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Referrals

Please note: the information on this page is for professionals such as GPs.

When referring, please include the following:

  • Patient details (inc. mobile number)
  • Clinical history
  • Your findings
  • Full details of topical and systemic treatment
  • Blood test results
  • Any questions you would like answered

Please do not handwrite your referrals as this can lead to errors and makes triaging difficult.

We have a standard template for referrals which can be uploaded to your clinical system. Please contact us if you would like this emailed to you.

Referrals can be made via email, VCL.peninsulahealth@nhs.net or via Choose&Book.

Inclusions and exclusions for Dermatology

Our inclusion criteria is as follows:

The service is designed to see and treat the following conditions

  • Mild to Moderate skin rashes – Rash of unknown aetiology
  • Discoid eczema, xerosis, generalised pruritus
  • Seborrheic, Varicose, Atopic etc
    • Mild/moderate acne not requiring Roaccutane
    • Dermatitis
    • Urticaria/angioedema
    • Pruritus
    • Tinea/fungal/recurrent bacterial infections
    • Pityriasis Versicolor
    • Plaque psoriasis confined to discrete areas
    • Scalp Disorders
    • Alopecia areata/androgenic alopecia
    • Hirsuitism
    • Benign skin lesions / suspected low grade BCC
  • Skin lesions likely to be benign but of diagnostic uncertainty
  • Actinic Keratosis
  • Bowen’s Disease
  • Epidermoid /Pilar (Sebacceous) Cysts
  • Lipoma
  • Dermatofibroma / Histiocytoma
  • Keratin Horn
  • Solar comedones / Giant comedones

 

The following exclusion criteria apply:

  • Suspected skin cancers which should be seen under the two week cancer target wait
  • Patients requiring phototherapy e.g. PUVA/B
  • Wounds/leg ulcers
  • Contact allergy testing
  • Laser service
  • Dermatology emergencies
  • Surgical procedures considered as plastic surgery
  • Treatments not normally funded by the NHS

 

Conditions appropriate for urgent referral will be directed straight through to secondary care. These conditions will include:

  • any adult with an irritable rash covering at least 90% of the body which is interfering with sleep and/or work
  • suspected immunological blistering diseases
  • any patient with atopic eczema who has been exposed to the herpes simplex virus and developed eczema herpeticum
  • Steven-Johnson syndrome
  • Scalded baby syndrome
  • Where there is a suspicion of a diagnosis of cancer, patients will be referred directly to secondary care under the 2 week cancer rule.

 

Inclusions and exclusions for Ear Nose and throat 

Conditions suitable for refferal into ENT service:

  • Chronic Rhinitis
  • Recurring Epistaxis (not acute stage)
  • Acute Rhinitis
  • Foreign Body etc
  • Sinusitis
  • Rhinosinusitis
  • Blocked Nose (DNS/Polypi etc)
  • Tonsillitis
  • Recurring Sore Throat
  • Pharyngitis
  • Hoarseness
  • Globus Symptoms
  • Deafness
  • Dizziness/ Vestibular Disorders (Tinnitus?)*
  • Chronic Otorrhoea
  • Chronic Suppurative Otitis Media
  • Infected Mastoid Cavity
  • Impacted Wax/ Foreign Bodies
  • Chronic Otitis Externa*
  • Foreign Bodies, Impacted Wax
  • Acute Otitis Media*
  • Acute Otitis Externa*
  • Anosmia

 

Patients not eligible for referral to the service are as follows:

 

  • All patients under the age of 16 years
  • Suspected cancer, patients will be referred directly to secondary care under the 2-week rule
  • Acute mastoiditis
  • Treatments not normally funded by the NHS

Each patient will be provided with a treatment and management plan, which will be forwarded to their GP within 24 hours as a summary report followed by a detailed clinical letter to enable ongoing holistic management of their own care. The GP will be advised of the plan in writing, along with the outcome of the patient’s episode of care. This will enable the GP to speedily resume managing the patient care in totality with an understanding of treatment and advice provided, and will support the development of an integrated service that will improve the patient’s overall experience of care.
Assess & Discharge to GP with Management Plan

Suitable patients will be provided with self help tools and information leaflets which will support them to manage their own condition. They will also be provided with contact details to enable them to contact the service if concerns arise.

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