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Advice & Guidance for GPs NS MOM
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Efforts are made to ensure the accuracy and agreement of these guidelines. However, we cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties
This care map has been written for North Somerset GP's
The Frailty Service can provide specialist advice to support clinicians to manage patients in the community without a specialist appointment. This is available by telephoning the Frailty Service on 01275 885778 or emailing email@example.com and requesting clinical advice from the team. The service operates Monday to Friday, 9am-5pm.
We aim to respond promptly, however, please note that we are not an urgent service. If your enquiry is urgent consider contacting Community Rapid Response on 01275 888801.
Consultant link closed
The telephone advice line has closed. Further information to follow.
The Haematology Service at University Hospitals Bristol NHS Foundation Trust and Weston Area Health Trust now accepts requests for advice and guidance via the electronic referral service (the replacement for Choose and Book). GP’s can submit advice and guidance requests using the service.
The request will then be viewed online by a haematology consultant and advice provided
The service will advise on:
Advice on a treatment plan
Ongoing management of a patient
Advice on the appropriateness of a referral for their patient (e.g. whether to refer, or what the most appropriate alternative care pathway might be)
The most clinically appropriate service to refer a patient into
Further, useful, practice-based investigations and their interpretation with the most appropriate practice-based follow up
The reviewing clinician will give advice about any diagnostics that may be required to help with the future management of the patient. This should ensure appropriate use of diagnostic tests.
Click on haematology part of Remedy for further details
The Teledermatology referral form is available as an EMIS template
FROM 1st SEPTEMBER 2015
As part of the Planned Care programme it was agreed with the membership to run another pilot on ‘advice and guidance’ across Urology. This process will be carried out by Shire Health and will provide several benefits for referrers and patients.
What do practices need to do?
There is no change to the referral process for GP practices required to access the new advice and guidance service – urology referrals should continue to be sent to the Referral Support Service (RSS) as normal. Referrals will be directed by the RSS to the new advice and guidance service at Shire (2WW, Paediatric and vasectomy referrals should be sent directly to the Hospital as usual). Shire are happy to advise speedily as to whether 2ww is required, e.g. for PSA queries, haematuria queries etc.
Shire will respond within 72hrs (3 working days) with their recommendations and whether the patient could be managed in primary care with a management plan, or suggest that the patient needs to be seen/referred to the hospital.
The RSS will process the response to the advice and guidance request from shire and:
Forward to the hospital, on behalf of your GP practice, any patients where referral is recommended.
Return any referrals to the referring GP when there is a recommendation from Shire where the patient could be managed in primary care – the referring GP would be required to review this response and manage as appropriate.
Return the referral form asking for further details if Shire have not been given sufficient information to process the request.
For the few practices that do not use the RSS, the process will be discussed separately on an individual practice basis
For more information please see the Shire FAQ and flow chart below and use the standard RSS Template to refer into this service.
NOTE: Please ensure the referral template is fully completed to help the advice team understand the issues, and decrease the need for requests for further information. Where appropriate, please add the referral template to your clinical system.