Basingstoke and North Hampshire Hospital

Medical Booking Team BNHH - hh-ft.medicalbookingbnh@nhs.net

Surgical Booking Team BNHH - hh-ft.surgicalbookingbnh@nhs.net

Head and Neck Booking Team BNHH - hh-ft.surgicalbookingbnh@nhs.net

Women’s Health Booking Team BNHH -hh-ft.womenshealthbookingbnh@nhs.net


Medicine New Patient Bookings/Referrals, RHCH and AWMH

Dermatology/Rheumatology/Neurology/Cardiology/Gastro/Endo-Diab
Email for Clinicians/NHS staff/GP surgeries is: hh-ft.bookingofficerhch@nhs.net
Email for Patients is: Medical.BookingOfficerRHCH@hhft.nhs.uk

Respiratory
Email for Clinicians/NHS staff/GP surgeries is: hh-ft.respiratoryadminrhch@nhs.net
Email for Patients is: RespiratoryAdminRHCH@hhft.nhs.uk

Elderly Care
Email for Clinicians/NHS staff/GP surgeries is: hh-ft.elderlycarestrokeadminrhch@nhs.net
Email for Patients is: EldercarestrokeAdminRHCH@hhft.nhs.uk

Older Persons Rapid Assessment
Email for Clinicians/NHS staff/GP surgeries is: hh-ft.oprauadminrhch@nhs.net
 

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.  

Basingstoke and North Hampshire Hospital

hh-ft.edreceptionbnh@nhs.net

01256 314700

Royal Hampshire County Hospital

01962 824944

hh-ft.ed.rhch@nhs.net

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
Consultant Gastroentoerologist
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

 

e-Referral Service Advice & Guidance Infectious Diseases

Please contact the Infection Sciences clinical team through ERS.

The microbiology department is based at Basingstoke and North Hampshire Hospital with an essential services laboratory at the Royal Hampshire County Hospital (Winchester).

We accept samples between 8:30am-7pm at the Specimen Reception on A Floor at Basingstoke and the Pathology Building at Winchester.

We are in the process of building the page with information on sample types - please come back for more in the future.

Further information on the services offered by the Microbiology laboratory, can be assessed in the Pathology User Handbook (Pages 77-96), available for download here: Pathology Handbook.

External reference laboratories are used for specialist tests not offered locally. The Microbiology Department is a UKAS accredited Medical Laboratory (No. 8082). Our schedule of accreditation is available here: Schedule of Accreditation.

Contact Details

Telephone: 01256 313 312

Email: microbiology@hhft.nhs.uk

Laboratory manager: Helen Denman

Operational manager: Robert Hunt

Clinical lead: Dr Claire Thomas

Admin lead: Claire White

Key Documents

Urine samples - primary care

Stool samples - primary care

Genital swabs - primary care

MRSA screening - primary care

Respiratory samplies - primary care

Sellotape slide instructions for Enterobius vermicularis

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).

Dentists:

Please use the Vantage REGO electronic system  for referrals to our department.

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

 

Rheumatology Practitioner service

Advice Line

Basingstoke and North Hampshire Hospital - 01256 313117

Royal Hampshire County Hospital - 01962 824256

Consultant Secretaries

Basingstoke and North Hampshire Hospital - 01256 312768

Royal Hampshire County Hospital - 01962 828906

 

Click here for more details