Please select one of the following options:
Adult Specialties
Advance Care Planning
- Information about Advance Care Planning and how to navigate the process
- Advice for the MTDM regarding the person who lacks capacity to complete an Advance Care Directive
- Goals of care discussions
- Conflict in decision making
Cardiology
- Arrhythmia – including bradycardia or tachycardia
- Supraventricular tachycardia (SVT)
- Atrial fibrillation (AF)
- Atrial flutter (AFL)
- Heart block and other bradycardia conditions
- Cardiac device-related issues – including pacemakers and defibrillators
Continence
- Urinary / faecal incontinence
Dermatology
- Psoriasis
- Eczema
- Acne
- Rosacea
- Rash (photos required)
- Hidradenitis suppurativa
- Hives / urticaria
- Scabies
- Fungal skin infections
Dietetics
- Loss of appetite
- Unintentional loss of weight
- Non-healing wounds / pressure injuries
EXCLUSION CRITERIA
- Paediatric patients (<18 years old)
Endocrinology
General (Non-Diabetes)
- Thyroid disorders
- Thyroid cancer
- Calcium disorders
- Hypertension investigations
- Prolactin disorders
- Osteoporosis
- Sex hormones
- Obesity
Diabetes
- Type 1 diabetes
- Type 2 diabetes not responding to medical management (e.g has tried at least 3 glucose-lowering medicines) with HbA1c >8%
- Type 2 diabetes with complications (e.g. cardiovascular disease, kidney disease, retinopathy, cerebral vascular disease, neuropathy)
- Management of unstable glycaemia due to use of medicines that impact on glycaemic control (e.g. corticosteroids, chemotherapy protocols)
- Diagnosis of diabetes
Gastroenterology
- Liver problems – Hep B, deranged LFTs, autoimmune hepatitis, fatty liver, alcoholic liver disease (excluding newly diagnosed / decompensated cirrhosis)
- Gastro problems – altered bowel habits, abdominal pain/bloating, rectal bleeding, iron deficiency
General Medicine
- Hypertension management – medication review, lifestyle optimisation, monitoring guidance.
- Healthy ageing & lifestyle advice – preventive strategies, exercise, diet, and risk reduction.
- Medication reviews & deprescribing – polypharmacy assessment, side effects, rationalising treatments.
- Cognitive concerns (initial triage) – early screening for memory issues, basic functional assessment, referral guidance.
- Peripheral oedema assessment – venous oedema, lymphoedema, lipoedema.
- Specialist triage & advice:
- Guidance on referral pathways for complex conditions.
- Interpreting mildly abnormal tests.
- Preoperative risk assessment (low-risk procedures only)
Geriatrics
- Falls
- Polypharmacy
- Bone health
- Cognition/memory, continence
- Review of chronic disease (e.g. dementia, heart failure, respiratory disease, hypertension, diabetes, Parkinson’s disease, behavioural and psychological symptoms of dementia (BPSD)
- Optimising healthy ageing
Haematology
General
- Investigation of FBE abnormalities (e.g. neutropenia, anaemia, etc.)
- Interpretation of iron studies
- Interpretation of specialised haematology tests (e.g. protein electrophoresis, flow cytometry, free light chain assay)
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Note: For patients <16 years old, please refer to one of the “Paediatric Specialties” below.
Thrombosis
- Venous thrombosis
- Anticoagulation advice
- Bleeding disorder
Infectious Diseases
- General infectious diseases
- Tuberculosis
- HIV and sexual health
- Fever of unknown origin
- Hepatitis B
Nephrology
- Chronic kidney disease
- Kidney impairment for investigation
- Haematuria
- Proteinuria
- Recurrent kidney stones
Neurology
General
- Migraine and tension-type headaches
- Restless legs syndrome
- Diabetic or idiopathic neuropathy
- Functional Neurological Disorders (FND)
- MRI Brain abnormalities – follow up for incidental or significant findings requiring further review.
Epilepsy
- Migraine
- Stroke
- Post-concussion syndrome
- First seizure patients
Ophthalmology
Palliative Care
- Specialist palliative care with a life-limiting condition
Physiotherapy (Musculoskeletal)
- Back pain & neck complaints including
- Simple back pain
- Sciatica
- Degenerative disc disease/Spondylosis
- Spondylolistheses
- Radiculopathy
- Soft tissue injuries including
- Shoulder: Post-dislocation, ACJ injuries, impingement, tendinopathy, bursitis
- Elbow: Sprain/strains, radial head fractures
- Wrist and hand injuries
- Hip pain, impingement, OA, tendinopathy, GTPS
- Knee pain, ligamentous injuries, bursitis
- Ankle & foot pain, soft tissues injuries, base 5th MT fracture
EXCLUSION CRITERIA
- Patients under the age of 16
- Workcover or TAC patients
- RACF patients
- Elderly patients with frequent falls, or falls as a primary concern (consider falls & balance clinics)
- Back pain with significant (Gd 3/5 power, of under) motor weakness or foot drop
- Cauda equina syndrome
- Back pain with new bladder/bowel dysfunction, saddle sensory change, bilateral lower limb motor or sensory disturbance
- Spinal fracture
- Possible spinal infection (discitis/osteomyelitis, abscess)
Respiratory
- Airway diseases – asthma, chronic obstructive pulmonary disease, bronchiectasis
- Sleep disorders – obstructive sleep apnoea, snoring, insomnia
- Pulmonary infections
- Diagnostic evaluation of dyspnoea
- Chronic cough
Rheumatology
TBA
Sexual Health
Social Work
Social Work in VVSC only provides a service to Paediatric patients and First Nations patients where consent for Social Work has been obtained and where the following concerns have been identified:
- Patient/Parent discloses or clinician suspects current Family Violence occurring at home. Referrer must complete MARAM Screening Tool prior to patient being seen by Social Work. For immediate risk contact police, attend nearest ED or contact Safe Steps. Follow NH Family Violence Policy.
- Parenting and other psychosocial difficulties, where need for community support is identified
- Barriers to healthcare and there are concerns about risk to the patient due to lack of medical, or Allied Health assessment/treatment or other psychosocial issues.
- Currently homeless or living in a car.
- Acute financial hardship requiring linkages to community services (no ER funds available directly from SW).
- Patient has a recent chronic health or disability diagnosis, and patient/parent requires community supports.
Women's Health
Menopause
Providing supportive clinical assessment and management for patients experiencing perimenopausal or menopausal symptoms, with a focus on patient education, and collaborative care planning
Wound
- Pressure ulcers
- Diabetic foot wounds
- Arterial ulcers
- Venous ulcers
- Slow healing acute wounds
- Wounds secondary to lymphoedema
- Burns
- Skin tears
Paediatric Specialties
Allergy
- Allergic Rhinitis
- Non IGE Mediated allergic reactions (e.g. dairy proctocolitis, FPIES)
- Food contact reactions
- Acute/chronic urticaria
- Advice regarding eczema and concern about food allergy
- Localised reactions to insect stings
- Simple drug allergy (excluding drug anaphylaxis or complex cases)
- Simple IGE-mediated food allergy for patients living remotely
Asthma
- Education
- Management
- Guidelines
Complex Adolescent
- Mental health
- Eating disorders
- Gender care – consultation and community service navigation (no medical prescribing)
- Somatoform and functional concerns
- At-risk young people
- People in out of home care
- Drug and alcohol issues (no prescribing of methadone or similar)
Continence
- Bed wetting
- Constipation
- Toilet training resistance
Dermatology
- Psoriasis
- Eczema
- Acne
- Rosacea
- Rash (photos required)
- Hidradenitis suppurativa
- Hives / urticaria
- Scabies
- Fungal skin infections
Endocrinology
- Abnormal thyroid function
- Puberty concerns
- Growth concerns
- Irregular menstrual cycles
- Diabetes
General Paediatrics
- Developmental and behavioural concerns
- Growth concerns
- Asthma, eczema, hayfever
- Constipation and incontinence
- Abnormal blood tests
- Vitamin D deficiency
- Iron deficiency
- Recurrent abdominal pain
- Infant issues
Perioperative ENT
- Preoperative education
- Postoperative advice/management
Respiratory and Sleep
- Asthma diagnosis
- Allergic rhinitis / hayfever
- Chronic cough
- Unexplained breathlessness
- Unexplained noisy breathing
- Insomnia
- Parasomnia – night terrors, sleepwalking, sleep talking, REM-related issues
- Hypersomnia
Social Work
Social Work in VVSC only provides a service to Paediatric patients and First Nations patients where consent for Social Work has been obtained and where the following concerns have been identified:
- Patient/Parent discloses or clinician suspects current Family Violence occurring at home. Referrer must complete MARAM Screening Tool prior to patient being seen by Social Work. For immediate risk contact police, attend nearest ED or contact Safe Steps. Follow NH Family Violence Policy.
- Parenting and other psychosocial difficulties, where need for community support is identified
- Barriers to healthcare and there are concerns about risk to the patient due to lack of medical, or Allied Health assessment/treatment or other psychosocial issues.
- Currently homeless or living in a car.
- Acute financial hardship requiring linkages to community services (no ER funds available directly from SW).
- Patient has a recent chronic health or disability diagnosis, and patient/parent requires community supports.
