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Oxford University Hospitals NHS Foundation Trust

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Endocrine Surgery

Referring via e-Referral

Use e-Referral for:

  • Routine patients: these should always be referred via the e-Referral Service.
  • Urgent patients: all urgent referrals should now go through e-Referral, rather than being faxed to the department.

Directly Bookable Service for Endocrine Surgery

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

To select a directly booked appointment, please see the guide at the link below, which shows how to use the system.

An electronic proforma or appropriate letter needs to be attached to the e-Referral system by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

For further information please visit 'e-Referral':

2 Week Wait patients

2 Week Wait patients should preferably be faxed to the 2 Week Wait Bureau, as all referrals are triaged to ensure they are booked into the most appropriate clinic as soon as possible.

Referring direct

If the patient has chosen to use the John Radcliffe Hospital and the complaint is either General Surgery, Vascular or Gastro, send a letter via the post to:

  • Consultant (if known) or specialty
    John Radcliffe Hospital
    Headley Way
    Headington
    Oxford OX3 9DU
  • Alternatively fax to: 01865 851173

Common conditions

Common conditions treated in Endocrinology Surgery are:

  • thyroid disease (not nodule in this clinic)
  • adrenal disease
  • parathyroid disease
  • gall stones
  • hernias (approved by the Lavender statement).

Associated clinics

One stop thyroid clinic

2 Week Wait patients: only patients with the following should be treated under the 2WW rule:

  • thyroid nodule with hoarseness of voice
  • thyroid nodule with cervical lymph node
  • thyroid nodule in patients under the age of 25
  • rapid growth of pre-existing thyroid nodule in elderly patient (suggest malignant change).

Rapid onset of thyroid nodule almost always suggests a bleed into a thyroid cyst, not malignancy.

Routine patients

  • Thyroid or neck lumps (including salivary tumours)
  • Lymph node enlargement (over 10mm)
  • Procedures performed in clinic
  • Fine Needle Aspiration of thyroid and neck mass (results in clinic on the day)
  • Fine Needle Aspiration of lymph nodes

There is a cytologist in clinic.

Required investigations

  • Thyroid function test

More information

Mr Sadler is happy to discuss possible urgent referrals with GPs at any time. Contact him on his mobile via his secretary.

  • Tel: 01865 223555

 

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