NDHT Pre-choice Triage/Advice & Guidance

Devon Clinical Commissioning Groups and Providers are looking at developing the most effective way of providing GPs with clinical advice for non urgent cases.

Currently alongside the assortment of email, letter, phone calls etc, there has been the introduction of both Pre-choice Triage (PCT) and Advice and Guidance using the e-Referral system. These functionalities are being rolled out across Devon at varying degrees by providers.

Advice and Guidance - A two way conversation on e-Referral (eRS) system directly between GP and Consultant. This allows the attachment of documents. If a subsequent referral is required, this is then requested by the GP through eRS/ DRSS. Please see here for instructions on how to use Advice & Guidance on NHS e-Referral.

Pre-choice Triage - Referral is reviewed on eRS by a medical/allied health professional prior to the patient phoning DRSS to make an appointment. The outcome may be signposting to a Secondary Service, advice for GP, upgrade to 2ww, straight to test. DRSS act on the response and book accordingly.

Please note NDHT offer advice through their Pre-choice Triage services. Some Advice and Guidance services are available on eRS from RD&E please click here for details.

	Pre-choice Triage Service provided by local hospital	Advice & Guidance Service provided on eRS
Allergy	Yes - provided by UHP	No
Biochemistry (Diagnostic Pathology/Blood Test)	No	Yes
Cardiology	Yes	No
Clinical Genetics Cancer	No	No
Clinical Genetics	No	No
Colorectal	No	No
Child & Adolescent - Medical	Yes	No
Child & Adolescent - Orthopaedics	No	No
Dermatology	No	No
Diabetic Medicine	No	No
ENT	Yes	No
Endocrinology	Yes	No
Geriatric Medicine	Yes	No
Gastroenterology	Yes	No
Gynaecology	Yes	No
Haematology	Yes	No
Immunology	Yes - provided by UHP	No
Microbiology (Infectious Diseases/NOS)	No	No
Nephrology	Yes	Yes
Neurology	No	Yes
Neurosurgery	No	No
Ophthalmology	No	No
Orthopaedics - Foot & Ankle	Yes	No
Orthopaedics - Hand & Wrist	Yes	No
Orthopaedics - Hip	Yes	No
Orthopaedics - Knee	Yes	No
Orthopaedics - Shoulder & Elbow	Yes	No
Orthopaedics- Spine	Yes	No
Pain Management	Yes	No
Podiatry - Diabetes	No	No
Respiratory	Yes	No
Rheumatology	Yes	No
Surgery Breast	No	No
Surgery - Not Otherwise Specified	No	No
Surgery Plastics	No	No
Surgery Vascular	Yes	No
Urology	Yes	No

UHP - University Hospitals Plymouth NHS Trust

Updated: 29 June 2021

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