Endocrine Surgery

Directly Bookable Service for Endocrine Surgery

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

An electronic proforma or appropriate letter needs to be attached to the e-Referral system by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

For further information please visit 'e-Referral':

e-Referral

2 Week Wait patients

2 Week Wait patients should preferably be sent to the 2 Week Wait Bureau, as all referrals are triaged to ensure they are booked into the most appropriate clinic as soon as possible.

Referring direct

Consultant (if known) or specialty to:

Endocrine Surgery
Churchill Hospital
Old Road
Oxford OX3 7LE

Common conditions

Common conditions treated in Endocrinology Surgery are:

• thyroid disease (thyroid nodules and neck lumps are seen by the same team in the One Stop Clinic - see below)
• adrenal disease
• parathyroid disease
• gall stones
• hernias (approved by the Lavender statement).

Associated clinics

One Stop Thyroid Clinic

2 Week Wait patients: only patients with the following should be treated under the 2WW rule:

• thyroid nodule with hoarseness of voice
• thyroid nodule with cervical lymph node
• thyroid nodule in patients under the age of 25
• rapid growth of pre-existing thyroid nodule in elderly patient (suggest malignant change).

Rapid onset of thyroid nodule almost always suggests a bleed into a thyroid cyst, not malignancy.

Routine patients

• Thyroid or neck lumps*
• Lymph node enlargement (over 10mm)
• Procedures performed in clinic
• Fine Needle Aspiration of thyroid and neck mass (results in clinic on the day)
• Fine Needle Aspiration of lymph nodes

There is a cytologist in clinic.

*neck lumps likely to be related to salivary glands should be referred to the ENT or maxfax clinic.

Required investigations

Thyroid function test

Contact us

Mr R Mihai / Mr S Khan will be happy to discuss possible urgent referrals with GPs at any time.

Secretary: 01865 223555 / 223920

For general advice and help with referrals GPs may phone the service directly: 01865 223555

This email advice line is not for queries about patients with suspected cancer or who are clinically urgent.