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
Cardiology Yes Yes
Colorectal No No
Child & Adolescent - Medical Yes No
Child & Adolescent - Orthopaedics No Yes
Diabetic Medicine Yes Yes
Dermatology No Yes
ENT Yes No
Endocrinology Yes No
General Medicine Yes No
Geriatric Medicine Yes No
Gastroenterology Yes No
Gynaecology No Yes
Gynaecology - Fertility No Yes
Haematology Yes Yes
Hepatology Yes No
Immunology No No
Immunology - Primary Immune Deficiency only 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 No Yes
Pain Management No No
Podiatry - Diabetes No No
Respiratory Yes No
Rheumatology Yes No
Surgery Breast Coming Soon No
Surgery - Cardiothoracic No Yes
Surgery - Not Otherwise Specified
No No
Surgery Plastics No No
Surgery Vascular No Yes
Urology Yes No

UHP - University Hospitals Plymouth NHS Trust

Updated: 20 February 2020


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