Royal Free London (RFL) offers a Tier 4 diabetes service.

To ensure you are following the correct pathway refer to the Diabetes: Integrated Practice Unit page.

The Royal Free Hospital diabetes service will introduce the clinical assessment service (CAS) from Wednesday 20 September. This means patients referred into the service will be clinically triaged to determine the next steps for their care. 

A triaging clinician will carry out the clinical assessment during a triage appointment which does not involve the patient. 

Information about the triage appointment is for GPs only and not for sharing. 

CAS triage has six possible outcomes: 

• New appointment not required - letter of advice sent to GP and patient. 
• New appointment not required - appointment already exists. 
• New appointment not required - referral to another service (GP or RFL team). 
• First appointment required. 
• First appointment required with investigations booked beforehand.
• Investigations booked with virtual review by consultant. Following CAS triage, GPs and patients will be sent a triage outcome letter. 

This may include clinical advice and guidance provided by the triaging clinician. This letter will be addressed to the GP and posted to them, with a copy sent to the patient.

The service runs a CAS model in six outpatient services and is seeing a positive impact on access to treatment.

How to Refer

Locations

Diabetes Service