Services

Continence, Colorectal & Stoma Service

Adult Colorectal and Stoma referral criteria

We are happy to take self referrals and referrals from Health Care Professionals/Care Home staff for patients registered with a Greater Huddersfield GP practice and who are housebound.*  
 
We are happy to take referrals or provide telephone advice for the following:  

  • Any stoma/peristomal skin complication not responding to basic measures 
  • Any complex stoma/peristomal complication 
  • From district nurses where the trouble-shooting guide suggests referral 
  • Where a patient is needing psychological support 
  • Where the patient is needing/requesting an appliance review 
  • Any situation where specialist colorectal or stoma advice/support is required 
  • Complex bowel management plans 
  • Support in the management of sigmoid volvulus 
  • Support in the management of rectal irrigation 
  • Wheelchair bound patients who cannot have their stoma care attended in the wheelchair 

We are happy to take urgent referrals or provide urgent telephone advice for the following:  

  • High output stoma (greater than 1.5 litres in 24 hours) 
  • Sore peristomal skin where appliances are not remaining intact for 24 hours 
  • A fistula where leakage is a problem 
  • Undiagnosed problems requiring specialist assessment 
  • Ulceration on peristomal skin 
  • From district nurses where the trouble-shooting guide suggests urgent referral 

We do not take referrals for the following:  

  • Acute or chronic constipation where first line treatments have not been initiated (Refer to Adult Continence team) 
  • Patients who are registered with a North Kirklees GP practice 
  • Patients requiring routine bowel/stoma care 
  • Persons under the age of 18 years 
  • Patients who are not housebound, i.e. if a patient normally visits their GP.  These patients should be referred to Huddersfield Royal Stoma Nurses for an outpatient appointment. 

* The term ‘Housebound’ refers to those patients who are unable to use private or hospital transport and require their GP to visit them routinely in their own home.