Cancer services

• Patient information leaflet - July 2024
• 2WW e-RS redirection process for Primary Care - October 2022
• 2WW e-RS redirection process for Secondary Care - October 2022
• Access Policy - Updated April 2024

Contact numbers patient related appointment queries (including 2WW) 

All referrals should be sent via NHS e-Referrals to the appropriate service however there a few exceptions where referring organisations do not have access to NHS e-Referrals. 

Please ensure that the e-mail is sent with High Priority we would also recommend requesting a 'read receipt' and clearly mark in the subject field 'Urgent Suspected Cancer Referral'

Suspected cancer referral forms

• FHFT Brain and CNS - Oct 2020
• FHFT Breast and symptomatic - April 2023
• FHFT Children and young people - Jan 2024
• FHFT GI, Lower 2020
• FHFT GI, Upper 2019
• FHFT Gynaecology - April 2023
• FHFT Head and neck - April 2023
• FHFT Haematology- Oct 2020
• FHFT Lung - April 2023
• FHFT Urology - April 2023
• FHFT-Suspected Cancer Unknown Primary (CUP)-Referral Form December 2023
• FHFT-Suspected Cancer Non Specific (Vague) Symptoms (NSS)-Referral Form- Feb 2024
• FHFT Skin  - December 2021

Bone and sarcoma

• Frimley Park - FPH Bone and sarcoma updated Sept 2024
• Heatherwood and Wexham - Oxford Uni Hosp - Suspected sarcoma or bone tumour referral form March 2020

Suspected cancer referral guidelines

• FHFT Referral guidelines - Breast Jul 2023
• FHFT Referral guidelines - Brain and CNS
• FHFT Referral guidelines  - Lower GI
• FHFT Referral guidelines  - Upper GI
• FHFT Referral guidelines - Gynaecology Jul 2023
• FHFT Referral guidelines - Head and neck Jul 2023
• FHFT Referral guidelines - Haematology
• FHFT Referral guidelines - Lung and pleural Jul 2023
• FHFT referral guidelines - Skin
• FHFT Referral guidelines - Urology Jul 2023
• FHFT Non Specific Symptoms (NSS) and CUP pathways FAQs - Dec 2023
• FHFT Non Specific Symptoms (NSS) and CUP Pathways- GP Guidelines- Feb 2024
• FHFT Non Specific Symptoms (NSS)patient information leaflet 24 Nov 2023

Please refer to DXS for the most up to date referral forms and referral pathways.

If you do not have DXS or cannot find the form/pathway you are looking for, please use the email address below giving details of the form required: fhft.gpcommunications@nhs.net

Frimley Health (cross site referral forms / guidance)

• Fertility clinic:
  • Referral form - Jan 2023
  • Fertility partner consent for data sharing - Jan 2023
• Virtual fracture clinic:
  • Referral form - August 2021
  • Patient Information leaflet from FHFT - October 2024
  • GP information leaflet- November 2024
• Orthotics & appliances: 
  • Please e-mail the referral form click here to fhft.appliance.office@nhs.net or call 0300 615 3505
• Radiology out of area requesting (For use only when ICE electronic requesting is not an option):
  • Radiology out of area Request form – April 2023
  • For X-rays, please complete the above form and give it to the patient to bring it to the Radiology Department.  For other radiology requests, please complete and email the form to:
    • • Frimley Park Hospital: fhft.radiology.appt.authors@nhs.net
      • Wexham Park Hospital: for CT: fhft.radiologyctscanshwph@nhs.net, for Ultrasound: fhft.radiologyusscanshwph@nhs.net, for MRI: fhft.radiologymrihwph@nhs.net and for Private Patients: fhft.radiologyprivatepatientbookinghwph@nhs.net, 

Frimley Park (Frimley South)

• BCG Referral Form
• Physiotherapy department: fhft.therapies@nhs.net
• Anticoagulation team: fhft.anticoagulant.clinic@nhs.net  
• Radiology - for those practices who do not have ICE functionality please email fhft.radiology.appt.authors@nhs.net
• IVAS Service - Frimley South Only - Referrals for the IVAS Service should be e-mailed to fhft.IVAS@nhs.net. A referral proforma with all details of inclusion and exclusion criteria are available on DXS in the following location: Frimley Health and Care Folder/Iron Transfusions or if you do not have access to DXS click here for the form: IVAS Referral Form

Wexham Park (Frimley North)

• BCG referral form Please email referral to fhft.tbteamwexham@nhs.net. Referrals can also be made via phone: 01753 636 070
• Early pregnancy unit: fhft.earlypregnancyandugccwph@nhs.net GPs can also call: 0300 615 4429. For further details visit: www.fhft.nhs.uk/gps/gp-centre/sdec-including-ambulatory-care/ See WPH Gynae ‘Urgent Gynae Care Centre (UGCC)’
• Physiotherapy: fhft.physiotherapyhwd@nhs.net
• Plastics Urgent Care Clinic (PUC): fhft.plasticsurgentcare@nhs.net
• Closed Hand Injury Clinic (CHIC): fhft.plasticshandclinicwph@nhs.net
• Radiology- requests via ICE
• Requesting Lumbar Spine X-Rays on ICE
• VTE and Anticoagulation clinic: fhft.pharmacy.anticoagulation@nhs.net

​​Frimley North ICE referral route now closed

From the launch of Epic, the new EPR system on Saturday 11 June, ICE should no longer be used for sending referrals to FHFT. ICE is now only used as an order comms solution for Pathology and Radiology.

Full details of the EPIC changes affecting Primary Care including changes to the use of ICE can be found at: epic-update-for-primary-care-may-2022-version-7-final-08062022.pdf (fhft.nhs.uk).

Click here for further details on how to refer to services using the new referral route e.g., via eRS or via an email address.

Other guides and sources of information and support can be found on the Epic section of the FHFT GP centre website: Epic EPR at Frimley Health | NHS Frimley Health Foundation Trust (fhft.nhs.uk).

Here are the contact details for assistance with ICE/Radiology ordering:

For those practices who do not have ICE functionality:

Radiology out of area Request form – April 2023 - For X-rays, please complete the form and give it to the patient to bring it to the Radiology Department.  For other radiology requests, please complete and email the form to:

Frimley Park: fhft.radiology.appt.authors@nhs.net,

Wexham Park: For CT: fhft.radiologyctscanshwph@nhs.net, For Ultrasound: fhft.radiologyusscanshwph@nhs.net, For MRI: fhft.radiologymrihwph@nhs.net, For Private Patients: fhft.radiologyprivatepatientbookinghwph@nhs.net

Please note for radiology requests at Frimley Park which are emailed, they will need to be physically signed by the requestor. Digital signature not acceptable unless emailed directly from the requestor themselves using a secure NHS email account. It is a legal requirement for requests to have a signature of the referrer in order for us to be able to image the patient. If we image a patient without an appropriate signature, then we are in breach of our working license, which is obviously something that there is absolutely no flex on. We have agreed that we can accept requests which are sent to us electronically direct from the referrer, using their own secure @nhs.net e-mail address, as this gives us adequate proof of referrer identity and intent to refer, in place of a formal signature.

Patients often call various departments in the Trust in particular the Radiology asking for results. Unfortunately the team are not able to give these results and advise patients that they need to go to the requestor of the diagnostic to obtain this information.

NHS e-Referrals Service

Frimley Health is committed to making available a full Directory of Services (DoS) to referrers through the e-Referrals Service (e-RS).

We actively encourage the use of e-RS as the preferred method for all first outpatient and diagnostic referrals into the trust. To facilitate this activity we will regularly undertake a review of outpatient services and work with the wider referring community to promote any changes. The DoS is designed to ensure that referrers can quickly and accurately locate services to meet the needs of patients.

We welcome any feedback on how our services are set up on e-RS by contacting the NHS e-Referrals manager sara.gant@nhs.net or fhft.gpcommunications@nhs.net

Primary Care requests for training and urgent e-RS queries

GP practices in Berkshire, Hampshire and Surrey should contact South Central and West CSU. Please see below details the website has lots of training material available which may assist you with your query.

The Frimley Training Hub: https://frimleytraininghub.co.uk/

Key Contacts: 

Process for expediting ‘new’ referrals/first appointment on clinical grounds 

Following a clinical reassessment of the patient, the practice will email the relevant speciality email address (listed below) and include the following information:

• UBRN
• NHS Number
• Specialty
• Date of current appointment (if applicable)
• Attach clinical documentation giving clinical reasons for the referral needing to be expedited.
• Where an assessment or sight of the patient’s condition is essential (e.g. a lump or skin condition), please ensure this is carried out prior to expediting the request (and during the initial referral). Please make this clear on the referral or expediting request. Also where the sight of a patient’s condition is essential to triage to the most appropriate appointment type or management advice (e.g. dermatology) please attach a photo (where appropriate and feasible). Please see links below for guidance for GPs or patients taking photos in primary care using Accurx. These links can be found on DXS in the Frimley Health and Care / Dermatology Landing Page.
• GP guidance on how to request pics via AccuRx- - https://support.accurx.com/en/articles/3793046-how-to-send-a-message-that-a-patient-can-respond-to-with-text-or-photo
• Patient guidance on how to send pics via AccuRx- https://support.accurx.com/en/articles/3925716-my-clinician-has-asked-me-to-respond-to-a-text-send-them-a-photo
• FHFT admin staff will liaise with the relevant FHFT Clinician who will review and advise if the appointment needs to be brought forward and seek to support this if required. This should be communicated back to the GP practice. Please appreciate creating capacity is extremely challenging, but teams will discuss with their clinical teams and do everything they can to meet the needs of the patient.

Process for expediting follow-up patients (patients who are already under the care of FHFT)

If the patient makes contact with the trust explaining their clinical situation has changed and requires a sooner appointment/procedure, this should be escalated within FHFT to the relevant clinical speciality-  They should not be directed back to primary care for expedition.

Full details can be found in the FHFT and Primary Care Collaborative working guide:  fhft-and-primary-care-collaborative-working-reference-guide-2023.pdf

To expedite referrals Frimley Park (Frimley South)

To expedite referrals Heatherwood and Wexham Park (Frimley North)

Frimley ICS Statement of intent re. EBIs

Evidence Based Interventions (EBI) is a nationally mandated programme which centres around value and patient outcomes.  These goals align with our principles as an integrated system and reinforce the need for evidence based decision making which will reduce low value interventions to enable you to deliver high value to the right patients at the right time. As such the EBI workstream has the full endorsement from all partners at the ICS Elective steering board.

Locally aligned policies through the clinical policy implementation project are underway and changes taking effect on 1^st June.

Please see further information about the changes in policies covering patient eligibility for all new referrals via NHS Frimley - Clinical policy alignment | Frimley Health and Care and more detailed information about each local policies by following the Policies and Application forms – NHS Frimley ICB – From 1st June 2024 – Clinical Policy Implementation Service (scwcsu.nhs.uk) link.

Related Links

September 2023- EBI FAQ Communication for GPs 

NHS England guidance on EBIs

AOMRC patient information leaflets on EBIs

To support our GP colleagues, Frimley Health NHS Foundation Trust have provided a list of clinical admin support for speciality service areas please see below.

Purpose: This is for non-urgent queries to support patients who are under the care of a clinician within Frimley Health.

To ensure your enquiry is managed as efficiently as possible please include the following information:

• Patient DOB and NHS/Hospital Number
• Name of the consultant that the patient is under
• Brief outline of the query
• Email address for response (if different from the sender)

IMPORTANT – these e-mail addresses are NOT for sending referrals and NOT to replace clinical advice offered via our A&G services. Please see below links for Routine and Urgent Advice.

• Urgent Advice Service Directory Lines: https://www.fhft.nhs.uk/gps/gp-centre/urgent-advice/
• Routine Advice Service Directory: https://www.fhft.nhs.uk/gps/gp-centre/routine-advice/
• SDEC Service Directory (including Ambulatory Emergency Care Unit): https://www.fhft.nhs.uk/gps/gp-centre/sdec-including-ambulatory-care/

Frimley Park Hospital

Heatherwood and Wexham

If you have been unable to contact the service using these email addresses above, please contact fhft.gpcommunications@nhs.net

Ward contact details | NHS Frimley Health Foundation Trust (fhft.nhs.uk)

Frimley ICB Primary Care Contacts

The main purpose of clinical feedback is to provide an insight into quality and safety issues encountered by all services in the Frimley ICB and to facilitate learning and improvement.

This flow chart guides clinicians in primary and secondary care through the different routes to report clinical feedback:

Clinical feedback flow chart

Bucks

For clinical concerns relating to Patient’s in Buckinghamshire please discuss with your ICB Quality Team: bobicb-bucks.quality@nhs.net