Consider GP referral to Frenchay Chronic Fatigue Centre if fatigue is the key problem and no evidence of underlying disorder.
If inflammatory arthritis is suspected refer urgently to Rheumatology.
Consider referral to :-
If no improvement consider referral to a Physiotherapy Service, Interface Team or Pain Service (see Services and Referrals Section) with the skills to provide a comprehensive biopsychosocial assessment and management plan.
Imaging / Bloods
Note: In Fibromyalgia - blood tests, x-rays and scans will typically yield a negative result.
If not responding consider referral to Interface Team.
If no major barriers are identified and the GP is seeking reassurance, discharge is warranted at this stage.
Or if barriers identified; consider referral criteria below.
Note: In Fibromyalgia - Blood tests, x-rays and scans will typically yield a negative result.
Inclusion criteria for Pain Self-Management Service:
Pain Self-Management referral is not appropriate for people who:
Criteria for urgent referrals to Pain Self-Management Service