The Royal Free London (RFL) diabetes and endocrinology service has introduced the clinician assessment service (CAS) at Barnet Hospital, Chase Farm Hospital and Edgware Community Hospital only. This means all referrals are booked into triage appointments, this is set up and appears as a telephone/video appointment, however it is important the patient does not attend the hospital or expect a call. This appointment will be used to triage the referral.
The appointment letters for the triage appointment will be blocked and it will not appear in My RFL Care (the trust’s patient portal which patients can use to view their appointment information).
The new pathway does not change how patients are referred to diabetes and endocrinology, but the service will appear as a clinician assessment service in e-RS.
The new pathway does not change what information needs to be included when referring a patient. Please continue to provide the minimum data set for a referral along with the clinical information in the referral letter.
Without a fully completed referral, the service will not be able to treat your patient.
The referral will be triaged by a consultant and one of the following outcomes will take place:
- first out-patient appointment is needed, which will be booked by the trust
- triaging consultant will arrange an investigation ahead of the first out-patient appointment
- triaging consultant will arrange an investigation to determine whether the patient needs to be seen - the triaging clinician will review the results to make a decision
- the referral is sent back to the referrer to redirect to the correct service
- the referral will be sent back to the referrer as it is deemed inappropriate
Once the referral has been triaged, th eservice will contact the patient to confirm the outcome. If the triaging clinician needs more information about the referral, the referrer will be contacted via email.
Submitting a referral will not automatically lead to an out-patient appointment. Please advise your patients of this when you refer them.
Two-week-wait referrals will not be affected by these changes.
More services will be introducing this referral pathway in the coming months; we will keep you updated when further changes happen.
If you would like further information or have any questions about the new pathway, please contact the diabetes and endocrinology management team below. The inbox is monitored Monday to Friday, 9am-5pm (excluding bank holidays).