Colorectal Surgery

Directly Bookable Service for Colorectal 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.

Directly Bookable Service quick guide (pdf, 720 KB)

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.

Please note exclusions:

2WW to remain as existing process

For further information please visit 'e-Referral':

e-Referral

2 Week Wait patients

2 Week Wait patients should also 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

Common conditions

Common conditions treated in Colorectal Surgery are:

• rectal bleeding
• anal symptoms
• abdominal mass
• change in bowel habit
• suspicion of colorectal pathology
• pilonidal disease
• faecal incontinence
• rectal prolapse
• surgery for ulcerative colitis and Crohn's disease.

Procedures which may be performed in clinic:

• rigid sigmoidoscopy
• proctoscopy
• injection/banding of haemorrhoids botulinum injection for anal fissure.

Exclusions from this clinic

Suspected upper GI pathology

Associated clinics

Pelvic floor clinic which treats:

• faecal incontinence
• obstructed defaecation
• rectal prolapse.

Procedures performed in clinic:

• anal local anaesthetic block
• haemorrhoid injection/banding
• botulinum toxin injection.

Exclusions from this clinic:

General colorectal problems

Pouch Clinic Review Guidelines V1 (2022)

Pouchoscopy Guidelines - V2 August 2022

Pouchoscopy Guidelines - V2 August 2022 (pdf, 120 KB)

Pouchitis Management Guidelines - V2 August 2022

Pouchitis Management Guidelines - V2 August 2022 (pdf, 147 KB)