs. Care is provided from Birth Centre at RDH but may
involve home visits. Delivery is either in the Birth Centre or at RDH Delivery Suite
6th floor. Early transfer home within 4 hours after birth if all is well otherwise
transfer to RDH. Postnatal follow up with initial daily home visits, 24-hour on-call
support and postnatal care for up to three weeks following birth.
3 Midwifery Group Practice (MGP)
The MGP offers Darwin-based care for remote Indigenous women, from
consultation rooms in Wanguri. Under the Midwifery Group Practice, women
are assigned a Darwin-based midwife who works in conjunction with an
Aboriginal Health Worker. The midwife accompanies the mother to any
specialist appointments, conducts their antenatal care and education, and
assists at the birth of the baby, either in the Delivery Suite or the Birth Centre
at Royal Darwin Hospital. The MGP began in September 2009 for mothers
from Wadeye, Maningrida, Palumpa and Peppimenarti. The communities of
Warruwi, Minjilang and Nauiyu Nambiyu (Daly River) have recently been
added to the program. The Practice is funded by the NT Government’s
Closing the Gap initiative with supplementary funding from the COAG
Indigenous Early Child Development Partnership.
Medical Obstetric
Antenatal Clinics
Public/private® - A combined Medical
and obstetric clinic – Obstetrician and
Endocrinologist.
Public hospital patients who meet inclusion criteria for Medical Obstetric Clinic
(see below) should be referred to Medical Obstetrics Clinic and addressed to
Endocrinologist, Dr Sridhar Chitturi, and Obstetrician, Dr Sujatha Thomas Fax
referrals to 8922 6750.
(High Risk Antenatal Clinic)
This clinic is designed to manage the care of women with high risk pregnancies
and with concurrent or pre-existing medical illnesses. Examples of co-existing
medical conditions warranting referral to this clinic include:
 Pre-gestational T1 and T2 diabetes,
 Thyroid disease: Graves’ disease, Hashimoto’s thyroiditis and
hypothyroidism,
 Pituitary dysfunction,
 Adrenal disorders,
 Severe hypertension,
 Active hepatic/renal/haematological/rheumatological/Infectious disease
needing joint care with sub-speciality teams,
 Cardiac disease – including mild valvular stenosis, moderate to severe
degrees of valvular dysfunction, prosthetic heart valves, history of heart
failure or prior surgery, myocardial dysfunction, congenital heart disease,
pulmonary hypertension, Marfans syndrome,
 Current or past history of venous or arterial thromboembolosim.
See attached Memo from Dr Thomas re Medical Obstetrics Clinic
RDH Delivery Suite
Private
Pregnant women who prefer to be seen by private obstetrician who have coexisting medical conditions warranting referral to an Endocrinologist privately,
should be referred to Dr Sridhar Chitturi (Fax 8945 5700) or Dr Diane Howard via
private referral. See ENDOCRINOLOGY& DIABETES
Urgent obstetric assessment
Phone: 8922 8688
Home Birth Options
Homebirth Service
0417 810 535
Homebirth offers a woman and her family one-to-one midwifery care in her home
throughout antenatal, intrapartum and postnatal period.
The current geographical boundary for homebirths in Darwin region is Howard
Springs Road. However, women outside the designated boundary area can still
have a homebirth by arranging accommodation in the Darwin or Palmerston
regions.
GPs can support care though arranging routine screening.
Backup care is provided through RDH ANC and Delivery Suite. Patients may also
be supported to deliver in the Birth Centre at RDH.
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
OBSTETRIC CARE - PRIVATE
Note: all private obstetricians require the patient to be assessed and referred by their GP prior to booking appointment. Where the
patient will not be seen before 12 weeks GPs should provide first trimester care. See GP CARE in PREGNANCY GUIDE
Dr Andrew Miller
Consulting Suite,
Darwin Private Hospital
Appointments:
Phone: 8920 6201 or 89455233
Or Fax referral 8920 6248.
Patients to bring referral to consultation.
Dr Miller provides team based care with a small group of midwives.
GPs should complete routine AN screening (including varicella if immune status is
unknown) prior to referral; requesting pathology provider to send a copy to Dr
Miller. First Visit appointments will usually be at around 15 weeks or 11+-13
weeks should patient request nuchal ultrasound screening for Down Syndrome.
Prenatal diagnosis services are available including referred ultrasound scanning,
chorion villus sampling, amniocentesis and nuchal translucency screening.
Urgent appointments may be made by contacting Dr Miller's rooms directly.
Dr Jenny Mitchell
Consulting Suite,
Darwin Private Hospital
Appointments:
Phone: 8920 6173
Or fax referral 8920 6183
GP referral to be faxed prior to appointment being made.
GPs should complete routine AN screening and dating scan (and or nuchal
translucency USS or screening) prior to referral, requesting pathology provider to
send a copy to Dr Mitchell. First visit appointments will usually be at around 10-13
weeks.
Patient numbers are limited with priority given to previous patients of Dr Mitchell.
Urgent appointments contact Dr Mitchell’s rooms directly.
Dr Stephen O'Callaghan
Consulting Suite,
Darwin Private Hospital
Appointments:
Phone: 8927 0108
Or fax referral 8927 0118
Patients to bring referral to consultation.
Dr O'Callaghan provides a comprehensive obstetric service. He likes to do his
own antenatal screening (including bloods) and scans. He is happy to see women
from 8-9 weeks. His wife Judy is a midwife and offers some support services.
Dr O'Callaghan performs nuchal translucency scans at 11-14 weeks +or- CVS or
amniocentesis, and routine scans at 17-22 weeks. GPs should include referral for
both these scans at the time of their initial referral.
Urgent appointments contact Dr O'Callaghan’s rooms directly.
Back to index
OTHER PREGNACY RELATED SERVICES/CLINICS
Pregnancy
Counselling
Free, professional, confidential
counselling in relation to pregnancy
testing, unplanned pregnancy, postabortion concerns, pregnancy support,
pregnancy loss & adoption
Healthdirect
Australia
The Pregnancy, Birth & Baby Information: healthdirect Australia helpline 1800 882 436 also provides (non emergency)
information related to pregnancy, birth and parenting in the first 12 months. The web site also has useful patient focussed
information on these topics.
Anti-D
Anti-D is available from RDH
Pathology or via your immunisation
order for the for Prevention of Rhesus
Alloimmunisation in Rh(D) negative
women


Anti-D should be given to cover
any first trimester bleed
occurring in Rh(D) negative
women. Rh(D) antigen is
expressed as early as four
weeks gestation
Routine Antenatal prophylaxis
is offered to all nonisoimmunised Rh(D) negative
women at 28 and 34 weeks of
gestation.
Pregnancy Helpline
Phone Tollfree: 1300 139 313 (national)
Pregnancy Counselling Link
Phone Tollfree: 1800 777 690 (national)
Please refer to the following guidelines for further information.
Accessing Anti-D for Prevention of Rhesus Alloimmunisation
Guidelines for Prevention of Rhesus Alloimmunisation in Rh(D) Negative Women
Form: Request for Rh(D) Immunoglobulin
How to Transport and Store your Vaccine
Early Pregnancy
Loss Clinic RDH
If any concerns about
whether the woman is
clinically stable please
refer to Emergency
Department through
usual channels.
An Early Pregnancy Loss Clinic held
every day (Mon- Thurs from 0900 –
1200 and Friday afternoon) aimed at
women who are having problems in the
first 14 weeks of their pregnancy, such
as pain or bleeding.
Inclusion Criteria.
 Pregnancy up to 13+6 weeks
gestation
 Pain and or vaginal bleeding, but
clinically stable
 Documented/suspected early
pregnancy loss
 Triage category 3, 4 or 5
Exclusion Criteria.
 More than 14 weeks completed
gestation
 Triage Category 1 or 2
 Haemodynamically unstable/ heavy
bleeding
 Pain requiring more than simple
analgesia
 Suspected ectopic (shoulder tip
pain, rebound tenderness,
abdominal rigidity, ↑ Pulse, ↓ BP)
 Routine pregnancy confirmation
 Routine pregnancy dating scans
 Hyperemesis gravidarum
 Pre-pregnancy counselling
 Complications following termination
of pregnancy
Please address referrals to Early Pregnancy Loss Clinic. Referral template
Referral to Dr Thorn, Thomas and Colleagues, Early Pregnancy Loss Clinic at RDH
OPD: SEMS or Fax : 8945 3068, or directly on 8922 6750.
Alternatively Phone OPD appointment (8am-4pm) EPLC reception on 8922 7985.
Note: all consultations occur in the outpatient clinics on the 8th floor, Main ward block,
RDH.
Please ensure the referral indicates the followingPlease ensure the referral clearly indicates that the referral is for Early Pregnancy Clinic
Please ensure the referral indicates the following Patient contact details including Phone numbers
 parity and gravidy
 LNMP
 definite positive pregnancy test
 amount and description of pain
 amount of bleeding
 any additional symptoms
The provision of incomplete information on these referrals can lead to unnecessary
delays and compromise care.
Please give woman the EPLC Patient Information.
Please ask the patient to bring a copy of the referral, and their Medicare and Health
Care Card to the appointment.
OPD Reception will contact the patient by telephone with details of appointment time.
Please ask the patient to bring a copy of the referral, and their Medicare and Health
Care Card to the appointment.
(Forwarding results to RDH or other NT Hospital - please request a copy of results
to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to
obtain the results and improve the efficiency of results management internally within
RDH.)
Surgical
Termination of
Pregnancy (STOP)
Private STOP
® =Rights of private practice at RDH
Back to index
Public/private® referrals:
Address referrals to GynaeX Clinic.
The Northern Territory’s Medical
Services Act (section 11) states that
abortion is lawful;
a) up to 14 weeks gestation, when
performed in a hospital by an
obstetrician or gynaecologist, where
that practitioner and another
practitioner are both of the opinion
that
i) The continuance of the
pregnancy would involve greater
risk to a woman’s life or greater risk
of injury to her physical or mental
health than if the pregnancy were
terminated; or
ii) there is a substantial risk that, if
the pregnancy were not terminated
and the child were to be born, the
child would have or suffer from
such physical or mental
abnormalities as to be seriously
handicapped.
Therefore to comply with legislation
GPs are required to provide a
statement indicating their support or
recommendation for termination of
pregnancy and whether the
“maternal health ground” or the
“fetal disability ground’ is satisfied.
Private: Dr Miller
Please address referrals to Dr Lee® at Gynae X Clinic. Form - STOP Referral
To Book appointment- Phone OPD on 8922 8699 (preferred).
Or
Alternatively Send referral to Dr Lee® at Gynae X Clinic RDH OPD clearly identify that it
is for STOP via SEMS or Fax: 8945 3068.
OPD reception will then contact the patient with details of appointment times for both
the Gynae X clinic and pre-admission clinic.
Please refer to additional information -GP information on Surgical Termination of
Pregnancy
Ensure the referral indicates that the referral is for a termination of pregnancy
Referrals must include a recommendation such as “I recommend termination of
pregnancy” (and add the physical or mental health reasons)
Where possible complete and note the following in referral –
 Gestational assessment,
 Patient counselled regarding options for unplanned pregnancy, and
 Patient counselled regarding STOP, Patient Information sheet PAP smear,
 Contraception requirements for the patient post-STOP
Ask the patient to bring a copy of the referral, and their Medicare card with them.
Note Gynae X clinic is at Darwin Private Hospital Preadmission clinic, on the Ground
Floor RDH Main Block
(Forwarding results to RDH or other NT Hospital - please request a copy of results
to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to
obtain the results and improve the efficiency of results management internally within
RDH.)
Through private referral process
Dr Miller: Consulting Suite, Darwin Private Hospital
Phone: 8920 6201 to book appt. and also fax referral: 8920 6248.
PAEDIATRICS
Where possible please refer to the paediatrician by name.
Dr Paul Bauert®
Referral interests
Director
General, respiratory and
developmental
Public/private®
Dr Charles Kilburn®
Cardiac
Public/private®
Dr Anita Cornelius®
General and intensivist
Public/private®
Dr Peter Morris®
General
Public/private®
Dr Annie Whybourne ®
General, developmental,
biomedical management
Public/private®
Dr Kathryn Roberts®
General and developmental
Public/private®
Dr Louise Woodward ®
General and Developmental
Public/private®
Dr Carolyn Maclennan ®
General and Developmental
Public/private®
Dr Louise Martin®
MAC team, child sexual
abuse
Public/private®
General and infectious
diseases
Public/private®
Dr Keith Edwards®
Community Paediatrician
general and developmental
Public/private®
Professor Anne Chang
Cough study Complex
respiratory via tertiary
referral only.
Dr Asha Bowen®
Where possible please refer to the paediatrician by name.
Send public referral to OPD via SEMS or Fax: 8945 3068.
Urgent Appointments please phone the Paediatric Nurse to arrange appointment
on 8922 9319.
Most patients will be bulk-billed for paediatric attendances. Parents or guardians
or patient should be told to bring their Medicare card to appointment.
(Forwarding results to RDH or other NT Hospital - please request a copy of
results to be sent to Jade Care Clinicals. This will make it easier for the hospital
clinicians to obtain the results and improve the efficiency of results management
internally within RDH.)
PLEASE NOTE: Under the MBS a child under 14 years seen by a
paediatrician with autism related disorders can now be on-referred by
paediatricians for up to 20 allied health services (occupational therapy,
psychology, speech therapy). This can be coordinated via paediatric
outpatients. Please refer to a paediatrician by name with an interest in
developmental paediatrics
Paediatricians can also write Better Access to Mental Health Care Plans to see
a psychologist for 6 visits + option further 6 visits for any child.
See Using the MBS to access services for children with behavioural disorders
Contact- telephone 8922 8444
Referrals to Cough Study- refer directly to Dr Chang via OPD at RDH. This is for
paediatric patients (<18years ) with chronic cough who are randomised into 2
groups- seen at 2 weeks or at 6 weeks.
Dr Marcel Zimmet
General, developmental,
(Not accepting new referrals) behavioural and learning
problems
Privatenew
Top End Paediatrics - clinics in Palmerston (Palmerston GP Superclinic) and
Darwin (CDU Medical Centre).
All appointments are made through Palmerston GP Super Clinic. If you have any
questions please ask to speak to Amber Cosgrove or Amanda Wheeler.
Palmerston GP Super Clinic
Palmerston Health Precinct
3 Gurd St Farrar (Corner Roystonea Avenue and Temple Terrace)
Ph: 08 8919 8919
Fax: 08 8931 3737
Email: [email protected]
Charles Darwin University (CDU) Medical Clinic
Corner of Lakeside and Ellengowan Drive, Alawa
Phone: 08 8901 8800
Patients will be put on a waiting list following receipt of referral. Patient/Parent
will receive confirmation within two weeks of referral. New patient appointments
are booked on a monthly basis. Please note, infants under six months and
medically urgent cases will be seen as a priority.
Pre-Referral Guidelines for GPs
For all patients please:


Note the key concerns of the child/adolescent, their parents/carers, as
well as school or child care if involved
Record their growth parameters
For children and adolescents with developmental, behavioural and learning
problems, please arrange or encourage the family to organise the following
before their visit to Top End Paediatrics:
1. Vision check / optometry report
2. Audiology assessment
3. A letter from school or child care with regards to their:
 play
 learning
 behaviour
 social skills
 communication skills
 any other observations
Dr Ben Dayaratne
General
Private
35 Macredie St Nakara
3/6 Maluka St Palmerston
8927 1873
8932 5100
Dr Peter Bourke®
Immunology and Allergyadults and children
Public/private®
Send referral to Dr P Bourke at Immunology at RDH OPD via SEMS or Fax:
8945 3068.
Visiting Paediatric service
Cardiology
Rehabilitation
Gastroenterology
Neurology
Respiratory
Urology
Orthopaedics
Note: Visiting Paediatric subspecialty clinics are accessible only through tertiary
following referral to a general Paediatrician.
® =Rights of private practice at RDH
*Sessional Specialists
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
8927 9685
SURGERY
Send referral to Surgeon by name at OPD via SEMS or Fax: 8945 3068
Surgical referral should be to the relevant surgeon BY NAME. Please refer below for correct process.
Note: Where patients are referred privately a fee may be charged for private consultation. A reduced fee or bulkbilling may be negotiated for some patients.
It is therefore advisable for patients to have their Medicare card available
(Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.)
GENERAL
Dr Ruth Hardstaff®
General Surgery
Public/private®
Mr Luke Anthony ®
General Surgery
Public/private®
Address
Phone
Fax
Send Public/private® referral to Surgeon by name at RDH Surgical OPD via
SEMS or Fax: 8945 3068.
Consider referral options such as open access gastroscopy
Mr Sanjay Kalgutkar®
General Surgery
Public/private®
Dr Stephanie Weidlich®
General Surgery
Public/private®
Mr Ajay John®
General Surgery
Public/private®
Private Referrals to be sent to:
NT Medical Specialist
21 Vanderlin Drive
Wanguri, NT 0810
PO Box 43347, Casuarina, NT 0810
Email: [email protected]
8927 7026
8927 7038
Assoc Prof Phillip Carson®
General, thoracic,
breast, oncology and
urology
Public/private®
& Private
Central Specialist Clinic
8th Floor, NT House
GPO BOX 2045, DARWIN
8981 9966
8941 0595
Mr John Treacy®
General Surgery,
Endoscopy including
ERCP and
Laparoscopic Gastric
Banding (private only)
Public/private®
& Private
Private Referrals to be sent to:
PO Box 43022
Casuarina NT 0811
Also see Darwin Obesity Surgery Centre
8920 6240
8920 6237
(Forwarding results to RDH or other NT Hospital - please request a copy
of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results
management internally within RDH.)
Mr David Read®
Public/private®
& Private
Physicians Rooms
Darwin Private Hospital, Rocklands
Drive, 0810 Tiwi
Darwin Private Hospital
8920 6176
8920 6183
*Mr Paddy Bade®
Public/private®
& Private
8945 9189
8927 0423
*Mr Dan Campbell®
Public/private®
& Private
Private Rooms,
Darwin Private Hospital, Rocklands
Drive, 0810 Tiwi
Private Rooms,
Darwin Private Hospital, Rocklands
Drive, 0810 Tiwi
8920 6230
8920 6234
Central Specialist Clinic
8th Floor, NT House
GPO Box 2045 Darwin
8981 9966
8941 0595
*Mr Jon Wardill®
General Surgery
Gastroscopy and
Colonoscopy
Breast Surgery (not
cosmetic)
Paediatric surgery
Burns Surgery
General Surgery
(Public - hand clinic /
surgery only)
Public/private®
& Private
*Sessional Specialists
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
ENDOSCOPY
Gastroscopy
1. Public/Private® via OutpatientsSurgical or Gastroenterology
2. Public/Private® via open access
gastroscopy service Referral to
Consultant surgeon
To assist with the triage of Gastroscopy bookings please clearly indicate the
referral is for open access gastroscopy and the triage category. Referrals will
then be prioritised and forwarded to theatre scheduling.
Note: Patients with significant comorbidities, requiring upper
gastrointestinal endoscopy or flexible
sigmoidoscopy should be referred directly
to Surgical Outpatients
GPs should ensure patients are informed about the procedure, risks and
possible complications. Patient Information sheet - Gastroscopy
Send referral to Surgeon by name at OPD via SEMS or Fax: 8945 3068
Please ensure referrals indicate:
 The provisional diagnosis, and/or reason for referral.
 Any alarm signs –anaemia, weight loss, significant anorexia, vomiting
GI bleeding, dysphagia
 If the patient is taking anticoagulants or aspirin/NSAIDS
 Underlying medical problems such as diabetes or valvular heart
disease which may alert RDH to anaesthetic risk, need for
prophylactic antibiotics or influence the timing of procedure
(Forwarding results to RDH or other NT
Hospital - please request a copy of
results to be sent to Jade Care Clinicals.
This will make it easier for the hospital
clinicians to obtain the results and improve The procedure will be performed by one of the RDH surgeons or senior
the efficiency of results management
registrars with the clinical findings and biopsy results forwarded directly to the
internally within RDH.)
referring GP for follow up. Information for GPs on gastroscopy including what
to information to provide the patient.
Private Gastroscopy
Service
NOTE: all private surgeons offer a private
endoscopy service.
Book through referral to surgeon directly
(Drs P Bade, D Campbell, P Carson, D Read, J Wardill)
Dr. Guruparan Iyngkaran
Dr. Edmund Tse
Dr. Suresh Sivanesan
NT Medical Specialist
21 Vanderlin Drive, Wanguri, NT 0810
PO Box 43347, Casuarina, NT 0810
Email: [email protected]
Ph: 08 8927 7026 Fax: 08 8927 7038
 Elective endoscopy
 Open access endoscopy – including bowel cancer screening
 Breath tests and Capsule Endoscopies available on site
Colonoscopy
Patients requiring public colonoscopy
should be referred directly to Surgical
Outpatients for a Specialist
assessment.
Currently RDH does not offer an open access colonoscopy service. Patients
requiring public colonoscopy should be referred directly to Surgical
Outpatients for a Specialist assessment.
Send referral to Surgeon by name c/- Surgical OPD via SEMS or Fax: 8945
3068
Note: all private general surgeons also
offer a private colonoscopy service
Patients referred through the National Bowel Screening Program also require
completion of appropriate paperwork.
National Bowel Cancer Screening Program - information for health
professionals
Notify the Register of referral/non referral for colonoscopy or other bowel
examination for participants with a positive FOBT, utilising the Assessment
Form – Referred for colonoscopy/Not referred for colonoscopy following a
positive FOBT result [PDF, 144Kb] . An information payment will apply.
(Forwarding results to RDH or other NT Hospital - please request a copy
of results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results
management internally within RDH.)
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
HAND SURGERY
Address
Phone
Fax
Send referral to Hand Surgeon by name at Hand Clinic OPD via SEMS or Fax:
8945 3068
Hand Clinic
Public Hand clinic
Public/private
® & Private
Mr Shiby Ninan ®
Consultant Plastic
Reconstructive, Hand
and Microvascular
Surgeon
Public/private
® & Private
Public referral to Mr Shiby Ninan to Hand Clinic OPD via SEMS or Fax: 8945
3068.
Private referral to Territory Medical Group
Woolworths Complex, 159 Dick Ward Drive
Nightcliff NT 0810
Phone: 8948 4333 Fax: 8948 4322
Email: [email protected]
*Mr Jon Wardill®
Hand and General
Surgery
Public/private
® & Private
Public referral to Mr Jon Wardill to Hand Clinic OPD via SEMS or Fax: 8945
3068.
Private referrals to Central Specialist Clinic, 8th floor NT House, 22 Mitchell St
GPO Box 2045 Darwin
Phone: 8981 9966 Fax: 8941 0595
*Dr Ravi Mahajani®
Consultant Plastic
Reconstructive, and
Hand Surgeon
See web site: Northern
Plastic Surgery NT
Public/private
® & Private
Public referral to Dr Mahajani at Hand Clinic OPD via SEMS or Fax: 8945
3068. Patients may be seen at private rooms
Patients seen at Private rooms – Unit 7, 25 Parap Rd, Parap. 0820 (opposite
Cheesecake shop)
Private referrals to PO Box 2006 Parap
Phone: 8981 4500 Fax: 8981 4399
Email: [email protected]
HEAD AND NECK SURGERY
See OTOLARYNGOLOGY
Or MAXILLOFACIAL and HEAD AND NECK SURGERY
Or PLASTIC AND RECONSTRUCTIVE
LAPROSCOPIC BANDING SURGERY
There is NO public laparoscopic gastric banding service available at RDH. All referrals should be sent through the private system.
Darwin Obesity Surgery
Centre
Physicans Rooms DPH
Private
Laparoscopic Banding Surgery: Phone: 08 89206240, and Fax 08 89206237.
Mr John Treacy
Dr Treacy works with a team including Medical Practitioner Dr Doug
Hardcastle, Physician Dr Elio Gagliardo, Dietitians Richard Sager, Bethany
Prosser and Brittney Fawcett, Exercise Physiologist Kia Naylor, Psychologist
Raylene Chandler (Caring Matters), Anaesthetist Dr Chris Purser, Nurse
Sylvia Steenkamp and Practice Manager Eila Allen.
For more information see Darwin Obesity Surgery Centre
Innovation HealthCare
Mr Justin Bessell
Visiting
Private
Book through private rooms phone: 83592411
Patients seen at Central Specialist Clinic,
8th Floor NT House,
22 Mitchell St.
Works with and will arrange referral to other team members: including Ms
Sally Johnson, nutritionalist, who provides dietary education and advice. May
also refer to Psychologist if required
For more information see Innovation HealthCare
® =Rights of private practice at RDH
Back to index
MAXILLOFACIAL and HEAD AND NECK SURGERY
Mr Mahiban Thomas®
Maxillofacial, head and
neck surgery
Public/private®
& Private
Send referral to Mr Thomas at OPD via SEMS or Fax: 8945 3068
Management of all swellings of the region of the H&N, both paediatric and
adult, covering benign and malignant disease. Includes care of all salivary
gland pathology, goitres, and congenital lesions of the H&N. Referrals also
welcome in all areas of facial trauma, and in the management of all facial pain.
Private referral to Territory Medical Group - Nightcliff
Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810
Ph: 8948 4333 Fax: 8948 4322
E: [email protected]
This will include consulting and minor operating on site at NMC, and operating
every Monday at the DPH.
Mr Cameron Scott®
Maxillofacial, head and
neck surgery
Mr Justin Curtin®
Maxillofacial, head and
neck surgery
Public/private®
& Private
Public/private®
& Private
Send referral to Mr Scott or Mr Curtain at Maxillofacial, head and neck surgical
OPD via SEMS or Fax: 8945 3068
Management of H&N as above, and experience and interest also in Oral
Surgery, including exodontia.
Private referral to Territory Medical Group - Nightcliff
Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810
Ph: 8948 4333 Fax: 8948 4322
E: [email protected]
This will include consulting and minor operating on site at NMC, and operating
every Monday at the DPH.
Mr Hemi Patel®
Otolaryngology and
head and neck surgery
Public/private®
Send referral Mr Patel at Otolaryngology and head and neck surgery OPD via
SEMS or Fax: 8945 3068
Special interest in larynx and pharynx cancers, paediatric and adult neck
lumps including salivary gland and thyroid. Conducts weekly head & neck
clinic
Mr Miles Doddridge
Visiting service - oral
Private
Darwin Orthodontic Centre 10/4 Manton Street, Darwin
Phone: 8981 9782
Fax: 8941 0445
® =Rights of private practice at RDH Back to index
NEUROSURGERY
Mr Santosh Poonnoose
Visiting every 2 months
alternating
Public &
Private
Appointment through tertiary referral only. Refer to Orthopaedics. Public
patients seen in Neurosurgery Clinic at RDH
Book through private rooms in Adelaide
Phone: 08 8204 4355 Fax 08 8204 5116
Complex spinal surgery and interest in skull base surgery and epilepsy
surgery
Patients seen at Central Specialist Clinic,
8th floor NT House, 22 Mitchell St
Mr Nik Vrodos
Visiting every 2 months
alternating
Public &
Private
Appointment through tertiary referral only. Refer to Orthopaedics. Public
patients seen in Neurosurgery Clinic at RDH.
Book through private rooms in Adelaide
Phone: 08 8204 4355 Fax 08 8204 5116
Complex spinal surgery and interest in skull base surgery and epilepsy
surgery
Patients seen at Central Specialist Clinic,
8th Floor NT House, 22 Mitchell St
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
OPHTHALMOLOGY
Eye Clinic Royal Darwin Hospital
Recommend
patients be
referred to an
optometrist,
where possible,
e.g. diabetic eye
reviews
Public/private®
Send Public/private® referral to Dr Tharmalingam Mahendrarajah or Dr
Nishantha Wijesinghe or Dr Hema Karthik at OPD via SEMS or Fax: 08 8945
3068
Information on referrals to Ophthalmology at Royal Darwin Hospital
Given the imbalance between high volume of referrals and limited
appointments at the Eye Clinic at Royal Darwin Hospital, prioritisation of the
referrals depending on the nature of the eye condition has become necessary.
Adequate information on the referral to the Ophthalmologist is required for
meaningful prioritisation. This should ideally include:
Mandatory information:
 Main visual complaint (in which eye)
 Duration of symptoms
 Visual acuity in each eye (with distance glasses if patient has them)
formally checked with a Snellen chart or equivalent.
Depending on the clinical situation and severity, referrals without the above
mandatory information (especially visual acuity) may be
- Resent to the referrer as incomplete, and further action on the referral will be
taken only after receiving the missing information
- Prioritised without a urgency category, hence patients might have a long
waiting time to get an appointment
Additional information:
1. Past ocular history
2. Past medical history
3. Current medications
It should be noted that patients who need screening for the following
conditions should be ideally sent to an optometrist who can follow up yearly
and refer to the Ophthalmologist when appropriate.
 screening for eye involvement in chronic diseases like diabetes and
hypertension
 screening for refractive error and need for spectacles
 screening for glaucoma
Please call the Oncall Ophthalmology Registrar through RDH Switchboard to
discuss very urgent referrals.
Appointment waiting times will depend on the time of referral and more
importantly on the severity and urgency of the clinical situation. The Eye clinic
at RDH appreciates your understanding in this matter.
Dr Tharmalingam Mahendrarajah®
Dr Nishantha Wijesinghe®
Dr Hema Karthik ®
Consultant
Ophthalmologist
at RDH and NT
Eye Specialists
Public/private®
& Private
Recommend
patients be
referred to an
optometrist,
where possible,
eg diabetic eye
reviews
Consultant
Ophthalmologist
at RDH and NT
Eye Specialists.
Private
Outreach
Ophthalmologist
in Katherine and
Gove
Consultant
Ophthalmologist
at RDH and NT
Eye Specialists.
Private
Outreach
Ophthalmologist
at Katherine and
Gove
Private
Public/private®
& Private
Public/Private
Prof. John Crompton (visiting)
Prof. Frank Martin / Dr John Pater
(Visiting)
Prof. R. Ghabrial/ Dr Gina Kourt
(Visiting)
Prof. Peter McClusky (visiting)
Visiting Neuro Ophthalmologist
Visiting Paediatric Ophthalmologist
Dr John Males (Visiting)
Dr Ivan Ho/ Dr Stewart Lake (Visiting)
Dr John Males (Visiting)
Visiting Vitreo Retinal Specialist
Visiting Oculo Plastic Specialist
Visiting Inflammatory Eye Disease
specialist
Public/private® referrals to Dr Tharmalingam Mahendrarajah - Consultant
Ophthalmologist at Eye Clinic, RDH via SEMS or Fax: 08 8945 3068
Private referrals through referral to
NT Eye Specialists, Tiwi Medical Centre,
7/5, Tiwi Gardens Road, Tiwi, NT 0810
Ph: 08 89273719: Fax: 08 89270423
Public/private® referral to Dr Nishantha Wijesinghe – Consultant
Ophthalmologist at Eye Clinic, RDH via SEMS or Fax: 08 8945 3068
Private referrals through referral to
NT Eye Specialists, Tiwi Medical Centre,
7/5, Tiwi Gardens Road, Tiwi, NT 0810
Ph: 08 89273719: Fax: 08 89270423
Public/private® referral to Dr Hema Karthink – Consultant Ophthalmologist at
Eye Clinic, RDH via SEMS or Fax: 08 8945 3068
Private referrals through referral to
NT Eye Specialists, Tiwi Medical Centre,
7/5, Tiwi Gardens Road, Tiwi, NT 0810
Ph: 08 89273719: Fax: 08 89270423
Tertiary referral only
(ONLY via RDH Consultant Ophthalmologists)
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
Back to index
OTOLARYNGOLOGY (Ear, Nose and Throat)
Mr Garrett Hunter®
Co-Director of Surgery
& Critical Care.
Otolaryngology
Mr Hemi Patel®
Otolaryngology and Head and Neck Surgery
Public/private®
Public/private®
Private
Address
Phone
Fax
Send referral to Mr Hunter at Otolaryngology OPD via SEMS or Fax: 8945
3068
Send referral to Mr Patel at Otolaryngology OPD via SEMS or Fax: 89453068
ENT including endoscopic sinus surgery
Special interest in Head and Neck Surgery
One stop Neck Lump Clinic.
Monthly clinic for assessment for vertigo
NT Medical Specialists
Room 9, Specialist Suites
Darwin Private Hospital
Rocklands Drive
TIWI NT 0810
Ph: 08 8927 7026
Fax: 08 8927 7038
[email protected]
Mr Kym Diamantis
Visiting service
Private
Please note that Mr Diamantis has increased consulting and operating times
for each visit to provide greater patient flexibility.
For appointments or queries call the Parkwynd ENT Practice Manager,
Maddy on 8223 2633or phone Kym’s mobile 0419 373 849.
Patients are seen at Rooms at Darwin Private Hospital
Dr Michael Zacharia
Visiting service
Private
1/53 Ross Smith Avenue, Parap
8981 7318
Dr A Foreman (GP
proceduralist)
GP proceduralist Ear
Nose and Throat
Private
54 Ellengowan Drive, Nakara
8927 9752
Mr Graeme Crossland
ENT
Public only
Only send referral to Mr Crossland at
Otolaryngology OPD via SEMS or Fax
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
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8981 6866
8945 3068
ORTHOPAEDIC or TRAUMA
Orthopaedic Outpatients,
Fracture Clinic
Public/private®
Address
Phone
Fax
Send referral to Orthopaedic Surgeon at Orthopaedics OPD via SEMS or Fax:
8945 3068. Private referrals through referral to private rooms
(Forwarding results to RDH or other NT Hospital - please request a copy of
results to be sent to Jade Care Clinicals. This will make it easier for the
hospital clinicians to obtain the results and improve the efficiency of results
management internally within RDH.)
Mr Matthew Sharland®
Mr Janak Mehta®
Mr Ba Nyunt®
Mr Matthew Sharland®
Public/private®
Send Public/private® referral to OPD via SEMS or Fax: 8945 3068
Central Specialist Clinic,
8981 1711
8941 0595
GPO Box 2045 Darwin
Public/private®
and private
Central Specialist Clinic,
GPO Box 2045 Darwin
8981 1711
8941 0595
Medicolegal work only
Mr Janak Mehta®
Mr Simon Elix
(No public work)
Private
Central Specialist Clinic,
GPO Box 2045 Darwin
8981 1711
8941 0595
Mr Steve Baddeley
(No Public Service)
Private
Central Specialist Clinic,
GPO Box 2045 Darwin
8981 1711
8941 0595
Mr Ba Nyunt®
(Limited Public Service)
Private
Casuarina Health Services Centre,
Suite G4/9 Scatchurio St, Casuarina
8945 1122
8945 2211
Central Specialists Back Pain
Clinic: Dr Doug Hardcastle
Back & Sports Injury
clinic/ Back assessment
clinic
Visiting Orthopaedic
surgeons from Adelaide
or Darwin.
Private
Central Specialist Clinic,
GPO Box 2045 Darwin
8981 1711
8941 0595
Private
Patients seen at SportsMed- SA 8 Parap
Place, Parap.The Sportsmed-SA doctors
come on alternate fortnights, alternating
Upper and Lower limb focus.
8941 2588
8941 0677
SPORTSMED-SA
Richard Crowley- lower limb
Michael Hayes- upper limb
Greg Keene -knee surgeon
David Martin -lower limb
Anthony Menz -lower limb
Roger Paterson -lower limb
Andrew Saies- upper limb
Nicholas Wallwork- upper limb
Also see SPORTS MEDICINE
® =Rights of private practice at RDH
Contact SportsMed-SA
at Parap for details of
visiting surgeon rota.
For appointments contact Sportsmed-SA
Darwin. Note - joint replacement surgery is
only performed at SPORTSMED SA's
private hospital facility in Adelaide.
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PLASTIC AND RECONSTRUCTIVE
Address
Phone
Fax
Public referral to Dr Mahajani at Plastic and Reconstructive Surgical OPD via
SEMS or Fax: 8945 3068
Patients are seen in the RDH Specialist Suites at DPH
Private Rooms
8981 4500
8981 4399
Level 1, 7 Keith Lane,
Fannie Bay 0820
*Dr Ravi Mahajani®
Plastic and
Reconstructive,
cosmetic, skin
Public/private®
and private
Mr Shiby Ninan®
Plastic Surgeon
Public/private®
and private
Public referral to Dr Ninan at Plastic and Reconstructive Surgical OPD via
SEMS or Fax: 8945 3068
Private referral to Territory Medical Group - Nightcliff
Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810
Ph: 8948 4333 Fax: 8948 4322
E: [email protected]
Dr Mark Moore
Visiting, plastic and
reconstructive,
craniomaxillofacial
surgery
Private
Consulting Suite DPH
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
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8267 4566
8239 2349
SPORTS MEDICINE
Dr Geoffrey Thompson
Dr Stuart Down (Locum)
Sports Physician
Sports related
diagnosis, management
and rehabilitation
Private
Address
Phone
Fax
Territory Sportsmedicine
8 Parap Place, Parap
For appointments contact Territory Sportsmedicine on 8941 6677, fax 8981
4155 or email [email protected]
Services offered:
 Sports Medicine: Sports Physicians
 Physiotherapy: including Sports Physiotherapy, massage,
hydrotherapy, dry needling, core stability pilates, real time ultrasound
 Fitness Testing: Stress tests and medicals.
Central Specialists Sports
Injury Clinic:
Dr Doug Hardcastle
Early diagnosis and
management of sporting
and related injuries.
Private
Central Specialist Clinic,
GPO Box 2045 Darwin
® =Rights of private practice at RDH
Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital
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8981 1711
8941 0595
UROLOGY
Kim Pese
Kym Horsell
Urological solutions monthly
visiting service
 Urological malignancies –
renal, bladder, prostate
and testis.
 Haematuria.
 Male urinary symptoms.
 PSA /prostate
assessment.
 Stone disease - kidney,
ureter and bladder.
 Male sexual dysfunction.
 Female voiding difficulties
and incontinence.
Dr Trent Farebrother
Public only
by tertiary
referral
Private
Address
Phone
Fax
Refer to a general surgeon by name to RDH Surgical Outpatients and the
general surgeon will refer public patients to Urologist as required
Private Rooms, Darwin Private Hospital
Urologists prefer referrals to be faxed to Adelaide office prior to scheduled
appointments on 08 8292 2388 or Appointments: Phone 08 8292 2399
Email: [email protected]
For most conditions visiting urologists can offer the same assessment as
patients would receive in Adelaide. In particular they can offer transrectal
prostate biopsy through Darwin Private Hospital under sedation for men with
an abnormal PSA or abnormal prostate examination.
Most urological surgery can be offered in Darwin, including radical
prostatectomy for prostate cancer. Some complex laparoscopic surgery and
minimally invasive laser surgery for renal stones cannot be offered in Darwin
at present.
Urological Surgeon
Private
Private rooms Darwin Private Hospital
Letter of introduction 2010
8927 7788
8927 7766
Vascular only
Public/
private®
Send Public/private® referral addressed to Mr Gawler at RDH OPD via SEMS
or
Fax: 8945 3068
VASCULAR
Mr David Gawler®
® =Rights of private practice at RDH
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DEPARTMENT OF SURGERY - Visiting Specialists
Visiting Specialists referral is only available through specialist tertiary referral
Specialty
Approximate frequency
COMPTON, John
Corrective Squint surgeon (Paediatric)
6 monthly
COSTA, Prof
Corneal Specialist
FARINELLI, Adrian
Glaucoma Specialist
GABRIEL
Ocular specialist
HORSELL, Kym
Urologist
2 monthly
KOURT, Georgina
Ocular Plastic Surgeon
Annual
McGUIRE Terry
Paed.Ortho Surg
6 monthly
MARTIN, Frank
NeuroOphthalmologist (Squint Specialist)
Annual
MOORE Mark
Plastic Surgeon
3 monthly
PARKINSON, Richard
Visiting Neurosurgeon (Sydney based)
Monthly
PESE, Kim
Urologist
2 monthly
PHILLIPS, Russell
Vitro-retinal specialist
6 monthly
Neurosurgeon (Adelaide)
2 monthly alternating
Paediatric Urologist
Annual
POONNOOSE, Santosh
VRODOS Nik
WOODWARD Alan
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