Prior to referral consider / screen to exclude:
Key Clinical Observations of concern
Patients with any of the following suspected should be sent to A&E:
Urgent appointments can be made in elective Hand Clinics for patients with:
If Serious pathology suspected or rapidly increasing neurological symptoms refer directly to surgeon via Interface Team.
If no serious pathology suspected:
If no improvement:
If no improvement after interventions above refer to surgeons via the Interface Team.
X-ray if suspicious of trauma, infection or tumour.
If patient fits the criteria below refer to Surgeon.
X-ray prior to surgical referral.