Oxford University Hospitals NHS Foundation Trust

This site is best viewed with a modern browser. You appear to be using an old version of Internet Explorer.

Endocrinology referrals

In this page

Directly Bookable Service for Endocrinology

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 Service 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.

Go to top…

Conditions treated

1. Thyroid disorders

  • Hyperthyroidism
  • Hypothyroidism
  • Goitre
  • Thyroid nodule(s)
  • Thyroiditis
  • Thyroid cancer
  • Abnormal thyroid function tests

2. Gonadal disorders

  • Polycystic ovary syndrome
  • HRT
  • Menopause (early or natural)
  • Delayed puberty
  • Precocious puberty
  • Primary amenorrhoea
  • Turner's syndrome
  • Klinefelter's syndrome
  • Gonadal dysgenesis
  • Testicular feminisation
  • Hermaphroditism
  • Transsexualism
  • Masculinising tumours
  • Testicular tumours
  • Impotence

3. Pituitary disorders

  • Pituitary tumour
  • Prolactinoma
  • Acromegaly
  • Cushing's syndrome
  • Non functioning tumour
  • Normoprolactinaemic galactorrhoea
  • Pituitary apoplexy
  • Craniopharyngioma
  • Hypophysitis
  • Hypopituitarism
  • Diabetes insipidus
  • Hypothalamic syndromes

4. Adrenal disorders

  • Phaeochromocytoma
  • Addison's disease
  • Adrenal carcinoma
  • Congenital adrenal hyperplasia
  • Bartter's syndrome
  • Gitelmann's syndrome

5. Calcium (parathyroid) disorders

  • Hyperparathyroidism
  • Malignant hypercalcaemia
  • Hypercalciuria
  • Hypoparathyroidism
  • Osteomalacia

6. Pancreatic disorders

  • Hypoglycaemia
  • Insulinoma
  • Zollinger-Ellison syndrome

7. Miscellaneous

  • Anorexia nervosa
  • Gynaecomastia
  • Carcinoid syndrome
  • Pancreatic endocrine tumour
  • Multiple Endocrine Neoplasia Types I/II

8. Growth disorders

9. Neuroendocrine tumours

  • Pancreatic islet cell tumours
  • Carcinoid tumours
  • Bronchial carcinoids
  • Paragangliomas

Suggested investigations

  Category Disease Investigations
1. Thyroid disorder Thyrotoxicosis Gastric parietal cell AB, thyroid AB, TSH, free T4, free T3
    Hypothyroidism/Goitre Thyroid AB, gastric parietal cell AB, free T4, TSH, 9am cortisol
2. Gonadal disorders Hirsutism/PCOS (off pill 6/52) testosterone, DHEAS, androstenedione, SHBG, prolactin, LH, FSH, oestradiol, 17-OH progesterone
    Female hypogonadism prolactin, LH, FSH, oestradiol
    Impotence FSH, LH, testosterone, oestradiol, prolactin
    Male hypogonadism PSA, LFTs, ferritin, gamma GT
3. Pituitary disorders Raised prolactin TSH, free T4, FSH, LH, oestradiol, prolactin, testosterone
    Pituitary/?Hypopituitarism 9am cortisol, TSH, free T4, FSH, LH, oestradiol, testosterone, prolactin, HGH, IGF1
    Acromegaly GH, IGF1, 9am cortisol, prolactin, FSH, LH, oestradiol, testosterone, FSH, free T4
4. Adrenal disorders Conn's U&Es, spot urine for sodium and potassium
    Addison's TSH, free T4, 9am cortisol, 9am ACTH
5. Calcium (parathyroid) disorders Hypercalcaemia PTH, calcium, phosphate, alk phos, U&Es, albumin, immunoglobulins, electrophoresis, CRP, sACE, 2 x 24 hour urinary calcium


Go to top…

Service notes

We run an email consultation service, staffed by our SPRs and consultants, which aims to give a 24 hour email enquiry return time.

Subfertility or hirsutism plus menstrual disorders are often best seen initially in the endocrine clinic. Some patients may need to be referred directly to the gynaecologist depending on the nature of their presentation.

Please always supply information on any medications given in the last three months that may elevate prolactin (consulting BNF if necessary).

  • A 9.00am cortisol < 100 nmol/L consider urgent.
  • Prolactin > 3000 mU/L consider urgent.

Alternative services

  • Osteoporosis and metabolic bone disease - seen at the Nuffield Orthopaedic Centre, Professor John Wass.
  • Paediatric endocrinology - seen by Dr Fiona Ryan, John Radcliffe Hospital.
  • Euthyroid nodules - consider referral to Mr Greg Sadler, Endocrine Surgeon at the John Radcliffe Hospital under specialty surgery not otherwise specified. Clinic type Endocrine Surgery.

Go to top…

DEPARTMENTS AND SERVICES