Patients aged 0-15 years, i.e. up to their 16th birthday, with general medical paediatric presentations requiring secondary care, should be referred to medical paediatrics for acute and outpatient services at either the Royal Hospital for Children and Young People (RHCYP) Edinburgh or St. John’s Hospital (SJH) in Livingston.
Edinburgh, Mid and East Lothian: RHCYP site
Emergency care: The Paediatric ED at RHCYP is open 24/7, 365 days a year and provides emergency care for babies, children and young people age 0-15 years, see Royal Hospital for Children & Young People – Royal Hospital for Children and Young People (nhslothian.scot)
Neither phone nor written referral is required. However, if you feel this would be beneficial, a letter can be given to accompany the patient.
If you need to handover a patient, they can be added to the expected list by calling the paediatric ED department staff base on 0131 312 0009/0012.
Urgent telephone advice for health professionals is available via bleep on Lothian Hospitals switchboard 0131 536 1000 (or GP Hotline):
- Monday to Friday 9am – 5pm: bleep 9250 – duty Consultant paediatrician
- Out-of-hours: bleep 9424 – duty senior medical paediatric trainee
Medical Paediatric Outpatient Clinics: Please refer via RHCYP SCI Gateway – see Referral guidelines tab below.
Urgent referrals that do not require same day review can be discussed by bleeping a duty senior paediatrician (as per urgent telephone advice for healthcare professionals above) OR referred as an urgent OPD referral via SCI Gateway
Non-urgent advice: Please request via SCI Gateway stating ‘advice only’ within “reason for referral” box on Sci-Gateway and a consultant paediatrician will get back to you within a few working days via email. For patients already known to a consultant, contact can be made via the secretarial team on 0131 312 0437 or via email at loth.medicalpaediatrics@nhs.scot
Phlebotomy: click here for the Outpatient Phlebotomy Service
Radiology: click here for Paediatric Radiology guidance.
West Lothian: (St. John’s site)
Emergency care: The ED at St John’s Hospital is open 24/7, 365 days a year and provides emergency care for babies, children and young people and adults.
Paediatric patients aged 0-15 years requiring emergency care should be directed to the Emergency department at St John’s Hospital. If felt beneficial to provide a handover whilst the patient is in transit, the resident paediatric tier 2 bleep holder can be contacted by by phoning SJH switchboard 01506 523000 and asking to Bleep 3564.
For ‘same day’ paediatric review on the Children’s ward or for paediatric telephone advice for healthcare professionals for babies, children and young people aged 0-15 years: discuss with the resident Paediatric Tier 2 bleep holder by phoning SJH switchboard 01506 523000 and asking to Bleep 3564. A referral letter is not required but if felt to be beneficial this can be sent with the patient. Accepted referrals will be seen on the Children’s ward, level 2, St John’s Hospital. If the child’s condition suggests that immediate/ urgent attention will be needed, we will recommend that the child presents to ED for assessment rather than attending the ward directly.
Community midwives – can contact the resident Neonatal tier 2 bleep holder via St John’s Hospital switchboard 01506 523000 on bleep 3565.
General Paediatric clinics: Please refer via SJH SCI Gateway. See referral guidelines tab below.
Please note that all Medical Paediatric referrals from West Lothian should be made to St John’s Paediatrics (apart from diagnosed Type 1 DM). The Consultants all have special interests and cover all the medical subspecialties working closely / jointly with their specialist colleagues at RCYP, often holding clinics jointly with the specialists at St John’s Hospital. These referrals will only be triaged to RHCYP if this is considered to be appropriate but usually only after initial assessment locally.
Urgent outpatient referrals that do not require same day review can, if needed, be discussed with a tier 2 Bleep holder (as above via hospital switchboard 01506 523000 and asking to bleep 3564) or referred as an urgent OPD referral via SCI Gateway. These referrals are triaged by the team within 24 hours in the working week.
Non-urgent advice can be obtained via SCI gateway, by marking referral ‘for advice only’ or for patients known to Consultants already for the same problem by emailing Consultant directly. If not available/ appropriate, please contact paediatric secretaries on 01506 524379 / 81 during weekday working hours.
Paediatric phlebotomy at St John’s Hospital:
Request from GPs for blood tests should be made by emailing loth.cwstjhpiu@nhs.scot with details of child and priority of test (routine / urgent). Please also note:
Blood tests MUST be ordered by GP on ICE before an appointment will be sent to family.
It is the responsibility of the GP requesting blood tests to follow up results. Parents will be advised that follow-up of results is with GP and that parents should not call paediatric ward / secretaries for results.
Who can refer:
GPs and ANPs
Who to refer:
Children that require secondary care input from medical paediatrics can be referred to RHCYP or SJH (West Lothian). Individual condition RefHelp pages are in progress and links to these pages will be added to the top of this main page in due course.
Who not to refer:
- Young people who are 16 years or older should be referred to adult services
- Child Protection concern – see link to Child protection service in Lothian or Pathway on RefHelp
- Communication / speech delay / hearing loss – see link to Community Paediatrics
- Developmental delay as the only concern – see link to Community Paediatrics
- Assessment for autistic spectrum disorder or attention deficit hyperactivity disorder see link to Community Paediatrics
- Daytime and nocturnal enuresis – see Paediatric Incontinence Pathway
- Fewer than 3 episodes of cystitis / confirmed lower UTI with a typical (E coli organism).
- Children with minor behavioural problems not impacting medical health e.g. poor sleep, picky eater
- Neonates within the first days of life with jaundice or weight loss – depending on area midwife / GP to please seek advice from:
Edinburgh Mid & East Lothian – RHCYP Neonatal Registrar by phoning switchboard on 0131 536 1000
or
West Lothian St John’s – (01506 523000 bleep 3564) contact the resident Neonatal Tier 2 bleep holder via St John’s Hospital switchboard 01506 523000 on bleep 3565
How to refer:
Refer via Sci-Gateway (Royal Hospital for Children and Young People > General Medicine > LI Basic Sign Referral)
See tabs above for condition-specific primary care management advice.
