South Devon & Torbay 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 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. If an Advice & Guidance service is available please note this can be provided by any trust.

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.

Advice & Guidance on eRS may be provided by any trust, the e-Referral service name will give this detail.

Pre-choice Triage Service Advice & Guidance Service
Allergy No No
Cardiology No Yes
Colorectal No SAICO*
Child & Adolescent - Medical No Yes
Child & Adolescent - Orthopaedics No No
Dermatology No Yes
Diabetic Medicine No SAICO*
Diabetic Medicine - Podiatry No Yes
Endocrinology No SAICO*
General Medicine No No
Geriatric Medicine No No
Gastroenterology No SAICO*
Gynaecology No Yes
Haematology No SAICO*
Immunology No No
Neurology No Yes
Neurosurgery No No
Ophthalmology No No
Orthopaedics - Foot & Ankle No Yes
Orthopaedics - Hand & Wrist No Yes
Orthopaedics - Hip No Yes
Orthopaedics - Knee No Yes
Orthopaedics - Shoulder & Elbow Yes Yes
Orthopaedics - Spine No Yes
Pain Management No SAICO*
Respiratory No SAICO*
Rheumatology Yes SAICO*
Surgery Breast No No
Surgery - Not Otherwise Specified No No
Surgery Plastics No No
Surgery Vascular No SAICO*
Urology Yes Yes

SAICO* - Advice and Guidance using NHS Mail - Please see here for email details

Updated: 27 April 2018


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