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Oxford University Hospitals NHS Foundation Trust

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Haemophilia and Thrombosis referrals

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':

Referring direct

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
    Churchill Hospital
    Old Road
    Oxford OX3 7LJ

For further information about the service please see: Specialist Medicine: Haemophilia and Thrombosis

Services available

  • 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

Haemophilia Service

If you would like to discuss the haemophilia protocol or guidelines, please contact the Haemostasis Specialist Registrar or Consultant on-call: bleep 5529 via switchboard.

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.

Haemophilia carriers

If a female of any age is suspected of being a carrier or an obligate carrier of haemophilia, please follow the carrier referral pathway.

Haemophilia Carrier Procedure (pdf, 189 KB)


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.

Pathway for pregnant women with / carriers of inherited bleeding disorders (pdf, 251 KB)

Anticoagulation Service

DVT Clinic

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 your patient a leaflet about how to find the DVT Clinic and what they should expect:

Oxford DVT Clinic, Churchill Hospital

Seven days a week
Tel: 01865 225629 Bleep 5165
Email (out of hours):

Banbury DVT Clinic, Horton General Hospital

Mondays, Wednesdays and Fridays
Tel: 01295 229282 Bleep 9614
Email (out of hours):

Out of hours DVT Clinic

  • The DVT clinic is open 8.00am - 1.00pm on Saturdays, Sundays and Bank Holidays (with the exception of Christmas Day and New Year's Day).
  • Ultrasound scans are available 9.00am - 11.00am on these days.
  • To refer a patient please telephone 01865 225629 and leave a full voicemail or email with the patient's details.
  • Please ask the patient to expect a telephone call from us between 8.00am and 9.00am and to expect an appointment at the Churchill Hospital between 9.00am and 11.00am.
  • Please take a citrate tube blood sample for a D dimer test prior to giving interim anticoagulation and give it to the patient to bring to the DVT clinic (sample is stable at room temperature overnight). This may help us exclude the need for a repeat scan which will free scan slots for new patients.

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.

Other guidelines

Dalteparin guidelines for prescribing in primary care (pdf, 536 KB)

The current outpatient anticoagulation guidelines used at the Oxford Haemophilia and Thrombosis Centre (OHTC) are downloadable from here:

Outpatient Oral Anticoagulant protocols (pdf, 339 KB)

Common conditions

  • Haemophilia A, Haemophilia B, von Willebrand's disease and other bleeding disorders.
  • Suspected DVT and other thrombotic disorders.

Haemostasis bleep

  • 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.