Royal North Shore Hospital provides the following Rheumatology clinics:

  • Back pain Multidisciplinary Clinic
  • Biologic Therapies (not for GP referral – specialist referral only)
  • Connective Tissue and Autoimmune Disorders
  • General Rheumatology – all arthritis, osteoporosis and musculoskeletal conditions
  • Osteoarthritis Chronic Care Programme (no GP referral – referral by hospital specialist or by invitation to waiting list patients only)
  • Osteoporosis Re-fracture Prevention (ORP)
  • Psoriatic Arthritis
  • Rapid Access Clinic – acute arthritis and rheumatological problem
  • Vasculitis

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Referral

To refer

A valid GP or Specialist referral is required for all services provided in Rheumatology clinics– 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.

Urgent referrals: Contact the RNSH Switchboard (9926 7111) and ask to page the on-call Rheumatologist or registrar, or contact the Rheumatology Department.

Routine referrals: Email a referral letter to
NSLHD-RNS-Rheumatology@health.nsw.gov.au or fax to (02) 9463 1077

Mandatory referral information

All Rheumatology referrals must include a consultant being referred to in RNSH outpatients. If unsure, please address to Prof Lyn March 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.

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 Rheumatology Registrar on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:

  • Back pain with progressive neurological involvement
  • Septic arthritis
  • Giant cell arteritis/temporal arteritis
  • Systemic arteritis
  • Acute, unwell vasculitis
  • Acute, unwell SLE
  • Acute myositis

Indications for referral

For referrer use only and is not intended for patients to self-diagnose. Any patients who feel they may require a referral must be assessed and referred by their GP if appropriate.

Presenting ComplaintWhen to ReferRNSH Clinic
Acute Rheumatological Problems•Acute back painBack Pain Clinic (refer urgently if neurological signs)
•Other acute rheumatological problems requiring review within 3 days, eg early inflammatory arthritisRapid Access Clinic
Hip and knee osteoarthritis

•Hip osteoarthritis

•Knee osteoarthritis

Refer to page 4

Osteoarthritis Chronic Care Program (OACCP) – not for GP referral
Osteoporosis

•Fragility fractures

Refer to page 4

Osteoporosis Re-Fracture Prevention (ORP)
Psoriatic arthritis•Refer to confirm the diagnosis and for long-term follow-upPsoriatic Arthritis Clinic, associated with the Dermatology Clinic
Back pain

•Ankylosing spondylitis

•Back pain when red flags (eg fracture) ruled out

•All non-surgical acute and chronic back pain

Back Pain Multidisciplinary Clinic
Connective tissue or autoimmune diseases                                      

•Systemic lupus erythematosus

•Scleroderma

•Sjogrens syndrome

•Polymyositis

•Dermatomyositis

•Undifferentiated connective tissue disease

Connective Tissue and Autoimmune Disorders Clinic
Polyarthritis ​•Juvenile idiopathic arthritis
•Rheumatoid arthritis
•Recent onset
•Joint swelling persisting > 4 weeks
•Monitoring DMARDs or biologics
​General Rheumatology Clinic

Or Rapid Access if acute

Vasculitis ​•Temporal arteritis/giant cell arteritis
•Polymyalgia rheumatica
•Polyarteritis nodosa
•Granulomatosis with polyangiitis
•ANCA associated vasculitis
​Vasculitis Clinic

Or Rapid Access if acute

Fibromyalgia​•To confirm diagnosis
•Pain management problem
•Assessment for hydrotherapy
​General Rheumatology Clinic
GoutRecurrent attacks
•Medical management problems
General Rheumatology Clinic
Acute mono and polyarthritis​•Crystal arthritis
•Early undifferentiated arthritis
•Viral arthritis
•Reactive arthritis
•Early rheumatoid arthritis
​Rapid Access Clinic

Multidisciplinary clinics

The following clinics are run at multiple sites within NSLHD.

Osteoarthritis chronic care program (OACCP)

OACCP targets patients with hip and knee osteoarthritis. It focuses on improvement pre-surgical management of patients on elective hip and knee joint replacement lists, and management of patients not appropriate for surgical intervention. OACCP focuses on reducing pain, improving function and quality of life, and promotes self-management.

OACCP is only available for hospital specialist referral, or invitation to patients on specific joint surgery wait lists (not available for GP referral).

All referrals are managed through a central administration process at Royal North Shore Hospital, with some patients seen at Hornsby Hospital (determined by home address).

Contact details:
Ph: (02) 9463 1860, Fax: (02) 9463 1058

Osteoporosis re-fracture 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) 9858 7155, Fax: (02) 9858 7091

Out of Area Referral

The RNSH Dermatology 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 documented on referral
Compassionate circumstances (e.g. family proximity, staff)​Yes but must be documented on referral
Resident of other Local Health District that offers the service​Refer to your Local Health District

 

RNSH consultant referral options

The following Rheumatologists 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 roomsRNSH Clinic
Prof Lyn March

•North Sydney Sports Medicine (St Leonards)  Ph: (02) 9966 4700

•Northern Specialist Centre (St Leonards)  Ph: (02) 94631988

•North Sydney Orthopaedic and Sports Medicine Centre, Mater Hospital (Wollstonecraft)  Ph: (02) 9409 0500

General Rheumatology; ORP
Prof David Hunter•North Sydney Orthopaedic and Sports Medicine Centre, Mater Hospital (Wollstonecraft)  Ph: (02) 9409 0500OACCP
Dr Beatrice Janssen

•North Sydney Orthopaedic and Sports Medicine Centre, Mater Hospital (Wollstonecraft)  Ph: (02) 9409 0500

•Sydney Physiotherapy & Orthopaedics (Sydney CBD)  Ph: (02) 9232 2311

•Mosman  Ph: (02) 9968 3200

General Rheumatology
Dr Rodger Laurent•Northern Specialist Centre (St Leonards)  Ph: (02) 94631988Back Pain Multidisciplinary Clinic; General Rheumatology
A/ Prof Leslie Schrieber

•North Sydney Sports Medicine (St Leonards)  Ph: (02) 9966 4700

•BJC Health (Chatswood) – 7 Help St, Chatswood, NSW 2067 Ph: (02)9413 2979

Connective Tissue and Autoimmune Disorders
Dr Rani SinnathuraiNo private roomsGeneral Rheumatology; Psoriatic Arthritis; rapid Access Clinic
Dr Shirley Yu

•BJC Health (Chatswood) – 7 Help St, Chatswood, NSW 2067 Ph: (02)9413 2979

•North Sydney Orthopaedic and Sports Medicine Centre, Mater Hospital (Wollstonecraft)  Ph: (02) 9409 0500

General Rheumatology; OACCP
​A/ Prof Sean O’Neill​•Eastwood Rheumatology, 38 Denistone Rd, Eastwood NSW 2122
Ph: 9804 6155, Fx: 9804 7149
​General Rheumatology; Lupus and Autoimmune Disorders


Quick Links:

Australian Rheumatology Association
Arthritis & Osteoporosis NSW
Arthritis Foundation 
Rheumatology Clinic Information

 

Australian Rheumatology Association Patient Information Leaflets:

Adalimumab
Allopurinol
Azathioprine
Bisphosphonates (Intravenous)
Bisphosphonates (tablets) 
Cyclophosphamide
Etanercept
Hyaluronic Acid
Hydroxychloroquine
Infliximab
Leflunomide
Methotrexate
Non-steroidal Anti-inflammatory Drugs (NSAID) 
Prednisolone & Prednisone
Rituximab
Sulfasalazine
Tocilizumab


 

Address - Allows authors to enter rich text content.  Address

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

Postal Address:
Rheumatology Department
Level 7, 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

ClinicOpen Hours
Back Pain Multidisciplinary ClinicTuesday 2pm-5pm, alt. Thursday 9am-12.30pm
Connective Tissue/Autoimmune Disorders ClinicMonday 8am-12.30pm, Tuesday 2pm-5pm
General Rheumatology ClinicMonday 8am-12.30pm, Tuesday 2pm-4.30pm, Thursday 8am-12.30pm, Friday 8am-12.30pm
Osteoarthritis Clinic (OACCP)Thursday 1pm-4.30pm
Osteoporosis and Re-fracture Prevention – Clinic 1Monday 8am-1.00pm
Psoriatic Arthritis ClinicThursday 8am-12.30pm
Rapid Access Clinic/Early Arthritis ClinicTuesday 2pm-5pm & Friday 8am-12.30pm
Vasculitis ClinicThursday 8am-12.30pm

 

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

Phone: (02) 9463 1887, or (02) 9463 1890

Fax: (02) 9463 1077
Osteoporosis Clinic: (02) 9463 1058