Leith Community Treatment Centre-Medicine of the Elderly Outpatient Clinics
Services
Medicine for the Elderly (including rapid access appointments)
Parkinson’s clinic
Services available
- Plain Radiology including ultrasound
- Access to CT, MRI etc
- ECG
- Echocardiography
- 24 hour ambulatory ECG
- Spirometry
- Endoscopy
Consultants
Dr Gordon W Duncan (General MoE & Parkinson’s)
Dr Jemima Smith (General MoE)
Who to refer:
- Patients aged over 65 years with complex comorbidity
- Unexplained falls
- Possible Parkinson’s disease and other movement disorders, e.g. tremor. Please refer untreated
- Non-specific or unexplained symptoms e.g. syncope, dizziness, breathlessness, weight loss, anaemia
- Review of complex polypharmacy
Who not to refer:
- Patients under than 65 years (unless suspected Parkinson’s – Dr Duncan will see)
- Single organ pathology in an otherwise fit older person (please refer to appropriate specialty)
- Acute stroke or TIA (refer to Neurovascular clinic)
- Patients requiring full multidisciplinary assessment (please refer to OPRA)
How to refer:
Routine referrals
- SCI Gateway
Urgent referrals
- SCI Gateway
For advice or discussion about urgent or rapid access referrals, please contact the Consultant on call for MoE at WGH:
- Geriatric Medicine Advice Hotline: 0131 465 9107 (08.30 – 16.30 M – F)
- Consultant on call for WGH MoE: 07815 493034
- Email: geriatricmed.north@nhslothian.scot.nhs.uk
