Expand

Royal North Shore Hospital provides the following Endocrinology clinics:

  • Bariatric Surgery Clinic
  • Diabetes Health Assessment Unit
  • Diabetes Education Centre
  • General Diabetes Clinic
  • General Endocrine (Pituitary, Benign Thyroid, Adrenal, Gonadal, Pancreatic)
  • Hereditary Endocrine Cancer Clinic (Specialist Referral Only)
  • Late Effects Clinic (Specialist Referral Only)
  • Osteoporosis and Metabolic Bone Disease Clinic
  • Osteoporosis and Refracture Prevention (ORP)
  • Rapid Access Clinic
  • Specialist Obstetric Clinic
  • Thyroid Cancer Clinic
  • Turner Syndrome Clinic
  • Young Adults Diabetes Clinic

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 Endocrinology referrals must include a consultant being referred to. If unsure, please address to Dr Roderick Clifton Bligh and Associates.

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

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.

Investigations required for referral to be accepted:

  • Diabetes: HbA1c
  • Thyroid disorders: TSH, free T4, Free T3
  • PCOS or hirsuitism: Testosterone, DHEAS, SHBG, LH, FSH, estradiol, androstenedione, prolactin, 17-hydroxyprogesterone
  • Pituitary disorders: Prolactin, TSH, free T4, cortisol, LH, FSH, testosterone or estradiol, GH, IGF1
  • Adrenal lesion: DHEAS, renin, aldosterone, metanephrine, normetanephrine
  • Hypogonadism: LH, FSH, testosterone or estradiol, prolactin

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

Urgent Case

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 Endocrinology Registrar on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:
  • Diabetic foot ulcer with evidence of systemic infection, eg fever, hypotension
  • Addisonian crisis
  • Na<120 mmol or symptomatic hyponatremia <130 mmol
  • Severe symptomatic hypercalcaemia (serum calcium >2.9 mmol/l)
  • Diabetic ketoacidosis
  • Hyperosmolar hyperglycaemia
  • Severe symptomatic hypoglycaemia
  • Severe symptomatic thyrotoxicosis or hypothyroidism

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 ReferRNSH Clinic
Type 1 or Type 2 Diabetes ​ ​

•Care is shared between the general practitioner and SDHAU (with no other endocrinologist involved in the patient's management)

•Failure to achieve targets or respond to therapy

•Development of either micro or macrovascular complications

•Other complicating circumstances

Sydney Diabetes Health Assessment Unit (SDHAU)

Refer urgently:

•Severe and/or frequent hypoglycaemia

•Secondary hyperglycaemia from acute illness, where outpatient management is possible

•Patients with hyperglycaemia requiring urgent insulin start or review of insulin management

Rapid Access Clinic
•Type 1 diabetesYoung Adults Diabetes Clinic if aged 16-30
Otherwise, General Diabetes Clinic

Type 2 diabetes – one or more of the following criteria:

•Failure to attain individualised glycaemic/HbA1c targets despite therapy

•Failure to respond to glucose-lowering medications

•Multiple drug intolerances to glucose-lowering medications, or contraindications

•Development of diabetes complications

•Hyperglycaemic during hospitalisation

•Comorbidity impacting management of diabetes

•Pregnancy planning

•Suspicion of unusual variants, such as LADA, MODY or secondary diabetes

Young Adults Diabetes Clinic if aged 16-30
Otherwise, General Diabetes Clinic
Acute symptomatic hyper or hypoglycaemia​Acute symptomatic hyper or hypoglycaemia not fulfilling criteria for ED referral​Rapid Access Clinic
Adrenal disease
  • ​Addison’s disease
  • Cushing’s syndrome
  • Conn’s syndrome (primary hyperaldosteronism)
  • Adrenal tumour/mass lesion – refer urgently
  • Phaeochromocytoma
​General Endocrine Clinic
Gonadal disease
  • ​Hypogonadism
  • Polycystic ovary disease
​General Endocrine Disease
  • Turner Syndrome
​Turner Syndrome Clinic
Pituitary disorders
  • Pituitary tumour
  • Prolactinoma
  • Acromegaly
  • Cushing’s disease
  • Hypopituitarism
  • Diabetes insipidus
​General Endocrine Clinic
​General Endocrine Clinic
  • ​Thyroid nodules
  • Goitre
  • Hypothyroidism
  • Thyrotoxicosis
​General Endocrine Clinic
  • Thyroid carcinoma (known or suspected) – refer urgently
​Thyroid Cancer Clinic
Calcium, electrolyte and metabolic bone disorders
  • ​Hypercalcaemia
  • Hypocalcaemia
  • Hyponatremia
​General Endocrine Clinic
  • ​Paget’s disease
  • Osteomalacia
​Osteoporosis and Metabolic Bone Disease (MBD) Clinic
Osteoporosis
  • ​T<-2.5 or absolute ten-year fracture risk risk >20%
​Osteoporosis and MBD Clinic
Hereditary Endocrine Cancer
  • ​Diagnosed or suspected hereditary endocrine cancer
  • Specialist referral only
​Hereditary Endocrine Cancer Clinic
Obesity
  • BMI >35kg/m2  with type 2 diabetes or BMI >45kg/m2
  • Please refer to page 9 for full acceptance criteria and referral form
​Bariatric Surgery Clinic
Late Effects
  • ​Late effects form oncology therapies.
  • Specialist referral only (usually referred by haematologists or oncologists)
​Late Effects Clinic
Pregnancy
  • ​Any endocrine condition in pregnancy
​Specialist Obstetric Clinic

The RNSH Endocrinology Clinic is unable to provide a service for the following:
Aged <16 years old

  • Uncomplicated primary hypothyroidism
  • Uncomplicated type 2 diabetes already at individualised glycaemic targets
  • Uncomplicated osteoporosis with T-score >-2.5 or absolute ten-year fracture risk <20%

Sydney Diabetes Education Centre

Sydney Diabetes Education Centre supports the management of newly diagnosed or pre-existing diagnosis of Type 1, Type 2, Gestational Diabetes, or hyperglycaemia resulting from medication, surgical and/or medical procedures, infections, or other clinical events, both within the inpatient and outpatient clinical settings. It includes:

Group education sessions: FLEXIT (carbohydrate-counting); T2DN new diagnosis and review; insulin pump therapy; gestational diabetes; mindfulness.

Individual services provided by a diabetes nurse educator, dietician and/or psychologist as specifically needed, or as a multidisciplinary team approach with the Endocrinologist/Specialist and/or Primary Care Physician, for young adults/transition and adults requiring initial assessment and review of their diabetes and management plan.

Eligibility:

T1DM: All persons with newly diagnosed and pre-existing T1DM requiring education and/or support with their diabetes management.

T2DM: All persons with newly diagnosed T2DM requiring education and/or support with dietary management and/or oral therapies and/or incretin therapy and/or insulin to support their diabetes management.

GDM: All women with gestational diabetes requiring education and/or insulin therapy or as directed by their primary care physician, endocrinologist, specialist and/or midwife.

Any other individuals with documented hyperglycaemia-related events requiring education on blood glucose monitoring and/or prescribed therapy to manage hyperglycaemia.

Referrals for diabetes education will only be accepted if the individual requiring education has a primary care physician and/or endocrinologist and/or specialist.

Urgent referrals: Urgent cases require assessment first by a physician who makes a diagnosis of diabetes and/or determines that a crisis is warranting an urgent referral for diabetes education. Referrals must include the prescribed therapy requisite for the urgent referral (management of hyper- and/or hypoglycaemia).

Osteoporosis Refracture Prevention (ORP) Services

ORP includes a comprehensive assessment (including bone mineral density scan and related pathology tests); screening for risk factors for osteoporosis and falls; education and self-management advice; specialist consultation (rheumatologist, endocrinologist or rehab physician) if indicated; referral to other health and community services as appropriate.

Who to refer: Anyone with a minimal trauma fracture who is aged 50 years or older, or aged under 50 and post-menopausal, or anyone who is continuing to fracture despite 1 year of anti-resorptive treatment.

Exclusions: Major trauma fractures, pathological fractures, known metastatic of myeloma bone disease, nursing home resident.

Please refer to the patient's local hospital.

Contact details:
Hornsby Hospital
Ph: (02) 9477 9946, Fax: (02) 9477 5684
Northern Beaches
Ph: (02) 9105 5020; (02) 9105 5021,  Fax: (02) 9105 5158
Royal North Shore Hospital
Ph: (02) 9463 1848, Fax: (02) 9463 2092
Ryde
Ph: (02) 9585 7155, Fax: (02) 9858 7091

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 Local Health District 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 Royal North Shore 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 Local Health District that offers the service​Refer to your Local Health District


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 Endocrinologists 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 roomsRNSH Clinic
A/ Prof Roderick Clifton-BlighNorthern Specialist Centre (St Leonards)
Ph: (02) 9463 1966
General Diabetes Clinic; General Endocrine Clinic; Thyroid Cancer Clinic; Osteoporosis and Metabolic Bone Disease Clinic
Dr Darshika Christie-DavidNorthern Beaches Hospital (Frenchs Forest)
Ph: (02) 8011 0678
General Endocrine Clinic
Dr Sally-Anne DukeNorthern Sydney Endocrine Centre (St Leonards)
Ph: (02) 9439 8447
Young Adults Diabetes Clinic; General Diabetes Clinic; General Endocrine Clinic; Turner Syndrome Clinic
Prof Gregory FulcherNorthern Specialist Centre (St Leonards)
Ph: (02) 9463 1966
Sydney Diabetes Health Assessment Unit; General Diabetes Clinic; General Endocrine Clinic; Specialist Obstetric Clinic
Dr Sarah GlastrasNorthern Sydney Endocrine Centre (St Leonards)
Ph: (02) 9439 8447
General Diabetes Clinic; General Endocrine Clinic; Osteoporosis and Metabolic Bone Disease Clinic; Specialist Obstetric Clinic
Dr Christian Girgis

Northern Specialist Centre (St Leonards)
Ph: (02) 9463 1966

Merrylands
Ph: (02) 9637 0713

Osteoporosis and Metabolic Bone Disease Clinic
Prof Bruce RobinsonLevel 7 Kolling Institute (St Leonards)Thyroid Cancer Clinic
​Dr Emma Scott​Northern Sydney Endocrine Centre (St Leonards)
Ph: (02) 9439 8447
​General Diabetes Clinic; General Endocrine Clinic; Osteoporosis and Metabolic Bone Disease Clinic
​Dr Lyndal Tacon​No private rooms​General Diabetes Clinic; General Endocrine Clinic; Thyroid Cancer Clinic; Osteoporosis and Metabolic Bone Disease Clinic
​Dr Venessa Tsang​North Shore Endocrinology (St Leonards)
Ph: (02) 8425 3546
​General Diabetes Clinic; General Endocrine Clinic; Thyroid Cancer Clinic

 

Address - Allows authors to enter rich text content.  Address

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

Postal Address:
Endocrinology Department
Level 3, Acute Services Building
Royal North Shore Hospital
Reserve Rd
St Leonards 2065

Map - Allows authors to insert HTML snippets or scripts.  Map

Open Hours - Allows authors to enter rich text content.  Open Hours

Opening hours
Bariatric Surgery ClinicFriday 9.30am-12.30pm
Diabetes Health Assessment UnitMonday-Friday 8.30am-4pm
Diabetes Education CentreMonday-Friday 8am-5pm
General Endocrine ClinicMonday-Friday 8.30am-5pm
Young Adults Diabetes ClinicFriday 9am-1pm

Contact Us - Allows authors to enter rich text content.  Contact Us

Endocrinology: (02) 9463 1680
Diabetes Assessment Unit: (02) 9463 1688
Diabetes Education Centre: (02) 9463 1677
Young Adults Diabetes Clinic: (02) 9463 1400

Fax: (02) 9463 1045

To refer

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 Endocrinologist or registrar.

Routine referrals: Send a referral letter via email to nslhd-endocrinology@health.nsw.gov.au or via fax to (02) 9463 1045.

Diabetes Health Assessment Unit: Send a referral letter via email to nslhd-sdhau@health.nsw.gov.au or via fax to (02) 9463 1045.

Diabetes Education Centre referrals: Send a referral letter via email to diabeteseducation@nsccahs.health.nsw.gov.au or via fax to (02) 9465 1045