Abdominal aortic aneurysm (AAA) screening is a way of detecting asymptomatic swelling (aneurysm) of the aorta.
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Advice & Guidance from Secondary Care and Psychiatry
Information about seeking advice & guidance from secondary care to avoid unnecessary referrals and safely obtaining timely and safe management advice. Consultant Connect service. Urgent Connect GP Liaison Service
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Audiology Complex Direct Referral Service
Audiology direct triage referral service for Hearing Loss, Tinnitus, Hearing or Listening Difficulties
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Back and Neck Pain
These are guidelines for most patients most of the time. Like all guidelines, there are exceptions. Acute back pain is for < 6 weeks, chronic > 6 weeks
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Blepharoplasty
Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids.
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Breast Enlargement Reduction Revision & Gynaecomastia
(Gender reassignment, & reconstructive surgery after cancer or trauma is not included in this policy)
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Bunion – hallux valgus
A bunion is a bony deformity of the joint at the base of the big toe. The medical name is hallux valgus.
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Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is a relatively common condition that causes a tingling sensation, numbness and sometimes pain in the hand and fingers.
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Cataract Removal in Adults
Cataract surgery is a procedure used to treat cataracts, where changes in the lens of the eye cause cloudy, blurry, or misty vision.
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Cervical lymphadenopathy
Cervical lymphadenopathy refers to lymphadenopathy of the cervical lymph nodes (the glands in the neck).
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Chalazion
A chalazion also known as a meibomian gland lipogranuloma, is a cyst in the eyelid that is caused by inflammation of a blocked meibomian gland.
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Cholecystectomy – Gallstone Surgery – Asymptomatic
Gallbladder removal surgery, also known as a cholecystectomy, is a very common procedure.
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Continence Services
Continence Services are specialist teams providing support and medical advice for people with bowel or bladder incontinence.
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Dupuytrens Disease
Dupuytren’s contracture (Dupuytren's disease) is a condition that affects the hands and fingers.
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Face lifts and brow lifts
A facelift (rhytidectomy) is cosmetic surgery to lift up and pull back the skin to make the face tighter and smoother.
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Facial Blushing or Sweating
Endoscopic thoracic sympathectomy is the cutting of nerve signals to stop blushing.
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Fractured Nose
A nose fracture is a break in the bone or cartilage over the bridge, or in the sidewall or septum .
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Grommets and Myringotomy (Children)
A grommet is a very small tube that's inserted into the child's ear during surgery.
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Haematuria
Finding blood in your urine can be very frightening and must be investigated by a doctor, but it's not usually a sign of anything life-threatening.
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Hernia – Inguinal Hernia in Adults
A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall.
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Hip Pain (Adults)
Most cases of hip pain in adults that are treated with surgery are caused by osteoarthritis, the most common type of arthritis in the UK.
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Hyaluronic injections for osteoarthritis
Osteoarthritis is a condition that causes joints to become painful and stiff. It's the most common type of arthritis in the UK.
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Hydrocoele (adult)
A hydrocele denotes a pathological accumulation of serous fluid in a body cavity.
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Intermittent Claudication (Peripheral Arterial Disease)
The clinic assesses and treats patients with symptoms of Peripheral Arterial Disease (PAD) which consists of reproducible exertional muscle pain that affects typically the calf
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Kidney Stones
Kidney stone disease is when a solid piece of material (kidney stone) occurs in the urinary tract.
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Knee Arthroscopy
An arthroscopy is a type of keyhole surgery used both to diagnose and treat problems with joints.
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Knee pain (adults)
Joint pain is a very common problem with many possible causes - but it's usually a result of injury or arthritis.
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Lower urinary tract symptoms (men)
The lower urinary tract consists of the bladder, prostate gland and urethra.
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Nasal Discharge and Obstruction
Nasal discharge is a very common problem, especially amongst children.
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NHS Eye Care Services
The new NHS Eye Care Service is now fully operational and started receiving patients from 3rd June
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Overactive Bladder
Overactive bladder is a problem with bladder-storage function that causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (incontinence).
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Penile Implants
A penile implant is a medical device that is custom-fit and surgically placed into a penis.
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Phimosis and Circumcision (Adult)
Phimosis is a condition in where the foreskin of the penis is too tight to be pulled back to reveal the glans.
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Physiotherapy services – MSK
Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future.
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Prostate specific antigen
Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland.
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Rectal bleeding
Rectal bleeding (bleeding from the bottom) is often noticed as small amounts of bright-red blood on toilet paper.
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Retinal Vein Occlusion
Retinal vein occlusion is one of the most common causes of sudden painless unilateral loss of vision.
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Scoliosis (Paediatric)
Assessment in secondary care is advised for any child with a suspected scoliosis who is still growing.
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Shoulder Pain
Shoulder pain is a common problem with a number of different causes. It's often a symptom of another problem.
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Snoring in Adults
Snoring is caused by the vibration of the soft tissue in your head and neck as you breathe in.
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Surgical Assessment Unit (SAU)
Referral pathways for surgical management of abscess and appendicitis
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Throat – persistently sore, tight, irritable
Sore throats are very common and usually nothing to worry about.
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Tinnitus
Tinnitus is the term for hearing sounds that come from inside your body, rather than from an outside source.
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Trigger finger – adults
Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the affected finger or thumb.
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Umbilical hernia
An umbilical hernia appears as a painless lump in or near the navel (belly button).
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Urinary Tract Infection (UTI)
Urinary tract infections (UTIs) are common infections. In order to avoid misdiagnosis of UTI and the subsequent overtreatment / misuse of antibiotics please adhere to the following principles when using dipsticks.
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Varicose Veins
Varicose veins are swollen and enlarged veins – usually blue or dark purple – that usually occur on the legs.
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