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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, 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

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 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)

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

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
Seven days a week
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

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 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

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:31 March 2022