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GP Referral Guidelines

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Paediatric Services

AvailableRestrictedNOT AVAILABLE - GP to source nearest facility offering these services through www.health.qld.gov.au

All General Paediatric Services
at Rockhampton Hospital

Telehealth clinics:

Emerald Hospital monthly - Dr Stuwe

 

Visiting Specialists in the areas below require a referral from the General Paediatric Clinic:

  • Paediatric Cardiology
  • Paediatric Endocrinology
  • Paediatric Genetics
  • Paediatric Oncology
  • Paediatric Respiratory
  • Paediatric Paediatric Rehabilitation

Paediatric Outreach clinics to:

  • Indigenous Health, Phillips Street, Rockhampton weekly
  • Child and Family Health Service, Bolsover Street, Rockhampton weekly
  • Capricorn Coast Hospital and Health
    Service, Yeppoon fortnightly
  • Emerald Hospital monthly
  • Woorabinda Multipurpose Health Service monthly
  • Elective circumcision
  • Severe mental health issues - refer to Child and Youth Mental Health
  Lead personnel (Named referral)TelephoneFacsimile
Gladstone Hospital

SOPD Referral Centre
Paediatric Services
Gladstone Hospital
PO Box 299
Gladstone Qld 4680

Dr Sara Bluefeather: General Paediatrics Bulk Billing clinic

(07) 4976 3207 (07) 4972 5435
Emerald Hospital

SOPD Referral Centre
Paediatric Services
Emerald Hospital
PO Box 879
Emerald Qld 4720

Dr Cheriya Abdulla: General Paediatrics/ Oncology Bulk Billing clinic (07) 4987 9570 (07) 4987 9530
Woorabinda Dr Sunday Pam: General Paediatrics/ Indigenous Health Bulk Billing clinic (07) 4913 2800 (07) 4935 0130
Capricorn Coast Hospital and Health Service (Yeppoon) Dr Eva Stuwe, Director of Paediatrics: General Paediatrics Bulk Billing Clinic (07) 4913 2800 (07) 4939 3517

Rockhampton Hospital

SOPD Referral Centre
Paediatric Services
Rockhampton Hospital
Canning Street
Rockhampton Qld 4700

Dr Eva Stuwe, Director of Paediatrics: General Paediatrics Bulk Billing Clinic

Dr Sunday Pam: General Paediatrics/ Indigenous Health Bulk Billing Clinic

Dr Sheshu Roopireddy: General Paediatrics Bulk Billing Clinic

Dr Cheriya Abdulla: General Paediatrics/ Oncology Bulk Billing Clinic

Dr Leonie Gray: General Paediatrics/ Diabetes VMO

(07) 4920 6300

(07) 4920 6301

URGENT
(07) 4920 6211
 

Rockhampton Hospital

The following speciality clinics are available but must be referred to by a CQHHS Paediatrician

Dr Jason Wildschut: Paediatric Cardiology Bulk Billing Clinic

Professor Alan Isles: Paediatric Respiratory

Dr John McMillan: Paediatric Genetics

Dr Michael Gattas: Paediatric Genetics

Dr Chirag Patel: Paediatric Genetics

Dr Stephanie Johnson: Paediatric Endocrinology

Dr Priya Edwards: Paediatric Neurorehabilitation and Botox

(07) 4920 6300

(07) 4920 6301

Rockhampton and Capricorn Coast Clinics

  MondayTuesdayWednesdayThursdayFriday
AM Clinic

Community Health
Bolsover St, Rockhampton

Community Health
Bolsover St, Rockhampton

Indigenous Health
Phillip St, Rockhampton

Rockhampton Hospital

Community Health
Bolsover St, Rockhampton

 

Paediatric Diabetes (once a month)

Capricorn Coast (only 2 clinics per month)

PM Clinic

Rockhampton Hospital

Rockhampton Hospital

Rockhampton Hospital

Community Health
Bolsover St, Rockhampton (twice montly)

Rockhampton Hospital

Capricorn Coast (only 2 clinics per month)

Rockhampton Hospital

Emerald and Woorabinda Clinics

  MondayTuesdayWednesdayThursdayFriday
AM Clinic

 

^Woorabinda - clinic is only every 3rd Tuesday of the month

 

^Emerald - every 2nd Thursday clinic and every month via telehealth

 

PM Clinic

 

 

 

^Emerald - every 2nd Thursday clinic and every month via telehealth

 

^The Consultants travel/telehealth from Rockhampton Hospital

Gladstone Clinics

  MondayTuesdayWednesdayThursdayFriday
AM Clinic

General Paediatrics

General Paediatrics

General Paediatrics

Behavioural Paediatrics

General Paediatrics

PM Clinic

General Paediatrics

General Paediatrics

 

Behavioural Paediatrics

 

Shared ongoing management

Physicians at our clinics will request copies of pathology tests to be sent by the QHPS laboratory directly to the patient's GP.

Please ensure the name of the private laboratory used for any test is included in the referral request. Copies of tests done through private laboratories should be sent specifically to the physician accepting the patient. It proves exceptionally difficult for us to locate in a timely fashion, tests just copied to “Rockhampton Hospital”.

You should receive a letter about your patient within 7-10 days after your patient's clinic visit.

Referral Criteria

Refer to the minimum referral requirements: www.health.qld.gov.au/cq/gp/guidelines.asp#min-referral. All investigation results are to accompany the patient referral when sent to the Specialist Outpatients Department.

Tests results should be dated within three (3) months of the referral date.

Initial work-up

  • Obtain History regarding concerns, onset and condition progression.
  • Recent Investigations or Assessments (Hearing and Vision test reports, Medical and/or Allied Health reports)
  • Provide any supporting information or previous reports from medical specialists or agencies including Child and Youth Mental Health Service (CYMHS), Allied Health professionals or school including Guidance Officer Reports
  • Refer to Red Flags Early Intervention Guide for Children 0-5 years (PDF) and
    See Developmental Milestones http://www.qld.gov.au/health/children/babies/milestones/index.html
  • 0-5 year old patients with developmental problems are to be referred to Child and Family Health Intake Officer
  • Relevant Developmental History (summary of developmental progression consider: speech and language, cognition, learning, attention, fine and gross motor skills, social emotional/play/behaviour and self-care).
  • Vaccination History
  • Relevant Medical/Surgical History (General health, antenatal or perinatal factors such as drug and alcohol exposure, pre-term delivery or low birth weight).
  • Relevant Social/Family History (parental relationship issues, mental illness, substance abuse, parental disability, family in crisis, Child Protection involvement, literacy/language considerations for parent/carer or other relevant information).
  • All Inattention and overactivity, Communication problems, Behavioural/Emotional problems and Learning Difficulties/School problem patients are required to have:
    • Hearing and Vision assessment essential. (Basic audiology and visual acuity/eye health only - NOT behavioural optometry or auditory processing assessment.) These must not be more than 3 months old.
    • Attendance at recognised parenting courses and outcomes of the course - Courses are available through Anglicare, Centacare and Relationships Australia. With a focus on presenting problems e.g. strategies for ADHD, routines for ASD, dealing with difficult children and building up the child's self-esteem.

The following organisations hold parenting programs:

OrganisationPhone numberTowns

Centacare

1300 523 985

Rockhampton, Gladstone, Emerald

Anglicare (07) 4930 1500 Rockhampton, Gracemere and Yeppoon
Relationships Australia 1300 364 277 Rockhampton
Medicare Locals Little Minds (07) 4921 7777 Rockhampton

Other referral options

If the primary condition is a severe mental illness or acute risks (e.g. suicide, self-harm) for children up to 18 years refer to Child and Youth Mental Health. If a one off child psychiatrist appointment for a medical review and opinion only is needed (not ongoing management) please refer to Child and Youth Mental Health stating “291 referral” requested.

If the main concern is attention difficulties without other developmental concerns, refer to private psychologist or Medicare Local Program Little Minds.

If main concern is behavioural difficulties without other developmental concerns, refer to a private psychologist or recognised parenting program. In addition to the Initial Work-up the following is required for specific conditions.

 

PresentationBaseline Investigations and Additional Required Information

Inattention and overactivity (possible ADHD)
ages 5 - 16th birthday

Communication problems
(potential autism spectrum disorders)

Behaviour/Emotional problems
  • Strength and Difficulties questionnaire
    Please pick the language and then use the impact supplement version: http://www.sdqinfo.com/py/sdqinfo/b0.py
    • For patients 2-4 years or 4 - 17 years the score/banding high or very high is significant.

Developmental problems
ages 0 - 5 years

  • Refer to Child and Family Health
Learning difficulties/School problems
  • Strength and Difficulties questionnaire
    Please pick the language and then use the impact supplement version: http://www.sdqinfo.com/py/sdqinfo/b0.py
    • For patients 2-4 years or 4 - 17 years the score/banding high or very high is significant.
  • School Guidance Officers assessment of intelligence quotient.
Continence - enuresis/wetting
  • Urinary diary
  • MCS Urine - with any infections treated
  • Renal ultrasound
  • Previous treatments and responses (including constipation)
Constipation
  • Duration of symptoms
  • Bristol stool chart and Stool Diary; Bowel Chart CQ050 (PDF, 138Kb)
Failure to Thrive
  • Serial Percentile charts - the patient should be in the third percentile or proven decreases over 2 centiles
  • Feeding/dietary history
  • Associated medical diagnosis
Gastro-Oesophageal reflux disease (GORD)
Plagiocephaly Please Note: If you are unsure of management for a particular child, a referral can be made only to the Paediatric Department.  Please call the Paediatric Department Registrar on call not the Occupational Therapy or Physiotherapy Department if you have any questions.

References:

  1. Adapted from Wide Bay Hospital and Health Service Referral guidelines
  2. Adapted from Royal Children's hospital Brisbane
  3. Adapted from Royal Children's hospital Melbourne

Paediatric services - Triage Category used to decide urgency

Any of the listed alarm symptoms below - send to Emergency and phone (07) 4932 5403 (nurse):

  • Acute and sudden deterioration
  • Major risk if urgent treatment is delayed
  • Deteriorating chronic condition
  • 'Sick' Child

 

PriorityCriteriaExamples (not an exhaustive list) used in conjunction with clinical judgement and co-morbidities

Category 1

Appointment within
thirty (30) days

  • Referral suggests that if the child is not reviewed and treatment started within 30 days hospital admission due to acute deterioration is a high possibility
  • Moderate functional impairment
  • Unexpected clinical deterioration of a known clinical disorder
  • Where prolonged delay could result in clinical deterioration

 

  • Neonatal screening abnormality – Cystic Fibrosis, Congenital Adrenal Hyperplasia
  • Neonatal Failure to Thrive
  • Symptomatic murmur or in children under 6 months old
  • Hypothyroidism
  • Unstable asthma and diabetes
  • Concerning lab. results e.g. anaemia, severe hypothyroidism
  • Inguinal hernia <3mths of age
  • Complex tertiary hospital discharge referrals
  • Antenatal paediatric referrals (complex care)
  • Epilepsy
  • Constant/reoccurring infections
  • Tonsillitis/Boils/Molluscum
  • Plagiocephaly
  • Neonatal Gastro-Oesophageal Reflux
  • Anorexia
  • Arthropathies
  • Inflammatory Bowel Diseases

Category 2

Appointment within
ninety (90) days

  • Referrals that do not fit CAT 1 Includes any referral for children younger than 8 years of age regardless of condition
  • Chronic conditions and conditions with long term implications
  • Congenital abnormalities
  • Genetic conditions
  • UTI
  • Headaches
  • Failure to Thrive
  • Asthma
  • Developmental delay
  • Persistent cough
  • Behavioural problems
  • Growth problems
  • Asymptomatic murmur over 6 months
  • Enuresis, Encopresis
  • Allergies/Chronic skin conditions e.g. Eczema/Psoriasis
  • Umbilical hernia
  • Constipation
  • Undescended testes
  • Gastro-Oesophageal Reflux
  • Developmental/Learning problems
  • Communication Problems
  • Behavioural/Emotional problems
  • Inattention/Overactivity
  • Obesity – causing endocrine dysfunction

Category 3

Appointment within
three hundred and sixty
five (365) days

  • Any referral that does not fit CAT 1 or CAT 2 where no progression of symptoms/disease is expected within this time
  • Where the child has a condition that is unlikely to require intervention or investigation
Conditions not seen
  • Elective circumcision
  • Severe Mental Health issues – refer to Child and Youth Mental Health

Adapted from Gold Coast Hospital and Health Service Referral Triage Guidelines. Accessed 14 August 2014
The Paediatric Guideline has been endorsed by Paediatricians Dr Eva Stuwe and Dr Sara Bluefeather.

 

ContactsTelephoneFacsimile
Rockhampton urgent (07) 4920 6211  
Rockhampton SOPD Reception (07) 4920 6300 (07) 4920 6301
Rockhampton SOPD NUM (07) 4920 7054  
Rockhampton Referral Nurse (07) 4920 6440  
Rockhampton Paediatric Services (07) 4920 6248 (07) 4920 6452
Child and Family Health Service (07) 4920 7279 (07) 4920 6871
     
Gladstone urgent (07) 4976 3200  
Gladstone SOPD Reception (07) 4976 3207 (07) 4972 5435
     
Emerald urgent (07) 4987 9400  
Emerald SOPD Reception (07) 4987 9570 (07) 4987 9530
     
Yeppoon urgent (07) 4913 3000  
Yeppoon SOPD Reception (07) 4913 3002 (07) 4939 3517
     
Woorabinda urgent (07) 4913 2800  
Woorabinda Community Health (07) 4913 2800 (07) 4935 0130

 

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Last Updated: 10 March 2015
Last Reviewed: 10 March 2015