|^KEYWORD^Problem^Help^Notes^|
|Always check if any doubt. Please send updates to Elaine||||
|Alcohol|Alcohol - concern/overdrinking|Local AA groups contacted via 0845 7697 555 (national number)||
|Alcohol|Alcohol - concern/overdrinking|"Selby District Alcohol  Service (previously 'Alcohol Advisory Service) - Community House, Portholme Road, Selby, YO8 4QQ. alcoholservice@selbyavs.org.uk Tel 01757 293600 & Fax 01757 291111"|Refer by post/fax but perhaps better is that Patient/Client can contact direct 01757 29 36 00|
|Alcohol|Alcohol - concern/overdrinking|For Problems of Dependancy Level - Community Alcohol Team: Lu Bastiman CNS or Jo Rowan CPN. Currently trying a 5-session approach (08/00). NB Service suspended bw appointments 08/01|63 Bootham York YO30 7BT 01904 637902|
|"Alternatives to Violence, York"|Anger Management|"PO Box 743, YORK, YO23 4WW Tel 01904 636318"|for over 18|
|Alzheimer's Disease|Advice/Support|"Alzheimer's Disease Society 213037, Helpline 705539"||
|Ambulance|O/P outside area|Often asked to book these. Resp is with referrer (ie 2-care if 3-referral!). Resources..||
|Audiology|Adult |Refer audiology SWMH.||
|Audiology|Child - audio only - school age|School Nurses will perform here/? - book in at desk.1 session/month.||
|Audiology|Child - complex - ? deafness/baby|Refer Dr Heather Lakin - Monkgate H/C||
|Audiology|Child - Pre-school|Refer - Rainclife St Clinic||
|Balance|"Dizziness and balance disorders including: BPPV, vestibular neuronitis/ labyrinthitis, vestibular migraine, Meniere's disease, vestibular failure, acoustic neuroma and central disease."|"York Balance Centre, York Hospital, Wigginton Road, YORK, YO31  8HE                     Tel: 01904 726316 , Fax: 01904 726355"|Private and NHS referrals accepted via ENT Department or Balance Centre direct.|
|Bath Aid|Poor Mobility|District Nurse|Note to DN team (direct or in tray). Or phone 01904 627635 leave message|
|Bereavement|Advice/Support|CRUSE York Tel : 01904 481162. Day by Day Helpline Tel : 0844 477 9400 or Young Person's freephone Helpline Tel : 0808 808 1677.||
|Bereavement|Children 5 years or over who are at least 6 months post death bereavement of a close family member or friend.|"Stepping Stones Group.  Sessions held at Lime Trees Child, Adolescent & Family Unit in York.  Contacts  :  Nick Jones, Nurse Consultant, or Jackie Johnson, CAMHS Community Nurse at Lime Trees Tel :  01904 726610. "|GPs refer on proforma form.|
|Blood|Wish to Donate Blood|||
|Blood Test|"Capillary Blood Test for Hep B, C and HIV for IV drug users with no veins left.  Done by finger prick tests collected on filter paper circles."|Only patients attending Compass or seeing Richard (Drug Nurse) can have this test.  Richard has the cards.  GP to discuss referral with Richard direct.|"Tests are sent to private company through the post, results return in 10 days.  If tests are positive, there will be a need for venous bood testing to firmly confirm."|
|Blood Test|Domicilary|District Nurse|Note to DN team (direct or in tray). Or phone 01904 627635 leave message|
|Blood Test|Routine|"Pt to telephone Selby Hospital booking number 01904 72 43 10 between 9.00 am - 12 midday Mon-Fri.  Appointments start at 8.30 am - 12.15 pm Mon-Fri and 1.00 pm to 4.20 pm Mon only.  Pts can also go to ASDA at Monks Cross in York, Mon-Thur 8.30 am - 4.40 pm and Fri 8.30 am - 3.00 pm (exc Bank Holidays).  Pts to phone SRMC for results 01904 72 47 99 10.00 am - 3.00 pm Mon-Fri one week later."||
|Blue Badge|Req Blue Badge|Apply to County Council (NYCC). Patient to phone for form and applies direct.|Concern nationally about Disabled Badge Misuse|
|Bone Densometry (DEXA Scan)|Need Scan|Refer to Prof. Purdie at Hull Royal Infirmary (Prof of O+G)|Or refer to Nuffield Hospital York - ensure patient meets criteria as set out in letter sent out 19 Aug 2003 (Lynne Borthwick has a copy).|
|Cancer|Support/Advice/Guidance|Cancer Concern YORK-Rydale-Selby|"Mrs L Parker 2 Rose Cottages, North Lane, YORK YO2 2NT. Mrs P Brown, 10 Meadow Place, Selby YO8 0LU"|
|Cancer|Support/Advice/Guidance|Cancer Care Centre YDH - situated at the front of the hospital between the Breast Screening Unit and the Children's Centre.|01904 454830 enquiries/appts . Open access Drop In Clinics on Mondays and Wednesdays 0930-1230 + 1330-1630.|
|Cancer|Specialist Palliative Care Support and Carer Support|Selby Office  Tel : 01904 724314.  York Office  Tel : 01904 724466.||
|Cancer|Information/Financial Advice|"Suzanne Curry, Cancer Care Centre Information Service Tel : 01904 726505."||
|Cancer|Benefits Advice Team|York City Council. Tel : 01904 552233.||
|Cancer|Support/Advice/Guidance|CANCERLINK|0800 132 905|
|Cancer|Support/Advice/Guidance|BACUP |0800 181 199|
|Cardiology|Any Queries re NHS or Private patients or questions re cardiological problems.|"Dr Maurice Pye, Cardiologist.  Email : maurice.pye@york.nhs.uk (read daily) or for URGENT, Mobile : 07713 62 74 18."|"Secretaries Tel Nos:  (NHS): 01904 72 56 06, (Private): 01904 71 51 91 "|
|Carers|24h alarm system|Lifeline 705101||
|Carers|Advice/Support|Carers' National Assoc - 0171 490 8818 (will give local branch details - York Vale)||
|Carers|Advice/Support|Selby Mixed Carers Group 705786||
|Carers|Advice/Support|Health Visitors have a  Carers Support File in their room. Also contains a referral form to the Carers Support Worker. PASS DETAILS OF ALL NEW CARERS TO JUDITH (HV)||
|Carers|Advice/Support|"Selby & York Carers' Centre, Clementhorpe Health Centre, Cherry Street, YORK YO23 1AP Tel :  01904 724466, Fax  :  01904 642071, email  :  sycarers@nyypct.nhs.uk."|N.B.  Gwen Turner is the Selby Young Carer Worker (up to 18 yrs of age) + 2 new Information and Advice Workers (Jan 2008) all at Selby Hospital. Information can be accessed on their website : www.sycarerscentre.org.uk|
|Carers|Need short term breaks|Crossroads Care Scheme 210013 10-2 M-Th.||
|Carers|Need support for CHILD carers|Crossroads Young Carers Project|"Liz Ridley, Young Carers Worker 01757 210013"|
|Cataract|?cataract|All referrals now via optometrists. Also thresholds apply - 6/18 for worst eye and 6/12 for the better eye unless of working age and interfering. Ask to see optometrist|New PCT guidance  received July 2001.|
|Children|Help/Information|Childwatch - 01482 325552 (Anyone know details of this?)||
|Chiropody|Private - State Registered|"NB + S Woodhall, Abbey Yard Centre, Selby,  01977 682091. Or (visiting service) Mr Kevin G White Chiropodist/Podiatrist, 6 Alma Terrace, selby, North Yorkshire, YO8 3JY, 01757 290635, 077 516 40764, Kev@chiro.fslife.co.uk"||
|Chiropody|Req referral|"Chiropody Department, Raincliffe St Clinic. (?<65, ?>65 but no real indication)"|Eligibility Policy|
|Chronic Fatigue Syndrome|Need Referral|Leeds Newsam Centre|"Address Referral to :  Referral Team, Leeds & West Yorkshire CFS/MS Service, Ward 5, Newsam Centre, Seacroft Hospital Site, York Road, LEEDS LS14  6WB.     Tel : 0113 305 6497"|
|Citizens Advice|Advice/Support|"01757 702031, 01904 636066"|"10-1 Not Thursday, 30b Gowthorpe Selby"|
|Commode|Poor Mobility|District Nurse|Note to DN team (direct or in tray). Or phone 01904 627635 leave message|
|Complementary Treatments|Osteopath| -  Jonathan Wheeler 2A St James Terrace Selby YO8 4HL. 01757 704152||
|Community Matron||Julie Rae - 07903868725|2423 at Selby Hospital|
|Community Outreach Team |Elderly (O65 only) Need Physio/OT or SW or all 3 in their own home. Not coping.|"Selby Elderly Community Outreach & Intermediate Care Team, Community Outreach Team Office, Selby War Memorial Hospital.  Tel : 01904 72 42 76, Fax : 01904 72 13 40."||
|Coroner||Selby Coroner's Officer Sue Gregson Tel :  01904 669654 or 07752 38 15 14 (only works to 12.30 pm)||
|Counselling|Need general counselling|"Referral Letter to Karen Rymer or Louise Ballard, Practice Counsellors"||
|Counselling|Need urgent counselling|Life crisis events etc - book 'next urgent counselling' slot at desk. (need  written referral?)||
|Counselling|"Relate, relationship counselling and psychosexual"|"10 Priory Street York YO1 1EZ  01904 625971, for appointments York and Selby"||
|Counselling|Need PRIVATE counselling|Mrs Margaret Castro 07939 224953; Kathleen Gardner 01904 701872; Lucy Birtwhistle 01904 426204; Michael Guilding 07932 626919||
|CPN|Adults and Elderly|"South Sector Community Mental Health Team, Worsley Court, (Dear colleague ec)"|Worsley Court 212895|
|"Cummings, Alison"|"Family Support Project, NSPCC"|Posterngate Surgery Selby (01757) 290953||
|Deafness|Require help/support|Resource Centre for Deafened People 61 Bootham York.  01904 626583||
|Deaf Interpreters Scheme|Deaf and Deaf/Blind|English Sign/Lip Speakers/Communicators|Arranged through Lynne Borthwick/PCT.  Patient appointments may have to be booked two weeks ahead to allow time to arrange Interpreter |
|Day Hospital|Requires Elderly Day Hospital|Refer on Day Hospital Form||
|Dementia|GP Investigations|"FBC, (B12/Fol if inc MCV), TFT, VDRL/TPHA, MSU, CXR."||
|Dementia|Local Self Help Group(carers)|Alzheimer's Disease Soc -Selby. Abbey Yard Centre 213037||
|Dementia|Referral|Consultant Psychiatrist/ CPN's - will arrange Day Care if helpful (CUE)||
|Dentist|Pt has no dentist|"Patient to contact PCT NHS Dental Waiting List to register their details -     Tel : 01904 724107, website : www.nyypct.nhs.uk, post : NHS Dental Waiting List, FREEPOST, NEA 13107, York, YO31 7ZX, email :       nyy-pct.DentalRegistration@nhs.net."||
|Dentist|"Pt has special needs i.e. learning difficulties (adults and children), adult/elderly with complex medical problems."|Dentists at Raincliffe Streed Clinic||
|Dermatology|Pt requires cosmetic camouflage|"Refer to : British Red Cross, Maritime House, 1 Kingston Street, HULL HU1 2DB, Tel: 01482 49 98 30, for attn of Mr Chris Hart.  "|Have someone who sees pts at YDH Derm Dept once a month on Mondays.|
|Diabetes|Advice/Support|"BDA, PO BOx 1, Portishead, Bristol, BS20 8DJ"||
|Diabetes|Local Advice/Support|Contact Diabetic Centre YDH||
|Diabetes|New Diagnosis of Type 2|"Arrange dietician appt, leave notes for Ian who will arrange new diabetic clinic apptin- house. He  will contact patient."||
|Dietician|Need dietetics advice|Fill in referral form. Put inside sleeve of notes. Pt to book at desk.|"Not simple obesity. Appropriate for diabetic, hyperlipidaemia etc"|
|Diet Advice for Teenagers|Obese children|"All the secondary schools have a school nurse drop-in session. Selby High- Diane Birch, Brayton High and Carlton  –Sue Lord. The are based at Raincliffe St.  Clinic or via e-mail."||
|Disability Advice|Benefits/Services/Info/Holidays etc|"DIAL (disablement information advice line). Selby & District DIAL, 12 Park Street, Selby, YO8 4PW.  Tel: 01757 210495 M10-3, W10-3,Th 11-3.  Fax : 01757 290427."||
|Disability Advice|Job Centre (? Employment Service)|Stuart Evans - Disability Employment Adviser (Mondays; Gillian Day - Incapacity Benefits Advisor (Mondays + Wednesdays)|Need to book an appt to see thgem. Useful if patinets are unlikely to be able tot return to their usual work - don't need to wait 6 months before initiating this.|
|District Nurses||All referrals now to be made by telephone.|Virtual Ward Team Leader (West)|
|||Patients Tel  :  01904 627635|"Gerry Rook, Tadcaster HC, Tel  :  01904 724449"|
|||Staff Tel  :  5493||
|Dizziness|See Balance above|See Balance above||
|Domestic Violence|Advice/Support|"Daisy Chain Tel : 01757 290040, Fax : 01757 290311 or joydykes@selbyavs.org.uk.  North Yorkshire Police Dedicated Domestic Violence Worker, PC Tracey Lumb Tel : 01904 669634 or tracy.lumb@northyorkshire.pnn.police.uk"|Trained Volunteers can also be contacted on the following mobile nos. 07952 352394 / 07722 191181 / 07914 933874 / 07914 933801 /  07722 502064 /      07757 035174 / 07757 115333 /  07757 115331|
|Donor Card|Wish to Carry Donor Card|Leaflets usually in waiting area||
|Drugs|COMPASS GP LINK SERVICE|"OPSA HOUSE, 5A High Ousegate, YORK, YO1 2RZ. 01904 612288. FAX 613322"||
|Drugs|Pt needs advice (YORK)|Drugs Resource Scheme York|"01904 647474, Open Tues 13.00-21.00 Fri  09.00-16.00"|
|Drugs|Pt needs advice about drug use (Selby)|SELBY Drugs project|"Compass Drug Dependency Clinic 27a Finkle Street, Selby YO8 4DT Telephone: 01757 212355 Open Tuesday 1.30pm - 7.30pm and Friday 9.00am - 5.00pm.  A specialist prescribing service for the treatment of drug misusers (access is through GPs - written referral only). An independent and free service, telephone for details. Drug misusers registered with a GP practice in Selby are able to use the service. The Clinic also offers advice, information and a support service to Selby GPs providing treatment for drug misuse problems.Selby Drugs Project 27a Finkle Street, Selby YO8 4DT Telephone: 01757 290939 or 01757 212355 Open Tuesdays 1.00 pm - 8.00 pm and Fridays 9.30am - 4.00pm.  An independent, free and confidential non-prescribing counselling service for drug users offering advice, information and support on all problems relating to the use and misuse of drugs.  Parents and carers also welcome for support and information.. "|
|Eating Disorders|Needs Specialist Referral|Yorkshire Centre For Eating Disorders is t Seacroft Hospital|Dr Sue Beadbury _ ?Consultant Psychiatrist.|
|Elderly|Falls Prevention - Over 65 years of age|Selby & York Falls Prevention Service Tel: 01904 724469 or 01904 724451.  Experienced practitioners home visit patient to falls risk assess and discuss an individual action plan.|"Patients can self refer by telephoning direct or can be referred by :  GP, Practice/District Nurse, Podiatrist, Warden, Social Worker or Care Manager or Voluntary Organisations e.g. Age Concern."|
|Elderly|Need Rehabilitation|"Refer to the Rehab Unit Team  (nursing, OT, physio) SWMH . Can arrange transport etc."||
|Elderly - Worseley Ct|Need to Refer to Elderley Mental Health services|"Refer to: The Coordinator; CMHT (Older People), Worseley Court; Doncaster Rd, Selby; YO8 9BX (Letter MR Pearson Manager, 22/12/99)"|Current CPNs are Lyn Bavester or Joanna Firth|
|Elderly at Home/Res care|Need Physio/OT or SW or all 3. Not coping.|"Over 65s only - Refer 'Community Outreach Team' on blue forms or referral letter, Community Outreach Team Office, SWMH.  Tel :  01904 724276, Fax :  01904 721340.  Under 65s - NYCC Adult Community Services, Customer Services Team, Country Hall, East Block, North Allerton, DL7  8AH.  Tel  :  01609 536993, Fax : 01609 532009."||
|Endoscopy - uGI|Need referral|Good referral leaflet includes indications. Try to refer only on antacid.||
|Enuresis - child|>12Y|Paediatrics (Dr Catherine Marsden - Staff Grade YDH)|For teenagers or difficult problems at younger age|
|Enuresis - child|5-12 years|School Nurse - Raincliffe Street Clinic|Alarm mattress only from age 7|
|Enuresis - child|Pre school enuresis|GP/HV advice|Enuresis Services in the Community Policy 1995'|
|EPADS||Ring EPADS UNIT 01904 726489 M-F 8-12; outside this 01904 722001 (Ward G1). Otheriwse Gynae SHO via switch.||
|Exercise |Requests prescription for exercise|Assess (no CI to exercise). Fill in pink form. Give form and leaflet to patient to arrange.|"Code Computer Px, .8E7Z"|
|Fast Response Team (Selby)||NOT AN EMERGENCY SERVICE - Aims to prevent avoidable hospital admissions by supporting people within their own home or care setting.|Tel : 01904 724298 08.00 am - 18.00 pm Mon - Fri.  Outside these hours : 0845 056 060.|
|Falls|Balance disorder/dizziness|Refer to Blaance Centre at YDH||
|Family Planning Clinic|Request for info on contraceptive services away from practice|Raincliffe St Clinic. Thursday 4-6.30. Teenagers clinic  4-6.30 Mondays||
|Fertility Problem|Subfertility|Local investigation protocol|"Reproductive Medicine Unit, Clarendon Wing, The General Infirmary at Leeds, Belmont Grove, Leeds LS2 9NS.  Reproductive Medicine Unit Tel  :  0113 292 6136.  IVF Secretary Tel : 0113 292 6908."|
|Futura Splint|For resistant tenosynovitis|Ask to attend MIU with handwritten letter to nurses requesting Futura Splint||
|Gender Identity|Need referral|"Leeds Gender Identity Sevice, Outpatient Suite, 1st Floor, Newsam Centre, Seacroft Hospital, York Road, LEEDS LS14 6UH"|"Tel : 0113 305 6346, Fax : 0113 305 6483"|
|GTT|Need GTT|"Give advice sheet, ask to book the two PN appointments at the desk."|Issue practice leaflet on GTT to patient outlining procedure|
|GU Medicine|Need GU advice|Refer to Monkgate H/C (no letter needed) - Drop in clinics as follows :- Mon 1.00 pm - 3.30 pm. Mon 4.00 pm - 6.30 pm for Under 18 year olds. Tues 9.00 am - 11.00 am. Wed 9.00 am - 3.30 pm. Thur 10.00 am - 3.00 pm. Fri 9.00 am - 11.30 am.|Tel : 01904 725412 (General Enquiries) Tel : 01904 725423 (Answerphone out of hours).  Fax : 01904 642116.|
|Handyperson Service|"Requires bannisters/rails, etc.  (+ Telecare equipment?)"|Free of charge if assessed by Adult and Community Services.  Reasonable charge for minor adaptations if pt contacts Home Improvement Agency Tel No : 01757 241010. GP referring pt with permanent disabiliyt Tel No : 01609 536993 (professional only) or 0845 0349410 (clients).  Alternatively if pt has A&CS worker they will arrange the assessment for you.||
|Health Protection Agency||Tel :  01904 567675||
|Haematuria||Refer Urology (Haematuria clinic) - don't delay with waiting for tests.|"Macroscopic referral to One Stop Haematuria Clinic. Microscopic decision on who to refer, if microscopic and proteinuria and MSU -ve to renal physician. If only microscopic haematuria to urology , seen in normal opd not One Stop Haematuria Clinic"|
|Hearing Loss|Presbyacusis|Uncomplicated - Hearing Aid Clinic; complicated - ENT referral|Referral form/guidelines|
|Heartsave Project|Give card|Encourages early 999 with chest pain|Add Read code for audit  @8CE6|
|HRT|Requests HRT|Initially counsel. Then see for double appt - pv/breasts/prescribe. Can refer in-house to CD|Practice Nurses share follow up as COC.|
|Impotence|Need secondary help with significant impotence problem|"Depending on likely cause, refer to either andrology clinic run by urologists, or psycho-sexual clinic Monkgate HC."||
|Impotence|Treatment Rules|NHS prescriptions OK for men with radical pelvic sx;post prostectomy or treated for prostate cancer;renal failure treatment (transplant and dialysis;spinal cord and severe pelvic injury; diabetes;MS; single gene neurological disease;polio;spinabifida;Parkinson's Disease; men who were receiving treatment for their impotence on 14/09/98 not in those catagories|Ref HSC 1999/115. Valid from 01/07/99. Not more than one treatment per week.|
|Incontinence Advisor||"Rosemary Horseman Clifton Health Centre, York (from 02/01/02)"|"Advice, Pelvic Floor Exercises, Graded Vaginal Weights, Appliance advice"|
|Infectious Diseases|How long is it catching For|Refer to latest local guidelines to ensure unanimity|"Dr Simon Padfield, Consultant Communicable Disease Control, North Yorkshire and Humber Health Protection Unit, IT Centre, York Science Park, Heslington, YORK  YO10 5DG.  Tel : 01904 567675 (Mon to Fri - 09:00 to 17:00), Mobile : 07876 031589, Fax 01904 567677, Email :  simon.padfield @hpa.org.uk.  Out-of-Hours to on-call Public Health Consultant for North Yorks via YAS switchboard Tel : 01904 666030/660026."|
|Intermediate Care|Referral for Intermediate Care    (For 65 years or over - will aim to visit pt within 24 hours of referral)|"01904 725493 / 4 (DN referrals) or 01904 724446, or Community Outreach Team Office, SWMH.  Tel :  01904 724276, Fax : 01904 721340."||
|IUCD|Request Coil|Arrange Coil Ins. Appt with PN and GP during period if poss. ( and not in luteal phase)|CD does for PFD/CD as we get so few|
|IUCD|Request for Mirena Coil etc|Arrange coil insertion. Only for GP skilled at IUCD insertion as more difficult than standard coils. (Also  expensive if fails!)|Refer Family Planning Clinic - Dr Pat Saxty - Monkgate Health Centre. May require paracervical n. block.|
|Laboratory|Telephone Enquiries Haem/Biochem|01904 726802||
|Learning Disability|Mencap National Helpline|0808 808 1111||
|Lipids|Dyslipidaemia which needs referring|Dr Thow  - YDH does this||
|Living Will|Will you sign Living Will?|Patient to give you the form. Sign if reasonable. Most to decline active medical treatment if severe mental incapacity. ||
|Macmillan Nurses|Need Help - Martin Sainty (See Palliative Care for info)|"Macmillan Nurses, St Leonard's Hospice, 185 Tadcaster Rd, YORK, YO24 1GL Tel : 01904 724476; Fax  01904 777049"||
|Mammogram|Mencap National Helpline||Breast screening - 3-yearly aged 50-64. (?can request screen>64?)|
|Mammogram|Requests Mammogram (screening)|"If in screening age band, but not heard…, or if wish to continue screening post 64Y (3-yrly)"|Contact Breast Screening Unit YDH.If >64 years patients can phone themselves to re1quest (via YDH) or GPs can refer with XR form as long as patient is symptom free (info from YDH 29/06/200). No recall system post-64.|
|Marriage Problems|Need counsellling for children |RELATE 'Time to talk' service 01904 625971||
|Meningitis|Requests Info|"National Meningitis Trust 0345 538118, Meningitis Research Foundation 01454 413344, NHS Health Information Service 0800 665544"|Useful when there has been a local case and people are v worried|
|Menopause Clinic LGI|||Dr Ayres - NB has phone-I times for GP advice - details mislaid - needs updating|
|Mental Health - Adult|Needs Primary Care Mental Health Worker|Chris Moran - (Semi-Retired)|SRMC Wednesdays all day and Thurs am|
|||Ian Reid||
|||Clare Mockler||
|Mental Health - Child/Adolescent/FAMILY|Need referral|All referrals to the Child + Adolescent Mental Health Service|"If in primary or secondary education or social services problem, refer directly to worker covering pts school.  If pt attends College or Special School, refer directly to worker covering geographical area of the pts home address. "|
|||"Phil Wilkins, Primary Mental Health Worker, CAMHS - Sector 1, Selby CP School, Flaxley Road, Selby, YO8 4DL.  Tel :  01904 724551"||
|||"Jenny Cornwell, Primary Mental Health Worker, CAMHS - Sector 2, Selby CP School, Flaxley Road, Selby, YO8 4DL.  Tel :  01904 724550"||
|Mental Health - Same Day Assessment|High level risk|From 13.07.09.  Referrals should be telephoned by GP to The Intensive Home Treatment Team (IHTT) Tel : 01904 726151.|"IHTT worker will triage referral and agree management plan with referrer, then liaise with patient and colleagues as required to meet patient's needs."|
|Methadone|COMPASS clinic|"Fill form in. Send to COMPASS, 70, The Mount, YORK YO2 2AR. 01904 637121 or 27a Finkle St, Selby . 01757 212355"||
|Methadone|In house monitoring|Assess. Don't prescribe 1st visit. Sign Contract. Regular GP and Drug counsellor. Random urines.||
|ME|Need Referral|Leeds Newsam Centre|"Address Referral to :  Referral Team, Leeds & West Yorkshire CFS/ME Service, Ward 5, Newsam Centre, Seacroft Hospital Site, York Road, LEEDS LS14  6WB.     Tel : 0113 305 6497"|
|MS|Advice + local support|"MS Society, Selby Branch, Kathy + Gordon Tute, 54 Bridle Walk, Selby, N. Yorks YO8 9DE 707123"||
|Musculoskeletal Podiatry|"Foot, ankle, knee, hip and back pain."|"Podiatry Clinics, Highthorn Physiotherapy Clinic, 132 Lawrence Street, YORK, YO10 3EB Tel : 01904 431818, Fax : 01904 431819"|"Lee Short, Musculoskeletal Podiatrist MSc Clin.Pod.Biomech.  Simon O'Donnell, Musculoskeletal Podiatrist Post Grad dip. Clin.Pod.Biomech"|
|Neurology|Routine/Soon Appt Needed|Current long w/l for this specialty. Try Dr Loizou at Pinderfields - Wakefield. Reasonable w/l.|Epilepsy Centre at York is run by Dr Pam Crawford|
|Neuropsychology|PRIVATE referral needed|Dr Stephen Kemp 0113 305 5381/7 (work) 0113 269 5859 (home) (Leeds Head Injury Team)||
|Occupational Health (GPs/Staff)|Need Staff Counselling & Support|01904 725092 (for GPs and their staff); tsffsupport@york.nhs.uk||
|Osteopath|Need osteopath assessment|Jonathan Wheeler 2A St James Terrace Selby YO8 4HL. 01757 704152||
|Outreach Care|Outreach  (For over 65 years with non-urgent input)|"Selby Elderly Community Outreach & Intermediate Care Team, Community Outreach Team Office, Selby War Memorial Hospital.  Tel : 01904 72 42 76, Fax : 01904 72 13 40."||
|Outreach Care|"Outreach  (For all ages, particularly under 65 years with non-urgent input)"|"North Yorkshire County Council, Adult Community Services, Customer Services Team, County Hall, East Block, North Allerton, DL7 8AH.  Tel : 01609 53 69 93 (not to be given to pts, professionals only), Fax : 01609 53 20 09."||
|Overseas Patients|"Who pays, who doesn't"|See NYHA guidelines; check have paid if appropriate. usually sorted by reception staff.||
|Palliative Care|Need Medical Advice - Out of Hours|Telephone Doctor on Call at St Leonard's Hospice Tel : 01904 708553.||
|Palliative Care|Need Nurse Support|"Macmillan Nurse - Martin Sainty, Clinical Nurse Specialist, Tel : 01904 724476, Mobile : 07764 906632"|"Macmillan Nurses - Palliative Care Team, The Lodge, St Leonard's Hospice, 185 Tadcaster Road, YORK, YO24  1GL.  Tel  :  01904 724476, Fax : 01904 777049, website : www.nyypct.nhs.uk"|
|Palliative Care|Palliative Medicine Out-Patient Clinics for complex symptom management|"YDH - Send referral letter to Dr Garry,Consultant in Palliative Medicine, Palliative Care Team Office, Cancer Care Centre, YDH.  Tel : 01904 725835, Fax : 01904 726440.  SWMH - Send referral letter to Dr Anderson, Consultant in Palliative Medicine, Out Patients, SWMH.  Tel : 01757 702664, Fax : 01757 213364."||
|Palliative Care|Psycho-Oncology|"Send referral letter to Psycho-Oncology Team, Cancer Care Cetnre, YDH.  Tel : 01904 725463, Fax : 01904 726851."||
|Passport|Requests Passport form signing|Sign if known >2 years. Omit fee if clearly low income.||
|Phlebotomy|Children|"0-5 years - discuss with duty SHO (they will send out EMLA and advice, or aswk you to do it)"|"5-15 years; may attend phlebotomy, but consider using EMLA (GP to supply _ Dulcie has) + Tegaderm."|
|Phlebotomy|Adults |Selby Hosp  11-12 (0830-0900 fasting)|Give blood form; no appt needed|
|Physiotherapy|Need physiotherapy|Refer on template or dictate. Either to physiotherapy or to 'Acute Back Pain Service'|See protocol for acute back pain service as quite narrow criteria.|
|||Patients over 65 requiring treatment in their own home - see Community Outreach.||
|Poisons Info|Need Poisons/O-D info|On Web at TOXBASE|Clinnix --> Web Portal --> Toxbase . Our username is GP719  and password is  SRMC4BL  . The password must be in upper case. (Jul-01)|
|Poisons Info|Need Poisons/O-D info|"Poisons Info from Drug and Therapeutics Centre, Newcastle"|Poisons 0870 6006266; Medicines/Teratology 0191 232 1525|
|Pregnant|Bleeding in early pregnancy|"Arrange EPADS - early pregnancy assessment + diagnostic service, by phoning Gynae SHO"|"If can't exclude ectopic by hx/ex, or if heavy bleeding, admit urgently."|
|Pregnant|I'm pregnant'|Congratulations. LMP/EDD. Alcohol/Smoking/Food/Folic Acid. Book Booking Appt Liz 8-10/40|Practice Midwife - Liz Siviter. If >34. Book asap to offer Triple Test at 16/40|
|Pregnant|Request's Home Delivery|See YDH antenatal guidelines. GP's here do not cover intrapartum care (except emergencies)||
|Prescription|Req higher quantity|HA recommend 28-day quantities. We currently assess each req on merits 28/56/84 days|In absence of definite HA rules - can only be flexible|
|Psychology|Clinical Psychology Referrals|"Address: The Old Chapel, Bootham Park, York, Yo30 7BY Tel/Fax 01904 645165"||
|Psychology|PRIVATE ClinicalPsychology|Dr Martin Bamber 0795 8153534; David Braodbent 0113 295 2402 (work) 07960 975318 (mob); Dr Tony Wells 0797 687 3063||
|Psychosexual Counsellinbg|Sexual Problems |See Relationship Problems/ Relate||
|Psychosexual Counsellinbg|Sexual Problems - Private Referral Needed |Mrs Sylvia Richardson 07885 375521; Mrs Carole Ashton 01904 643073||
|Public Health|||"Dr Simon Padfield, Consultant Communicable Disease Control, North Yorkshire and Humber Health Protection Unit, IT Centre, York Science Park, Heslington, YORK  YO10 5DG.  Tel : 01904 567675 (Mon to Fri - 09:00 to 17:00), Mobile : 07876 031589, Fax 01904 567677, Email :  simon.padfield @hpa.org.uk.  Out-of-Hours to on-call Public Health Consultant for North Yorks via YAS switchboard Tel : 01904 666030/660026."|
|Resource Centre|Age 18-65; Mental Health Needs|"Practical Support, Social Support"|50 Union Lane Selby YO8 0BA. 01757 213488|
|Rehabilitation Unit|Elderly (O65s) with complex physical problems|"Rehabilitation Unit Team at SWMH.  Val Sixsmith (Care Assistant), Brian Teskey-King (Occupational Therapist), Pat Gee (Physiotherapist)"|2 sessions weekly - Fri am and pm.  Transport can be arranged. Referral direct to Team at SWMH.  For further info Tel : 01904 722331 on Fri 8.30 am - 12 noon/1.00 pm - 4.00 pm|
|Relationship Problems|Need counselling|RELATE YORK 01904 625971|"Note wide range of problems dealt with - relationship/survivers of sexual abuse, also psychosexual counselling. Expect a contribution from 1-30 pounds per session. Services available in Selby from Summer 2000"|
|Renal Problems|Need Support/Advice|National Kidney Helpline 0845 300 1499 9-5.30 M-F||
|Residential Care|Thinking of res care (self or family)|"1. Have all home options been considered  2. Consider SSD referral . 3. Social Services can advise re homes, for low income people."|SSD Customer Relations Unit 213651|
|Samaritans|Help/Support|01904 667100/655888|8-10pm walk in 89 Nunnery Lane York YO2 1ET|
|Scrotal Lumps|Initial Action|Refer for scrotal u/s (urgent if nec). See result before any referral.|If lump is definitely in testicle then urgent faxed referral to urologist for next urgent appointment slot|
|Seat Belt Exemption|Requests Cert|Each GP should have DETR leaflet and certs|Further certs from 0541 555455 (NHS responseline) or doh@prologistics.co.uk|
|Semenanalysis|Need test|Give advice sheet + form + plain container. Process critical to meaningful result.||
|Seperation/Divorce|Conflict over children|York Family Mediation Service 01904 646068|Does not try to persuade parents to stay together|
|Sexual Abuse Survivers|Survive (York Incest Survivors)|Counselling to Women Survivors of Child Sexual Abuse|10 Priory St  YORK YO1 6EZ 01904 642830 (Helpline or 638813 (Office)|
|Sexual Abuse Survivers|Need Help + Counselling|See RELATE/Relationship Probs||
|Sexual Health Drop-in Service|"Free confidential advice, testing and treatment for sexually transmitted infections."|"Selby Sexual Health Service, Raincliffe Street Health Centre, Raincliffe Street, Selby.  Form more info call York GUM Clinic Tel :  01904 725412.  No appointment needed, Mond 4.00 pm - 6.00 pm"||
|Sexual Orientation|Seek advice/counselling re sexuality|Yorkshire MESMAC Counselling service|0113 244 4209|
|Sick Note|Req Sick Note|Up to 7 days allowed on self cert. Some GP's charge for 'private notes'||
|Skin Camouflage|"Skin scarring, discolourations such as rosacea and melasma, birthmarks, vitiligo, tattoos, leg veins, etc"|"Referral via proforma or letter to  : British Red Cross, 1 Maritime House, Kingston Street, Hull, East Yorkshire, HU1  2DB for the attention of Claire Horton"|"Following appointment with RC, patient will return to GP with prescription request for recommended cream (usually one cream and one powder).  NHS prescription can be issued at GP's discretion.  For further info on BRC Skin Camouflage Service contact : Colette Kemp, BRC, Beech House, Idle, Bradford BD10 9AB.  email ckemp@redcross.org.uk.  Tel : 01274 620999, Direct Line : 01274 659309, Fax : 01274 620366."|
|Social Services|Need involvement - children + families|Professionals Only - Contact via Customer Relations Unit  01609 536993|"General Enquiries :NYCC, Customer Services, East Block, County Hall, Racecourse Lane, Northallerton, DL7  8AH.  Tel:  0845 034 9410 (Mon-Sat (exc. Bank Hols) 8.00 am - 8.00 pm Mon-Fri, 9.00 am - 5.00 pm Sat.  Fax : 0845 034 9445, email : cru.customer.services@northyorks.gov.uk. Text phone for deaf/hard of hearing Tel : 0845 6036391. For Social care emergencies (out of above hours) Tel : 0845 034 9417. Selby 'drop in' : Housing Reception, Civic Centre, Portholme Road, Selby YO8 4SB. Mon, Tues, Thurs 8.30 am - 5.00 pm, Wed 10.00 am - 5.00 pm, Fri 8.30 am - 4.00 pm."|
|Social Services|Need involvement - elderly persons |Professionals - Contact via Customer Relations Unit  01609 536993|See note above|
|Social Services|Occupational Therapists|All ages - asssessing need for equipment and adaptatoins in order to enhance independence.  Tel :  01977 684545||
|Soiling|Often wider family problem|Lime Trees Child Adolescent and Family Unit||
|Speech Therapy|Need Referral|Refer to Speech Therapists at Raincliffe St Clinic|NB: Make sure hearing problem has been considered.|
|Spirometry|Need spirometry|Book appt with PN.|"Pretest Advice = Avoid: heavy meal 2hours before, alcohol 4 hrs before, smoking 1 hour before, bronchodilator 1 hour before, exercise 30 mins before, restrictive clothing."|
|Statins|How often are LFTs needed?|Baseline; then 6-monthlyb Year1; then yearly. (patients on v high dose extra check at 3 months.||
|Sterilisation|Request private male/female sterilisation|Marie Stopes  Tel:  0845 300 80 90|2009 prices: Male LA £420 :  Female £1300|
|||BPAS Tel:  0845 730 40 30|"2009 prices: Male LA £380, GA £500 : Female £715"|
|Stopping Smoking|Requests help to stop smoking.|"ARC Pharmacy, Postergate Surgery, Selby. Tel : 01757 212120."|Appointments Tues am.|
|||"Boots Pharmacy, Market Place, Selby.  Tel : 01757 703717."||
|||Scott Road Community Centre|"Appointments all day Mon, Tues, Wed and alternate Thurs and Fri."|
|||"Smoking in Pregnancy Advisor for Selby & York, at Selby North Children's Centre.  Referrals can be made on 0845 8770025."|"Appointment only, Wed pm, pts can refer themselves."|
|||NHS smoking helpline 0800 1690169 or text GIVE UP and postcode to 88088|Tuesdays|
|||www.nhs.uk/gosmokefree||
|Termination |Request for TOP|"Phone for appt at Monkgate HC up to 12/40, Tel : 01904 725488."|"Dr Farley, Family Planning, Monkgate Health Centre 01904 725488.  As from July 2008, surgical procedures will take place at Doncaster British Pregnancy Advisory Service.  All pre- and post-surgical work will be done at the FPC at Monkgate.  Women can claim back travelling expenses with receipts through the PCT, for those who do not have money available because of financial difficulties, etc, there is a petty cash float at Monkgate - pt should discuss with PFC Monkgate."|
|||"If no appointments available, or pt does not want to go to local provider for whatever reason, refer pt to Marie Stopes (use form), or if late gestation termination, refer to BPAS.  Pt can also self refer to Marie Stopes and BPAS."||
|||"Marie Stopes medical terminations up to 9 weeks, surgical terminations up to 24 weeks."||
|||"BPAS medical terminations 9 - 23 weeks 5 days, surgical terminations up to 24 weeks."||
|Termination |Request for TOP (private)|Pt can contact direct|Marie Stopes 0845 300 80 90 (24 hours)|
||||"Medical £505, Surgical £570 - £1,740"|
||||BPAS 0845 730 40 30 (24 hours)|
||||"Medical £507, Surgical £811 - £1,610"|
|Tissue Viability|Wound Care (i.e. Ulcers)|"Joyce Simms, Tissue Viability Prescribing Specialist Nurse, Clementhorpe Health Centre, Cherry Street, York YO23 1AP.  Direct Tel : 01904 724532, Mobile : 07535 64 04 94, email : joyce.sims@nyypct.nhs.uk."|"Sarah Fiori, Tissue Viability Specialist Nurse, Clinical Nurse Specialist Office, 3rd Floor Admin Block, York Hospitals NHS Foundation Trust, Wigginton Road, York YO31  8HE.  Direct Tel :  01904 725942, Bleep 931, ext 5942."|
|Travel Vaccs|Planning Trip|"Ask to pick up travel vacc form from desk, complete, hand in, book Pn appt *** days later."|Continuously changing - always plan from charts - not memory|
|Ultrasound|Antenatal Reassurance Scans|Only accepted if PH >2 miscarriages|?via EPADS or fill in form|
|Ultrasound|Routine USS|Fill in YDH ultrasound form and send|"If straightforward pelvic, renal tract or abdo scan can tick 'community ultrasound' box and it will be done at SWMH."|
|Urine - 24h|"Need 24h pro, catecholamines, 5HIAAetc"|"Ring biochem lab, will send bottle in transit. Pt to collect in 3-4 work days. Give pt form."||
|Urodynamics||Refer urology|"Open access prostatism assessment at SWMH, Prostate score, PSA and urodynamics done with report from urologist on interpretation"|
|Vasectomy|Request vasectomy|"See with partner, give info sheet, sign consent form - refer to Haxby "|"First time seen is at operation. It is your decision on appropriateness etc, no filtering takes place by consultant"|
|Verrucca|Req verrucca advice|Gen treatment not needed. If painful/wt bearing - salicylic acid preps or refer for cryo.|Cryo - over 7's. Ask to attend MIU 1100 Tue or 1400 Thu|
|Vibration White Finger|Have I got it?|Specialist Occupational Health Area|? Rheumatology referral?|
|Walk-In Centre (York)|Walk In Healthcare Advice & Treatment from Nurses|31 Monkgate YORK YO31 7WA||
|Walking Aid| (medical reason)|District Nurses|Note to DN team (direct or in tray). Or phone 01904 627635 leave message|
|Walking Aid |(social/old age/gen frail)|Social Services OT/Physio|Via Customer Relations Unit 213651|
|Walking Aid|Zimmer Frames|"Refer to Rita Chilton, Administration Services Manager, Physiotherapy Dept, YDH.  Tel : 01904 725070"||
|Wheelchair|Requests wheelchair|Fill in Wheelchair referral form to York Wheelchair centre. Beware reduction in mobility caused by excessive w/c use.|Most are for occasional use. Note Selby DIAL have short term wheelchair hire available (4 in total). DIAL 210495|
|X-ray|Needs routine XR|Give Form. Ask pts to book own appt per instructions on XR form.|"CXR, AXR, Musculoskeletal"|
|X-ray|Needs Urgent XR|Give Form. Ask to book in as Casualty at MIU. Will be seen after XR. |"Only use MIU if musculoskeletal injury, is diplomatic if cas session being run by another practice to ask cas staff to OK it with dr. If urgent other Xray then arrange with Xray Dept and get them to leave the Xray in MIU for YOU to view later. A urgent radiologist report takes 24 hrs as Xray has to go to YDH"|
|Young People|Help/Information|Youth Enquiry Service 01757 709249||
|Young People|Parents Breaking Up|"Try RELATE TEEN, see Relationship Problems"||
|Young Persons' Drop-in Clinic|"Contraception advice, pregnancy testing and sexually transmitted infection screening"|"Thurs 3.30 - 5.30 pm. No appointment necessary, held at Victorian Room at Sherburn Group Practice."|For more info  Tel  :  01904 725440|