November 2025
RefHelp’s autumn ebulletin is out! This edition features information about the recently updated SCRG, news about the MoE pages, a peek into the recent RefTalks PLIG update and much more! A must read: https://apps.nhslothian.scot/refhelp/news/refnews/
Tips for initial assessment of delayed puberty in girls including link to growth charts and criteria for referral: https://apps.nhslothian.scot/refhelp/guidelines/paediatrics/paediatric-endocrinology-diabetes/puberty/delayed-puberty-in-girls/
Recently updated Laboratory services page on RefHelp has information particularly relevant to primary care including contact details, advice about specimens & results, and much more! Please see here: https://apps.nhslothian.scot/refhelp/guidelines/laboratoryservices/
New page on Microbiology added to RefHelp covering details to contact the lab, for clinical advice, antimicrobial prescribing advice, infectious diseases and more: https://apps.nhslothian.scot/refhelp/microbiology/
Watch the RefHelp team’s presentation at the recent Grand Rounds to know “How we can assist you”. The recording is available on the med.scot.nhs.uk website under ‘Events’. You can get a login to access by emailing med.website@nhslothian.scot.nhs.uk
New page on Ketamine added to RefHelp outlining potential complications (immediate and urological), management, referral guidelines and much more: https://apps.nhslothian.scot/refhelp/ketamine/
New page on Hyponatremia outlining referral guidelines, primary care management for potential causes, details of initial approaches & investigation, and a systematic approach to follow in a situation of diagnostic uncertainty. See flowchart & details here: https://apps.nhslothian.scot/refhelp/hyponatraemia/
Please see NHS Lothian’s Adult Hypomagnesaemia Guideline for Primary Care: https://apps.nhslothian.scot/refhelp/guidelines/laboratoryservices/hypomagnesaemia/
Please see updated information on Lothian Abortion Referral Service (LARS) covering details about the service, referral criteria, how to refer, links to patient information leaflets and much more! https://apps.nhslothian.scot/refhelp/guidelines/sexualreprohealth/abortion-care/












