As the largest Trust in the UK specialising in the health of women and babies, we care for around 50,000 patients each year across all clinical areas. Referrals for patient appointments come to us in different ways depending on the nature of the referral or the specific procedure being requested. Most referrals go through our Access Centre and are triaged either by an Advanced Nurse Practitioner or Senior Midwife who ensure that the patient is booked into the most appropriate clinic.
GPs can make the majority of referrals to us through Choose and Book with the patient being able to choose the date and time of their appointment. Exceptions, where a direct referral letter is required, are for appointments to our One-stop Menstrual Clinic when a hysteroscopy is required or for a smear test undertaken by our Colposcopy Clinic or to the Mirena clinic for the treatment of heavy periods. Appointments for the Bedford Clinic, where we care for women seeking a termination of pregnancy, are administered through a central referral system telephone 0151 702 4184.
As a specialist Trust, we receive many referrals by letter from consultants at other hospitals. Consultants normally refer to us by letter which is managed by our Access Centre, telephone 0151 702 4328 for gynaecology or 0151 702 4352 for antenatal and in the case of diabetic referrals.
Referrals to Clinical Genetics
We manage the regional genetics service known as the Merseyside and Cheshire Clinical Genetics Service, where all referrals go. Our main role is to diagnose and counsel families with possible or known inherited disorders. We receive referrals for families, who have, or are at risk of having, a genetic condition.
There are various referral forms depending on the nature of the referral, these are available via Map of Medicine (MoM). The pathways are relevant for both patients with a specific condition or family members enquiring about genetic risk assessment/ gene testing.
The Pathways accessible via MoM are;
- Alpha1 antityrsin deficiency (AATD)
- Cystic fibrosis
- Breast/ ovarian cancer personal or family history
- Bowel/ ovarian/ endometrial cancer personal or family history
- Other cancers - personal or family history
- General referral and enquiry - This can be used for referrals other than those where there is a MoM pathway
For GPs in the Informatics Merseyside area;
For GPs in the wider Cheshire and Merseyside region and other health professionals in any part of the Cheshire and Merseyside region;
If you have an ATHENS account or a SMART card
1) Click on the hyperlink to MoM
2) Enter either your ATHENS account or SMART card PIN
3) This will take you to the Clinical Genetics homepage on MoM and you can select the relevant pathway, which will indicate when and where to refer. It will also give access to the referral proforma, addresses for where to send referrals if in the informatics Merseyside area and, where appropriate, patient information sheets.
Referrals to Molecular Genetics
We receive referrals for tests for a wide range of genetic disorders. Full details of all the tests available and the turnaround times are in our directory of tests for both inherited and acquired disorders. Please complete the Referral Card.
Referrals to Cytogenetics
We receive referrals for chromosomal analysis for a variety of reasons including:
- Prenatal diagnosis for those known to be at risk from a known parental chromosomal rearrangement, or as a result of antenatal screening
- Investigation of repeated pregnancy loss
- Postnatal investigation of congenital conditions, delayed development, problems at puberty and subfertility
- Investigation of acquired chromosomal changes arising from patients with a haematological oncology and some solid tissue tumours
Prenatal testing requires samples of either amniotic fluid or a chorionic villus and possibly parental blood samples. Postnatal testing is usually conducted on whole blood samples, but in rare situations may need a skin biopsy. Investigation of leukaemia-related and related haematological malignancies usually involves the testing of bone marrow or blood samples, while testing of solid tissue cancers requires a tumour biopsy.
Please note, all referrals must be accompanied by a Referral Card.
Private patient self-referrals
Patients wishing to have a referral to The Hewitt Fertility Centre can contact the unit's direct or following a discussion with their consultant or GP first.