Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Top End Specialist and Referral Directory December 2016 Originally produced by GP – Hospital Liaison Project RDH. Reviewed and preliminary update by NT PHN Clinical and Public Health Advisor (CPHA) Unit May 2016. For all further updates please contact NT PHN CPHA Unit on 08 8982 1000 HOSPITALS ...................................................................................................................................................................................... 4 Referral Information ........................................................................................................................................................................... 5 RDH Clinical Enquiries/Requests for Information ............................................................................................................................... 5 Interpreter Services ........................................................................................................................................................................... 6 INVESTIGATION RESULTS.............................................................................................................................................................. 6 RDH EMERGENCY DEPARTMENT ................................................................................................................................................. 7 MEDICINE ......................................................................................................................................................................................... 8 Acute And General Medicine ............................................................................................................................................................. 8 Intensive Care Medicine .................................................................................................................................................................... 9 Anaesthetics ...................................................................................................................................................................................... 9 Alcohol And Other Drugs ................................................................................................................................................................... 9 Cardiology ....................................................................................................................................................................................... 10 Dermatology .................................................................................................................................................................................... 11 Endocrinology and Diabetes ............................................................................................................................................................ 11
Transcript
Health Network Northern Territory Ltd operating as Northern Territory PHN
Top End Specialist and Referral Directory December 2016 Originally produced by GP – Hospital Liaison Project RDH. Reviewed and preliminary update by NT PHN Clinical and Public Health Advisor (CPHA) Unit May 2016. For all further updates please contact NT PHN CPHA Unit on 08 8982 1000
Referral Information ........................................................................................................................................................................... 5
RDH Clinical Enquiries/Requests for Information ............................................................................................................................... 5
RDH EMERGENCY DEPARTMENT ................................................................................................................................................. 7
MEDICINE ......................................................................................................................................................................................... 8
Acute And General Medicine ............................................................................................................................................................. 8
Intensive Care Medicine .................................................................................................................................................................... 9
Alcohol And Other Drugs ................................................................................................................................................................... 9
Endocrinology and Diabetes ............................................................................................................................................................ 11
Health Network Northern Territory Ltd operating as Northern Territory PHN
Exercise And Sports Medicine ......................................................................................................................................................... 12
Hospital In The Home ...................................................................................................................................................................... 19
Immunology And Allergy .................................................................................................................................................................. 19
Palliative Care ................................................................................................................................................................................. 22
Rehabilitation And Medical Pain Service .......................................................................................................................................... 23
NT Respiratory And Sleep Outpatients Services .............................................................................................................................. 24
MENTAL HEALTH ........................................................................................................................................................................... 26
Psychology And Counselling Services ............................................................................................................................................. 30
MATERNAL AND CHILD HEALTH .................................................................................................................................................. 30
Sexual And Reproductive Health ..................................................................................................................................................... 31
Obstetric Care – Public .................................................................................................................................................................... 32
Health Network Northern Territory Ltd operating as Northern Territory PHN
Obstetric Care - Private ................................................................................................................................................................... 32
Other Pregnancy Related Services/Clinics ...................................................................................................................................... 35
SURGERY ....................................................................................................................................................................................... 39
General ............................................................................................................................................................................................ 39
Hand Surgery .................................................................................................................................................................................. 41
Laproscopic Banding Surgery .......................................................................................................................................................... 42
Maxillofacial And Hand And Neck Surgery ....................................................................................................................................... 43
Otolaryngology – Ear, Nose And Throat .......................................................................................................................................... 44
Orthopedic Outpatients Or Fracture Clinic ....................................................................................................................................... 45
Plastic And Reconstructive .............................................................................................................................................................. 46
Sports Medicine – Private Only ........................................................................................................................................................ 46
Department of Surgery – Visiting Specialists ................................................................................................................................... 48
Note: Consider current and future applications of National Health Service Directory Note: Many other helpful local and regional directories that may be of use including: Top End Chronic Disease Directory (collaborative with Aboriginal Medical Services Alliance Northern Territory and NT PHN) and NT Alcohol and Other Drug Mental Health Services Directory
Adequate and timely information exchange between community and hospital based teams is essential for safe and effective patient care. (Updated by TEHS 15 Sep 2015)
Good quality referral helps to improve patient confidence in health services, reduce unnecessary duplication of diagnostic investigations, assist in triage processes, improve care outcomes and support improved efficiency of service delivery. (eMJA: Improving doctors' letters)
What is a referral?
Sub-specialty list for Royal Darwin Hospital (Updated by Top End Health Service 15 Sep 2015)
RDH CLINICAL ENQUIRIES/REQUESTS FOR INFORMATION
All requests must be accompanied by patient’s consent and reference to the specific information that you want to receive.
Form - Authority to Obtain Medical Information
General enquiries requests for information Fax Community Liaison Nurse on 8922 7865
Urgent requests should be accompanied by a phone call to Community Liaison Nurse through the RDH switchboard on 8922 8888.
Alternate point of contact Discharge Planning Resource Unit via mobile 0401 110 401. Allow 24 - 48 hours for routine requests.
Mental Health Services requests for information fax Community Liaison Nurse on 89426568
For in-patient discharge planning and summaries contact Community Liaison Nurse on 892 27628 or mobile 0401 116 080.
For all other requests, a signed release of information form can be forwarded to the Director of Psychiatry Ph: 8922 7921 or Fax: 8922 7742)
The AIS provides a 24/7 booking service for on-site Aboriginal language interpreters. Bookings should be made with as much notice as possible.
Darwin
t 08 8999 8353 f 08 8999 8855 Office Hours: 8am - 4:30pm After hours service t 08 8999 8353 Location: Ground Floor, RCG House, 83-85 Smith St, DARWIN Alice Springs
t 08 8951 5576 f 08 8951 5244 Office Hours: 8am - 4:30pm After hours service t 08 8999 8353 Location: Leichardt Building, 21 Gregory Terrace, ALICE SPRINGS
Translating and Interpreting Service (TIS) National
The Department of Immigration and Citizenship (DIAC) provides the TIS National interpreting service with over 170 languages/dialects available. TIS National is available 24 hours a day, seven days a week.
t 131 450
To pre-book a telephone interpreter: Telephone Interpreter Pre-Booking Form
INVESTIGATION RESULTS
Pathology providers
Western Diagnostics Doctors results hotline t 136 999 Laboratory (direct) t 08 8901 7911 Laboratory manager m 0419 191 127
GP Access Line Call t 08 8922 7900 Resource to speak directly to the lead ED Registrar or Consultant.
From midnight weekdays and 6pm on weekends contact via switchboard t 08 8922 8888
Note: Please do not give Accessline number to patients; it is for doctor (or doctor’s delegate) to doctor communication.
Health Direct Australia is a FREE 24-hour telephone health advice line staffed by Registered Nurses to provide expert health advice and direct patients, as appropriate, to local health services.
MEDICINE
Medical referral to RDH, Palmerston and remote / regional centres should be to the relevant subspecialist by name.
ACUTE AND GENERAL MEDICINE
Acute medical clinic
Dr Elio Gagliardo
General Physician
The acute medical outpatient clinic provides fast access for patients who need an urgent physician assessment but do not require admission. Refer in circumstances where early specialist intervention may assist to reduce preventable admissions, reduce patient complications, morbidity and mortality.
Appointments can be made by discussing case with consultant/delegate (contact via hospital switchboard). Send referral to OPD via SEMS or f 8945 3068
Medical clinic
Dr Michael Lowe
General Physician
For General Medical referrals (specific sub-specialty not required), send referral to OPD via SEMS or f 8945 3068.
Consultation available at both RDH and Palmerston
NT Medical Specialist (private)
Private General Physician Service t 08 8927 7026 f 08 8927 7038 e [email protected]
Outpatient and outreach withdrawal services are available for individuals who wish to withdrawal from alcohol, opiates, cannabis, amphetamines and benzodiazepines. Clients are triaged by medical team. The DWS team then provides relevant medication, support and counselling. Withdrawal may take place at the RDH (for high risk clients), in supported accommodation (eg. CAAPS and Banyan House) and / or include home visits.
DWS open five days per week from 8am to 4.30pm t 08 8922 8399 f 08 8922 8403
Drug & Alcohol 24 hour clinical advice to medical practitioners, pharmacists and other health professionals t 1800 111 092.
Public referrals by SEMS or RDH Dermatology OPD on f 08 8945 3068. www.territorymedical.com
Private referrals to Territory Medical Group, Nightcliff t 08 8948 4333 f 08 8948 4322 e [email protected] Works part time
Dr Lachlan Warren
Dr Jenny Menz
Dr Vincent O’Brien
Visiting service to RDH from Adelaide every 6-8 weeks. Some outreach services to Gove and Katherine.
Send named referral to Dermatology OPD via SEMS or f 08 8945 3068.
Dr Emma Hiscutt
Visiting private consultancy only to NT Medical Specialist t 08 8927 7026 f 08 8927 7038 e [email protected]
Dr Dev Tilakaratne Darwin based general dermatology clinic, narrowband UVB phototherapy, patch testing for contact allergies f 08 8945 9526 t 08 8945 7086 e [email protected]
Suite 8, 5 Tiwi Gardens Road, Tiwi, NT 0810 (also based part time at Royal Darwin Hospital)
ENDOCRINOLOGY AND DIABETES
Public Patients seen at RDH Outpatients and Palmerston
General endocrinology diabetes and thyroid
Consultations provided at RDH, Palmerston and Danila Dilba.
Send Endocrinology referrals to OPD Appointments via SEMS or f 08 8945 3068
Please note Palmerston Clinics referrals should be addressed to Dr Maple-Brown or Dr Chitturi.
Referral for Danila Dilba Main Clinic and Men’s Clinic is via Danila Dilba t 08 8942 3444.
Dr Louise Maple-Brown Diabetes only
Send referral to Dr Louise Maple-Brown RDH OPD Appointments via SEMS or f 08 8945 3068
Dr Sridhar Chitturi Endocrinology/Diabetes/Obstetric Medicine
Send referral to Dr Sridhar Chitturi RDH at Endocrinology OPD Appointments via SEMS or f 08 8945 3068
Obstetric Medicine – send referrals to Medical Obstetrics Antenatal Clinic Fax referrals to: 08 8922 6750.
Private referrals to Darwin Private Hospital. t 08 8945 5000 f 08 8945 5700 e [email protected]
Dr Diane Howard
(Private referral only)
General / Diabetes / Thyroid. Darwin Private Hospital only f 08 8920 6183 e [email protected]
Patients will be contacted by receptionist, after prioritisation by Dr Howard.
Diabetes Foot clinic For review and management of diabetic ulcers. GPs can also request that Registrar review patient to provide recommendations on diabetes management while patient attends this clinic.
Send referral to RDH Foot Clinic OPD Appointments via SEMS or f 08 8945 3068
EXERCISE AND SPORTS MEDICINE
Dr Geoff Thomson
Dr Viran de Silva
Dr Adam Peerzada
(GP 3 days per week)
Territory Sports Medicine (private only) 8 Parap Place, Parap
For appointments contact t 08 8941 6677 f 08 8981 4155 e [email protected]
Services offered: Sports Physicians including assessment of those with medical needs such as asthma, diabetes and cardiac problems. Fitness Testing: Stress tests and medicals.
RACGP guidelines on dementia recommend the following tests as part of the work up, please include in referrals:
FBC, ESR, LFT, U&E, TSH, fasting glucose, B12, folate, calcium, phosphate, HIV and syphilis serology (if indicated)
Urine – WBC, protein, sugar (culture if delirium)
Imaging: CT scan without contrast +/- CXR (if delirium)
Dr Phillip Morris Visiting psychogeriatrician. Referral via the ACAT Psychogeriatric team Form – Psychogeriatric Service Referral
Aged Care Assessment Team (ACAT)
ACATs provide information on suitable care options and can help arrange appropriate residential or community care services such as Home and Community Care (HACC). ACAT assessment is required before people can access residential aged care and Community Aged Care Packages.
If you wish Dr Lowe to see a patient as part of their ACAT work up please also include a routine medical referral.
Client referral can occur by family, NGO’s or other health professionals.
Form – Aged Care Assessment Team (ACAT) Referral
Location Phone Fax
Darwin 08 8922 7392 08 8922 7392
Darwin Rural 08 8944 8651 08 8944 8651
Katherine 08 8973 8503 08 8973 8503
Nhulunbuy 08 8987 0432 08 8987 0432
Alice Springs Urban 08 8951 6735 08 8951 6735
Alice Springs remote 08 8951 5047 08 8951 5047
Barkly Team 08 8962 4201 08 8962 4201
Alzheimer's Australia offers a range of support, information, education and counselling services.
National Dementia Helpline t 1800 100 500
Dementia Monitoring Program provides individualised help for people with memory problems who live alone, or who have minimal social support. A major benefit of this scheme is that it can maintain a regular
The Living With Memory Loss program is available to people dealing with dementia or memory loss, and their family members and/or friends. The program is conducted by Alzheimer’s Australia NT at various locations in the Territory.
Dementia Behaviour Management Advisory Service (DBMAS) is a nationwide network that provides clinical support for people caring for someone with dementia who is demonstrating behavioural and psychological symptoms of dementia which are impacting on their care.
NT DBMAS office is staffed between 8am - 4.30pm weekdays.
After hours support available via national telephone service t 1800 699 799.
DBMAS is a government funded program and there is no cost to accessing the service. DBMAS can assist to make appropriate referrals to other support services as required. Contact DBMAS 24/7 on free call 1800 699 799 NT DBMAS Brochure.
HAEMATOLOGY
Public Patients seen at Outpatient Department RDH
Dr Ferenc Szabo
Dr Akash Kalro
Dr Tina Noutsos
Referral to specialist Haematology OPD via SEMS or f 08 8945 3068
Thrombosis Clinic
Dr Ferenc Szabo
Dr Akash Kalro
Dr Tina Noutsos
Provides specialist advice in thrombosis related issues. Difficult cases will be discussed in a multidisciplinary forum.
Appropriate Referrals would include:
1. Length of anticoagulation in newly diagnosed patients with DVT and PE
2. Anticoagulation in patients with recurrent DVT and/or PE, pregnancy and high risk patients for DVT/PE.
• Persistently raised ALT and HBV viral load > 2000 IU/ml – requires referral
• Current or planned therapeutic immunosuppression
• Current or planned pregnancy
Hepatitis C Virus antibody positive
Include in referral:
• LFTs, FBE, UEC, INR, AST
• Evaluate for other causes of liver disease plus HIV
• Check HCV PCR HCV genotype and viral load prior to referral
• Baseline upper abdominal ultrasound
• Concurrent medication
• Alcohol history (current and past)
Medical Practitioners may consider prescribing Pharmaceutical Benefits Scheme (PBS) funded Directly Acting Antivirals (DAAs) for the treatment of Hepatitis C infection in consultation with an infectious diseases physician, gastroenterologist or hepatologist .
Refer to the TEHS guideline for consultant Prescribing of DAA and recommended follow up: (see attached document)
Refer patient to: With multifactorial liver disease to the Hepatology (liver Clinic)
Health Network Northern Territory Ltd operating as Northern Territory PHN
GPs can refer directly to RDH hospital-in-the-home (HITH) programme. HITH treatment is safe and is associated with high levels of patient satisfaction, with less disruption to normal life and without a potentially prolonged wait in the emergency department first.
Once a patient is admitted to HITH, the Hospital takes full responsibility for all medical and nursing issues until patient is discharged back to the care of the GP. Patients that deteriorate whilst on the HITH programme will be admitted to RDH.
GPs can refer during weekday working hours by telephoning the Infectious Diseases Physician on call via Royal Darwin Hospital switchboard t 08 8922 8888. After-hours referral via ED.
The Darwin and Palmerston metropolitan areas are covered as far as Humpty Doo. (If your patient lives in the Darwin Rural Area, still consider a referral as arrangements can often be made).
Suitable Patients are those who are medically stable, have appropriate social supports (including a designated support person, telephone, safe and hygienic home environment and able to communicate effectively) and are able to consent to home-based therapy may benefit from a direct referral.
Common indications for HITH include: cellulitis and other skin / soft tissue infections, uncomplicated diabetic foot infections, DVT and others (call if you think you have a suitable candidate) HITH Referral Information
IMMUNOLOGY AND ALLERGY
Public Patients are seen at Outpatient Department RDH
Dr Peter Bourke.
Adult and paediatric immunology and allergy service.
Referral to Dr Peter Bourke or Dr Rory Hannah RDH OPD via SEMS or f 08 8945 3068 e [email protected]
Patients either seen at RDH OPD or Palmerston Health Precinct
Phone queries to Carly, Allergy/Rheumatology Nurse t 08 8944 8313.
INFECTIOUS DISEASES
Public Patients are seen at Outpatient Department RDH
Dr Bart Currie
Dr Nick Anstey
Dr Craig Boutlis
Dr Nick Coatsworth
Dr Sarah Huffam
Dr Catherine Marshall
Dr Rick Price
Dr Anna Ralph
Dr Emma Spencer
Specialist clinic conducted by ID specialist on call on rotational basis
Send referral to specialist by name at OPD via SEMS or Fax: 8945 3068
Communicable Diseases Centre
Building 4 RDH
Surveillance of selected communicable diseases and outbreak investigation; initiation of appropriate control measures; development and monitoring of immunisation programs; reports on outbreaks of communicable diseases of public health importance to health professionals and the general community.
Address Phone Fax
Dr Vicki Krause Director 08 8922 8510 08 8922 8310
CDC Darwin 08 8922 8044 08 8922 8310
CDC Katherine 08 8973 9049 08 8973 9048
CDC Nhulunbuy 08 8987 0359 08 8987 0355
Health Network Northern Territory Ltd operating as Northern Territory PHN
Notifications The Notifiable Diseases Act requires doctors to notify diseases which are scheduled under the Act.
Download Notifiable conditions to be reported in the NT
Some of the diseases are designated as urgently notifiable (marked with a phone symbol) and some are non-urgent.
There are two ways to notify a disease:
1. Telephone local CDC number
2. Complete and send Notification Form
Clinic 34 Sexual Health & Infectious diseases clinics (sexual health/viral hepatitis and HIV)
Liver clinic referrals that require specialist input should all be referred to RDH. See Liver Clinic
NEUROLOGY
Public Patients seen at Outpatient Department RDH
Dr Jim Burrow
Neurology and nerve conduction studies
Send referrals to Dr Jim Burrow OPD via SEMS or f 08 8945 3068
Private appointments also available via DPH Specialist Suites, DPH. Please fax referral f 08 8945 5700 t 08 8945 5000
Assistance in arranging EEG through EEG Nurse Elke Pohl. Please fax referral – f 08 8944 8388 t 08 8922 8440
ONCOLOGY
All patients are now seen at the Alan Walker Cancer Care Centre (includes Radiation Oncology, Medical Oncology, Haematology and Allied Health Support. All referrals should be sent directly to the Alan Walker Care Centre by f 08 8944 8222. t 08 8944 8220
In case of urgency, GPs should contact the medical oncology registrar through the hospital switch board.
Send referral to Consultant by name Oncology OPD via SEMS or f 08 8945 3068
External private referrals can also be sent to NT Medical Specialist t 08 8927 7026 f 08 8927 7038 e [email protected]
Radiation Oncology
Dr Thanuja Thachil
Dr Paolo De Feso
Send referral to Consultant by name Radiation Oncology OPD via SEMS or f 08 8945 3068
Alan Walker Cancer Care Centre (AWCCC) provides a comprehensive range of services including: radiation and medical oncology, haematology, chemotherapy nursing, and allied health (social workers, physiotherapy, dietetics, Aboriginal liaison support)
Northern Territory Radiation Oncology (NTRO) provides the radiation oncology services to the AWCCC. The NTRO operates as an outpatient facility, Monday to Friday 8.00am to 4.30pm. NTRO is located on the premises of the RDH.
For more information refer AWCCC website
PALLIATIVE CARE
Public patients are seen at Outpatient Department RDH or at Top End Palliative Care
Dr Yousuf Zubair
Dr Eswaran Waran
Dr Niamh O’Connor
Simon Murphy
Tara Worby
Palliative Care Consultant
Palliative Care Consultant
Palliative Care Consultant
Clinical Nurse Manager
Clinical Nurse Consultant / Liaison
Refer to Palliative Care: Public Patients are seen at both Outpatient Department RDH or at Top End Territory Palliative Care t 08 8922 6761 f 08 8922 6775
After a referral is received an assessment will be undertaken. Once a patient is accepted onto the service the palliative care team will work with GPs to tailor a suitable plan of care.
Hospice The Hospice is a specialised short-stay facility located on the grounds of RDH. The hospice accepts admissions for active symptom management, as a transition to home from hospital, or for care in the final stages of illness. Limited access for respite care.
REHABILITATION AND MEDICAL PAIN SERVICE
All Public Patients seen at Building 15
Dr Gavin Chin Director, Rehabilitation & Medical Pain Service Public referrals to Rehabilitation f 08 8922 8900 t 08 8922 8866
Private referrals through RDH specialist suites or DPH
Appointments: t 08 8945 5000 f 08 8945 5700
Dr Howard Flavell Rehabilitation Specialist
Chronic Pain Service Multidisciplinary Pain Management Located at Royal Darwin Hospital, close liaison
Public patients are seen at Outpatient Department RDH
Dr A Abeyaratne
Dr Jacqui Hughes
Dr William Majoni
Dr M Sundaram
Dr Paul Lawton
Send referrals to named Specialist at Renal Clinic at RDH OPD via SEMS or f 08 8945 3068.
The Department of Renal Services is very happy to receive referrals from GPs who need help in the management of their renal patients. Appointments will be organised at RDH or at the Palmerston campus.
We provide the following services: assessment of patients with haematuria and proteinuria, renal impairment, preparation for renal replacement therapy, donor assessment, renal calculi, hypertension and electrolyte abnormalities
NT RESPIRATORY AND SLEEP OUTPATIENTS SERVICES
Public patients are seen at Outpatient Department RDH
Local Respiratory General respiratory and sleep consultation, pulmonary function test, home oxygen, sleep studies and bronchoscopy
Send referral to Physician by name Respiratory Clinic via SEMS to Respiratory OPD or Fax public referrals to Respiratory OPD t 08 8945 3068
Please include all relevant patient information such as CXR/CT and Pulmonary Function Tests.
Respiratory link team supports post-discharge care for severely ill patients with respiratory illness, especially COPD and Bronchiectasis, to maintain their independence supported by Respiratory Nurses t 08 8944 8059 f 08 8922 8111
Urgent Respiratory and Sleep consults for both urban and remote patients can be discussed with the respiratory registrar at RDH. Can be contacted through RDH switch board t 08 8922 8888
Dr Robert Edwards Royal Darwin Hospital Visiting Respiratory and Sleep Physician (every 2 months from QLD)
Dr Rebecca Pearson Darwin Private Hospital Private Appointments via Specialist Suites, DPH. Please fax referral f 8945 5700 t 8945 5000
Dr Shalini Bastlampillai NT Medical Specialist Visiting Respiratory and Sleep Physician t 08 8927 7026 f 8727 7038 e [email protected]
Respiratory Rehabilitation Program
Respiratory CNC, Department of Health. ‘Inspirations’ - A Pulmonary Rehabilitation Program for people living with Chronic Lung Conditions at Palmerston Community Care Centre t 08 8944 8059 f 08 8922 8111 e [email protected] Form: Referral for Pulmonary Rehab Program
RHEUMATOLOGY
Public patients are seen at Outpatient Department RDH
Dr Vipin Tayal Send referral to Rheumatology OPD on f 08 8945 3068 or 08 8922 7822 or e [email protected] Phone queries to Carly, Allergy/Rheumatology Nurse t 08 8944 8313.
Dr Mary Samuel Specialist Rheumatology Clinic, Tiwi Medical and Professional Centres, 8/5 Tiwi Gardens Rd, Tiwi
(Private) Appointments: t 08 8945 7086 f 08 8945 9526
MENTAL HEALTH
Public patients are seen at Tamarind Centre, Ross Smith Drive, Parap
Top End Mental Health Services
Darwin Office. Tamarind Centre, Parap - General Inquiries and Appointments f 08 8999 4999 t 08 8999 4988
Katherine Mental Health Service t 08 8973 8724
Nhulunbuy Mental Health Service t 08 8967 0415
Tennant Creek Mental Health Service t 08 8962 4300
Crisis Assessment Triage Team Any acute mental health crisis should be discussed with the 24h NT CATT t 1800 682 288
GP Liaison Service
GP Liaison Service for GPs in the Darwin urban region offers review and advice to GPs in the management of non-urgent mental health matters and associated medication management issues. Mental health issues may include; significant mood or anxiety disorders, trauma, or psychosis
If issues are related to addiction problems then Department of Health Alcohol and Other Drugs services should be contacted not TEMHS. AOD – 8922 8399 or Amity house - 1800 684 372 for alcohol and drug issues
GP Liaison has limited resources, to support triage and timely response they request:
o Documented active consent from the patient for them to be referred to GP Liaison
o Initial trial of treatment regime, and monitored the efficacy of medications, prior to referring in for the GP Liaison Service.
o Provision of a comprehensive history, including, presenting issue, treatments / interventions tried and other services involved in the referral
Health Network Northern Territory Ltd operating as Northern Territory PHN
Consider other suitable services and options for your patients: AOD – 08 8922 8399; Amity house - 1800 684 372 for alcohol and drug issues; Headspace, for Youth mental health support. (Up to 24 years) 89315999
Patients cannot self-refer into GP Liaison.
The Mental Health and Related Services Act is the legislation that governs the delivery of mental health services in the Northern Territory and the treatment of people with mental illness in hospitals and the community.
The following brochures provide more information about specific areas of the Act:
Rights and Responsibilities (Adobe PDF document - 712KB)
Involuntary Admission (Adobe PDF document - 719KB)
Voluntary Admission (Adobe PDF document - 716KB)
Community Management (Adobe PDF document - 717KB)
Community Visitor Program (Adobe PDF document - 668KB)
Mental Health Review Tribunal (Adobe PDF document - 716KB)
Forms for practitioners: Form 9 - Entry to Mental Health Services (Adobe PDF document - 464KB)
TEHMS – Adult Services A/Professor Rob Parker, Director
All public outpatient consultations are at: Tamarind Centre, Ross Smith Ave, Parap
Referrals - t 08 8999 4988 f 08 8999 4999
Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) t 1800 682 288
GP Referrals – ring and discuss your referral with GP Liaison team t 1800 682 288.
The triage clinician will discuss presentation and available options with you.
GP Liaison explanation letter Form TEHMS GP Liaison referral form by fax to 08 8942 6568
CATT team can then advise on:
Best location for patient to be assessed:
Depending on patient location and CATT workload, CATT team may be able to attend patient or will see in Building 9 on RDH campus – opposite Cowdy ward. Usually Tamarind Centre during working day hours
If patient is likely for admission, the usual practice will be to refer patient to ED where facility/infrastructure is better setup for this process
Transport; Personal arrangements; +/- Ambulance
Police should be considered last resort and only if patient is dangerous, also needs escort.
If GP believes the patient requires an urgent psychiatric assessment, please contact NTCATT.
GP can complete Entry to Mental Health Services Form 09. This enables patient to be detained for 6 hours and requires the patient to be assessed by an Authorised Psychiatric Practitioner (APP) or a Designated Mental Health Provider DMHP. For remote patients the assessment may be done by telephone and/or via a DMO.
Where a medical officer refers for a psychiatric assessment it may be that the patient is assessed by either an APP or DMHP. While there is no mandated requirement to inform the referring medical officer of the outcome of this process it is considered best practice that the referring MO should be informed of the outcome.
Phone Phone
Darwin Team 08 8999 4988 Katherine Team 08 8973 8722
After Hours and Emergency
1800 682 288 After Hours and Emergency -Katherine 08 8973 9211
Dr Nader Gad Darwin Gynaecology Specialist Clinic, Darwin Private Hospital, Rocklands Drive, Tiwi NT 0810. PO Box 42571 Casuarina NT 0811. t 08 8912 2500 f 08 8912 2505 e [email protected] or [email protected]
Dr Andrew Miller
Dr Stephen O'Callaghan
Dr Jenny Mitchell
Private referral to Darwin Private Hospital Consulting Suites, t 08 8920 6201 or 08 8945 5233 t 08 8920 6248
SEXUAL AND REPRODUCTIVE HEALTH
Reproductive Medicine Unit DPH
Dr Stephanie Girle and Dr Nicky Purser. Rotating support from Adelaide. t 08 8945 4211 f 08 8945 4255
Family Planning Welfare NT
Contraception including Implanon, IUD insertion; management of sexual dysfunction including psychological support from clinical psychologist; office gynaecology; pregnancy issues including first trimester ante-natal and post-natal care; well woman screening
Head Office and Darwin Clinic Unit 2, the Clock Tower, Coconut Grove, NT 0810 t 08 8948 0144 f 08 8948 0626
Clinic 34
Free and confidential sexual health service. Grd Flr Health House, Mitchell St Darwin t 08 8999 2678 f 08 8999 2688
http://www.health.nt.gov.au/Clinic_34/
Sexual Assault Referral Centre
Doctors and counsellors available 24 hours to discuss adult and child acute or historical sexual assault cases.
Darwin (24/7) t 08 8922 6472 f 08 8922 6499
Katherine t 08 8973 9211 Nhulunbuy t 08 8962 1715 Coconut Grove t 1800 193 121 t 08 8948 0144
Mobile Outreach Services (MOS)
Mobile counselling service to Indigenous communities to assist with healing of children and families who may have been subjected to child sexual assault. Offices in Darwin, Tennant Creek, Katherine and Alice Springs t 1800 993 064 or
RDH OPD appointments - send referral to Antenatal Clinic (ANC) OPD via SEMS or f 08 8945 3068 t 08 8922 8699
FOR ALL PATIENTS
GPs should:
Confirm pregnancy and offer healthy pregnancy advice. Provide information on options of care – shared, private and public.
GPs will need to provide first trimester care for all public patients (and the majority of private patients).
All public referrals should initially be to first antenatal clinic.
The orange hand held record should be completed, and provides a useful prompt and checklist to assist with comprehensive assessment.
The pregnancy information kit (available from the NT PHN) should be provided to all women in their first pregnancy and as appropriate
At the first antenal clinic visit at RDH, a women’s suitability for models of antenatal care will be assessed. If a woman is assessed as low risk, the woman has the choice of continuing Shared Care with GP, or attending the Midwives Clinic at RDH, the Community Midwives Program, or continuing with the antenatal clinic. See pamphlet “Pregnancy Care at RDH-Birthing Option “
For public patients ANC will also organise the fetal morphology scan for 18 weeks. If the woman has uncertain dates and no previous ultrasound RDH usually do a dating scan at the first antenatal clinic but it is preferable for the GP to organise this.
List of public Obstetric and Gynaecology Specialists above.
OBSTETRIC CARE - PRIVATE
Note: Patient will usually not be seen before 12 weeks GPs. Exemption Dr O’Callaghan
Send named referrals to: Consulting Suite, Darwin Private Hospital
t 08 8945 5233 Or f 08 8920 6248.
Antenatal Options Comments
Antenatal Clinic
Patients who are considered not suitable for GP Shared Care or community Midwife based care will continue in ANC.
RDH First ANC Appointments: To Antenatal OPD via SEMS t 08 8922 8699 f 08 8945 3068
As patients are not usually seen until 14 weeks GPs should provide first trimester care GP CARE in PREGNANCY GUIDE
GP Shared Care
Shared care between GP and Medical ANC / Obstetrician at RDH
Refer to First ANC indicating patient would like to continue with GP Shared Care.
Referral to RDH First ANC via SEMS or f 08 8945 3068 t 08 8922 8699
GP provides majority of antenatal care. GP CARE in PREGNANCY GUIDE
Women should be referred to first ANC between 12 - 20 weeks and then again at 36, 40 & 41 weeks.
Delivery at RDH Delivery Suite 6th floor Main ward block RDH.
Midwife Led Care:
Midwives Clinic (MWC)
Community Midwives Program (CMP)
Midwifery Group Practice (MGP)
Refer to first to Antenatal Clinic indicating patient would like to continue care through MWC or through CMP.
RDH First ANC Appointments: OPD via SEMS t 08 8922 8699 f 08 8945 3068
Note: all RDH consultations occur in OPD Clinic, 8th floor, Main ward block, RDH
Consultations also held at Palmerston Health Precinct. Cnr Roystonea Avenue and Temple Terrace
1 Midwives Clinic (MWC)
Referral for MWC required before 22 weeks gestation. Midwife ANC based at RDH OPD Clinic. Delivery is at RDH Delivery Suite 6th floor Main ward block RDH. Complete relevant sections of orange hand held record.
CMP care is available only for low risk women. Strict entry criteria apply. Places are limited. Women can register interest directly to the Birth Centre from 14 weeks but will require a first visit in the Antenatal Clinic. GPs should complete relevant sections of orange hand held record. CMP provides continuity of care through antenatal, intrapartum and postnatal with care provided by midwives. Care is provided from Birth Centre at RDH but may involve home visits. Delivery is either in the Birth Centre or at RDH Delivery Suite 6th floor. Postnatal follow up with home visits, 24-hour on-call support and postnatal care for up to three weeks following birth.
3 Midwifery Group Practice (MGP)
The MGP offers Darwin-based care for remote Indigenous women, from consultation rooms in Wanguri. Under the Midwifery Group Practice, women are assigned a Darwin-based midwife who works in conjunction with an Aboriginal Health Worker. The midwife accompanies the mother to any specialist appointments, conducts their antenatal care and education, and assists at the birth of the baby, either in the Delivery Suite or the Birth Centre at Royal Darwin Hospital. The MGP began in September 2009 for mothers from Wadeye, Maningrida, Palumpa and Peppimenarti. The communities of Warruwi, Minjilang and Nauiyu Nambiyu (Daly River) have recently been added to the program. The Practice is funded by the NT Government’s Closing the Gap initiative with supplementary funding from the COAG Indigenous Early Child Development Partnership.
Medical Obstetric Antenatal Clinics
(High Risk Antenatal Clinic)
Combined Medical and Obstetric Clinic (includes Obstetrician and Endocrinologists)
Public hospital patients who meet inclusion criteria for Medical Obstetric Clinic (see below) should be jointly referred to Dr Sridhar Chitturi (Endocrinology) and Dr Sujatha Thomas (Obstetrician) Fax referrals to 08 8922 6750.
This clinic is designed to manage the care of women with high risk pregnancies and with concurrent or pre-existing medical illnesses. Examples of co-existing medical conditions warranting referral to this clinic include:
Pre-gestational T1 and T2 diabetes,
Other endocrine problems: thyroid disease, pituitary dysfunction and adrenal disorders,
Severe hypertension
Active hepatic/renal/haematological/rheumatological/Infectious disease needing joint care with sub-speciality teams,
Health Network Northern Territory Ltd operating as Northern Territory PHN
Cardiac disease – including valvular stenosis or other dysfunction, prosthetic heart valves, history of heart failure or prior surgery, myocardial dysfunction, congenital heart disease, pulmonary hypertension and Marfans syndrome,
Current or past history of venous or arterial thromboembolosim.
See attached Memo from Dr Thomas re Medical Obstetrics Clinic
Pregnant women who prefer to be seen by private obstetrician who have co-existing medical conditions warranting referral to an Endocrinologist privately, should be referred to Dr Sridhar Chitturi f 08 8945 5700 or Dr Diane Howard via private referral.
Home Birth Options The service is provided to enable Health Service contracted Home Birth Midwives, in collaboration with the multidisciplinary health team, to provide effective and professional primary midwifery care. The care extends across pregnancy through to the postpartum period and the service supports eligible women electing to labour and birth at home. t 08 8922 5522
Healthdirect Australia The Pregnancy, Birth & Baby Information: healthdirect Australia helpline 1800 882 436 also provides (non emergency) information related to pregnancy, birth and parenting in the first 12 months. http://www.healthdirect.gov.au/pregnancy-birth-and-baby
Anti-D Anti-D is available from RDH Pathology or via your immunisation order for the for Prevention of Rhesus
Alloimmunisation in Rh(D) negative women. Please refer to the following guidelines for further information.
Accessing Anti-D for Prevention of Rhesus Alloimmunisation
Guidelines for Prevention of Rhesus Alloimmunisation in Rh(D) Negative Women
Early Pregnancy Loss Clinic RDH
An Early Pregnancy Loss Clinic held every day (Mon - Thurs from 9am – 12pm and Friday afternoon) aimed at women who are having problems in the first 14 weeks of their pregnancy, such as pain or bleeding.
Inclusion criteria includes:
Pregnancy up to 13+6 weeks gestation with pain and or vaginal bleeding, but clinically stable
Please address referrals to Dr Thorn, Thomas and Colleagues, Early Pregnancy Loss Clinic at RDH OPD: SEMS or f 08 8945 3068, or directly on 08 8922 6750. Alternatively Phone OPD appointment (8am-4pm) EPLC reception on 08 8922 7985.
Referral template – Early Pregnancy Loss Clinic RDH
All consultations occur in the outpatient clinics on the 8th floor, Main ward block, RDH.
Please give woman the EPLC Patient Information.
OPD Reception will contact the patient by telephone with details of appointment time.
Most patients will be bulk-billed for paediatric attendances. Parents or guardians or patient should be told to bring their Medicare card to appointment.
PLEASE NOTE: Under the MBS a child under 14 years seen by a paediatrician with autism related disorders can now be on-referred by paediatricians for up to 20 allied health services (occupational therapy, psychology, speech therapy). This can be coordinated via paediatric outpatients. Please refer to a paediatrician by name with an interest in developmental paediatrics
Paediatricians can also write Better Access to Mental Health Care Plans to see a psychologist for 6 visits + option further 6 visits for any child.
See Using the MBS to access services for children with behavioural disorders
Dr Peter Morris
General
Dr Kathryn Roberts
General and developmental
Dr Louise Woodward
General and Developmental
Dr Louise Martin
MAC team, child sexual abuse
Dr Joshua Francis
Infectious Diseases
Dr Doug Heller
General and Developmental
Dr Gurmeet Singh
General and Developmental
Dr Catherine Boyd
General and Developmental Send private referrals direct to ‘Top End Paediatrics’ CDU Medical Centre or ‘Top End Paediatrics’ Palmerston GP Super clinic
Dr Keith Edwards Community Paediatrician general and developmental t 08 8922 8444
Prof Anne Chang Cough study Complex respiratory (via tertiary referral only). This is for paediatric patients (<18 years) with chronic cough who are randomised into 2 groups - seen at two weeks or at six weeks.
Dr Manbir Chauhan
Dr Ben Dayaratne
Neonatal and Perinatal Medicine
Private, general Specialist Paediatrician
Please address referrals by name to the relevant specialist listed and send via SEMS or f 08 8945 3068.
Nakara Medical Clinic t 08 8927 1873 Palmerston Medical Clinic t 08 8932 5100 patients can be referred with or without a referral letter.
SURGERY
Send referral to Surgeon by name at OPD via SEMS or f 08 8945 3068
GENERAL
RDH General Surgery (Public)
Dr Ruth Hardstaff
Mr Luke Anthony
Mr Sanjay Kalgutkar
Dr Stephanie Weidlich
Dr Dharmawardhane
Send Public/private referral to Surgeon by name at RDH Surgical OPD via SEMS or f 08 8945 3068.
Consider referral options such as open access gastroscopy
Dr Jon Wardill available for public hand clinic specialty only
Other public surgeon as listed jointly below
Health Network Northern Territory Ltd operating as Northern Territory PHN
Open Access Gastroscopy to Consultant Surgeon (Public)
Direct referral to any Private Surgeon
Recommendation that all patients with significant co-morbidities, requiring upper gastrointestinal endoscopy or flexible sigmoidoscopy should be referred directly to Surgical Outpatients
To assist with the triage of Gastroscopy bookings please clearly indicate the referral is for open access gastroscopy and the triage category. Send referral to Surgeon by name at OPD via SEMS or Fax: 8945 3068
GPs should ensure patients are informed about the procedure, risks and possible complications.
Patient Information sheet - Gastroscopy
The procedure will be performed by one of the RDH surgeons or senior registrars with the clinical findings and biopsy results forwarded directly to the referring GP for follow up.
Information for GPs on gastroscopy including what to information to provide the patient.
Colonoscopy Patients requiring public colonoscopy should be referred directly to Surgical Outpatients for a Specialist assessment.
All private general surgeons also offer a private colonoscopy service
HAND SURGERY
Mr Shiby Ninan Consultant Plastic Reconstructive, Hand and Microvascular Surgeon
Public referral to Mr Shiby Ninan to Hand Clinic OPD via SEMS or f 08 8945 3068.
Private referral to Territory Medical Group. t 08 8948 4333 f 08 8948 4322 e [email protected]
Mr Jon Wardill Hand and General Surgery
Public referral to Mr Wardill to Hand Clinic OPD SEMS or f 08 8945 3068.
Private referrals to Central Specialist Clinic, 8th floor NT House, 22 Mitchell St. Darwin t 08 8981 9966 f 08 8941 0595
Dr Ravi Mahajani
Consultant Plastic Reconstructive, and Hand Surgeon See web site: Northern Plastic Surgery NT
Public referral to Dr Mahajani at Hand Clinic OPD via SEMS or f 08 8945 3068 (Patients may be seen at private rooms)
Patients seen at Private rooms – Unit 7, 25 Parap Rd, Parap. 0820
Private referrals to PO Box 2006 Parap t 08 8981 4500 f 08 8981 4399 e [email protected]
LAPROSCOPIC BANDING SURGERY
There is no public laparoscopic gastric banding service available at RDH.
Darwin Obesity Surgery Centre
Mr John Treacy
DPH Private
Laparoscopic Banding Surgery t 08 89206240 f 08 89206237.
Dr Treacy works with a team including Medical Practitioner Dr Doug Hardcastle, Physician Dr Elio Gagliardo, Dietitians Richard Sager, Bethany Prosser and Brittney Fawcett, Exercise Physiologist Kia Naylor, Psychologist Raylene Chandler (Caring Matters), Anaesthetist Dr Chris Purser, Nurse Sylvia Steenkamp and Practice Manager Eila Allen.
For more information see Darwin Obesity Surgery Centre
Innovation HealthCare
Mr Justin Bessell
Visiting Private
Book through private room t 08 8359 2411. Patients seen at Central Specialist Clinic, 8th Floor NT House, 22 Mitchell St.
Works with and will arrange referral to other team members: including Ms Sally Johnson, nutritionalist, who provides dietary education and advice. May also refer to Psychologist if required. For more information see Innovation HealthCare
Maxillofacial, head and neck surgery. Send referral to Consultant at OPD via SEMS or f 08 8945 3068
Management of all swellings of the region of the H&N, both paediatric and adult, covering benign and malignant disease. Includes care of all salivary gland pathology, goitres, and congenital lesions of the H&N. Referrals also welcome in all areas of facial trauma, and in the management of all facial pain.
Private referral to Territory Medical Group – Nightcliff t 08 8948 4333 f 08 8948 4322 e [email protected]
This will include consulting and minor operating on site at NMC, and operating every Monday at the DPH.
Mr Hemi Patel
Public/private
Otolaryngology and head and neck surgery
Send referral Mr Patel at Otolaryngology and head and neck surgery OPD via SEMS or f 08 8945 3068
Special interest in larynx and pharynx cancers, paediatric and adult neck lumps including salivary gland and thyroid. Conducts weekly head and neck clinic
Mr Miles Doddridge
Visiting
Darwin Orthodontic Centre 10/4 Manton Street, Darwin Phone t 08 8981 9782 f 08 8941 0445
NEUROSURGERY
Mr Santosh Poonnoose
Mr Nik Vrodos
Both Neurosurgeons visit every two months alternating. Complex spinal surgery and interest in skull base and epilepsy surgery
Appointment through tertiary referral. Refer to Orthopaedics. Public patients seen in Neurosurgery Clinic at RDH
Private patients seen at Central Specialist Clinic, 8th floor NT House, 22 Mitchell St
Book through private rooms in Adelaide Phone t 08 08 8204 4355 f 08 8204 5116
Multiple / rotating visiting Orthopaedic surgeons from Adelaide. Patients seen at SportsMed - SA 8 Parap Place, Parap.
t 08 8941 2588 f 08 8941 0677
PLASTIC AND RECONSTRUCTIVE
*Dr Ravi Mahajani
Public referral to Dr Mahajani at Plastic and Reconstructive Surgical OPD via SEMS or f 08 8945 3068
Private patients are seen in the RDH Specialist Suites at DPH Private Rooms Level 1, 7 Keith Lane, Fannie Bay 0820
t 08 8981 4500 f 08 8981 4399
Mr Shiby Ninan
Public referral to Dr Ninan at Plastic and Reconstructive Surgical OPD via SEMS or f 08 8945 3068
Private referral to Territory Medical Group, Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810 t 08 8948 4333 f 08 8948 4322 e [email protected]
Dr Mark Moore Visiting, plastic and reconstructive, craniomaxillo facial surgery
Private referrals to Consulting Suite DPH t 08 8267 4566 f 08 8239 2349
Sports related diagnosis, management and rehabilitation
Physiotherapy: including Sports Physiotherapy, massage, hydrotherapy, dry needling, core stability Pilates, real time ultrasound
Fitness Testing: Stress tests and medicals.
Central Specialists Sports Injury Clinic:
Dr Doug Hardcastle
Early diagnosis and management of back pain, sporting and related injuries.
t 08 8981 1711
f 08 8941 0595
UROLOGY
Dr Henry Duncan
Urology - Specialises in all areas of adult urology and has a particular interest in stone disease, urological malignancies and male voiding dysfunction.
Duncan Urology, Darwin Private Hospital, Rocklands Drive, Tiwi 0810
t 08 8920 6212 f 08 8920 6213 e [email protected] www.duncanurology.com.au
Weekly public outpatient urology clinic at Royal Darwin Hospital. Send Public referral addressed to Henry Duncan at RDH Urology OPD via SEMS or f 08 8945 3068.
Dr Kim Pese
Dr Kym Horsell
Urological monthly visiting service
Urological malignancies
Haematuria.
Stone disease
Male urinary symptoms.
Refer to a general surgeon by name to RDH Surgical Outpatients and the general surgeon is able to refer public patients to Urologist as required
Private Rooms, Darwin Private Hospital
Referrals to be faxed to Adelaide office prior to scheduled appointments on 08 8292 2388 t 08 8292 2399 e
Most urological surgery can be offered in Darwin, including radical prostatectomy for prostate cancer. Some complex laparoscopic surgery and minimally invasive laser surgery for renal stones cannot be offered in Darwin at present.
VASCULAR
Dr Mark Hamilton Referrals via SEMS or f 08 8945 3068
DEPARTMENT OF SURGERY – VISITING SPECIALISTS
Visiting Specialists referral is only available through specialist tertiary referral
Specialty Approximate frequency
COMPTON, John Corrective Squint surgeon (Paediatric) 6 monthly
