Programme
Sub-Prog/
Project
Prog. Director
NPO Contact
Author
Issue Date
National Clinic Type List for Choose and Book
DOCUMENT ID KEY
NPFIT
Booking and Choice
NPFIT-EBS-DES-0053.033
Clare Mitchell
John Rahtz
AG/SR
18/05/2005
Status
Version 6.0
National Clinic Type List for Choose and Book
Page 1 of 17
Amendment History:
Version
1.0
Date
04/06/2004
2.0
30/09/04
3.0
06/12/04
4.0
12/01/05
5.0
16/03/05
6.0
18/05/05
Amendment History
First Clinic Type list for circulation by communiqué by Arun Gupta and Steve
Marchant
Second Clinic Type list for circulation by communiqué by Arun Gupta and Tom
Denwood
Third Clinic Type list for circulation by communiqué by Arun Gupta, Steph
Reid, Tom Denwood and Lucy Ison
Fourth Clinic Type list for circulation by communiqué by Arun Gupta and Steph
Reid
Fifth Clinic Type list for circulation by communiqué by Arun Gupta and Steph
Reid
Sixth Clinic Type List for circulation by communiqué by Arun Gupta and Steph
Reid
Approvals:
This document requires the following approvals.
Name
Signature
Dr. Arun Gupta
Title
Date of
Approval
Version
Senior Clinical Lead, National Clinical
Team, Booking and Choice Programme
Document Location
This document is only valid on the day it was printed. Please contact the Document Controller
for location details or printing problems.
This is a controlled document.
On receipt of a new version, please destroy all previous versions (unless a specified earlier
version is in use throughout the project).
Related Documents
These documents will provide additional information.
Doc Reference Number
NPFIT-EBS-DES-0034.03
NPFIR-EBS-DES-0053.03
Communique 05-018
Title
Describing Services Available in Choose and Book
Service Naming Convention for the Choose and Book
Directory of Services
Timetable of Publications of Clinic Type Lists to
support Incentive Scheme
Version
1.5
0.6
Additional information can also be found at http://nww.chooseandbook.nhs.uk
116098127
Page 2 of 17
1.
Overview of Clinic Type
Services registered in the Directory of Services (DoS) are mapped to ‘clinic types’ and
Specialty and Treatment Function, so that referring clinicians using Choose and Book may
more easily locate appropriate Services when referring and booking patients. Document
NPFIT-EBS-DES-0034.03 - Describing Services Available in Choose and Book v1.5.DOC
available to download from http://nww.chooseandbook.nhs.uk/implementation/directory.asp
has more information on how Services are mapped to clinic types, and how Services are
listed in the DoS. This document also includes full information on all aspects of the DoS.
An initial list of clinic types was produced by the Early Adopter sites by combining their clinic
type categories, and engaging in dialogue with the relevant clinical staff if a ready solution
was not identified. This single list below represents the clinic types currently available in the
live system, and forms the basis of a national list from which the NHS in England must
categorise their services in the Directory of Services.
As more adopters prepare for and begin using Choose and Book, new clinic types must be
added. A Clinic Type Working Group (or similar) and the Choose and Book National Clinical
Reference Panel will review, authorise and ratify new requests and suggested amendments
to the national Clinic Type list.
Any requests for new clinic types or changes to the clinic type list should be sent on the
required form to cabclinictype@npfit.nhs.uk. The Clinic Type ‘Request for Assessment’ form
and supporting documentation, including the approval process, are available from the Choose
and Book website at: http://nww.chooseandbook.nhs.uk/implementation/directory.asp#addingctypes
Service definition within the Choose and Book Directory of Services required the service to be
defined as a combination of:
a)
b)
Specialty or Treatment Function
One or more Clinic Types
The Service Definer will be presented with drop-down lists from which to select both
Specialty/Treatment Function and Clinic Types.
Each service is then given a locally defined name (for further information about the format of
locally defined service names see the Service Naming Convention for the Choose and Book
Directory of Services document available from the Choose and Book website. Further
information about conditions treated, exclusions etc. can then be attributed to each service via
Service Specific Guidance which acts as a repository of keywords associated with the
service.
A Service in CAB may in reality be one or more clinics listed within PAS. A Service is a
concept used to allow Service Providers flexibility on how their Services are organised and
appear to referring clinicians. For example, a large teaching hospital may have 10 consultants
all providing generalist orthopaedics clinics, each with their own diary slots. The teaching
hospital may wish to publish these clinics as 10 distinct generalist orthopaedics Services on
CAB. Alternatively, the Service Provider may wish to publish them as a single pooled
generalist orthopaedics Service. Amalgamating the 10 clinics into a single CAB Service will
not only simplify choosing an orthopaedics Service at the hospital (there is 1 rather than 10),
but will also allow the hospital the flexibility associated with a pool of consultants, i.e. that the
Service can continue to operate even if one of the consultants is on leave.
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Table 1 - National Clinic Type list at 18/05/2005/055
Notes:
1.
This list is subject to review by the Clinic Types Reference Group and the Choose
and Book National Clinical Reference Panel. Version 6 will effectively be frozen until October
to allow Local Health Communities to populate their Directory of Services using a static list.
During this period, the Choose and Book Team will be carrying out a consultation exercise
with Royal Colleges, Specialty Associations and Clinical Professional Associations to review
the list.
2.
Those entries in bold text are newly added specialties/treatment functions and Clinic
Types. It is important to note that the Choose and Book application is required to use the
National Standard list of Specialties and Treatment Functions (available in DSCN 26/2003)
3.
No Clinic Types have been removed from the previous version of the list. Clinic Types
and Specialties/Treatment Functions have been added.
4.
The column ‘Keyword Examples/Service Name’ provides examples of key words that
may be included as key words in the Service Specific Booking Guidance and/or service
names. This is provided purely for illustration and these key words, together with the Clinic
Types will be subject to the consultation exercise outlined above over the coming months.
Local Health Communities should ensure that local clinicians (in both primary and secondary
care) are involved in developing the keywords and service names for local services.
5.
The use of the ‘Rapid Access’ Clinic type denotes suspected cancer (2 week wait)
referrals and Rapid Access Chest Pain referrals only. These should be further defined by the
use of appropriate clinic slots and service names. In those instances where we have received
requests relating to services providing speedy access to patients with acute conditions, the
Clinic Type ‘Acute Access’ is provided to distinguish between these referrals/bookings and
suspected cancer referrals/bookings.
6.
There have been efforts to ensure consistency across the Clinic Types in different
specialties (e.g. use of the terms ‘Rapid Access’ and ‘general’).
7.
Proposed changes to clinic types are indicated in the list below (see footnotes).
These changes will not take effect until the autumn. Notification is provided here to allow local
health communities to make the necessary adjustments to local service descriptions, clinic
mapping, commissioning rules and Service Selection Guidance. There may be other changes
that will come as a result of review and consultation. There will be sufficient notice of any
further changes.
8.
The initial scope of Choose and Book is GP/GDP direct referrals and booking into first
outpatient appointments in consultant-led services. A number of health communities have
expressed the desire to describe services outside this scope in the Directory of Services (e.g.
AHP and nurse-led services, GPwSI services, Clinical Assessment Services). Where this is
the case, service definers and commissioners must use the specialties and clinic types within
the list below to define these services then provide further clarity about the service in both
service name and keywords as well as ensuring that the correct appointment type (e.g. nurse
–led, GPwSI-led etc) is attributed to the service from the list of appointment types available
within Choose and Book when describing services.
9.
All submissions from Local Health Communities requesting Clinic Types relating to
AIDS/HIV referrals have been referred to the Chief Medical Officer for advice about
publication of these services. Further guidance will be provided when available, via
communiqué.
10.
Mental Health services Clinic Types will be reviewed in light of further guidance from
the Department of Health on Clinical Assessment Services and will be treated as exceptional
items for addition as required. Further information will be released via communiqué. As an
interim measure, however, we have included a ‘general’ Clinic Type with each of the Mental
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Page 4 of 17
Health specialties to support service definition of those services where there remain some
direct referrals/bookings between GPs and consultants (i.e. without MDT involvement).
Specialty
Clinic Type
General Surgery 100
General Surgery
Minor Surgery
Upper GI
Lumps and Bumps*
Endocrine Surgery
Male Sterilisation/Reversal
Rapid Access
Endoscopy
Urology 101
General Urology
Urodynamics
Haematuria
Fast Track†
Erectile Dysfunction/Andrology
Paediatric
Rapid Access Urology
Lower Urinary Tract Symptoms
Urological Oncology
Female and Reconstruction
Gender Reassignment
Prostate Assessment
Urogynaecology
Male Sterilisation/Reversal
Male Reconstruction
Transplantation Surgery 102
Breast Surgery 103
Dysphagia, Syspepsia
Goitre, Thyroid and Endocrine
Surgery, parathyroid, adrenal
Family planning also under
Gynaecology 502
Suspected Cancer referrals
GP Access Endoscopy, Gastroscopy
Minor electives (routine penile and
scrotal), Urological Stones, Male
Infertility
Prostate investigations/Flow rate
Haematuria One Stop,
Cancer
See also Paediatric 420
Suspected Cancer Referrals
(Abnormal scrotal lump, Elevated
PSA)
Continence/Incontinence, prostate
See also Medical Oncology 370 and
Clinical Oncology 800
Prostate Investigations
See also Gynaecology 502
Vasectomy/ Reversal
General Transplantation
Surgery
General Breast Surgery
Breast One Stop Unit
Rapid Access Breast Surgery
Breast Oncology
Mammoplasty
Colorectal Surgery 104
Keyword Examples/Service Name
Varicose Veins (see also Vascular
Surgery 107), Anti-reflux surgery,
Hernias, Obesity, Incontinence (see
also Urology 101,Gynaecology 502,
Paediatrics 420 ) Dyspepsia
Colonoscopy
General Colorectal Surgery
General Rectal
Family History, Male Breast
Suspected Cancer Referrals
See also Medical Oncology 370 and
Clinical Oncology 800
Breast Reconstruction, Onco-plastic
breast service, plastics
Family history, Functional Bowel
Flexi Sigmoidoscopy
Proposed Change: ‘Lumps and Bumps’ to be merged with ‘Minor Surgery’ to form ‘Minor
General Surgery’
† Proposed change :‘fast track’ to be combined with ‘rapid access’ as ‘Rapid Access Urology’
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Page 5 of 17
*
Specialty
Clinic Type
Rapid Access Colorectal
Surgery
Keyword Examples/Service Name
Suspected Cancer Referrals (rectal
bleed etc)
Hepatobiliary and pancreatic
surgery 105
General Hepatobiliary and
pancreatic surgery
Gall Stones
Upper Gastrointestinal
surgery 106
General Upper Gastrointestinal
surgery
Rapid Access
Endoscopy
Vascular Surgery 107
Trauma & Orthopaedics 110
General Vascular
Doppler Test
Leg Ulcer
Aneurysm
General Adult Trauma and
Orthopaedics
General Paediatric Trauma and
Orthopaedics
Pain Management
Lower Limb
Upper Limb
Spinal
Podiatry
Fracture
Orthopaedic Oncology
Suspected Cancer Referrals
See General Surgery 100 also
General vascular venous disease,
general vascular lymphoedema,
lymphoedema, arterio venous
malformation, varicose veins,
hyperhidrosis, Raynauds, Thread
veins
Soft tissue injury, Sports injury
Back pain, neck pain. See also
Rheumatology 410
Foot and ankle, Hip and knee,
Arthroplasty, Arthroscopy
Carpal Tunnel, Shoulder, Hand,
Elbow, Arthroplasty, Arthroscopy
Back pain, Scoliosis, neck pain
Footwear, Orthotics, Chiropody
See also Medical Oncology 370 and
Clinical Oncology 800
Suspected Cancer Referrals
Rapid Access
Ear Nose and Throat 120
General Adult
General Paediatric
Nasal Disorders‡
Voice Disorders
Balance and Dizziness
General ENT
Audiology Adult
Audiology Paediatric
Rapid Access ENT
Acute Access ENT
Craniofacial Surgery
Thyroid/parathyroid Tumours
Otology
Snoring/Sleep Apnoea
Suspected Cancer Referrals
Acute ear infections, Acute
tonsillitis/quinsy
See also Maxillofacial Surgery 144
and Plastic Surgery 160
See also Sleep Studies 341
‡ Proposed change from ‘Nasal Disorders’ to ‘Nasal Disorders/Rhinology’
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Specialty
Clinic Type
Swallowing Disorders
Facial Plastic Surgery
Salivary Gland Disease
Ear Disorders
Ophthalmology 130
Cataract
Corneal (anterior segment) eye
disorder
External Eye Disorder
Eyelid (adnexal) disorder
Glaucoma
Paediatrics (Proposed Change
to Paediatric Ophthalmology
General§)
Strabismus/Ocular Motility
Vitreo-retinal
Metabolic Eye Diseases
General Ophthalmology
Neuro-ophthalmology
Medical Retina
Orthoptics
Ophthalmic Emergency
(Change to Urgent
Ophthalmology)**
Rapid Access Ophthalmology
(Remove)††
Diabetic Medical Retina
Paediatric Strabismus/Ocular
Motility
Low Vision
Lacrimal
Laser
Oral Surgery 140
Restorative Dentistry 141
General Oral Surgery(Change
to General Adult Oral Surgery)‡‡
General Paediatric Oral
Surgery
Keyword Examples/Service Name
Specify Lid Cyst/lumps
Also see Paediatric 420
Diabetic Eye Clinic
Define whether paed or not with
watering eyes/lid cyst,
DOS Sore Dry Eyes
Acute iritis, Sudden loss of sight,
Retinal detachment
Dental infections/cervico-facial
infections, buried/impacted teeth,
dental cysts/apical surgery, dental
extractions, gingival inflammatory
disease/frenectomy, dental
trauma/toth fractures, TMJ
Dysfunction/ oro-facial pain, nonmalignant oral ulceration, non
malignant white patches, dental
implants for trauma/malignancy/clefts
See above
General Restorative Dentistry
Endodontics
Periodontics
Proposed change from ‘paediatric’ to ‘general paediatric ophthalmology’
Proposed change from ‘ophthalmic emergency’ to ‘urgent ophthalmology’
†† Proposed change – remove rapid access ophthalmology (rapid access denotes suspected
cancer referrals – tertiary service in ophthalmology)
‡‡ Proposed change ‘general oral surgery’ to ‘general adult oral surgery’ and add additional
clinic type: general paediatric oral surgery
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Page 7 of 17
§
**
Specialty
Clinic Type
Prosthodontics
Surgical Dentistry
Paediatric Dentistry 142
General Paediatric Dentistry
Orthodontics 143
General Orthodontics
Routine Paediatric Orthodontics
Maxillo-facial Surgery 144
General Max-Fac Surgery
(Change to General Adult
Maxillofacial Surgery§§)
General Paediatric
Maxillofacial Surgery
Rapid Access Head and Neck
Oncology
Rapid Access Neck Lumps
Rapid Access Facial Skin
Cancer
Salivary Gland Disease
Keyword Examples/Service Name
Dental infections/cervico-facial
infections, buried/impacted teeth,
dental cysts/apical surgery, dental
extractions, gingival inflammatory
disease/frenectomy, dental
trauma/tooth fractures, TMJ
Dysfunction/ oro-facial pain, nonmalignant oral ulceration, non
malignant white patches, dental
implants for trauma/malignancy/clefts,
facial fractures, facial trauma, facial
deformity, cranio facial deformity,
/TMJ
ankylosis/dysfunction/arthrosis,ocularfacial deformity, oral and facial
reconstruction, cervico-facial
inflammatory swelling, pre-malignant
lesions of mouth, benign swellings of
mandible/maxilla, radiolucencies of
mandible/maxilla,
anaesthesia/dysaesthesia/weakness
of cranial nerves (See also Plastic
Surgery 160)
See above
Suspected Cancer referrals
Suspected cancer referral
Suspected Cancer Referrals
Neurosurgery 150
General Neurosurgery
Spinal
Movement Disorders
Syringomyelia
Spinal Assessment, scoliosis
Parkinson’s Disease
Plastic Surgery 160
General Plastic Surgery
Rapid Access Plastic Surgery
Paediatric Plastic Surgery
Minor Plastic Surgery
Lymphoedema
Mammoplasty
Craniofacial
Lower Limb
Laser
Upper Limb
Also see Paediatric 420
Breast Reconstruction, Onco-plastic
breast service. Also see Breast
Surgery 103
Cleft lip and palate, facial
reconstruction, ear reconstruction
(see also Maxillofacial Surgery 144)
Lower limb reconstruction
Spider naevi, port wine stains
Carpal Tunnel Syndrome, wrist, hand,
rheumatoid hands
§§ Proposed change from ‘General Max-fac Surgery’ to ‘General Adult Maxillofacial Surgery’
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Specialty
Clinic Type
Vascular Malformation
Gynaecology and Perineal
Reconstruction
Keyword Examples/Service Name
Vascular anomalies
Burns Care 161
General Burns Care
Acute Access Burns Care
Scar management
Burns Care Rehabilitation
Cardiothoracic Surgery 170
General Cardiothoracic Surgery
Paediatric Surgery 171
General Paediatric Surgery
Urology
Cardiac Surgery
Upper Limb
Neurosurgery
Cardiac Surgery 172
General Cardiac Surgery
Paediatric Cardiac Surgery
Thoracic Surgery 173
General Thoracic Surgery
Pain Management 191
General Pain Management
General Medicine 300
Hypertension
General Medicine
Upper GI
Metabolic Medicine
Osteoporosis
Rapid Access
Lipid Disorders
Gastroenterology 301
General Gastroenterology
Endoscopy (Upper GI)
Endoscopy (Lower GI)
Direct Access Gastroscopy
Gastrointestinal Oncology
Functional Bowel Disorders
Inflammatory Bowel Disease
Liver Conditions
Lower GI
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Re-integration, psychosocial,
therapies
Hand surgery
Neuropathic, paediatric pain
management (see also paediatric
specialty 420), hand pain (see also
trauma and orthopaedics 110), pelvic
pain, mechanical back pain (see also
Trauma and Orthopaedics 110),
visceral pain, acupuncture, TENS,
hypnotherapy, chronic pain
( DOS and service name define
whether under/over 16 or 17 see also
paediatric 420), nutrition and dietetics,
obesity, chronic fatigue, respiratory
Endoscopy/Gastroscopy (see also
Gastroenterology 301)
Suspected cancer referrals
Also see Endocrinology 302 and
Chemical Pathology 822
Hepatomegaly, Dyspepsia, IBD,
Colitis, Coeliac Disease, anaemia and
malabsorption, Also see Paediatric
420
See also General Medicine 300
See also General Medicine 300
Irritable Bowel Syndrome, Functional
Dyspepsia, Functional Vomiting,
Chronic Abdominal Pain
Crohn’s Disease, Ulcerative Colitis
Hepatitis, Hepatology, Jaundice
(not endoscopy)
Page 9 of 17
Specialty
Endocrinology 302
Clinic Type
Upper GI
Rapid Access
General Endocrinology
Rapid Access Endocrinology
Metabolic Bone Disorders
Gynaecological Endocrinology
Endocrine Pregnancy
Metabolic Disorders
Lipid Disorders
Thyroid Disorders
Diabetic Medicine
Clinical Haematology 303
General Haematology
Haemoglobinopathies
Anti Coagulant
Rapid Access Clinical
Haematology
Haematological Oncology
Haemostasis and Thrombosis
Clinical Physiology 304
General Clinical Physiology
Clinical Pharmacology 305
General Clinical
Pharmacology
Hepatology 306
General Hepatology
Infectious Diseases
Metabolic Liver Diseases
Diabetic Medicine 307
Bone and Marrow
Transplantation 308
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General Diabetic Medicine
Paediatric
Paediatric Transitional
Renal Diabetes
Pregnancy and Maternal
Podiatry and Foot
Young Adult
Erectile Dysfunction
Keyword Examples/Service Name
(not endoscopy)
Suspected cancer referrals
Thyroid, Obesity, transitional
adolescent, paediatric (see also
paediatric 420)
Suspected Cancer referrals
Osteoporosis, Calcium Disorders
Polycystic Ovaries (PCO),
Reproductive, Turners, Primary
Ovarian Failure (POF) (See also
Gynaecology 502)
See also Obstetrics 501
Acromegaly
Thyroid lump (use rapid access for
suspected cancers)
Retinal Screening, Diabetes and
Renal Disease, Diabetes and
cardiovascular risk. See also Diabetic
Medicine 307
Anaemia, phlebotomy. Also see
Paediatric 420
Sickle cell, Thalassemia
Suspected Cancer referrals
Lymphocytic Leukaemia , Lymphoma,
Myeloma,
Haemostasis Thrombosis,
thrombophilia
Hypertension (See also General
Medicine 300), Lifestyle Clinic
Alcoholic Liver Disease,
Haemochromatosis, Cystic Fibrosis,
Biliary Disease
Viral Hepatitis. Also see Infectious
Diseases 350
Steatosis, Fatty Liver Disease
Lipid Disorders, dietetics, education
Also see Paediatric 420
Also see Paediatric 420
Pre-conception
Foot ulcer, Foot clinic
Diabetic Andrology
General Bone and Marrow
Transplantation
Page 10 of 17
Specialty
Clinic Type
Keyword Examples/Service Name
Haemophilia 309
General Haemophilia
Paediatric Haemophilia
Bleeding Status, Prothrombotic Status
Also see Paediatric 420
Audiological medicine 310
General audiological medicine
General Adult Audiological
Medicine
Adult rehabilitation, neurotology
Clinical Genetics 311
Clinical Immunology and
Allergy 313
General Paediatric
Audiological Medicine
Speech Disorders, Hearing,
Vestibular, Baby Clinic. Also see
Paediatric 420
General Clinical Genetics
Renal, Thrombophilia, cardiology,
diabetic, Von Hipple Lindau, Marfans,
Paediatric, Ovarian,
Adult
General Clinical Immunology
and Allergy
Autoimmune Diseases
Immune Deficiency
Rehabilitation 314
General Rehabilitation
Neuro-rehabilitation
Palliative Medicine 315
General Palliative Medicine
Clinical Immunology 316
General Clinical Immunology
Immunodeficiency
Allergy 317
Cardiology 320
General Allergy
Food and Drug Allergy
General Cardiology
Rapid Access Chest Pain
Hypertension
Arrhythmia
Cardiology Genetics
Heart Failure
Valve Disorders
Congenital Heart Disease
Acute Access Cardiology
Lipid Management
Paediatric Cardiology 321
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General Paediatric Cardiology
Pulmonary Hypertension
Also see Paediatric 420 , Allergy 317
and Clinical Immunlogy 316
Food Allergy, Paediatric specified in
service name and/or key words
Therapies
Spinal injuries rehabilitation
Chronic Fatigue, Respiratory
Immunology (See also Clinical
Immunology and Allergy 313)
Primary Immunodeficiency (see also
Clinical Immunology and Allergy 313)
Asthma, Urticaria (see also
Dermatology 330), Angiodema,
Anaphylaxis, Bee and Wasp Venom.
(See also Clinical Immunology and
Allergy 313 and Paediatric 420)
Angina/heart failure, ECHO,
Paediatric. (See also Paediatric 420
and Paediatric Cardiology 321)
Atrial Fibrillation/Flutter
Marfans, Eisenmenger
Valvular Heart Disease
Acute access arrhythmia
See also General Medicine 300,
Endocrinology 302 and Chemical
Pathology 822
See also Cardiology 320 and
Paediatric 420
Page 11 of 17
Specialty
Clinic Type
Foetal Cardiology
Clinical Microbiology 322
General Clinical microbiology
Dermatology 330
General Dermatology
Changing Lesions (Assessment
of Lesions)***
Genital Dermatology
Oral Dermatology
Skin Surgery
Rapid Access
Keratopathies †††
Allergies (Change to Contact
Dermatitis)‡‡‡
Vascular
Leg Ulcer
Paediatric
Skin photosensitivity
Skin Lymphoma
Hair and Nails
Cosmetic Camouflage
Laser Assessment
Thoracic Medicine 340
Sleep
Cystic Fibrosis
Immunotherapy
Occupational Medicine
COPD
Rapid Access Thoracic
Medicine
Infectious Diseases 350
Acne, Cryotherapy, Wart, psoriasis,
hyperhidrosis, Eczema, Urticaria,
Paediatric. Also see Paediatric 420
and Allergy 317
Vulval
Skin tags, lumps, bumps and lipomas,
biopsy
Rapid access skin cancer. Suspected
cancer referrals
Psoriasis, Scalp and Nails
Patch Testing, contact dermatitis
Doppler, birthmarks, vasculitis
Leg Ulcer with Plastic surgery
Paed with paed med
Asthma
Allergy
Sarcoid
General Thoracic Medicine
Sleep Studies 341
Keyword Examples/Service Name
Also see Allergy 317and Paediatric
420
Cough Clinic. See also Paediatric 420
(See also Sleep Studies 341 and Ear,
Nose and Throat 120)
Suspected Cancer referrals
Thoracic Oncology
Tuberculosis
See also Medical Oncology 370 and
Clinical Oncology 800
BCG, Screening and treatment
General Sleep Studies
Sleep Apnoea (see also Thoracic
Medicine 340, Ear, Nose & Throat
120 )
General Infectious Diseases
Returning Travellers, Hepatitis,
Chronic Fatigue(See also Thoracic
Medicine 340 for Tuberculosis;
Hepatology 306 for Hepatitis)
Proposed change from ‘Changing Lesions’ to ‘Assessment of Lesions’
Proposed change – remove ‘Keratopathies’ clinic type .
‡‡‡ Proposed change from ‘Allergies’ to ‘Contact Dermatitis’
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***
†††
Page 12 of 17
Specialty
Clinic Type
Tropical Medicine 352
General Tropical Medicine
Leprosy/Leishmoniasis
Dermatology
Ophthalmology
Paediatric
Genito-urinary medicine 360
Nephrology 361
General Nephrology
Renal Diabetes
General Medical oncology
Orthopaedic Oncology
Breast Oncology
Urological Oncology
Thoracic Oncology
Gastrointestinal Oncology
Gynaecological Oncology
Neuro-oncology
Dermatological Oncology
Head and Neck Oncology
Paediatric Oncology
Haematological Oncology
Neurology 400
General Neurology
Rapid Access Neurology
Cognitive Disorders
Epilepsy
Neuromuscular
Movement Disorders
Multiple Sclerosis
Transient Ischaemic
Attack/Stroke
Headache
Motor Neurone Disease
Botulinum Toxin
Acute Brain Injury
Sleep/Fatigue
Cerebrovascular
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Travel Health, Post-travel advice (See
also Infectious Diseases 350)
General Genito-urinary
medicine
Vasculitis
Metabolic Disorders
Medical oncology 370
Keyword Examples/Service Name
Hypertension (see also General
Medicine 300, Clinical Pharmacology
305 and Cardiology 320)
Autoimmune and Vasculitic Renal
Disease, Renovascular
Tubular and metabolic disorders
See also Clinical Oncology 800
Also see Clinical Oncology 800 and
Trauma and Orthopaedics 110
Also see Clinical Oncology 800 and
Breast Surgery 103
Also see Clinical Oncology 800 and
Urology 101
Also see Clinical Oncology 800 and
Thoracic Medicine 340
Also see Clinical Oncology 800 and
Gastroenterology 301
Also see Clinical Oncology 800 and
Gyneacological Oncology 503
See also Clinical Oncology 800
See also Clinical Oncology 800
See also Clinical Oncology 800
See also Paediatric 420 and Clinical
Oncology 800
See also Clinical Haematology 303
and Clinical Oncology 800
Suspected cancer referrals only
Memory
First Seizure
Dystonia
Tremor, Dystonia, Parkinsons
Disease, Neuropsychology, Spasticity
CVA
Headache, Migraine
Spasticity
(see also Sleep Studies 341)
CVA, Subdural haematoma
Page 13 of 17
Specialty
Clinic Type
Rheumatology 410
General Rheumatology
Lupus§§§
Physiotherapy
Soft Tissue Clinic
Pain Management
Paediatric Rheumatology
Acute Response Rheumatology
Osteoporosis
Rapid Access Rheumatology
Spinal Disorders
Paediatrics 420
General Paediatric Medicine
Renal
Respiratory
Genetics
Dermatology
Immunology
Rheumatology
Ophthalmology
Adolescent Medicine
Gastroenterology
Infectious Diseases
Haematology
Neonatal
Metabolic Medicine
Allergy
Neurology
Immunisation
General Infant
General Endocrinology
Behavioural Problems
Audiology
Phlebotomy
Paediatric Urology
Paediatric Dietetics
Paediatric ENT
Paediatric Haemophilia
Paediatric Trauma and
Keyword Examples/Service Name
Injection, Psoriatic Rheumatology,
Behcet’s Syndrome, Gout, Vasculitis,
Sports Medicine (see also Trauma
and Orthopaedics 110)
Connective Tissue Disease,
Scleroderma
General, Minor neck and back pain
Back pain, injection, Scleroderma
See also Trauma and Orthopaedics
110
See also Paediatric 420
Early/recent onset inflammatory joint
disease
Scanning, Bone Densitometry,
Metabolic Bone (see also General
Medicine 300, Endocrinology 302 and
Geriatric Medicine 430)
Suspected Cancer Referrals only
Spondylarthritis (see also Trauma and
Orthopaedics 110)
Development concerns, DOS entry
Nocturnal enuresis
Cystic fibrosis/ TB. (See also Thoracic
Medicine 340)
See also Clinical Genetics 311
See also Dermatology 330
See also Clinical Immunology 316
and Clinical Immunology and Allergy
313
See also Rheumatology 410
See also Ophthalmology 130
See also Gastroenterology 301
HIV, Hepatitis, Immunisation (See
also Infectious Diseases 350)
Sickle/genetics/oncology (See also
Clinical Haematology 303)
Endocrine/diabetes
See also Clinical Immunology and
Allergy 313 and Allergy 317
Gen/head injury/neuro EP. (See also
Neurology 400)
BCG
See also Endocrinology 302
Suspected Autism
See also Ear, Nose & Throat 120
See also Urology 101
See also Ear, Nose & Throat 120
See also Haemophilia 309
See also Trauma and Orthopaedics
§§§ Proposed change from ‘Lupus’ to ‘Auto Immune Connective Disease’
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Specialty
Clinic Type
Orthopaedics
Paediatric Plastic Surgery
Acute Access
Developmental
General Baby Clinic
Continence/Incontinence
Paediatric Diabetes
Keyword Examples/Service Name
110
See also Plastic Surgery 160
Also see Well Babies 424
Paediatric Oncology
Also see Diabetic Medicine 307
Also see Cardiology 320 and
Paediatric Cardiology 321
Also see Medical Oncology 370 and
Clinical Oncology 800
Paediatric neurology 421
General Paediatric neurology
Paediatric Epilepsy
Neonatology 422
General Neonatology
Well Babies 424
General Well Babies
Also see Paediatric 420
Geriatric Medicine 430
General Geriatric Medicine
Falls
Stroke/TIA
See also Neurology 400
Paediatric Cardiology
Movement disorders
Cognitive Disorders
Metabolic Bone Diseases
Dental Medicine specialties
450
Medical Ophthalmology 460
Obstetrics 501
General dental medicine
General Medical Ophthalmology
Eye Screening
Genetic Eye Disorder
Low Visual Aid
Contact Lens
Medical Retinal
Metabolic Eye Diseases
See also Ophthalmology 130
Maternal Medicine
General Obstetrics
USS Obstetrics
Genetics
Twins
Diabetes
Haemoglobinopathies
Foetal Medicine
Foetal Urology & Nephrology
Foetal Cardiology
Foetal Surgical
Antenatal
Endocrine Pregnancy
Hypertension
Day Assessment Unit
See also Radiology 810
Maternal/Foetal Risk
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See also Neurology 400
See also Neurology 400
See also General Medicine 300,
Endocrinology 302 and
Rheumatology 410)
Diabetic Eye Clinic
Also see Diabetic Medicine 307
Anti D, Hypertension
Also see Endocrinology 302
Antenatal Drug Dependency,
Hypertension, Pregnancy and Heart
Disease Service, Anti D
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Specialty
Clinic Type
Gynaecology 502
General Gynaecology
Perineal Disorders
Colposcopy
Urogynaecology
Menopause
Fertility/Infertility
Menorrhagia
Pelvic Floor
Post Menopausal Bleeding
Urodynamics
Reproductive Endocrine
Recurrent Miscarriage
Reproductive Medicine
Menstrual Disorders
Well Woman
Adolescent Gynae****
USS Gynae
EPAU
Psychosexual
Family Planning
Rapid Access Gynaecology
Vulval Disorders
Pregnancy Advisory Service
Gynaecological
503
Oncology
General Gynaecological
Oncology
Learning Disabilities (700)
General Learning Disabilities
Adult Mental Illness (710)
General Adult Mental Illness
Child
and
Psychiatry 711
General Child and Adolescent
psychiatry
Adolescent
Forensic Psychiatry 712
General Forensic psychiatry
Psychotherapy 713
General Psychotherapy
Old age psychiatry 715
General Old age psychiatry
Clinical oncology 800
General Clinical oncology
Orthopaedic Oncology
Breast Oncology
Urological Oncology
Thoracic Oncology
Gastrointestinal Oncology
****
Keyword Examples/Service Name
Fibroids, Smear Clinic , Chronic
Pelvic Pain
Smear Clinic
Also see Urology 101
Hormone Replacement Therapy
Neuro-urology & fistula; DOS Pelvic
pain
Videourodynamics, Stipulate if physio
led
Andrology
PCO/endometriosis
Smear Clinic
See also Radiology 810
Counselling, TOP, Sterilisation
Lichen Sclerosis
TOP surgical, TOP medical
Post Menopausal Bleed, Family
History
Also see Medical Oncology 370
Also see Trauma and Orthopaedics
110 and Medical Oncology 370
See also Medical Oncology 370 and
Breast Surgery 103
See also Medical Oncology 370 and
Urology 101
See also Medical Oncology 370 and
Thoracic Medicine 340
See also Medical Oncology 370 and
Gastroenterology 301
Proposed change: from Adolescent Gynaecology to Paediatric and Adolescent
Gynaecology
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Specialty
Clinic Type
Gynaecological Oncology
Neuro-oncology
Dermatological Oncology
Head and Neck Oncology
Paediatric Oncology
Haematological Oncology
General Radiology
Radiology 810
Ultrasound
Interventional Radiology 811
Chemical Pathology (822)
Keyword Examples/Service Name
See also Medical Oncology 370 and
Gynaecological Oncology 503
See also Medical Oncology 370
See also Medical Oncology 370
See also Medical Oncology 370
See also Medical Oncology 370 and
Paediatric 420
See also Medical Oncology 370 and
Clinical Haematology 303
Barium Enema, IVU, Bone
Densitometry
See also Gynaecology 502 and
Obstetrics 501
General Interventional
Radiology
General Chemical Pathology
Lipid Disorders
Metabolic Disorders
Also see General Medicine 300 and
Endocrinology 302
Also see General Medicine 300 and
Endocrinology 302
Genetic Disorders
[END]
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