Select the appropriate body area for guidance table
No Spinal injuries, back pain, Cauda Equina, foot drop etc to be referred to VFC
Patients that will not be suitable & need a “face-to-face” as below
- Homeless patients
- Prisoners
- Non English Speaking Patients
- Inpatients
- Patients with Hearing Difficulties
- Phoneless Patients
- Injuries Associated with Domestic or Child Abuse
- Children under 2 Years of Age
Hand Injury Referral
Our local hand surgeons have requested the following reduce the number of transfers to BRI
Hand Trauma – Refer to BRI:
- All soft tissue pathology (tendon, nerve, nailbed, complex wounds, infections, compartment syndrome, necrotising fasciitis)
- Open hand fractures, regardless of location
- Phalangeal fractures
- Any case requiring an on-call opinion
T&O (VFC or F2F Clinic) – HRI:
- Closed fractures proximal to the MCPJ (metacarpal and proximal onwards)
- UCL injuries and similar (e.g. boxer’s knuckle)
- Simple dislocations without fracture or with small bony avulsion
- Mallet finger (with clear documentation of whether bony or non-bony)
No Follow-Up Required:
- Simple wounds
- Closed extra-articular tuft fractures
Upper Limb
Lower Limb
5th MT zones
