June 2025
Woman Inclusive Sexual Health Extended Service (WISHES) is an accessible, non-judgemental, and holistic service for women with high and complex sexual health needs. Detailed information about the service & referral guidelines here: https://apps.nhslothian.scot/refhelp/guidelines/sexualreprohealth/wishes/
Two new RefBites on ‘Creating a RefHelp page’ and ‘Creating a Sci Gateway Pathway’ recently published on RefHelp. Watch Here: https://apps.nhslothian.scot/refhelp/education/refbites-bitesize-learning/ Please do give us your valuable feedback: https://forms.office.com/e/v828u8zUzN
The characteristic ‘bullseye’ targetoid appearance for Lyme Disease is only seen in a minority of cases & the most common skin lesion is a homogenous, expanding rash > 5cm without central clearing. Please see details for testing, treatment, referral & PIL: https://apps.nhslothian.scot/refhelp/guidelines/infectiousdiseases/lyme-disease/
Recently updated & clearly outlined referral guidelines for Infectious Diseases here: https://apps.nhslothian.scot/refhelp/guidelines/infectiousdiseases/. In particular issues relating to TB including asymptomatic contacts of those with active TB infection should be referred directly to TB specialist nurses, and not ID.
Meadows Child & Adolescent Trauma team is a small specialist service within CAMHS providing a multi-disciplinary & systemic approach to children & young people facing difficulties following experiences of specific trauma. More details here: https://apps.nhslothian.scot/refhelp/camhs-specialist-trauma-team-the-meadows/
For guidance on the local referral process following animal bites and potential rabies exposure, please consult the Infectious Diseases section on RefHelp: https://apps.nhslothian.scot/refhelp/guidelines/infectiousdiseases/animal-bites-and-rabies-risk/
Please advise patients who are planning to travel to countries where rabies is a recognised risk to consider pre-exposure rabies vaccination (chargeable vaccination). They may book an appointment with the NHS Lothian Travel Clinic via: https://services.nhslothian.scot/travelclinics/
