Urgent clinical advice
- For an overview of our key agreed ways of working across the primary and secondary care interface - please see Primary Care collaborative working reference guide 2023. Further information on our collaborative working can be found on our News and interface developments page.
- For key contacts to our services for clinical admin support (inc. speciality specific admin mailboxes, appointment lines and expediting support): Referrals and key contacts
| Service | Frimley Park | Heatherwood and Wexham Park |
|---|---|---|
| Allergy | System-wide A&G via eRS | System-wide A&G via eRS |
| Allergy | System-wide A&G via eRS | System-wide A&G via eRS |
| Biochemistry / lipids | Please send via - Biochemistry - lipid management triage service clearly mark as ‘Advice request’ | Please send via - Biochemistry - lipid management triage service clearly mark as ‘Advice request’ |
| Breast routine | A&G via eRS | A&G via eRS |
| Cardiology - general | A&G via eRS | A&G via eRS |
| Cardiology rapid access chest pain | A&G via eRS | A&G via eRS |
| Cardiology rapid access heart failure | A&G via eRS | A&G via eRS |
| Clinical immunology | System-wide A&G via eRS | System-wide A&G via eRS |
| Dermatology | A&G via eRS | No A&G |
| Dermatology - paediatrics | A&G via eRS | No A&G |
| Diabetic medicine -general | System-wide A&G via eRS | System-wide A&G via eRS |
| Diabetic medicine - Diabetic foot MDT | A&G via eRS | A&G via eRS |
| Diabetic medicine - Insulin pump | System-wide A&G via eRS | System-wide A&G via eRS |
| Endocrinology | A&G via eRS | A&G via eRS |
| Endoscopy | Please send via gastroenterology A&G service | Please send via gastroenterology A&G service |
| ENT | A&G via eRS | A&G via eRS |
| ENT military | A&G via eRS | Service not delivered by HWPH |
| Gastroenterology | A&G via eRS | A&G via eRS |
| Gynaecology general | A&G via eRS | A&G via eRS |
| Gynaecology infertility | A&G via eRS | A&G via eRS |
| Gynaecology PCB | A&G via eRS | A&G via eRS |
| Gynaecology recurrent miscarriage | A&G via eRS | A&G via eRS |
| Gynaecology urogynaecology | A&G via eRS | A&G via eRS |
| Gynaecology vulval | A&G via eRS | Please send via general gynae A&G service |
| Haematology | A&G via eRS | A&G via eRS |
| Hepatology | A&G via eRS | A&G via eRS |
| Medicine for older people | A&G via eRS | A&G via eRS |
| Infection service | fhft. |
fhft. |
| Frimley ICS and FHFT maternity- Advice regarding things to check with women considering pregnancy or newly pregnant and how to manage common medical problems in pregnancy | ||
|
Neurology - new patient |
A&G via eRS | A&G via eRS |
| Nutrition and dietetics - adult and community | A&G via eRS | Please continue to use existing community pathways |
| Nutrition and dietetics - general diabetes | A&G via eRS | Please continue to use existing community pathways |
| Nutrition and dietetics - paediatrics | A&G via eRS | Please continue to use existing community pathways |
| Ophthalmology - adult squint / ocular mot / orthop | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - cataract | A&G via eRS | A&G via eRS |
| Ophthalmology - corneal | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - general | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - glaucoma assessment | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - macular | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - oculoplastic | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - paediatrics | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - paediatrics orthoptist | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - retinal / diabetic eye disease | A&G via eRS | A&G via eRS |
| Ophthalmology - vitreoretinal | A&G via eRS | Service not delivered at HWPH |
| Ophthalmology - yag laser | A&G via eRS | Service not delivered at HWPH |
| Oral and maxillofacial surgery | Service not delivered by FPH via Royal Surrey | No A&G |
| Orthopaedic - foot and ankle | A&G via eRS | A&G via eRS |
| Orthopaedic - hand and wrist | A&G via eRS | Please send via plastic surgery A&G service |
| Orthopaedic - hip | A&G via eRS | A&G via eRS |
| Orthopaedic - knee | A&G via eRS | A&G via eRS |
| Orthopaedic - paediatrics | A&G via eRS | A&G via eRS |
| Orthopaedic - shoulder and elbow | A&G via eRS | A&G via eRS |
| Orthopaedic - spinal | A&G via eRS | A&G via eRS |
| Orthopaedics - Spinal Support Service | This is a new initiative to strengthen the interface between primary care (including MSK first contact practitioners, FCPs) and secondary care. We have collaboratively developed a new support service for primary care. From May 2024, primary care can book telephone or MS teams appointments with the FHFT spinal consultants and advanced practice physiotherapists, to discuss any spinal patient that may need imaging or management support. Any urgent patients should not be using this pathway (see further guidance in the red box on the DXS spinal pathway). Primary care contact number: 07795 520356 (Monday to Friday 8am - 4pm). |
|
| Paediatrics - general | Consultant hotline - 07881 352600 | Consultant hotline - 07919 175643 |
|
Pain medicine - chronic |
System-wide A&G via eRS | System-wide A&G via eRS |
| Pain medicine - specialist physio and psychology | Please send via pain medicine - Chronic A&G Service | Please send via pain medicine - Chronic A&G Service |
| Pharmacy - medicines information | System-wide; email enquiries to: fhft. or contact 0300 613 4744 |
System-wide; email enquiries to: fhft. or contact 0300 613 4744 |
| Plastic surgery | System-wide A&G via eRS | System-wide A&G via eRS |
| Renal - general |
Service not delivered by FPH via Epsom and St Hellier |
A&G via eRS |
| Respiratory - general | A&G via eRS | A&G via eRS |
| Respiratory - adult integrated | Community respiratory team: fhft. 0300 613 8032 |
AIRs team: fhft. 0300 614 6796 0300 614 6459 0300 614 6466 0300 614 6469 |
| Respiratory - tuberculosis | A&G via eRS | A&G via eRS |
| Rheumatology - general | A&G via eRS | A&G via eRS |
| Rheumatology - early arthritis | A&G via eRS | A&G via eRS |
| Stroke - known patient | A&G via eRS (Please use A&G prior requesting a Stroke appt) |
fhft. For patients who have been seen / discharged from Wexham Park |
| Stroke rapid access TIA ** Please note stroke can be found under the specialty of neurology when submitting via e-RS | A&G via eRS | Service delivered by High Wycombe |
| Surgery - colorectal / lower GI | A&G via eRS | A&G via eRS |
| Surgery - lumps and hernias | A&G via eRS | A&G via eRS |
| Surgery - paediatrics | A&G via eRS | A&G via eRS |
| Surgery - upper GI | A&G via eRS | A&G via eRS |
| Urology - general | A&G via eRS | A&G via eRS |
| Vascular surgery - general | A&G via eRS | A&G via eRS |