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Primary Care: Advice and Guidance in eRS

Warrington and Halton Teaching Hospitals offer advice and guidance within eRS for 13 services across 12 specialties.

Advice and guidance allows a clinician to seek advice from another clinician through the NHS e-Referral Service (eRS). Advice and Guidance responses are delivered by consultant clinicians, where the consultant retains responsibility for the service and the advice provided.

There may be several reasons why a referrer may wish to seek advice and guidance including: -

  • Asking for specialist advice on a treatment plan and /or the ongoing management of a patient.
  • Clarification or advice regarding a patient’s test results
  • Seeking advice on the appropriateness of referral for their patient (e.g. whether to refer, or what the most appropriate alternative care pathway may be)
  • Identifying the most clinically appropriate service to refer a patient in to

The referrer can attach documents to the advice request, which may include diagnostic results, scanned images, or previous correspondence relating to patients. The referrer can also authorise for the request to be converted to a referral by the provider.

Advice and guidance can also be accessed for Warrington Place through the Warrington Referral Assistance Gateway.


Speciality Clinic Type Service Name
Cardiology  All Cardiology Types Advice and Guidance - Cardiology - Warrington and Halton Hospitals NHS FT - RWW
Diabetic Medicine  General Diabetic Medicine/ Renal Diabetes/ Type 1 Diabetes/ Pregnancy and Maternal Advice and Guidance - Diabetes - Warrington and Halton Hospitals NHS FT - RWW
Endocrinology  Adrenal Disorders/ Gynaecological Endocrinology/ Metabolic Bone Disorders/ Not Otherwise Specified/ Pituitary & Hypothalamic/ Thyroid/ Parathroid Advice and Guidance - Endocrinology - Warrington and Halton Hospitals NHS FT - RWW
Endocrinology  Lipid Disorders Advice and Guidance - Lipid Management - Warrington and Halton Hospitals NHS FT - RWW
ENT   Balance/ Dizziness/ Ear/ Neck/ Lump/ Throid/ Nose/ Sinus/ Not Otherwise Specified/ Salivary Gland/ Snoring (not sleep apnoea)/ Throat (incl Voice/Swallowing)/ Tinnitus Advice and Guidance - ENT - Warrington and Halton Hospitals NHS FT - RWW
GI and Liver (Medicine and Surgery)  Hepatology/ Inflammatory Bowel Disease (IBD/ lower GI (medical)/ excl IBD/ Upper GI incl Dyspepsia Advice and Guidance - Gastroenterology/Hepatology - Warrington and Halton Hospitals FT - RWW
Gynaecology  Infertility/ Menopause/ Menstrual Disorders/ Not Otherwise Specified/ Pelvic Pain/ Perineal Repair/Post-Menopausal Bleeding/ Recurrent Miscarriage/ Urogyneacology/ Prolapse/ Vulval and Perineal Lesions Advice and Guidance - Gynaecology - Warrington and Halton Hospitals NHS FT - RWW
Haematology  Clotting Disorders/ Haemoglobinopathies/ Not Otherwise Specified Advice and Guidance - Haematology - Warrington and Halton Hospitals NHS FT - RWW
Geriatric Medicine  Cognitive Disorders/ Falls/ Metabolic Bone Diseases/ Movement Disorders/ Not Otherwise Specified Advice and Guidance - Older Persons/Frailty Medicine - Warrington and Halton Hospitals NHS FT RWW
Children's and Adolescent Services  Allergy/ Cardiology/ Diabetes/ Endocrinology/ Gastroenterology/ Other Medical/ Respiratory/ Rheumatology/ surger - Not Otherwise Specified/ Urology Advice and Guidance - Paediatrics - Warrington and Halton Hospitals NHS FT - RWW
Respiratory Medicine Allergy/ Asthma/ COPD/ Interstitial Lung Disease/ Not Otherwise Specified/ Occupational Lung Disease Advice and Guidance - Respiratory - Warrington and Halton Hospitals NHS FT - RWW
Rheumatology  Bone/ Osteoporosis/ Inflammatory Arthritis/ Musculoskeletal/ Other Autoimmune Rheumatic Disease Advice and Guidance - Rheumatology - Warrington and Halton Hospitals NHS FT - RWW
Urology  Erectile Dsyfunction/ Andrology/ Haematuria (not 2WW)/ (in) Continence/ Not Otherwise Specified/ Prostrate/ Urinary Calculus Advice and Guidance - Urology - Warrington and Halton Hospitals NHS FT - RWW