Referral Criteria and Clinical Management Guidelines
This page has been developed as a collaboration between the North East Wales NHS Trust and both Wrexham and Flintshire LHBs. It forms one part of the local health community's plans to more efficiently manage referral processes and ensure that patients receive care most appropriate to meet their needs.
Cardiology
Referral Criteria – guidance for primary care clinicians
Clinical Management Guidelines
Please send your comments or suggestions to Laura.Vernon@new-tr.wales.nhs.uk or telephone : 01978 725338
ENT/Audiology
Referral of paediatric patients to ENT or Audiology
Direct Referral Guidelines >50 and Primary Care Questionnaire for hearing difficulties
Sleep apnoea primary care guidelines
Sleep Hygiene
The primary care guidelines for patients with suspected sleep apnoea are being developed jointly with North West Wales and North Wales Trust Central and are in draft and being piloted. We would welcome your comments and suggestions. Please contact lynne.morris2@new-tr.wales.nhs.uk
The snoring guidelines will be developed seperately. The draft primary care guidelines will be discussed at the next Regional meetings on 21st January and 9th February.
If you have any comments please forward them to Lynne Morris via email lynne.morris@new-tr.wales.nhs.uk or tel 01978 727208
Falls Pathway
A Falls Workshop was held in July 2008 where the pathway was discussed and agreed with representatives from local Trusts, local health boards and voluntary organisations. The pathway has been jointly developed for service users to follow. Please refer to the Falls pathway and Falls Triangle.
Please note the Strategic Falls Board at North Wales East Trust have agreed the pathway will be implemented from January 2009.
We would welcome your comments and suggestions on the Falls pathway The referral information is work in progress. Please contact us if you would like to make any amendments or additions to this resource list..
Contact:
Lynne Morris, Service Improvement Facilitator, Modernisation Team, North Wales NHS Trust, Croesnewydd Road, Wrexham tel 01978 727208 or email lynne.morris2@new-tr.wales.nhs.uk.
Dr Anand Prakash, Consultant in Care for the Elderly, North Wales NHS Trust, Croesnewydd Road, Wrexham tel 01978 725676 or email anand.prakash@new-tr.wales.nhs.uk
Helen Griffiths Falls Prevention Co-ordinator helen.griffiths3@new-tr.wales.nhs.uk tel 01978 297036
Falls triangle
Falls pathway and referral information
Falls pathway and referral information (WELSH)
NICE guidelines – Falls the assessment and prevention of falls in older people (English)
NICE guidelines – Falls the assessment and prevention of falls in older people (Welsh)
Gynaecology
Draft Primary care/community Algorithm for the management of continence in womenDraft heavy menstrual bleeding (HMB)care pathway
Draft heavy menstrual bleeding (HMB) appendix
Contact:
Lisa Challinor, Service Improvement Facilitator, Modernisation Team, North Wales NHS Trust, Croesnewydd Road, Wrexham tel 01978 727490 or email lisa.challinor@new-tr.wales.nhs.uk.
General Surgery
Referral guidelines for Upper and Lower GI referrals as of the 1st of December 2008
Upper GI
Non urgent suspected cancer patients who are under 55 with reflux / dyspepsia should receive Helicobacter Pylori testing and at least a 1 month’s trial of acid suppression treatment before referral. Those patients who have not had the above will be referred back to the GP by the consultant with advice for further management in primary care.
Lower GI
All patients with rectal bleeding or a change in bowel habit, including Urgent Suspected Cancer patients, excluding those with a palpable abdominal or rectal mass, recent Fe deficiency anaemia or other valid reason should be referred to secondary care with the patient having completed a Patient Centred Questionnaire (PCQ). Where this is not the case the referral will be returned to the GP by the consultant with a request it be returned when accompanied by the completed PCQ. The patient will not be added to the waiting list for an outpatient appointment until the referral letter and the completed PCQ are received.
Crewe Scoring System – Patient Consultation QuestionnaireContact:
Lisa Challinor, Service Improvement Facilitator, Modernisation Team, North Wales NHS Trust, Croesnewydd Road, Wrexham tel 01978 727490 or email lisa.challinor@new-tr.wales.nhs.uk.