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Respiratory RAS Services

Checked: 23-10-2023 by Sandi Littler Next Review: 23-10-2025

NBT

The Respiratory Department at NBT has implemented a Referral Assessment Service (RAS) for respiratory referrals. Referrals made by eRS to NBT will be triaged and directed to the most appropriate service or returned to GPs with advice.

Prior to referral:

All patients must have a recent CXR (within last 3 months).
All referrals should have a recent spirometry.

If CXR shows unilateral pleural effusion then refer to the 'Pleural Clinic RAS - North Bristol Lung Centre - Southmead - RVJ'.

For patients with confirmed diagnosis of emphysema requiring consideration for lung volume reduction then refer to the 'Airways/COPD/Asthma RAS - North Bristol Lung Centre - Southmead/Cossham - RVJ'.

ALL other patients should be referred via the 'Respiratory Medicine RAS - North Bristol Lung Centre - Southmead/Cossham/Thornbury - RVJ' for triage.

Refer

Referrals should be submitted via e-referral requesting the appropriate RAS service as above.

Priority - Routine & Urgent
Specialty - Respiratory Medicine
Clinic Type - RAS service as above

Once the referrals have been assessed, the centralised booking team will contact the patient and agree an appointment over the phone. If they are unable to contact them after 3 attempts (over several days), an appointment will be allocated for them. The patient will retain the ability to reschedule their appointment, which they can do by contacting the outpatients department on 0300 555 0103.

UHBW

BRI

Adult Cystic Fibrosis RAS - Bristol Royal Infirmary - UHBW - RA7 - Those without a confirmed diagnosis of cystic fibrosis should be referred to the general respiratory service
Respiratory Medicine RAS - Bristol Royal Infirmary - UHBW - RA7
Tuberculosis RAS - Bristol Royal Infirmary - UHBW - RA7

WGH

Refer via the BRI RAS options (above) who will triage and divert internally to WGH.

Refer

Referrals should be submitted via e-referral requesting the appropriate RAS service as above.

Priority - Routine & Urgent
Specialty - Respiratory Medicine
Clinic Type - RAS service as above

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.

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