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Neurology


+ Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • Acute stroke/TIA
  • Bilateral limb weakness with or without bladder and/or bowel dysfunction
  • Acute rapidly progressive weakness (Guillain-Barre Syndrome, myelopathy)
  • Acute onset severe:
    • ataxia
    • vertigo
    • visual loss
  • Status epilepticus/epilepsy with Red flags:
    • first seizure
    • focal deficit post-ictally
    • seizure associated with recent trauma
    • persistent severe headache > 1 hour post-ictally
    • seizure with fever
  • Altered level of consciousness
  • Headache with Red flags:
    • sudden onset/thunderclap headache
    • severe headache with signs of systemic illness (fever, neck stiffness, vomiting, confusion, drowsiness)
    • first severe headache age > 50 years
    • severe headache associated with recent head trauma
    • recent onset headaches in young obese females
  • Delirium/sudden onset confusion with or without fever
  • Acute severe exacerbation of known MS

+ Are you referring to the right service?

  • For patients with seizures it is recommended that GP clear the patient to drive. Please refer to Ausroads ‘Assessing fitness to drive’ 2016 ( http://www.austroads.com.au/drivers-vehicles/assessing-fitness-to-drive ).
  • For Back pain: Please refer patient to orthopaedics
  • Dementia in > 50 year old age group: Please consider referral to memory clinic or geriatric clinic
  • Vertigo: Please refer patient to ENT
  • In some cases, patients treatment may begin at West Moreton health and then transferred to a tertiary facility, i.e. Metro South, for ongoing management and investigations, if unsure where to direct referral please phone 3810 1869 for a referrals nurse.

Conditions seen at West Moreton Health

Conditions not seen at West Moreton Health please refer to Metro South

+ Out of scope services

 The following are not routinely provided in a public Neurology service.

  • Mild or tension headache
  • Untreated headache/migraine
  • Dementia without prior assessment by physician or geriatrician
  • Syncope (consider cardiology)
  • Fibromyalgia/chronic fatigue syndrome
  • Lyme disease
  • Head injury (consider neurosurgery)
  • Back and neck pain
  • Chronic unexplained pain/ pain syndrome

+ Notes

  • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service. Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
  • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
  • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

Out of catchment

West Moreton Health is responsible for providing a public health service to people who reside within its catchment area. To appropriately manage demand for service we do not accept referrals from outside this catchment area. If your patient does live outside the West Moreton Health area and it is deemed socially or clinically necessary for their care to be received in the West Moreton Health Service, inclusion of information regarding their particular medical and/or social factors will assist with the triaging of your referral.

Feedback

To provide feedback about contents on this website or general referral questions please email WM-CPC@health.qld.gov.au or phone 3413 7402.



Last updated: Wednesday, November 28, 2018

Send referrals to


Secure messaging:
Secure web transfer IQ43050005G

General Fax:
3810 1438

Priority Fax for urgent category 1 referrals:
3413 7277

Post:
Outpatients Referrals Centre
PO Box 73, Ipswich
Queensland, 4305

Patient Enquiries:
3810 1217

GP/Specialist Referral Enquiry:
3810 1869 or 3810 1858


Named referrals

If you would like to send a named referral, please address it to the specialist on the referral template, who will allocate a suitably qualified specialist to see the patient.

From July 1 2017 Commonwealth growth funding has been capped. This changes how WMHS can fund its growth as an organisation. Named referrals from GP’s help support hospital funding through a Medicare bulk-billing arrangement. The new federal funding model incorporates specific pricing for patients which removes concerns around ‘double dipping'. This benefits hospital and patient services.


Patient must bring

  • Medicare card
  • Any concession cards (e.g. Pension, Health Care, DVA, PBS Safety Net, ADF, etc)