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Advice & Guidance Service

Checked: 23-01-2021 by Sandi Littler Next Review: 23-01-2022

GP Care Urology Advice & Guidance

For all patients registered with a BNSSG GP Practice

The Urology A&G service run by GP Care is a platform to request advice on patients aged 18 years and older.

Please see the Urology A&G Steps (word doc) for guidance on how to submit a request via e-Referral.

Please process through e-Referral bypassing the Referral Service. 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.

Select one of the following options:

Urology Advice & Guidance - GP Care - BNSSG - NWV

Priority - Routine
Specialty - Urology
Clinic
- Erectile Dysfunction/Andrology
- Haematuria (not 2WW)
- (In) Continence
- Not Otherwise Specified
- Oncology (Established Diagnosis)
- Prostate
- Urinary Calculus

The Urology A and G service is receiving high numbers of referrals and kindly request that referrers check the relevant section of Remedy prior to requesting advice. In particular please consider the following before using this service:

Recurrent Non visible haematuria after normal investigations - please refer to the Haematuria section as patients do not usually need further urological investigations.
Haematospermia rarely needs referral- please refer to the Haematospermia section. If referrer is still uncertain then refer to clinic via eRS.
Consultant specific requests - these should be sent directly to the named consultant (outside of eRS) rather than via the eRS A and G service.
GP registrars should initially discuss referrals to this service with their GP trainer or senior colleague.

In order to get the best advice possible, please ensure you ask a clear concise clinical question. The consultants giving advice may not necessarily have easy access to test results and investigations so please also include these and all other relevant information with your advice request.

UHBW Urology Advice & Guidance

The A&G service provided by Weston is provided by the Urology Oncology nurses and they review only the 2 week wait referrals to make sure they are appropriate for that pathway.

Select one of the following options:

Advice & Guidance - General Urology - Weston General Hospital - UHBW - RA3

Priority - Routine
Specialty - Urology
Clinic
- (In) Continence
- Not Otherwise Specified
- Prostate
- Urinary Calculus

Urgent Urology Advice

Please see the Urgent Care and HOT Clinic page for details of the urgent urology advice line

A&G Response times

The waiting time tool for BNSSG GP practices includes a section on A and G waiting times. You will need to download the document and follow the instructions to access the latest information (updated monthly). Please see the Hospital waiting times page.

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.