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.