Lymphoedema Service

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Lymphoedema Service is a specialist community based service run by specialist nurses.

The aim of the service is to:

  • Assess and treat patients with:
    • Primary Lymphoedema; where swelling is related to an underlying intrinsic problem with the lymphatic system which is often hereditary
    • Secondary Lymphoedema ; where swelling, in any part of the body, is caused by extrinsic factors including damage to the lymphatic system or disruption to drainage pathways which can be as a result of cancer or its  treatment, infection, injury or trauma,  inflammation of the limb, or a lack of limb movement
  • To advise and support health care professionals on the management of patients with all categories Lymphoedema
  • Rising awareness of cellulitis management in patients with Lymphoedema including current management practice and guidelines.

Waiting times on receipt of referral

  • Palliative patients within 2 weeks
  • All other referrals will be prioritised and seen within 6 weeks.

Further lymphoedema Information

British Lymphology Society Consensus Document for the Management of Lymphoedema and Cellulitis


Eligibility criteria

Inclusions

  • Referrals are accepted for oncology patients with swelling or who are at risk of swelling secondary to cancer treatment or disease progression. A priority triage category will be given to referrals for assessment of lymphoedema secondary to oncological causes or those where the patient is receiving palliative or end of life care.
  • Non- cancer related referrals will be accepted for patients with swelling of longer than 3 months duration which has not responded  to elevation or diuretics.
  • Lymphoedema referrals are triaged according to category and allocated to the most appropriate local clinic dependant on CCG.
  • All requests for domiciliary visits for patients with an Islington GP will be assessed on an individual basis and patients will be asked to attend a clinic if there are no health related contra-indications noted. Hospital transport can be requested if patients meet the eligibility criteria.
  • Patients aged 18 years or over who live or have a GP in Haringey or Islington.

Exclusions

  • The patient has been referred for implementation or maintenance of standard care including routine Doppler assessment and fitting garments for uncomplicated venous oedema.
  • The patient has an ulceration or wounds to the legs
  • Referral information is incomplete.
  • Haringey resident requiring a home visit.
  • Self-referral from patients.

How to refer

EMIS form

Referral methods: Email

A referral form for the UCLH service can be found in ISL EMIS under
ISL global documents > [folder name] > [form name]
e: arti.centralbooking@nhs.net
t: 020 3316 1111  

Letter

Referral methods: Email

Alternatively, a medical clinic letter from a healthcare professional will be accepted at clinician’s discretion. Please ensure that it is emailed to the central booking services

e: arti.centralbooking@nhs.net


External Links

Provided By


Service Feedback

Email Address

e: whh-tr.Lymphoedemaservice@nhs.net

Phone Number

t: 020 3316 8782

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Last updated: Jul 30th, 2020
Review date: Aug 16th, 2020