Information Section
This is a Pan Lothian Service with clinics currently provided at 2 sites:
- Wester Hailes Healthy Living Centre (Hub Clinic).
- East Lothian Community Hospital.
Please note currently the service is not able to offer domiciliary visits, except in exceptional circumstances.
Contact Details: Loth.lymphoedema@nhs.scot
M.A. & C.E/B.B. 07-07-25
Who can refer:
Referrals will be accepted from all Healthcare Professionals including GPs Practice Nurses, and District Nurses
Who to refer:
- Patients with Primary and Secondary Lymphoedema requiring specialist made to measure compression garments
- Patients with moderate to severe, uncontrolled or complicated swelling secondary to Lymphoedema
- Patients with recurrent cellulitis secondary to Lymphoedema.
- Patients living in East, Mid or West Lothian with secondary lymphoedema which is Cancer related
- Genital / Head & Neck / Midline Lymphoedema.
- Palliative patients with complex symptoms associated with advanced cancer that can make out-patient appointments.
Who not to refer:
- Those at risk of Lymphoedema or those with mild symptoms requiring simple off the shelf compression garments.
- Oncology patients under the Edinburgh Cancer Centre WGH – Refer to Edinburgh Cancer Centre Lymphoedema Service <Link to page>
- Morbidly obese patients who are yet to request support in addressing their weight.
- Those who are unlikely to respond to lymphoedema management and the primary cause of the swelling requires further investigation or treatment including those with, acute DVT, renal/cardiac/liver disease, hypoproteinaemia, Baker’s cyst.
- Those with ABPI of <0.5 – Consider referral to Vascular.
- Lipoedema or those seeking a diagnosis of Lipoedema.
How to refer:
SCI Gateway* : AHP – Physiotherapy > Lymphoedema Service > L Lymphoedema Service
*Where SCI Gateway referral is not possible, please use the Referral Form.doc (either post to the address at the top of the form, or email to loth.lymphoedema@nhs.scot ).
