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Patients & Visitors

Specialist Treatment for Children & Young People with Fatigue

B11

Information for GPs and Referrers

We are able to accept referrals to see any young person under the age of 18 with fatigue who needs help getting better. They may have mild fatigue and need a little help, or have very severe fatigue and not be able to get out of bed.

CHANGE TO REFERRALS 1st JANUARY 2025

Out of Area

From the 1st January 2025, the Specialist Paediatric Fatigue Service will no longer accept out of area referrals from GPs for young people under 16.

All referrals will need to be made by a Consultant Paediatrician following a thorough assessment to rule out other causes of fatigue. We also require the referring consultant to remain involved for the duration of the young person’s treatment with us.

If over 16, a GP can refer into our service, although the young person must have been seen for a face-to-face assessment to rule out other causes of fatigue. We do not accept referrals from advanced nurse practitioners or other allied professionals.

Our local area includes BaNES, Wiltshire, Somerset, Avon and Gloucestershire. Patients living outside of these areas would be deemed out of area for our service.

In Area

All young people need to be seen by a paediatrician (in parallel, not necessarily before the referral).  We also require the referring consultant to remain involved for the duration of the young person’s treatment with us. If there is a local issue - i.e. they cannot access a Paediatrician due to their age - then we would accept a face-to-face assessment and examination by the GP to exclude other causes of fatigue (as per the proforma).

Referral criteria for local, regional and national patients

Before we are able to offer treatment in our service, children and young people being referred to us need to have had:

  • Suspected Fatigue for at least 3 months
  • A range of screening blood tests to rule out other causes of fatigue. The results supplied must be within the last 12 months.

Our referral proforma, which details all of the screening blood tests required, contains the information we need when a young person is referred to us.

Please note: if the information supplied is incomplete, this could delay the start of treatment.

All referring GPs are requested to make a formal referral via NHS e-Referral Service:

  1. Select: Children and Adolescent Service.
  2. Clinic type: Neurology.

IMPORTANT NOTE: The young person's GP MUST submit the referral via NHS e-Referral Service (formerly Choose & Book).

Consultants at other hospitals wishing to make a referral should write, with a completed referral proforma as above, to:

Paediatric Specialist Fatigue Service,
Children's Centre, Department B11
Royal United Hospital Bath,
Combe Park,
Bath, BA1 3NG

If you have any queries prior to referring, please contact a member of the team:

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