Referral to | Problem | Referral criteria |
---|---|---|
Audiology | Hearing impairment | Fail whispered voice test and no wax |
Ophthalmologist | Vision impairment | VA <6/18 in either eye not corrected by pinhole |
Memory Clinic /CPN | Moderate to severe cognitive impairment | Mini Mental state < 17 or < 12 if language section could not be completed |
Continence advisor/community nurse | Urinary incontinence | more than once a week and MSU not infected. |
Community nurse | Leg/foot ulcers/ bed sores | Present on nurse examination |
Chiropodist | Foot problems | Corns, bunions, ingrowing or long toe nails or other treatable foot problem on examination |
Social services | Self-care | No help available for difficulties with dressing, cooking hot meal, carrying out light housework, washing and shopping |
 | Social isolation | Lack of close confident or someone to call on for help |
 | Financial problems | Difficulty in making end meet Difficulty in paying bills |
 | Housing problems | Difficulty in keeping home warm No indoor toilet |