REMEDY : BNSSG referral pathways

Community Gastroenterology Service - PRIME

Checked: 21-05-2018 by Rob.Adams Next Review: 21-05-2019

Overview

The Community Gastroenterology Service is run by PRIME and can be an alternative to secondary care referral. PRIME offer this service in addition to their endoscopy service. This service is run by experienced GPSIs and can see patients with a range of gastroenterology problems where the diagnosis may be unclear and the GP is needing support or a second opinion. Exclusions do apply and include:

Liver or pancreatic disease.

Complex patients who are likely to need secondary care management including investigation such as CT/MRI/capsule endoscopy/SeHCAT test.

Patients already under secondary care.

Patients meeting 2WW referral criteria.

 

For details of endoscopy services available at PRIME and other providers across BNSSG please see the Endoscopy section

Referral guidelines

Referrals should include details of investigations and treatments that have already been undertaken primary care.

Some specific investigations are suggested below depending on clinical scenario:

Diarrhoea and altered bowel habit

Full blood count, Viscosity or CRP

U and E’s, LFTs

Endomysial and tissue transglutaminase antibodies

Thyroid function

Faecal Calprotectin

Ulcer-type dyspepsia

H.pylori status (faecal antigen)

Full blood count, Viscosity or CRP

U and E’s, LFTs

Endomysial and tissue transglutaminase antibodies

Reflux-type dyspepsia

Full blood count

Abdominal pain

Full blood count, ESR

U and E’s, LFTs

C-reactive protein

Endomysial and tissue transglutaminase antibodies

Consider: abdominal ultrasound

Referral

Referral should be made via eReferral and is available to all BNSSG patients.