UHP 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 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.

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	No
Cardiology	Yes	Yes
Colorectal	Yes	No
Child & Adolescent - Medical	Yes	No
Child & Adolescent - Orthopaedics	No	Yes
Diabetic Medicine	Yes	Yes
Dermatology	Yes	Yes
ENT	Yes	No
Endocrinology	Yes	No
General Medicine	Yes	No
Geriatric Medicine	Yes	No
Gastroenterology	Yes	Yes
Gynaecology	Yes	Yes
Gynaecology - Fertility	Yes	Yes
Haematology	Yes	Yes
Hepatology	Yes	Yes
Immunology	Yes	No
Nephrology	No	Yes
Neurology	Yes	No
Neurosurgery	Yes	No
Ophthalmology	Yes	No
Oral & Maxillofacial Surgery	Yes	No
Orthopaedics - Foot & Ankle	No	Yes
Orthopaedics - Hand & Wrist	No	Yes
Orthopaedics - Hip	No	Yes
Orthopaedics - Knee	No	Yes
Orthopaedics - Shoulder & Elbow	No	Yes
Orthopaedics - Spine	Yes	Yes
Pain Management	Yes	No
Podiatry - Diabetes	No	No
Respiratory	Yes	No
Rheumatology	Yes	Yes
Surgery - Breast	No	Yes
Surgery - Cardiothoracic	No	Yes
Surgery - Not Otherwise Specified (Hernias & Lumps & Bumps Clinic Types)	Yes	No
Surgery Plastics	No	No
Surgery Vascular	No	Yes
Urology	Yes	No

UHP - University Hospitals Plymouth NHS Trust