Troponin - amended algorithm
Vitamin D - advice on supplements for at risk groups
Bone densitometry (DXA) request form (pdf)
Bone densitometry (DXA) request form (word)
Basingstoke and North Hampshire Hospital
Medical Booking Team BNHH - email@example.com
Surgical Booking Team BNHH - firstname.lastname@example.org
Head and Neck Booking Team BNHH - email@example.com
Women’s Health Booking Team BNHH -firstname.lastname@example.org
Medicine New Patient Bookings/Referrals, RHCH and AWMH
Email for Clinicians/NHS staff/GP surgeries is: email@example.com
Email for Patients is: Medical.BookingOfficerRHCH@hhft.nhs.uk
Email for Clinicians/NHS staff/GP surgeries is: firstname.lastname@example.org
Email for Patients is: RespiratoryAdminRHCH@hhft.nhs.uk
Email for Clinicians/NHS staff/GP surgeries is: email@example.com
Email for Patients is: EldercarestrokeAdminRHCH@hhft.nhs.uk
Older Persons Rapid Assessment
Email for Clinicians/NHS staff/GP surgeries is: firstname.lastname@example.org
Breast referral form
Breast pain guidance for Primary Care
Bone health policy
Contraception after breast cancer treatment
Duration of Aromatase Inhibitor treatment for breast cancer
Family history questionnaire
Managing uro-vaginal symptoms in breast cancer survivors
Management of patients with breast infection
Alternatives to mammographic screening
Nipple eczema – advice for Primary Care
Use of HRT after breast cancer
Rapid Access Suspected Angina Clinic - Referral form (word)
Rapid Access Suspected Angina Clinic - Referral form (pdf)
Rapid Access Outpatient Clinic Referral For Suspected Heart Failure (word)
Rapid Access Outpatient Clinic Referral For Suspected Heart Failure (pdf)
BCG Referral Form (Basingstoke)
BCG Referral Form (Winchester)
High incidence countries
Consent for treatment - Paediatric therapy services
Referral criteria for paediatric therapy
Flowchart for referring to paediatric therapy
ERS Guidelines for booking paediatric services
Flowchart for referring to paediatric therapy fro concerns about Gait / leg posture
Guidelines for referring children with common Gait abnormalities to physiotherapy
Basingstoke Patch Team structure and function
Basingstoke Patch Team Referral Pathway
Basingstoke Patch Referral Form for Child Health Assessment
CHAT Referral - Example
Bronchiolitis - Clinical Decision Making Pathway
Chest Infection - Clinical Decision Making Pathway
Croup - Clinical Decision Making Pathway
Gastroenteritis -Clinical Decision Making Pathway
Viral URTI - Clinical Decision Making Pathway
Tonsilitis - Clinical Decision Making Pathway
Referral for tongue-tie associated with feeding difficulties
Please note that the dermatology service supports acute dermatology. Cosmetic and benign referrals will need to be supported by individual funding requests.
The wait to be seen for dermatology is currently 4-5 months for routine appointments. Please support the service by ensuring referrals provide details on the history of the skin condition including site, size and location and previous treatments which will enable the consultant team to respond to referrals through ERS with advice and guidance to support patients sooner.
Referral criteria - (Basingstoke and North Hampshire Hospital)
Referral criteria - (Royal Hampshire County Hospital, Winchester)
Hampshire weight reduction programme (POWER)
Wessex Academic Health Science Network - Nutrition in older people
Royal Hampshire County Hospital
Dear Primary Care Colleagues,
Endoscopy is an aerosol generating procedure, and a significant number of patients attending the unit are over 70. This means that both staff and patients are at risk of Covid 19 infection during the procedure itself, and whilst waiting and recovering in the endoscopy unit/DTC.
With current pressure rising on the secondary care service, and in line with guidance from the BSG/JAG, we are stopping all non-emergency endoscopy after Friday- with only a few urgent and TWR patients under 70 on the lists for the next 3 days. Bowel Cancer Screening and Bowel Scope flexible sigmoidoscopy has paused with immediate effect. These measures will reduce the risk of infection to both patients and staff, and will release staff for front line activity and redeployment.
In order to try and manage on-going demand, we have decided to suspend GP direct access requesting via ICE, so that all requests for out-patient endoscopy must come through the ERS as a single point of triage by consultants.
We have cancelled all procedures which had already been scheduled for the next 6 weeks, and informed patients by telephone if short notice cancellation.
All patients who have been cancelled, are on the waiting list to be booked, and who are currently joining the waiting list will be sent a letter explaining the circumstances. They are being asked to call a helpline number if they feel that their symptoms are too severe to wait – and they are asked to keep the number to hand in case their symptoms deteriorate to an unmanageable level before they are listed for a procedure. It is clear that it may be several months before we can resume normal service. The helpline will be manned by a clerical team who will either direct the patient back to their primary or secondary care team for advice, or escalate the query to a member of the endoscopy clinical team. This clinical team will be supported by a consultant. There will inevitably be a few patients who need their procedure doing –and there will be capacity for a small number of procedures in those it is safe to bring up to the unit. We aim to identify and manage those via patient initiated contact to this helpline number but are hoping that the helpline will not be overwhelmed with anxious patients.
We will still be offering emergency endoscopy for in-patients, and those out-patients requiring intervention for acute presentation of IBD, oesophageal and colonic stents, oesophageal dilatation, feeding tubes and ERCP – especially if it will help to keep them out of hospital.
We are grateful for your help during this time to manage expectation and try and limit referrals where possible. We would like to suggest that when referring a patient to join the waiting list – you do consider starting treatment, as there will be long delays. We would support you in starting iron in those who are deficient, PPI/Acid suppression in those with dyspepsia/dysphagia/suspicion of peptic ulceration, and a gluten free diet in patients with positive coeliac serology. Dietitians can take direct referral and do telephone appointments to support potential new coeliac disease patients, and we can always do a gluten challenge later to confirm the diagnosis.
Please feel free to contact us via Advice and Guidance if you need clinical support at this difficult time, and thank you again for your support.
With best wishes
Dr Corinne Brooks
Clinical Lead for Gastroenterology
Hampshire Hospitals NHS Foundation Trust
Tel: 01256 314859
Guidelines for the management of patients on warafrin or direct oral anticoagulants (DOAC) undergoing endoscopic procedures
Guidelines for the management of patients on P2Y12 receptor antagonist antiplatelet agents undergoing endoscopic procedures
NHS Funded Fertility Treatment varies enormously across the UK; current provision across England is determined by:
(The hospital trust has no control or influence on any policy changes and no responsibility for any changes associated with these web site links below)
Further information can be obtained from the following links:
There is an essential requirement for all funding to follow a defined treatment pathway and any associated forms must be completed by an NHS Fertility Specialist to apply for funding.
Andrology Referral Form - Wessex Fertility
Semen Analysis Referral Procedure - North and West Hampshire CCG
NHS Semen Analysis - Semen Sample Production Patient Information
Liver only advice and guidance
Criteria for referrals to Early Pregnancy Assessment Unit
Please note the Early Pregnancy Unit is a rapid access service for stable women. Women who are unwell or bleeding heavily should be referred to ED or the on call gynaecologist via switchboard for urgent assessment.
From 5 November 2018, 8.00am-19.30pm Monday to Friday referrals can be made by calling 07827 234119 (Basingstoke) or 01962 824484 (Winchester). Calls will be answered by a trained nurse where possible, except when the nurse is attending to patient care.
Following a previous ectopic pregnancy or molar pregnancy or following 2+ miscarriages, patients can self-refer to the unit.
All other patients must be referred by a healthcare professional.
All patients must have a positive urine pregnancy test in the last 7 days and be less than 13/40 and have any of the following:
When accepting a referral we need to know the following details:
Referrals above 13/40- can be made to Maternity Day Assessment Unit.
Basingstoke - 01256 313351
Winchester - 01962 824744
Opening hours Monday to Friday 08.00-20.30
Saturday and Sunday 10.00- 16.30
Urgent scans at the weekend for MDAU are generally on a Saturday at Winchester and a Sunday at Basingstoke. But please check at time of referral.
Please advise full bladder if over 8 weeks.
Transvaginal scan is carried out (with consent ) under 8 weeks.
Please advise children are not permitted into the scan room so it is essential that alternative arrangements are made.
2ww referral Haematology
Chronic Lymphocytic Leukaemia (CLL): Recommendations for GP Monitoring
Guidance on what to do when a paraprotein is found
Non 2WW referral
Inpatient referral information for HHFT medical staff:
Inpatient consultations can be requested by submitting an electronic referral form (‘e-purple’)
Out of office hours, the on-call Neurology Registrar and Consultant for the Wessex region can be contacted via the University Hospital Southampton switchboard (023 8077 7222).
North Hampshire Opthalmology referral criteria August 2019
Wessex area minor oral surgery referral form
Suspected head and neck cancer 2 week wait referral form
Orthodontics referral form - over 18
Orthodontics referral form - standard
Dental Electronic Referral System (DeRS):
Please note that Hampshire Hospitals NHS Foundation Trust will commence using the DeRS system to receive all Orthodontic referrals from 7th February 2020. All Dental referrals must be sent through this system in order to be processed.
Please note that the Central Referral Centre (CRC) will only be in place for a short time after the transition to DeRS. Practices are encouraged to provide as much information as possible on their DeRS referral to enable the teams to triage patients appropriately to see the right clinician in a time appropriate to their clinical urgency.
Pathology container library - click here
Ultrasound request guidelines
COVID-19 - Specific GP guidance on prescribing oral DMARDs and monitoring blood tests
For patients on oral DMARDs with stable blood test [in the past three months], GPs to kindly prescribe the next three months’ supply of patient’s medication.
For stable patients on a single biological agent, we are happy for blood tests to be undertaken on a six monthly basis.
For stable patients on single oral DMARD, we are happy for blood tests to be undertaken on a six monthly basis.
For stable patients on combination DMARDs [i.e: methotrexate and sulfasalazine; leflunomide and sulfasalazine; methotrexate and leflunomide] we are happy for blood tests to be undertaken on a three monthly basis.
Click here to read a list of frequently asked questions put together for rheumatology patients
Shared guidelines for Methotrexate
Shared guidelines for Leflunomide
Early arthritis clinic referral form
Osteoporosis - Medical managemnet of men and women who have (or are at risk of) Osteoporosis
Denosumab Prescribing Information Sheet (for Osteoporosis)
Guidelines on duration of therapy with denosumab 60mg for osteoporosis
Basingstoke and North Hampshire Hospital - 01256 313117
Royal Hampshire County Hospital - 01962 824256
Basingstoke and North Hampshire Hospital - 01256 312768
Royal Hampshire County Hospital - 01962 828906
Referral to sleep clinic form
Click here for more details
British Society of Urogynaecology - patient information