REMEDY : BNSSG referral pathways

Advice & Guidance Service

Checked: 12-11-2018 by katy.kearley Next Review: 23-07-2019

Service Overview

The cardiologists at UHB and NBT now both offer Cardiology Advice and Guidance via eReferral. These services should be utilised where advice is required on the management of a patient that may avoid the need for referral. It should not be used where immediate advice is required, in which case the on call teams should be contacted in the usual way.

Please note that as of 15th January 2018, Advice & Guidance requests will no longer be processed by the BRS. All requests will now be submitted directly to the Cardiology Advice & Guidance Service at either UHB or NBT using e-Referral.

The trusts are committed to utilising eReferral for this purpose. Please be aware, that there is a risk the trust may return your request if you do not follow the preferred pathway.

The Referral Service may also advise referring GPs to use this service, when appropriate, during the triage of cardiology referrals to out patient clinics.

 

UHB Cardiology A and G

The Cardiology A&G service run by UHB is a platform to request advice on patient's aged 16 years and over.

Please see the Cardiology A&G Steps - UHB (word doc) for instructions on how to complete a request through e-Referral.

NBT Cardiology A and G

The Cardiology A&G service run by NBT is a platform to request advice on patient's aged 18 years and over. Examples of questions that the A and G service can help with include:

1. Chest pain - Is this patient suitable for the Rapid Access Chest Pain Clinic or is a General Cardiology outpatient appointment more suitable?

2. Atrial fibrillation - Rate or rhythm control, does the patient require anticoagulation? Is an outpatient appointment necessary or is an echo all that is required at this stage? Can I use a NOAC in this patient who has an echo showing some valve abnormalities?

3. Murmurs  - Is an echo all that is required or should the patient have a formal outpatient review?

Please note that the service is not able to accept:


Urgent requests for advice

Requests for a second opinion

Requests to escalate an existing referral

Advice requests on patients already under the care of Cardiology in Bristol

 

Please see the Cardiology A&G Steps - Southmead (word doc) for instructions on how to complete a request through e-Referral.