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Referral

To refer

A valid GP or Specialist referral is required for all services provided in this clinic – please visit your GP for an assessment if you feel a referral may be required. If you are a GP or Specialist wishing to make a referral, please use the below contacts.

Mandatory referral information

All Infectious Diseases referrals must include a consultant being referred to. If unsure, please address to Dr Bernard Hudson and Associates.

All referrals must include patients details, provisional diagnosis and reason for referral, finding/treatment to date, how this affects the patient, significant medical history, list of medications and relevant social information. Please indicate preferred language if an interpreter is required.

Referrals with insufficient information will be returned to the GP until further information is provided to the clinic.

Please attach results of any investigations to the referral and ensure the patient brings hard copies to their appointment. This will help avoid unnecessary duplication of tests, additional appointments and delay.

Required results include: RBC, ESR, CRP, EUC, LEFT within 4 weeks.
HbA1c within previous 12 months

Urgent cases

If you are a GP or Specialist and feel your patient may require an urgent referral, please phone the RNSH switchboard on 02 9926 7111 and ask for the Infectious Diseases Registrar on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:

  • Patients with suspected bloodstream infection
  • Patients with CRP greater than 100 (= serious bacterial infection until proven otherwise)
  • Acutely unwell returned traveller within 4 weeks of return to Australia
  • Acutely unwell with proven, suspected or possible malaria
  • Suspected P.falciparum or P.knowlesi malaria
  • Acutely unwell HIV patients
  • Splenectomised or hyposplenic patients with signs of bacterial infection
  • Suspected meningitis or encephalitis
  • Fevers in an immunocompromised host
  • Non-occupational post-exposure prophylaxis (NPEP)
  • Suspected spinal infection (back pain with or without fever or CRP > 100)
  • Influenza requiring supportive care (eg oxygen or IV antibiotics)
  • Meningococcal disease

Indications for Referral

For referrer use only. Any patients who feel they may require a referral must be assessed and referred by their GP if appropriate.

Presenting complaintWhen to Refer
Any Infection

Refer if failed GP management, and

•Proven recurrent infection not responding to standard treatment

•Unusual, complicated or exotic infections for which a specialist ID opinion is required

•Specific infections that are exceptions to these criteria are listed below

Cellulitis

•3 or more mild-moderate cellulitis episodes in previous 12 months

•2 or more severe or life-threatening cellulitis episodes in previous 12 months

•An episode of unusually severe cellulitis

•Suspected unusual or exotic cause of cellulitis

•Dermatology (private or public) assessment prior to referral is required for all non-acute cases

Paediatric•Patients aged less than 16 years should be referred to a pediatrician, in the first instance, with or without prior discussion with ID specialist.
Post-hospital Follow-up•All patients who have had an ID consult when in a NSLHD Hospital are given priority for clinic appointments for the first post-hospital follow-up consultation, and for any subsequent follow-up clinic visits.
PUO•Acute cases should be referred to ED, with or without prior discussion with ID specialist.

 

The RNSH Infectious Diseases Clinic is unable to provide a service for the following, without the expressed consent of the ID specialist who will be seeing the patient:

HIV infection

•All patients with HIV infection should be referred to Clinic 16, with or without telephone advice from the ID specialist on-call

Sexually transmitted infections (STI)

•All patients with STI infection should be referred to Clinic 16, with or without telephone advice from the ID specialist on-call

Chronic illnesses

•Chronic fatigue syndrome

•Delusional parasitosis

•Pre-travel consultations except with the express consent of the specialist involved

Tick-borne diseases
Acute cases with illness related to tickbites are best seen by regular GP, who can call the on-call ID doctor for advice if required.

Out of Area Referral

The clinic provides services to patients living within the Northern Sydney Local Health District. Exceptions to this are outlined below.

Resident of Northern Sydney Local Health District Catchment ​Yes - referral accepted at RNSH
Referral from other specialist, for specialist opinion​Yes - referral accepted at RNSH
Resident of other LHD that DOES NOT provide the clinical service e.g. rural, outer metro​Yes, but service or problem needs to be documented on referral
Continuing care of existing condition we already manage​Yes, provided existing or related condition documented on referral
Demonstrated complexity requiring services of RNS Hospital Ambulatory Care Centre​Yes but must be explicitly documented on referral
Compassionate circumstances (e.g. family proximity, staff)​Yes but must be explicitly documented on referral
Resident of other LHD that offers the service​Refer to your local LHD


Check if the home address is within Northern Sydney Local Health District here: https://www.health.nsw.gov.au/lhd/Pages/lhd-maps.aspx

RNSH consultant referral options

The following Infectious Disease Specialists work at RNSH. Some also have private rooms, which patients can be referred to and usually have a  shorter waiting period. There will likely be an out of pocket cost for the consultation at the private rooms.

Consultant Location of private rooms
Dr Archie DabarNo private rooms
Dr Shelanah FernandoNo private rooms
Dr Melanie FigtreeNo private rooms
Dr Robyn HardimanNo private rooms
Dr Bernard HudsonNo private rooms
Dr George Kotsiou

Northern Specialist Centre (St Leonards)

Ph: (02) 9463 1966

Dr Eunice LiuNo private rooms
Dr James Newcombe

Northern Specialist Centre (St Leonards) (Paediatric Infectious Diseases)

Ph: (02) 9463 1966

Dr Elaine TennantNo private rooms

 

 

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Clinic Location:
Ambulatory Care Centre
Check-in B, Level 3
Royal North Shore Hospital
Reserve Rd
St Leonards 2065

Postal Address:
Infectious Diseases Department
Level 4, Douglas Building
Royal North Shore Hospital
Reserve Rd
St Leonards 2065

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Infectious Diseases Clinic: Tuesday 1pm-4.30pm

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If you are a GP or Specialist wishing to make a referral, please use the below contacts.
Urgent referrals: Contact the RNSH Switchboard (9926 7111) and ask to page the on-call Infectious Diseases Specialist or registrar.
Routine referrals: Fax a referral letter to (02) 9926 4081.
Phone number for patients: (02) 9463 1400