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Lipid Advice & Guidance Service

Checked: 22-07-2022 by Vicky Ryan Next Review: 22-07-2023

Service Overview

Advice and Guidance on all aspects of the management of hyperlipidaemia is available at UHBW

Advice & Guidance requests are not processed by the Referral Service. All requests should be submitted directly to the Lipid Advice & Guidance Service using e-Referral.

Advice & Guidance can be provided on:

Hypercholesterolaemia
Familial hypercholesterolaemia
Hypertriglyceridaemia
Mixed dyslipidaemia
High lipoprotein (a) concentration
Statin intolerance
Failure to reach treatment targets
PCSK9 therapy

Please note that this service is NOT for Endocrinology advice and any such requests will be returned.

To enable the consultants to give the best advice possible please consider the following points:

Give a clear concise history and examination findings- avoid cutting and pasting long lists of consultation notes that are not relevant to the problem in hand.
Include relevant results, investigations and recent correspondence if appropriate but avoid multiple attachments that can take time to download and make the triage process more cumbersome.
Ask a clear clinical question and avoid ambiguity.
Avoid requests for complex patients known to an individual consultant as they are unlikely to be the consultant giving the advice and may not have easy access to details of previous contacts with the patient. In these cases consider writing or emailing the relevant secretary directly.

UHBW Lipid Advice & Guidance

Please see the relevant information below on how to make an advice request via eRS. Advice requests should ideally be typed into the free text window of the advice request body on e-RS rather than attaching a separate letter or Word document. If you attach a Clinical Information Summary, please ensure it is named this, so that clinicians at secondary care can opt to look at it if they wish to turn the request into a referral.

UHB - Lipid A&G Guidance document

Please process through eRS bypassing the Referral Service.

Lipid Service - University Hospitals Bristol RA7

Priority - Routine (not urgent or 2WW)
Specialty - Endocrinology & Metabolic Medicine
Clinic - Lipid Disorders

The e-Referrals advice and guidance cannot be used for:

Endocrinology or general Clinical Biochemistry advice
Patients who require admission to hospital
Ongoing management of a patient in UHBW and NBT
Asking for a second opinion
Progressing/expediting an existing referral 

For urgent advice, telephone Dr Eloise Willis (0117 342 9288), Dr Andrew Day (0117 342 7767) (UHBW, Bristol) or Dr Wycliffe Mbagaya (01934 647019) (UHBW, Weston) or via the Lipid Clinic Secretaries on 0117 342 7708.

Identification tools for lipid management

Please see below the clinical pathways (designed by UHBW Biochemists) for patients who may be identified by the tools that are on offer to practices. They cover two clinical areas:

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.