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 No 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 No No
General Medicine No No
Geriatric Medicine Yes No
Gastroenterology Yes No
Gynaecology Yes No
Haematology Yes

No

Immunology No No
Immunology - Primary Immune Deficiency only Yes - provided by UHP No
Microbiology (Infectious Diseases/NOS) No

No

Nephrology No

No

Neurology No

No

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 Tust

Updated: 14 August 2019

 

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