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Haematology

 
Haematology services in CALHN

The Haematology department at the Central Adelaide Local Health Network covers haematology services provided at both Royal Adelaide Hospital (RAH) and The Queen Elizabeth Hospital (TQEH).

The service offers inpatient and outpatient management of the following conditions:

  • Malignant diseases of blood and bone marrow and lymphoid tissues
  • Non-malignant disorders of red and white blood cells and platelets
  • Bleeding and clotting disorders

Specific services covered by CAHLN Haematology include:

  • Allogenic and autologous haematopoietic stem cell transplants,
  • State-wide haemophilia service (for adults ≥18 years of age)
Our model of care in Haematology Outpatients

The objective of our outpatient appointments is to provide an assessment of the patient, an opinion regarding the key clinical issues and advice to the patient and the referring practitioner over several visits. If appropriate, patients may be discharged to the care of their primary care specialist. For haematological diseases that require ongoing supervision from a haematologist, patients will be seen throughout their treatment and for follow-up post therapy.

Though our haematologists commonly have a primary area of interest, patients may be seen by any haematologist as we maintain credentials in general haematology. Furthermore, we work in teams using established management protocols and have regular stream-based multidisciplinary discussions to determine and review treatment management plans. Patients attending for consultation are reviewed either by a consultant, or by a specialist-in-training in a clinic closely supervised by a consultant haematologist.

Referral details

A list of clinical leads in various subspecialties is provided below. Referrals ought to be a “named referral” instead of a generic “Haematology unit” referral as this assists triage and provides guidance regarding the preference agreed by the GP and patient.

Your referral will be triaged in line with the degree of clinical urgency. Please provide as many relevant blood tests results and radiology results with the referral (see below for further guidance in this regard) and should include the address of the patient may also help to direct the referral.

Myeloid stream including acute leukaemias and myeloproliferative neoplasms
  • Prof Tim Hughes (CML lead)
  • A/Prof Devendra hiwase (AML lead)
  • A/Prof Peter Bardy (BMT lead)
  • A/Prof David Yeung (ALL lead)
  • A/Prof David Ross (MPN lead)
  • Dr Deepak Singhal
  • Dr Ashanka Beligaswatte
  • Dr Naranie Shanmuganathan
Lymphoproliferative disorders
  • Dr Uwe Hahn (co-lead)
  • Dr Pratyush Giri (co-lead)
  • Dr Danielle Blunt
  • Dr Akash Kalro
  • Prof Brendon Kearney
  • Dr Malcolm Green (TQEH)
  • Dr Wilfred Jaksic (TQEH)
Plasma cell dyscrasias (including amyloid)
  • Dr Noemi Horvath (co-lead)
  • Dr Cindy Lee (co-lead)
  • Dr Wilfred Jaksic (TQEH)
  • Dr Oi Lin Lee (TQEH)
  • Dr Akash Kalro
  • Dr Angie Yong
Haemostasis and thrombosis
  • Dr Chee Wee Tan
  • Dr Yvonne Brennan
Other non malignant conditions
  • Prof Brendon Kearney
  • Dr Kathryn Robinson (TQEH)
  • Dr Oi Lin Lee (TQEH)

For clinical advice and guidance in relation to referral pathways, please contact the duty haematologist via the RAH Switchboard (08) 7074 0000

Please direct all referrals to:

[Named consultant]
Royal Adelaide Hospital, Level 3
Port Road, Adelaide 5000

Fax: 08 7074 6220

New referrals are triaged at the RAH. For or all enquiries relating to new referrals please contact RAH Haematology: 08 7074 4100

Existing patients are managed at their established treatment centre. For case enquiries, requests for review or to supply updated information on a case please contact the appropriate treatment centre;

  • RAH Haematology: (08) 7074 4100 or
  • TQEH Haematology: (08) 8222 6828/ (08) 8222 7904

Listed below are some of the commonly received referral conditions. All referrals are triaged according to the clinical urgency of the case. Guidance regarding categorization is outlined in the sections below

The expected timeline for the review of triaged patients is as follows:

  1. Emergency referrals should be referred directly to the duty haematologist via the RAH switchboard (08) 7074 0000 so the referral may be expedited, and the patient reviewed as soon as possible.
  2. Urgent Referrals that are “urgent” will ideally be seen within 2-8 weeks.
  3. Non-urgent referrals will be seen within 3-4 months.

Occasionally, we may not be able to see patients within the timeframe suggested. If so, a referral response letter may be generated and sent back to the practitioner with advice on monitoring parameters.

Where a patient is not triaged to one of the above categories the referring clinician will be advised and be offered advice regarding monitoring and re-referral.


Common referral conditions

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