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:
Exclude red flags - inflammatory joint disease.
Consider Diagnosis (discuss within peer review).
As for GP.
Ganglion removal is listed on Gloucestershire CCG's Effective Clinical Commissioning Policy. Please the attached link for details of access criteria and funding arrangements.
Epidermal Inclusion cyst: Surgical removal if symptomatic.
Osteochondroma/ tumour: surgical removal +/- bone graft.