Haemophilia and Thrombosis referrals
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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 Haemophilia and Thrombosis
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':
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If the patient has chosen to use the Oxford Haemophilia and Thrombosis Centre at the Churchill Hospital, send a letter via the post to:
- Consultant (if known)
Oxford Haemophilia and Thrombosis Centre
Oxford OX3 7LJ
- Alternatively fax to: 01865 225608
- Diagnosis and treatment of patients with haemophilia, thrombosis and other bleeding disorders.
- Diagnosis of patients with bleeding or thrombosis disorders.
- Genetic analysis and counselling for haemophilia and related disorders.
- Anticoagulation service.
- DVT Clinic
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Haemophilia Centre Guidelines
Ordering factor concentrate
Treatment pathways for bleeding disorders
All adults and children with inherited bleeding disorders across the region (Oxfordshire, Buckinghamshire, Berkshire, Northamptonshire, Gloucestershire) are under the care of the Oxford Haemophilia and Thrombosis Centre (Churchill Hospital, OHTC) and Children's Haemophilia Team (Children's Hospital Oxford).
The exception is shared care clinic arrangements for patients with inherited moderate and mild bleeding diseases in Northampton.
In the event of an emergency, local minor surgery, or when patients with inherited bleeding disorders attend a District General Hospital, the following haematology teams should be contacted, in addition to the haemophilia team at Oxford.
If a female of any age is suspected of being a carrier or an obligate carrier of haemophilia, please follow the carrier referral pathway.
Please contact the haemophilia team for all pregnant patients with an inherited bleeding disorder including those who are carriers.
Refer as early as possible for timely pre-natal diagnosis and blood tests.
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- Please fax to: 01865 225296
Please check the exclusion criteria for all patients and refer them verbally to the DVT Clinic. Please give the patient a referral letter, including medical history, to give to the DVT Nurse.
Patients suspected of having a Pulmonary Embolism, or who do not meet the referral criteria, will need to go to the Emergency Department.
However, once well enough for discharge, they can be referred to the DVT Clinic for follow-up.
Please give a leaflet to your patient about how to find the DVT Clinic and what they should expect during their visit.
DVT Service guidelines
Medicines Information Leaflets (MILs)
MILs are documents produced by OUH to help medical staff safely and accurately prescribe and administer complex medications.
The MILs listed below are all approved for use within OUH. Some of the recommendations may differ from the product literature.
If you would like to use our MILs as the basis for your own local guidelines, we are more than happy to share good practice, but please seek approval from a Drugs and Therapeutics Committee, as these are only approved for use within OUH.
The current outpatient anticoagulation guidelines used at the Oxford Haemophilia and Thrombosis Centre (OHTC) are downloadable from here:
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- Haemophilia A, Haemophilia B, von Willebrand's disease and other bleeding disorders.
- Suspected DVT and other thrombotic disorders.
- For all clotting questions: bleep 5529
- Available 9.00am - 5.00pm
All clotting questions out of hours need to go to the Haematology Registrar on call.
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