One Stop Clinics


Key Features:

  • Fewer hospital visits
  • Initial consultation plus one (or more) tests on the same day

Any medically stable adult (18-80) patient with no significant co-morbidity, who is able to fast before attending the consultation and having the test(s) on the same day as a Day Case, is suitable for One Stop Clinics.

Accepted Indications:

  • Abnormal liver function tests (LFTs)
  • Abnormal imaging (abdominal) findings
  • Part investigated gastrointestinal (GI) symptoms

Background

Diagnostic tests offered in the One Stop Clinic:

  1. Haematological, biochemical and virology blood tests
  2. Abdominal ultrasound scan for dyspepsia or abnormal LFTs
  3. Radiological investigations such as chest/ abdominal x-ray, CT or MRI

One Stop Service provides a consultation followed by blood tests or a radiology test on the same day. It aims to save the patient multiple visits to the hospital to have separate procedure(s). It may be possible in selected cases to co-ordinate a multi-disciplinary outpatient consultation on the same day.

One Stop GI and hepato-pancreato-biliary (HPB) Clinics

Many patients with abnormal LFTs but who are not jaundiced are not eligible for the Jaundice Clinic. They still warrant an urgent assessment including an abdominal ultrasound. The patients could have had an abdominal imaging test that report an abnormality, the significance of this and the need for further imaging is not always apparent. Some patients with gastrointestinal (GI) symptoms may have had abnormal test results e.g. iron deficiency anaemia, abnormal Coeliac serology or elevated Faecal Calprotectin. In the absence of definite red flag symptoms, Open Access Endoscopy or Two Week Wait Clinic is not always the most appropriate. 

These patients benefit from urgent outpatient assessment. One Stop GI & HPB clinic allows for a clinical assessment and appropriate investigations on the same day. 



How to Book

The patient may be referred by his/ her GP or another medical specialist. Any patient who needs a specific endoscopy test but not requiring a consultation may be suitable for Direct Access Endoscopy instead.

It would be most helpful to have a referal letter more than one week in advance, copy results of any relevant tests, and results of renal function (within the past 3 months).

Call Michelle Huxley on 01926 436 342 or email michelle.huxley@nuffieldhealth.com to discuss your patient’s requirements.



The Consultation Visit

Depending on the clinical information provided in advance, it may be possible to arrange an imaging test on the same day before, rather than after, the consultation . Medical insured patients should check with their insurance providers about policy cover and obtain the  necessary pre-authorisation to fund any blood or imaging tests.

Following the referral, the patient will get an appointment to be seen. Most patients will be seen within 2 weeks. My secretary will contact the patient (usually by phone), to advise on the preparation required prior to attending the clinic.

Fasting for 4 - 6 hours may be necessary for some blood tests or ultrasound. Imaging tests on the same day, such as CT or MRI, after the consultation will be subjected to slot availability. Endoscopy tests will be arranged urgently but not on the same day. 

It is a prerequisite that any patient requiring an endoscopy test is informed of the risks, benefits, and alternatives. Please advise the patient to review the linked pages:



One Stop Clinics are Not Appropriate for any Patient Who:

  • Is acutely unwell. Such patients should consider presentation to their GP, Urgent or Emergency Care services.
  • Is frail, very elderly or with significant co-morbidity therefore unable to cope with having the consultation and the test on the same day as an outpatient.
  • Requires advanced diagnostic or therapeutic endoscopy such as ERCP or EUS.


Please Note:

  • The service is currently available for private referrals only.
  • The patient may undergo the radiology and/or endoscopy procedure by a specialist or gastroenterologist who is different from the person who carried out the initial consultation.
  • The service may be available on specific days only and by prior arrangement, at least one week in advance.


Follow Up

The patient is normally offered one follow up outpatient appointment or treatment where indicated. The radiology or endoscopy reports will be faxed or sent by mail promptly. The results of tissue sample analysis with management recommendations will be sent as quickly as is feasible.

If an abnormality (e.g. a cancer) is found, arrangements are made immediately for further investigations and follow up.


Specialist Endoscopies and moreĀ  . . .

Endoscopy Plus Limited. Registered in England and Wales No. 7943622 at Oakmoore Court, Kingswood Road, Hampton Lovett, Droitwich, Worcestershire WR9 0QH