General Surgery / Lumps & Bumps / Gallstones
Specialty
This page includes some guidance for surgical conditions that may not be covered in other topic specific pages.
Where reference is made to Southampton treatment centre / ISTC / PPG – please see the separate tab for further information
Please review the page on the portal for ‘soft tissue lumps’ for guidance on management:
Soft Tissue Lumps | GP Portal (westhampshireccg.nhs.uk)
Please note that benign soft tissue lumps not meeting referral criteria as set out in the link above are subject to a successful IFR (individual funding request) from primary care. More information can be found at:
Superficial Lumps and Bumps, or those related to the skin (including cysts) are likely to be seen by dermatology.
Thus if a minor local anaesthetic and/or skin procedure is likely required then consider referral to dermatology. Consider tier 2 service (community dermatology where appropriate)
Benign lesions are subject to an IFR
Acute abscesses are sene through the on-call general surgical services at local hospitals
It is not possible for primary care to book directly into PPG. Please see separate tab on this page
Clinics on eRS are found under:
Speciality: Surgery – Not Otherwise Specified
Clini Type: Lumps and Bumps
General Surgery Triage Service – Winchester – HHFT – RN5
General Surgery – Triage Service – Basingstoke – HHFT – RN5
General Surgery Triage Service – Andover – HHFT – RN5
Surgery – Non Concerning Soft Tissue Lesions with DIagnstics (Triage) – Southampton – UHSFT – RHM
Surgery – General – Southampton – UHSFT – RHM – Lymington
General Surgery and Upper GI RAS – Portsouth Hospitals Hospitals University NHS Trust-RHU
General Surgery (RAS) Referral Assessment Service-Salisbury FT-RNZ
Lumps and bumps to the head and neck may be seen by ENT or Oral & Maxillofacial Surgery. These service are found under their speciality on eRS.
Neck Lumps- please consider if this needs to go to the ‘one stop head and neck clinic’ which is referred to through the fast track pathway for suspected cancer of the head and neck.
Lumps and bumps on limbs and digits are generally seen through the orthopaedic service via orthopaedic choice.
More information can be found at the below link:
Specialty: GI and Liver (Medicine and Surgery)
Clinic Type: Gallstones
Upper GI Surgery Triage Service – Winchester & Andover – HHFT – RN5
Upper GI Surgery Triage Service – Alton & Basingstoke – HHFT – RN5
Specialty: GI and Liver (Medicine and Surgery)
Clinic Type: Gallstones
Adult General Surgery Gallbladder Clinic – RSH – Practice Plus Group Hospital, Southampton NTP11
Surgery – Hepatobiliary & Pancreatic – Southampton – UHSFT – RHM – Triage
Surgery – Uper GI Surgery – Southampton – UHSFT – RHM
Specialty: Surgery – Not Othewise Specified
Clinic Type: Pick any (e.g. Lumps and Bumps) – write a note advising the reason for referral eg – Gallstones
General Surgery (RAS) Referral Assessment Service-Salisbury FT-RNZ
Specialty: Surgery – Not Otherwise Specified
Clinic Type: pick any (e.g. Lumps and Bumps) – write a note advising the reason for referral eg – Gallstones
General Surgery and Upper GI RAS-Portsmouth Hospitals University NHS Trust-RHU
Specialty: GI and Liver (Medicine and Surgery)
Clinic Type: Gallstones
* Upper GI Surgery – Royal Bournemouth Hospital – R0D
Clinics on eRS are found through:
Speciality: GI & Liver (Medicine & Surgery)
Clinic Type: either ‘Colorectal’ or ‘Upper GI’
Then select appropriate hospital’s service including PPG if patient meets inclusion criteria.
Primary care cannot dircetly refer into the PPG lumps and bumps eRS service. This service is only accessible by onward triage/referral from secondary care.
To refer to PPG patients must meet the following criteria and a BMI must be included with the referral.
ASA grade 1 or 2. Not ASA grade 3 patients unless pre-existing co-morbidities are stable and well controlled
The Patient has a BMI <40
The patient is >16yo
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