COVID-19: Imaging Service Guide

April 2020

Scope

This information provides guidance on the management of imaging referrals across North Devon during the Covid-19 pandemic.

Key Messages

Due to changes in waiting areas and compliance with social distancing, Northern Devon Healthcare NHS Trust are withdrawing the walk-in service for GPs in Radiology.

They will continue with an appointment service only.

Any Radiology imaging requests should be either forwarded by:

a) post

b) generic email: ndht.nddhradiologyrequests@nhs.net until further notice. Radiology will then contact the patients to make appointments.

Please indicate on the requests if 2 week rule, urgent or routine.

Please contact the Liaison radiologist via Northern Devon Healthcare NHS Trust switchboard for advice: 01271 322577

Liaison consultant radiologist is running as usual weekdays 09:00 – 16:00 for advice.

Bideford and Ilfracombe X-ray departments are closed.

2WW referrals

Most 2WW pathways are running in modified forms through specialties.

We will continue to accept 2WW referrals direct from primary care for previously agreed pathways such as possible brain tumour.

X-Rays

Urgent X-rays only.

Urgent CXR for non-COVID indications will be accepted.

Fracture assessment if there is a clear management plan following diagnosis.

Routine joint pain query osteoarthritis (OA) etc. cannot be performed at present.

Due to changes in waiting areas and compliance with social distancing, Northern Devon Healthcare NHS Trust are withdrawing the walk-in service for GPs in Radiology.

They will continue with an appointment service only.

Any Radiology imaging requests should be either forwarded by:

a) post

b) generic email: ndht.nddhradiologyrequests@nhs.net until further notice. Radiology will then contact the patients to make appointments. Please indicate on the requests if 2 week rule, urgent or routine.

Please contact the Liaison radiologist via Northern Devon Healthcare NHS Trust switchboard for advice: 01271 322577

Liaison consultant radiologist is running as usual weekdays 09:00 – 16:00 for advice.

Magnetic resonance imaging (MRI)

Significantly limited service. Spines accepted only for red flag symptoms/?cancer as 2WW.

Ultrasound scan (USS)

Routine requests cannot be accepted at present. "Lumps and bumps" should be kept under clinical review and referred to Sarcoma service if high clinical suspicion.

Antenatal and Early Pregnancy Assessment Clinic (EPAC) running as normal.

Routine referrals

Routine requests for all imaging modalities cannot be accepted at present.

There is limited capacity for outpatient imaging and referrals are prioritised but there is no guarantee how long this service will be maintained during the current crisis.

Please note all services are subject to change and updates will be provided.

Urgent advice

Liaison radiologist can be contacted via Northern Devon Healthcare NHS Trust switchboard as usual: 01271 322577

Advice & Guidance

Liaison radiologist can be contacted via Northern Devon Healthcare NHS Trust switchboard as usual: 01271 322577

Pathway Group

This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group

Publication date: April 2020

Date updated: May 2020

Pathway Group

This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group

Publication date: April 2020

Date updated: June 2020

Last updated: 02-06-2020

 

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