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NHS Devon and Providers are looking at developing the most effective way of providing GPs with clinical advice for non-urgent cases.
Advice and Guidance (A&G) - A two-way communication channel in the e-Referral Service (e-RS) directly linking the GP team and Specialist team.
A&G allows the GP to authorise the Consultant to directly convert the A&G request to a referral if clinically indicated. Please authorise conversion to referral to streamline the patient pathway, and ensure the patient is content with the selected provider. Please see the NHS A&G toolkit for further information on how to use e-RS A&G Advice and guidance toolkit for the NHS e-Referral Service (e-RS) - NHS Digital
The Royal Devon University Healthcare NHS Foundation Trust provide Advice and Guidance using the e-Referral system for the below specialties.
| Advice & Guidance Service provided on eRS | |
| Allergy | No |
| Biochemistry (Diagnostic Pathology/Blood Test) | Yes |
| Cardiology | Yes |
| Clinical Genetics Cancer | Yes |
| Clinical Genetics | Yes |
| Child & Adolescent - Medical | Yes |
| Child & Adolescent - Orthopaedics | No |
| Child & Adolescent - Community Paediatrics | Yes |
Colorectal | No |
| Dermatology | Yes |
| Diabetic Medicine | Yes |
| ENT | No |
| Endocrinology | Yes |
| General Medicine | No |
| Geriatric Medicine | No |
| Upper GI | Yes |
| Lower GI | No |
| Gynaecology | Yes |
| Gynaecology - Fertility | No |
| Haematology | Yes |
| Immunology | No |
| Immunology - Primary Immune Deficiency only | No |
| Microbiology (Infectious Diseases/NOS) | No |
| Nephrology | Yes |
| Neurology | Yes |
| Neurosurgery | No |
| Ophthalmology | No |
| Orthopaedics - Foot & Ankle | No |
| Orthopaedics - Hand & Wrist | No |
| Orthopaedics - Hip | No |
| Orthopaedics - Knee | No |
| Orthopaedics - Shoulder & Elbow | No |
| Orthopaedics - Spine | No |
| Pain Management | Yes |
| Podiatry - Diabetes | Yes |
| Respiratory | Yes |
| Rheumatology | No |
| Surgery Breast | No |
| Surgery - Not Otherwise Specified | No |
| Surgery Plastics | No |
| Surgery Vascular | No |
| Surgery Vascular - Lymphoedema | No |
| Urology | Yes |
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