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Paediatric Department

B15

Referrals

Acutely ill Children

GP's should refer acutely ill children to the on call paediatric team via the hospital switchboard. Critically ill children being brought in by ambulance may be directed to the Emergency department for initial assessment by the Paediatric Team.

Monday to Friday the majority of children will be assessed in the Paediatric Assessment Unit (PAU) which is based on the Children's ward - they may be observed in PAU for a period of time before a decision is made on whether admission is necessary. Out of hours, children will be admitted directly to the ward.

Children over the age of one year with suspected surgical problems (eg suspected appendicitis, septic joint) should be referred directly to the appropriate surgical team (eg general surgery, orthopaedics). Children under the age of one year should be referred to the paediatric team for assessment - if surgery is needed, transfer to the care of the Paediatric Surgical team in Bristol may be necessary.

A number of children with complex medical problems and those with diabetes have ‘Direct Discussion' enabling their parents to contact the Paediatric Registrar direct for advice if their child is unwell.

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Neonatal referrals

For general enquiries:

For advice about a neonatal problem contact the Neonatal SHO on:

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Prolonged Jaundice

Referrals for babies with prolonged jaundice (over 2 weeks of age) should be faxed to the department 01225 824212 so that the baby can be seen on the next working day.

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Routine outpatient referrals

Referrals for routine paediatric outpatient appointments should usually be made via the Choose & Book system where available. All referrals are triaged daily by a Consultant Paediatrician and referrals for specialist clinics may be seen for initial assessment in a general paediatric clinic if appropriate. If a child is already known to the Paediatric Department please state the name of the Consultant they have seen previously.

Once a referral has been made, enquiries regarding appointments should be made to the Appointments Centre:

Referrals for phlebotomy should be addressed to the childrens outpatient staff (Sister Caroline Cramb) and faxed to 01225 824212.

Please include the child's NHS number and parent contact details.

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Urgent outpatient referrals and advice

Requests for more urgent outpatient review should be made by letter faxed to the department – faxed letters will be triaged daily by a Consultant Paediatrician and an appointment will be arranged as appropriate. Please include the child's NHS number and parent contact details.

Children who need seeing urgently may be seen within 24hours in outpatients or in PAU. However, not all referrals sent in as ‘urgent' are deemed so on triage so some appointments may be made within 2 weeks or managed through the routine system. Please manage parental expectations appropriately.

Referrals for phlebotomy should be addressed to the childrens outpatient staff (Sister Caroline Cramb) and faxed to 01225 824212.

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Pharmacy

Carol Jackson is the department pharmacist. Please contact her on:

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Paediatric Diabetes Team

Referral and Ongoing Care for Children with Suspected Diabetes
South West Paediatric Diabetes Regional Network

The paediatric diabetes office based in the Children's Centre is staffed Monday to Friday 8.30am to 5pm. Paediatric Diabetes Specialist Nurses are available for advice in office hours.

For out of hours advice contact the Paediatric Registrar 01225 428331 bleep 7202.

Contact the team administrator Patricia Welsh for Diabetes Clinic enquiries including cancellation & rescheduling of appointments on:

Note:

All children aged 16years or under (17yrs if still in full time education) suspected as having developed diabetes should be referred for same day assessment by the duty paediatric team at the RUH . Referral should not be delayed for blood tests or other investigations (eg glucose tolerance test).

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Paediatric Oncology Team

or contact the Paediatric Registrar:

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Community Child Health Services

Referrals for Community Child Health Services should be made to Community Child Health Department, Newbridge Hill, BATH, BA1 3QE.

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CAMHS (Child & Adolescent Mental Health Services)

Referrals for CAMHS (Child & Adolescent Mental Health Services) should be sent direct to the appropriate CAMHS team.

BANES – BANES CAMHS team,
Temple House,
Temple Court,
Keynsham,
Bristol
BS31 1HA

Wiltshire - Melksham CAMHS team,
Melksham Hospital,
Spa Road,
Melksham,
Wiltshire
SN12 7NZ

For Referral criteria see:

Wiltshire Pathways Referral Criteria

Somerset CAMHS team's website

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