Haematology

Please note changes in coagulation testing – in particular that there can be occasional spuriously high INR readings in patients with antiphospholipid syndrome 

MEMO re HAEMATOLOGY TESTS – clinically important information 9 Dec 2021.pdf

The Department of Haematology is based at the Royal Infirmary, the Western General and St John’s:

• RIE manages non-malignant haematology, including haemoglobinopathy and red cell disorders, haemophilia and thrombosis, and specific expertise round ITP and apheresis with Scottish National Blood Transfusion Service (SNBTS) for TTP.
• All those needing preconception or pregnancy advice should be referred to the Royal Infirmary of Edinburgh.
• The WGH is the cancer centre so the majority of haemato-oncology is managed there.
• St John’s Hospital, Livingston, also manages both benign and malignant conditions, including delivering chemotherapy, but does not undertake a full range of procedures (eg bone marrow transplants etc).

All GP referrals are triaged daily during the working week, and redirected where necessary,  and consultants are also happy to respond to any queries.

Full guidance is available on the Haematology intranet page.

The current NHS Lothian Antithrombotic Guide is also on the intranet. IT IS CRUICAL THAT THE LATEST VERSION OF THIS IS USED, RATHER THAN A PAPER DOWNLOAD – THIS IS A LIVE DOCUMENT WHICH CHANGES IN LINE WITH EVOLVING CLINICAL ADVICE.

Please see the individual conditions above for referral details and note that some advice has been amalgamated under a single heading:

• Anaemia­ (micro-, normo-, macro- and iron deficient)
• Preconception and pregnancy advice
• Anticoagulation issues.

C.M & L.W 02-08-23