Shaping better health
REMEDY : BNSSG referral pathways

Advice and Guidance Service

Checked: 08-08-2018 by vicky.ryan Next Review: 19-03-2019

ENT Advice and Guidance Overview

University Hospitals Bristol are now providing advice and guidance services for adult patients (16 years and over) in ENT. This service 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.

Requests for advice and guidance should be submitted vie e-RS and meet the following criteria:

  • Ongoing management of a patient (patients not currently under review or referred to either UHBristol. For requests for patients currently under review or referred, please write to the responsible consultant).

  • Advice on a treatment plan.

  • 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.

The UHB ENT team will provide advice on the following:

  • Further, useful, practice-based investigations and their interpretation with the most appropriate practice-based follow up.

  • Formal secondary care ENT referral if appropriate.

  • 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.

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

If the advice suggests that an outpatient referral is required please submit this via eReferral including the consultant advice and taking note of any existing funding policies.


Referral guidance

Please see the ENT A&G Steps - UHB (word doc) for further guidance on how to submit a request through e-Referral