{"id":24527,"date":"2025-07-07T11:46:11","date_gmt":"2025-07-07T10:46:11","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=24527"},"modified":"2025-07-07T16:02:29","modified_gmt":"2025-07-07T15:02:29","slug":"nhs-lothian-primary-care-lymphoedema-service","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/lymphoedemachronicoedema\/nhs-lothian-primary-care-lymphoedema-service\/","title":{"rendered":"NHS Lothian Primary Care Lymphoedema Service"},"content":{"rendered":"\n<p><strong>Information Section<\/strong><strong><\/strong><\/p>\n\n\n\n<p>This is a Pan Lothian Service with clinics currently provided at 2 sites:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Wester Hailes Healthy Living Centre (Hub Clinic).<\/li>\n\n\n\n<li>East Lothian Community Hospital.<\/li>\n<\/ul>\n\n\n\n<p>Please note currently the service is not able to offer domiciliary visits, except in exceptional circumstances.<\/p>\n\n\n\n<p><strong>Contact Details: <\/strong><a href=\"mailto:Loth.lymphoedema@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">Loth.lymphoedema@nhs.scot<\/a><\/p>\n\n\n\n<p><strong>M.A. &amp; C.E\/B.B. 07-07-25<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who can refer:<\/strong><\/h4>\n\n\n\n<p>Referrals will be accepted from all Healthcare Professionals including GPs Practice Nurses, and District Nurses<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><strong><\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with Primary and Secondary Lymphoedema requiring specialist made to measure compression garments<\/li>\n\n\n\n<li>Patients with moderate to severe, uncontrolled or complicated swelling secondary to Lymphoedema<\/li>\n\n\n\n<li>Patients with recurrent cellulitis secondary to Lymphoedema.<\/li>\n\n\n\n<li>Patients living in East, Mid or West Lothian with secondary lymphoedema which is Cancer related<\/li>\n\n\n\n<li>Genital \/ Head &amp; Neck \/ Midline Lymphoedema.<\/li>\n\n\n\n<li>Palliative patients with complex symptoms associated with advanced cancer that can make out-patient appointments.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a>Those at risk of Lymphoedema or those with mild symptoms requiring simple off the shelf compression garments.<\/a><\/li>\n\n\n\n<li>Oncology patients under the Edinburgh Cancer Centre WGH <strong>\u2013 Refer to Edinburgh Cancer Centre Lymphoedema Service<\/strong> <em><u>&lt;Link to page&gt;<\/u><\/em><\/li>\n\n\n\n<li>Morbidly obese patients who are yet to request support in addressing their weight.<\/li>\n\n\n\n<li>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\u2019s cyst.<\/li>\n\n\n\n<li>Those with ABPI of &lt;0.5 \u2013 Consider referral to Vascular.<\/li>\n\n\n\n<li>Lipoedema or those seeking a diagnosis of Lipoedema.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><strong><\/strong><\/h4>\n\n\n\n<p><strong>SCI Gateway*<\/strong>&nbsp;:&nbsp;AHP \u2013 Physiotherapy &gt; Lymphoedema Service &gt; L Lymphoedema Service<\/p>\n\n\n\n<p><em>*Where&nbsp;SCI&nbsp;Gateway&nbsp;referral&nbsp;is&nbsp;not&nbsp;possible,&nbsp;please&nbsp;use&nbsp;the&nbsp;<\/em><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Lymphoedema-Service-Referral-Form.doc\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>Referral&nbsp;Form.doc<\/em><\/strong><\/a><em>&nbsp; &nbsp;(either post to the address at the top of the form, or email to&nbsp;<\/em><a href=\"mailto:loth.lymphoedema@nhs.scot%20opens%20a%20new%20window\"><strong><em>loth.lymphoedema@nhs.scot <\/em><\/strong><\/a><em>).<\/em><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Information Section This is a Pan Lothian Service with clinics currently provided at 2 sites: Please note currently the service is not able to offer domiciliary visits, except in exceptional circumstances. Contact Details: Loth.lymphoedema@nhs.scot M.A. &amp; C.E\/B.B. 07-07-25<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4104,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1261],"class_list":["post-24527","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-nhs-lothian-primary-care-lymphoedema-service"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/rehabilitation\/lymphoedema\/https-apps-nhslothian-scot-refhelp-nhs-lothian-primary-care-lymphoedema-service\/\" rel=\"tag\">NHS Lothian Primary Care Lymphoedema Service<\/a>","rttpg_excerpt":"Information Section This is a Pan Lothian Service with clinics currently provided at 2 sites: Please note currently the service is not able to offer domiciliary visits, except in exceptional circumstances. Contact Details: Loth.lymphoedema@nhs.scot M.A. &amp; C.E\/B.B. 07-07-25","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=24527"}],"version-history":[{"count":2,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24527\/revisions"}],"predecessor-version":[{"id":24540,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24527\/revisions\/24540"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4104"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=24527"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=24527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}