Haemophilia and Thrombosis referrals
Use e-Referral for all routine and urgent patients.
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.
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':
e-Referral
Referring direct
If the patient has chosen to use the Oxford Haemophilia and Thrombosis Centre, send a letter to:
Consultant (if known)
Oxford Haemophilia and Thrombosis Centre (OHTC)
Nuffield Orthopaedic Centre
Windmill Road
Headington
Oxford OX3 7HE
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
Adult
Children
Shared care
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 (OHTC) and Paediatric Haemostasis Team (Children's Hospital Oxford).
The exception is shared care clinic arrangements for adult 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)
Pregnancy
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
GP Anticoagulation Service referral form (Word, 49 KB)
Email: ac.service@nhs.net
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
Nuffield Orthopaedic Centre
Monday to Friday: 9.00am - 5.00pm
Saturday and Bank Holidays: 8.00am - 1.00pm
Sunday: closed
Tel: 01865 225629 Bleep 5165
Email (out of hours): dvt.service@nhs.net
Banbury DVT Clinic
Horton General Hospital
Mondays, Wednesdays and Fridays
Tel: 01295 229282 Bleep 9614
Email (out of hours): ouh-tr.hortondvtservice@nhs.net
Out of hours DVT Clinic
Saturday and Bank Holidays (not Christmas / New Year's Day): 8.00am - 1.00pm
Sundays: closed
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 dvt.service@nhs.net 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
DVT Protocols November 2021 (pdf, 355 KB)
Email: dvt.service@nhs.net
Local guidelines and pathways and relevant shared care guidelines are available on ClinOX.
The current Outpatient Oral Anticoagulant protocols used at Oxford Haemophilia and Thrombosis Centre (OHTC) are available at the link below:
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.
Last reviewed:08 April 2024