Torbay and South Devon Pre-choice Triage/Advice & Guidance

Devon Clinical Commissioning Groups and Providers are looking at developing the most effective way of providing GPs with clinical advice for non urgent cases.

Currently alongside the assortment of email, letter, phone calls, SAICO etc, there has been the introduction of both Pre-choice Triage (PCT) and Advice and Guidance (A&G) using the e-Referral system. These functionalities are being rolled out across Devon at varying degrees by providers.

Advice and Guidance - A two way conversation on e-Referral (eRS) system directly between GP and Consultant. This allows the attachment of documents. If a subsequent referral is required, this is then requested by the GP through eRS/ DRSS. Please see here for instructions on how to use Advice & Guidance on NHS e-Referral.

Pre-choice Triage - Referral is reviewed on eRS by a medical/allied health professional prior to the patient phoning DRSS to make an appointment. The outcome may be signposting to a Secondary Service, advice for GP, upgrade to 2ww, straight to test. DRSS act on the response and book accordingly.

Pre-choice Triage Service provided by local hospital Advice & Guidance Service provided on eRS
Allergy Yes - provided by UHP
Biochemistry (Diagnostic Pathology/Blood Test) No No
Cardiology No


Clinical Genetics Cancer No


Clinical Genetics No


Colorectal No SAICO*
Child & Adolescent - Medical No SAICO*
Child & Adolescent - Orthopaedics No


Dermatology No


Diabetic Medicine No e-Referrals
EndocrinologyNo e-Referrals
General Medicine No No
Geriatric Medicine No No
Gastroenterology No SAICO*
Gynaecology No SAICO*
Haematology No SAICO*
Immunology No No
Immunology - Primary Immune Deficiency only Yes - provided by UHP No
Microbiology (Infectious Diseases/NOS) No


Neurology No e-Referrals
Neurosurgery No No
Ophthalmology No No
Orthopaedics - Foot & Ankle No SAICO*
Orthopaedics - Hand & Wrist No SAICO*
Orthopaedics - Hip No SAICO*
Orthopaedics - Knee No SAICO*
Orthopaedics - Shoulder & Elbow Yes SAICO*
Orthopaedics - Spine No SAICO*
Pain Management No SAICO*
Podiatry - Diabetes No


Respiratory No SAICO*
Rheumatology - Osteoporosis Yes SAICO*
Sleep Medicine No SAICO*
Surgery Breast No No
Surgery - Not Otherwise Specified No No
Surgery Plastics No No
Surgery Vascular No


Urology Yes e-Referrals

SAICO* - Advice and Guidance provided by Torbay & South Devon using NHS Mail - please see email details here and request form

UHP - University Hospitals Plymouth NHS Tust

Updated: 23 January 2020


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