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Wirral University Hospital NHS Foundation Trust

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Making a referral

Whilst every effort is made to ensure enough capacity is available to see all patients there are occasions when appointment slots are unavailable. In this situation please use the 'defer to provider' functionality within Choose and Book. We will be notified and contact the patient within four days to arrange a suitable appointment. 

Our Trust recognises, supports and encourages the use of the national Choose and Book system for receiving referrals for outpatient appointments (including fast track breast referrals). 

Choose and Book provides a full directory of all the secondary care services available under Free Choice via the Directory of Services as well as those services locally commissioned by the Clinical Commissioning Group. 

GPs and practice staff can direct the patient to use the Choose and Book telephone appointments line or the internet where they are able to complete the booking themselves. This also identifies location of services and an indicative waiting time. 

You can access service-specific guidance to help shortlist the most appropriate services and highlight any helpful preliminary investigations. Advice and guidance from specialists can be sought prior to referral, supporting the development of better referral pathways and closer collaboration with secondary care colleagues. 

Increased referral security

Increased referral security
The system gives patients confidence that the referral information reaches the hospital.

GPs and practice staff can track the progress of a patient’s referral through Choose and Book - see related links. The information is protected by a series of stringent access controls and information governance.  

No appointments visible for booking?

No appointments visible for booking?

Whilst every effort is made to ensure enough capacity is available to see all patients there are occasions when appointment slots are unavailable. 

In this situation please use the 'defer to provider' functionality within Choose and Book - see related links. We will be notified and contact the patient within four days to arrange a suitable appointment. 

Cancer Referral Forms

Cancer Referral Forms



Radiology Service referrals

Page updated 24th June 2020

Due to social distancing and increased time for cleaning, all appointment times have increased which will have an impact on wait for scan. Patients will be offered one appointment. If they can’t attend that one they will be offered a further appointment. If they refuse the second appointment, it will be cancelled and they will be re-referred back to their referrer and/or consultant.

  1. CT – All referrals are being vetted and booked in order of priority except for
    • CTVC’s which will be re-starting in July after a SOP has been written ensuring a clear and safe pathway for patients, no CTVC request will be excepted from GP
    • CT cardiac’s re-start to be confirmed after discussion with SEAL manager and CT lead, potential re-start in July
  1. DEXA – All referrals are being booked
  1. Fluoroscopy – All referrals are being vetted and booked in order of priority
  1. MR – All referrals are being vetted and booked in order of priority
  1. US  – All referrals are being vetted and booked in order of priority
  1. X-ray – All referrals now need to have an appointment in order to comply with social distancing, previously radiology had a “drop-in service” which can no longer be supported

Helpline for GP queries   wih-tr.WirralGPRadiologyQuery@nhs.net

Wirral Integrated Musculoskeletal Service

Wirral Integrated Musculoskeletal Service

There are new changes with regards to Wirral Musculoskeletal (MSK) referrals. 

The Musculoskeletal Integrated Service

From 1st July 2018 Wirral University Teaching Hospital (WUTH) has been the prime provider of MSK services. The service includes physiotherapy, podiatry, elective orthopaedics, rheumatology and pain services.

Referrals are triaged by advanced physiotherapists, podiatrists and specialist rheumatology nurses, who will determine the most appropriate service to treat the patient. The aim is to get the patient to the right service first time, avoid unnecessary appointments and reduce the burden on primary care.

Routine referrals will be triaged within 48 hours (working days) and urgent referrals will be triaged within 24 hours (working days).

The patient will no longer be referred back to the GP to be referred on to another MSK service. The entire patient pathway will be managed by the service, with regular communication back to the GP. The only exception to this is where the Assessment Service has discovered something suspicious. In this case the GP will be asked to re-refer under the 2 week rule. The triaging clinician will call the GP surgery to ensure that this is acted on immediately.

There will no longer be access to book appointments directly to a consultant clinic for MSK specialties, however where appropriate and with adequate information on the referral form, patients will be referred directly from triage to a consultant.

Where the triage decision is to refer to a consultant, the patient will be offered choice of secondary care provider.

Non- MSK physio (Womens, Respiratory, Parkinsons, Neuro) will continue to be referred via WROCS.

If the triage service believes that the patient will benefit from an injection, then there are several options. The patient will be given the earliest appointment in one of these services;

  • GP injection service
  • Patient’s own GP (If GP has indicated on the referral form that an injection is available within 2 weeks)
  • WUTH physio led injection clinic

Urgent Referrals

Urgent referrals will be accepted as urgent if a delay to treatment is likely to result in lasting harm to the patient. Referrals will be changed to routine if this is not the case.

The following should not be referred to the service:

  • Urgent Diabetic Foot Ulcer patients should be referred in the usual way
  • Emergency referrals eg. Suspected Cauda equine should be sent to the Emergency Department
  • Fractures should be referred to the Fracture Clinic
  • 2 week wait referrals should be referred in the usual way

If you are concerned about the symptoms of a patient with a history of cancer, please refer directly to Radiology for an urgent MRI.

How do I refer to the Wirral MSK Service?

Referrals should be sent via the Electronic Referral System (formerly known as Choose & Book) to one of the following services. The services are set up to direct the referral to the most qualified triaging team. 

MSK – Lower Limb Assessment

MSK – Upper Limb Assessment

MSK – Rheumatology Assessment

MSK – Spinal Assessment

MSK – Podiatry Assessment

A MSK referral form must be attached in order for the referral to be submitted. There are two referral forms that can be accessed at the bottom of the screen; MSK and Podiatry (the information required is different for Podiatry).

The referral form can be loaded into EMIS. Forms in EMIS format were emailed to all GP practices in advance of go live. The forms are designed to self-populate with the patient demographics and the last 12 months of bloods and radiology results. If your form does not do this, or is showing more than 12 months, please contact EMIS for advice on how to load the form.

What does the patient need to know?

There is a patient leaflet below that explains the new service to the patient.

Many patients come to the service with expectations of receiving a scan or seeing a consultant which are not clinically indicated. Please support us to manage the patient’s expectations by giving them a copy of the leaflet and explaining that an advanced clinician will choose the most appropriate service for their needs.

The patient may be referred for treatment to an organisation other than Wirral Hospital NHS Foundation Trust e.g. Wirral Community NHS Foundation Trust, Spire Murrayfield, GP Injection Service. Information about the patient will be shared with those organisations for the purpose of healthcare provision.

Joint Replacement Reviews

Referrals for a review post joint replacement should be made to the MSK service. Please specify the length of time post-surgery. The referral will be triaged directly to the Orthopaedic service.

The patient will be invited for x-ray where they will be asked to complete a PROMS form. The image will be reviewed by a doctor who will determine whether a consultation is required.

What information will I receive regarding a patient`s care?

 

Service

Information sent to GP

Triage

Triage outcome via ERS

Consultant

Letter following all clinic appointments/procedures

MSK Assessment Clinic

Copy of assessment/plan via Docman (in development)

Letters from Advanced Physiotherapists to request changes to medication if necessary

 

Physiotherapy

Discharge letter via post

Upcoming developments

GP education sessions will commence in 2019. The GPwSI MSK will visit practices to provide referral support and guidance. Please contact the service if you would like us to visit your practice.

A review of community locations has highlighted a need for more capacity in West Kirby and Birkenhead North. We will be approaching practices in those areas to provide clinic rooms.

We are working with our commissioners to update the Wirral Commissioning Policy in respect of Procedures of Lower Clinical Priority so that second injections and ganglion surgery will be accepted for patients within agreed criteria. Any agreement will be communicated immediately.

Other Referrals

Other Referrals
Our preference is for all referrals to be made through Choose and Book but in circumstances when this is not possible please send all referrals to the Wirral Booking Service.

By Fax to the Wirral Booking Service on 0151 604 7172. 

By Paper, clearly addressed to the Wirral Booking Service, Arrowe Park Hospital, Arrowe Park Road, Upton, Wirral, CH49 5PE.

Finding services 

If you have difficulty finding the service you need on Choose and Book or where to book an appointment please contact:

  • Nici on 0151 604 7415
  • Rosemary on  0151 604 7210

Helpful Suggestions

The Choose and Book service works best and most effectively if the following advice is followed:

2WW referrals (other than breast referral)

Some practices give the patient the UBRN Booking information to takeaway but the patient does not telephone immediately.

Will practices telephone the 2WW appointment line on 0151 604 7720 to book the patient’s appointment. 

Out of hours please fax the referral with the UBRN clearly noted and we will contact the patient the next working day.

Named Clinician

Named Clinician facility on Choose and Book is to be used for either continuity of care or because the Consultant is a particular specialist in the problem being referred. If this is the first referral and the named clinician facility is not required please do not add a Consultant name to the referral letter.

Choice of Service

Please choose more than one hospital site, where available (there is a choice of up to four) only choosing one hospital location will limit the patients’ choice of appointment.

Telephone Contact

Please ensure you supply a correct and up to date telephone contact on all referrals.

  • Cancer Referral Forms arrow icon
    • Suspected Cancer Referral Forms (Referrals to WUTH) arrow icon
      • Suspected Breast Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected CUP and MUO Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Gynaecological Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Haematological Cancer Referral Form Modified: 07/08/2018 10:28AM | Download:
      • Suspected Head and Neck Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Lung Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Skin Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Upper GI Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Urological Cancer Referral Form Modified: 01/08/2018 10:30AM | Download:
      • Suspected Colorectal Cancer Referral Form Modified: 11/10/2018 2:50PM | Download:
    • Suspected Cancer Referrals Additional Information (Referrals to WUTH) arrow icon
      • Suspected Cancer Referral Patient Letter Modified: 01/08/2018 10:31AM | Download:
      • Suspected Skin Cancer Referral Information Modified: 01/08/2018 10:31AM | Download:
      • Suspected Upper GI Cancer Referral Information Modified: 01/08/2018 10:32AM | Download:
      • Suspected Urological Cancer Referral Information Modified: 28/08/2018 11:00AM | Download:
    • Suspected Cancer Referral Forms (Referrals to other Trusts) arrow icon
      • Suspected Brain and CNS Cancer Referral Form Modified: 01/08/2018 10:33AM | Download:
    • Suspected Cancer Referrals Additional Information (Referrals to Other Trusts) arrow icon
      • Suspected Sarcoma (Bone) Cancer Referral Information Modified: 01/08/2018 10:33AM | Download:
      • Suspected Sarcoma (Soft Tissue) Cancer Referral Information Modified: 01/08/2018 10:34AM | Download:
    • Family History Referral Forms (Referrals to WUTH) arrow icon
      • Breast Family History Referral Form Modified: 11/10/2018 2:52PM | Download:
      • Colorectal Family History Referral Form Modified: 11/10/2018 2:51PM | Download: