Share this page:
GP Admin Updates

L&D GP Admin Alerts

Welcome to the new L&D ‘GP Admin Alerts’ section of the Trust’s GP pages.  These admin alerts will be emailed to all Practice Managers, generic GP surgery email addresses and other GP administrators on a frequent basis.  This new section will provide the archive of all the useful out-patient information which is designed to keep administrators in general practice up to date with the latest administrative changes at the hospital.  Such changes include:

  • updated contact details for Consultants and secretaries
  • changes to referral guidance and processes
  • updates related to C&B/e-Referrals
  • ICE and other systems 

Please see below historic GP Admin Alerts

GP Admin Alerts No.1 

GP Admin Alerts No. 2

If you have any queries with regard to the selections then please contact our Head of Client Liaison.    

Please see below latest GP Admin Alert No.3 - August 2017

New Rheumatology Referrals Email Process

Dear All Primary Care Colleagues,

The L&D’s rheumatology department has now switched from the unreliable and unsafe mode of receiving faxed referrals and enquiries, to the use of the secure email address detailed below.

All referrals, enquiries and communications for the Rheumatology department should now come through this dedicated email address, which is checked frequently during the day by the department secretaries, with cover for annual leave, to ensure that messages are never missed. We are sure that you will find this a much more convenient and reliable means of communicating with us.

L&D outpatient booking dept phone line temporarily down on 12th July 

Due to a technical issue caused by our telephone provider Open Reach our patient booking line was unavailable on Wednesday 12th July.  No action is required and this notice is for information only as you may have had patients experiencing difficulties getting through to us on this date.  Normal service was resumed on the following day.

For any queries please contact; Mary Hirst, Outpatients Operational Manager, Luton & Dunstable University Hospital NHS Foundation Trust, telephone, 01582 497246.

L&D Hospital Outpatients Team Contact List

It is now even easier to contact the L&D’s outpatient teams as you can now download the contacts list for the whole department by clicking here.

List of L&D Hospital Services Available on E-RS


Please click here to view July 2017 list of all L&D services available for booking on the E-RS. This list will be regularly updated so please visit this page to keep up to date with all our services on the E-RS. Please note from October 2018 100% of hospital referrals must be made via ERS as part of new NHS rules. For any queries please email our Outpatients Booking Dept Manager by clicking here.

Speech & language therapy led endoscopy clinic referral guidance

Luton and Dunstable Hospital ENT department are pleased to confirm that the new clinic described previously is providing appropriately referred patients with more timely access to stroboscopy and Speech and Language Therapy, as their primary treatment.  This new referral pathway avoids separate waits for ENT/SLT as the clinic involves stroboscopic assessment of the patient's larynx alongside a Speech and Language Therapy evaluation, to provide the most accurate diagnosis and management plan.  This clinic is appropriate for anyone with voice change over the age of 16, who has no history of cancer, dysphagia, weight loss or lumps palpated (See e-referral system for more detailed criteria).  Patients can be referred to this clinic via the e-referral system or by letter. 

To refer patients via the e-referral system use key words ‘voice change” or dysphonia’. We have had a few referrals which do not meet the criteria, which has led to them being moved back into the general ENT clinic.  Two examples are a patient a suspected cyst on a tonsil and another with the sensation of a lump in the throat. 

For further information please contact Zoe Knight, Highly Specialist Speech and Language Therapist, Head and Neck/ENT, SEPT Community Health Services Bedfordshire, Speech and Language Therapy Department, Luton and Dunstable Hospital, Tel:  01582 497049.

Arranging access to LDH ICE services

The Luton and Dunstable University Hospital’s IT Department have introduced a new process for practices and their staff requesting access to ICE. This should speed up the time to process your requests – though we ask that where possible, a week’s notice is given for the request to be processed.

Please click here to access the request form which should be completed and submitted to the LDH IT Service Desk (

There must be one form completed per user to be added, multiple users on one form will not be accepted, although multiple forms can be attached to the same email request. TIP: Complete the top section of the form with your practice details and save that. This will mean that part does not need to be completed each time you make a request.

Please complete the appropriate section based on the user’s job role, making sure that all relevant information is supplied. Any missing information could lead to a delay in the account being created. When a GP or staff member leaves the practice, please notify the LDH IT Service Desk so they can remove them from the system. This is required for auditing and information governance purposes.

The new process will be implemented from 1st August – Please contact the IT service desk with any question.

Promoting early self-referral using Hospital’s website

We have introduced a new self-referral form which can be accessed by clicking here. pregnant women wishing to book for maternity care can refer themselves by completing the form online at

The Community Midwife (attached to the woman’s GP surgery) will receive the referral within a couple of days. She will contact the mother within ten days to arrange her booking, scans and screening tests.

We hope this new service will reduce the number of General practitioner (GP) appointments that are taken up by women who did not realise that they do not need to see a GP to be referred to a midwife. 

“Early Self-Referral” will ensure that women are given the opportunity to access Antenatal Screening tests at the optimum time for testing. Any questions contact the Antenatal and New born Screening Manager on 01582 497962 or 07714064377

Rheumatology launch new fast track pathway for Giant Cell Arteritis

Giant cell arteritis (GCA) is a condition seen in older people that leads to inflammation of the medium and large arteries around the head and neck.  Devastating consequences such as irreversible sight loss or stroke can occur if treatment with high dose steroids is delayed.  It occurs in about 20 per 100,000 people. Almost all are over 60 and almost all are Caucasian.

The key to improving outcomes in GCA is rapid diagnosis and treatment. The problem is that diagnosis can be difficult. The symptoms are similar to many other more common conditions seen by GPs and hospital doctors, who may only come across a few true cases of GCA in their career. Then, to prevent sight loss, doctors are advised to give immediate high dose steroids in all suspected cases, which usually rapidly resolves any sign of the condition on blood tests, imaging tests or biopsy. 

Dr Vanessa Quick, Consultant Rheumatologist said, “Our pathway aims to provide rapid access to a specialist rheumatology assessment, temporal artery ultrasound and biopsy for all patients with possible GCA. We know this approach can dramatically reduce the rate of sight loss in GCA. It can also minimise the impact of high dose steroids in those who don’t have the condition, because tests such as ultrasound and biopsy can only reliably rule in, or rule out GCA, if done within a few days of starting steroids”. If GPs are concerned about a potential case of GCA, they can urgently refer their patient via the rheumatology email, available from the Luton Rheumatology secretaries.

Common symptoms in GCA

  • A new type of headache
  • Pain and tenderness in the temple area
  • Distended, tender temporal arteries
  • Tiredness, fever, flu like symptoms
  • Aching and stiffness across the shoulders and hips
  • Jaw ache after chewing or talking
  • Sudden partial sight loss 

Traditionally, GCA is diagnosed on temporal artery biopsy.  However, ultrasound is emerging as an exciting new way of making the diagnosis in many patients. Currently the ultrasound is done in the rheumatology department by Dr Quick, but there are plans to develop the service further, so a rapid access service is available all year round.