Clinical guidelines | NHS Frimley Health Foundation Trust

PLEASE NOTE: SECTION UNDER REVIEW - Please refer to DXS for the most up to date details of referral guidelines and pathways for Primary care. If you do not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net

Key: Letters indicate which site the guideline applies to.

FH = Frimley Health, FPH = Frimley Park Hospital, HWP = Heatherwood and Wexham Park Hospitals

Cardiology - All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
Dermatology-All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
Diabetes - All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
ENT- All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
General Surgery- All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
Gynaecology - All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
Neurology - All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
Ophthalmology- Please also see referral guidelines and pathways for Primary care on DXS

FPH Cataracts

FPH Chalazion

FPH Dermatochalasis & ptosis of eyelid

FPH Posterior capsular opacification
Paediatrics- Under Review

FPH Acute wheeze

FPH Afebrile seizures

FPH Chronic abdominal pain

FPH Constipation

FPH Diarrhoea and vomiting

FPH Febrile convulsions

FPH Feeding difficulties

FPH Headache

FPH Rapid access clinic

FPH Reflux and colic

FPH Urinary tract infection

Orthopaedic Paediatrics

FPH Bow legs (genu varum

FPH Developmental dysplasia of hip

FPH Flat feet

FPH In-toeing

FPH Knock knees

FPH Limping child

FPH Osgood-Schlatter disease

FPH Out-toeing

FPH Perthes disease

FPH Slipped upper femoral epiphysis

FPH Toe walking
Radiology Alerts
Alerting of abnormal/concerning clinical findings from FHFT to General Practice
- General Practice will be alerted of abnormal/concerning clinical findings by email via the practices generic email address.
- The email will be titled ‘RADIOLOGY ALERT’. Please note, this is sent alongside the report via ICE/GP systems.
- Practices will monitor their generic inboxes regularly throughout the working week and share alerts with the relevant clinician as a priority.
- The practice email addresses have been provided to FHFT by the Frimley CCG primary care contracts team frimleyccg.primarycarecontracts@nhs.net who are responsible for the verification, updating and managing the email lists. They will notify FHFT’s Interface Development team of any changes.
- Practices should proactively contact the CCGs contracts team frimleyccg.primarycarecontracts@nhs.net with any known changes to email addresses as it is important that these alerts reach practices and clinicians in a timely manner.
Please click here to view the Standard Operating Protocol

Radiology and Pathology - ICE Downtime Business Continuity Key Notes

Please click here to view the Radiology and Pathology - ICE Downtime Business Continuity Key Notes

For Radiology requests:

For X-rays, please complete and print off the paper request form ‘FHFT-Primary Care Radiology (X-Ray)-Request Form For ICE Downtime (FHC3171)’ available on DXS in the radiology section (Frimley Health and Care/Radiology/4.Frimley ICS Referral Forms), and give to the patient to bring to the X-ray department. The patient details will be manually uploaded, and the examination performed. The results will be available on ICE when ICE has been restored or radiology will contact the GP practice if results demonstrate an urgent or unexpected finding.

For all other imaging requests (Ultrasound, Fluoroscopy, CT or MRI) please request using ICE when normal services are restored.

For Pathology requests:

Please complete the manual forms and put the completed form in a bag with the sample and send to lab. If you need access to the form, please contact the BSPS helpline (details below).

Patient details will be entered manually by pathology staff when the sample arrives at the lab.

Further contact details are listed below and can be found on the FHFT GP centre: GP centre | NHS Frimley Health Foundation Trust (fhft.nhs.uk):

Further Support
PATHOLOGY
BSPS Pathology & Pathology enquiries (incl. blood tests, results, consumables, excluding IT)	· Tel: 0300 6134117 or e-mail: fhft.bspshelpline@nhs.net
Technical IT Support – Pathology ICE	· Surrey team (Frimley South): fhft.bsps.it@nhs.net · Berkshire team (Frimley North): · fhft.bspsberkshire@nhs.net · If urgent please call: 0300 613 3600
RADIOLOGY
Technical IT ICE/Epic Radiant - Radiology Support	· BSPS ICE IT Team: fhft.iceepicsupport@nhs.net (monitored by BSPS / Frimley Epic IT team, from Monday – Friday, 9am – 5pm). · If urgent, please call BSPS ICE IT Team on: 0300 613 3600
Clinical radiology enquiries	· If you have any clinical concerns or questions, please contact: - For Frimley North facing GP’s (referring into Wexham, Heatherwood, St Marks, or King Edwards hospitals) please email: fhft.radiology.secretarieshwph@nhs.net. - For Frimley South facing GP’s (referring into Frimley Park, Aldershot Centre for Health, Fleet or Farnham hospitals) please email: fhft.radiology.secretaries@nhs.net.
Urgent Clinical Radiology Advice	Urgent advice \| NHS Frimley Health Foundation Trust (fhft.nhs.uk)

Suspected Cancer Referral Forms and Guidance -All referral guidelines and pathways for Primary care are on DXS

For practices that do not have DXS please view the referrals section then please open Suspected cancer referral forms, patient leaflets and guidance for full details
Trauma and orthopaedics - All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net
Urology- All referral guidelines and pathways for Primary care are on DXS

If you are a GP Practice that does not have access to DXS please contact: dxsfrimleyics@nhs.net or fhft.gpcommunications@nhs.net

Cardiology - All referral guidelines and pathways for Primary care are on DXS

Dermatology-All referral guidelines and pathways for Primary care are on DXS

Diabetes - All referral guidelines and pathways for Primary care are on DXS

ENT- All referral guidelines and pathways for Primary care are on DXS

General Surgery- All referral guidelines and pathways for Primary care are on DXS

Gynaecology - All referral guidelines and pathways for Primary care are on DXS

Neurology - All referral guidelines and pathways for Primary care are on DXS

Ophthalmology- Please also see referral guidelines and pathways for Primary care on DXS

Paediatrics- Under Review

Radiology Alerts

Radiology and Pathology - ICE Downtime Business Continuity Key Notes

Suspected Cancer Referral Forms and Guidance -All referral guidelines and pathways for Primary care are on DXS

Trauma and orthopaedics - All referral guidelines and pathways for Primary care are on DXS

Urology- All referral guidelines and pathways for Primary care are on DXS

GP centre