The service offers assessment and treatment for patients with primary and secondary lymphoedema, provides advice and support to healthcare professionals on lymphoedema management, and increases awareness of cellulitis management in patients with lymphoedema.

Hospital transport can be requetsed if patient meets the eligibility criteria.

In Islington, all requests for domiciliary visits for patients with an Islington GP will be assessed on an individual basis and patients will be asked to attend a clinic if there are no health-related contra-indications noted.

Eligibility Criteria

Inclusions

Over-18s living or with a GP in Haringey or Islington who are

• oncology patients with swelling, or who are at risk of swelling secondary to cancer treatment or disease progression.
  • A priority triage category will be given to referrals for assessment of lymphoedema secondary to oncological causes or those where the patient is receiving palliative or end of life care.
• non-cancer related referrals for patients with swelling lasting >3 months duration, not responding to elevation or diuretics.

Exclusions

• Patients referred for implementation or maintenance of standard care including routine Doppler assessment and fitting garments for uncomplicated venous oedema
• ulceration or wounds to the legs
• Haringey resident requiring a home visit
• if the referral information is incomplete, the referral can not be accepted

How to Refer