Royal North Shore Hospital provides the following Gastroenterology clinics:
*Triaged and booked via General Gastroenterology Clinic bookings
A valid GP or Specialist referral is required for all services provided in the 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.
Urgent referrals: Contact the RNSH Switchboard (9926 7111) and ask to page the on-call gastroenterology registrar.
Routine referrals: Send referral letter via email to [email protected], or fax to (02) 9463 1065.
Mandatory referral information
All Hepatology and Gastroenterology referrals must include a consultant being referred to in RNSH outpatients. If unsure, please address to Dr Ian Norton and Associates.
All referrals must include patients details 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.
Please attach results of any relevant 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.
The following investigations must be completed prior to referring to the Liver Clinic:
LFTs, EUC, FBC, coagulation
HBV serology: HBsAg, anti-HBc, anti-HBs; if HBsAg is positive, test HBeAg, anti-Hbe and HBV DNA
Anti-HCV Ab; if positive HCV RNA (quantitative), HCV genotype
Referrals with insufficient information will be returned to the GP until further information is provided to the clinic.
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 Gastroenterology and Hepatology Registrar on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:
Severe upper gastrointestinal bleeding eg Haematemesis/Melena
Large volume rectal bleeding
Symptomatic iron deficiency anaemia (chest pain/dyspnoea)
Severe bloody diarrhoea
Severe vomiting or diarrhoea causing dehydration
Acute liver failure and decompensation of chronic liver disease
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.
Decompensated cirrhosis: jaundice, ascites
Liver cancer (hepatocellular cancer)
Patients with positive HBV serology (HBsAg or anti-HBc positive) who are planned for chemotherapy/Immunosuppression
Pregnant women with abnormal LFTs or chronic hepatitis B (HBsAg positive)
Liver stiffness un-interpretable:
Pacemaker, implantable defibrillator
Cirrhosis already diagnosed by clinical, biochemical, &/or radiological methods; ascites.
|General Gastroenterology |
- Post-inpatient review
- Post-ED referral
- +FOBT / Complex endoscopy
- Inflammatory Bowel Disease
- Colorectal cancer surveillance in high risk individuals (eg previous history of polyps, family history of colorectal cancer)
- Dysphagia/complex neurogastroenterology
- GI symptoms such as abdominal pain, change in bowel habit
- Pancreatic diseases
The RNSH Gastroenterology Clinic is unable to provide a service for the following:
Screening colonoscopy in average risk patients (unless +FOBT)
Anorectal disorders (except in relation to Crohn's disease)
Diseases of the gall bladder (require referral to a surgeon)
Out of Area Referral
RNSH 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
NSLHD consultant referral options
The following Gastroenterologists work at RNSH. They also have private rooms, which patients can be referred to and usually have a shorter waiting period. From the rooms patients still have access to the public system for endoscopy procedures at no out of pocket costs. There will likely be an out of pocket cost for the consultation at the private rooms. Similarly, Hornsby, Ryde and Northern Beaches Hospitals all have Gastroenterologists who can provide access to public endoscopy services at those facilities.
|Dr Cameron Bell|
Northern Specialist Centre (St Leonards) Ph: (02) 9463 1966
Southern Highlands Private Hospital (Bowral) Ph: (02) 4862 9400
|Dr Danny Stiel||Northern Specialist Centre (St Leonards) Ph: (02) 9463 1966|
|Dr Ian Norton||Northern Specialist Centre (St Leonards) Ph: (02) 9463 1966|
|Dr Sarah Cho||Berry Road Medical Centre (St Leonards) Ph: (02) 9906 8973|
|Dr Stephen Tattersall||North Shore Private Hospital (St Leonards), Hunters Hill, Sydney Gastrointestinal Specialists (Eastwood) Ph: (02) 9438 5193|
|Dr Neomal Sandanayake||North Shore Private Hospital (St Leonards) Ph: (02) 9439 7575|
|Dr Allison Malcolm||North Shore Private Hospital (St Leonards) Ph: (02) 9966 0057|
|Dr Philip Chang||Berry Road Medical Centre (St Leonards) Ph: (02) 9906 8973)|
The Sydney Clinic for Gastrointestinal Diseases (Bondi Junction)
Ph: (02) 9369 3666
Sydney CBD Ph: (02) 8378 1721
|Dr Gordon Park||Chatswood Ph: (02) 9411 7747|
Sydney Gastrointestinal Group (Eastwood) Ph: (02) 9874 1251
Dr Brett Jones
Macquarie University Ph: (02) 9812 3880