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Neurology outpatient service in Central Adelaide

The Central Adelaide Neurology Service provides inpatient and outpatient services for patients living in the Central Adelaide Local Health Network (CALHN) area who suffer from neurological disorders involving the central and peripheral nervous system. Services are also provided to patients referred from rural and remote areas.

Referrals for children under 18 years of age should be made to a pediatric neurologist as required.

Contact details – outpatients

Royal Adelaide Hospital (RAH)

All referrals, including electroencephalography (EEG) and nerve conduction studies / electromyogram (EMG):
Clinic fax: (08) 7074 6247

All appointments (new and review):
Outpatient area: (08) 1300 153 853

The Queen Elizabeth Hospital (TQEH)

General neurology / Multiple sclerosis (MS) outpatient department referrals / enquiries / appointments:
Clinic fax (for referrals): (08) 8222 7244

All appointment enquiries, reviews, changes and new case appointments:
(08) 8222 7010 / (08) 8222 7020 / (08) 8222 7040

Epilepsy / stroke outpatient department referrals / enquiries / appointments:
Clinic fax (for referrals): (08) 8222 6093

All appointment enquiries, reviews, changes and new case appointments:
(08) 8222 6239 or (08) 8222 6908

Neurophysiology requests (nerve conduction study, electromyography, evoked potentials):
Clinic fax (for referrals): (08) 8222 6093

All appointment enquiries, reviews, changes and new case appointments:
(08) 8222 6239 or (08) 8222 6908

Electroencephalography (EEG) requests:
Clinic fax (for referrals): (08) 8222 6093

All appointment enquiries, reviews, changes and new case appointments:
(08) 8222 7489

Transient ischemic attack (TIA) rapid assessment clinic referrals / enquiries / appointments:
Clinic fax (for referrals): (08) 8222 6093

All appointment enquiries, reviews, changes and new case appointments:
(08) 8222 723

Appointment location – outpatients

RAH

Neurology outpatients department: Level 3
Royal Adelaide Hospital, Port Road, Adelaide SA 5000

TQEH

General neurology / Multiple sclerosis outpatient department clinics
Ground floor, Outpatients area 2
The Queen Elizabeth Hospital
28 Woodville Road, Woodville South SA 5011

Epilepsy / stroke outpatient department clinics
Ground floor, Outpatients area 4
The Queen Elizabeth Hospital
28 Woodville Road, Woodville South SA 5011

Outpatient services and clinics available

  • outpatient clinic consultations for diagnosis and management of
    • general neurology
    • memory disorders
    • epilepsy
    • multiple sclerosis (MS)
    • stroke / transient ischemic attack (TIA)
  • electroencephalography (EEG)
  • nerve conduction studies (NCS), electromyography (EMG)

Neurology outpatients

All referrals to Central Adelaide neurology clinics are sighted by a consultant neurologist and are then triaged according to their clinical urgency. Depending on the nature of the clinical problem, patients may be booked into a general neurology clinic or, especially where there is an established diagnosis, into a specialised clinic.

RAH

Day / time Outpatient clinics (RAH) Doctors
Monday
am
Nerve conduction studies / electromyogram (EMG) Dr Michelle Kiley
Monday
pm
Parkinson’s disease A/Prof Thomas Kimber
Parkinson’s nurse specialist
Monday
pm
Nerve conduction studies / botulinum toxin clinic Dr Christopher Kneebone
Tuesday
am
General neurology A/Prof James Temlett
Registrar / Registered medical officer (RMO)
Tuesday
am
Nerve conduction studies / EMG A/Prof Timothy Kleinig
Tuesday
pm
Botulinum toxin clinic A/Prof Thomas Kimber
Wednesday am Parkinson’s disease A/Prof Thomas Kimber
Parkinson’s nurse specialist
Registrar
Wednesday am Multiple sclerosis and neuroimmunology Dr Janakan Ravindran
Dr Christopher Kneebone
Registrar
Thursday
am
Nerve conduction studies / EMG A/Prof Thomas Kimber
Friday
am
General neurology and movement disorders A/Prof Thomas Kimber
Registrar
Friday
am
Movement disorders Prof Philip Thompson
Friday
am
Epilepsy / seizure clinic Dr Michelle Kiley
Friday
am
Stroke A/Prof Timothy Kleinig
Friday
am
Nerve conduction studies / EMG Dr Janakan Ravindran
Friday
am
Botulinum toxin clinic A/Prof James Temlett

In addition to the above, daily transient ischemic attack (TIA) clinics are held at variable times from Monday to Friday, according to clinical need.

Bulk bill clinics (named referral required)

  • A/Prof Thomas Kimber – Monday - Parkinson’s disease clinic
  • Dr Janakan Ravindran - Wednesday - Multiple sclerosis (MS) / neuroimmunology clinic
  • A/Prof Timothy Kleinig – Tuesday - Nerve conduction studies (NCS) clinic, Friday stroke clinic (partially bulk-billed)

Outpatient clinic details

TQEH

Day / time Clinic (TQEH) Doctors Conditions seen
Monday
9.00 am to 12.00 pm
General neurology Dr Jessica Hafner
Dr Karyn Boundy
General neurology
Tuesday No clinics held    
Wednesday 9.00 am to
12.00 pm
Epilepsy outpatient department (OPD) Dr Martin Robinson
A/Prof Jim Jannes
Neurology registrar
Epilepsy / first seizure
Wednesday
1.00 pm to
4.30 pm
Stroke OPD A/Prof Jim Jannes
Dr Aaron Tan
Stroke fellow
Stroke / transient ischemic attack (TIA)
Thursday No clinics held    
Friday
1.00 pm to 4.30 pm
General neurology
(weekly)
Dr Jessica Hafner
Neurology registrar
Neurology registered medical officer (RMO)
General neurology
Friday
1.00 pm to 4.30pm
Multiple sclerosis (last Friday each month) Dr Martin Robinson
Dr Jessica Hafner
Multiple sclerosis

Neurphysiology outpatient clinic details

TQEH

Day Clinic (TQEH) Doctors Conditions seen
Monday Nerve conduction study / electromyography Dr Jessica Hafner
Mark Donk
Carpal tunnel syndrome, neuropathies etc
Tuesday Nerve conduction study / electromyography Dr Jessica Hafner
Mark Donk
Carpal tunnel syndrome / neuropathies etc
Wednesday Nerve conduction study /
lectromyography
Dr Karyn Boundy
Mark Donk
Carpal tunnel syndrome / nuropathies etc
Thursday Evoked potential (held as required) Mark Donk Visual evoked potential
Auditory evoked potential
Sensory evoked potential
Friday Nerve conduction study / electromyography A/Prof Jim Jannes
Mark Donk
Carpal tunnel syndrome / neuropathies etc

Referral process

Important Information on neurology outpatient referrals

The Queen Elizabeth Hospital (TQEH) / Royal Adelaide Hospital (RAH) outpatient department GP guidelines for neurology outpatient referrals

The demand for appointments in general neurology outpatients is very high with a long delay for next routine appointments. Please review your referral for a general neurology outpatient appointment in light of the following considerations:

  • Have you considered referring the patient for private consultation?
    The out of pocket cost of a neurological consultation is not high.
  • Could the patient be assessed by a general physician?
    This may be very appropriate for patients with problems that do not clearly have a neurological basis, for example, the patient presenting with syncope or collapse without diagnostic features of seizure. Unconscious collapse is not likely to be due to transient ischaemic attack (TIA).
  • Has the patient just experienced an episode you think most likely due to a transient ischemic attack (TIA) or minor stroke?
    If so, the patient requires urgent assessment and should be referred to the nearest emergency department (see neurology clinical information sheets at the end of this web page for clinical pointers to TIA / stroke). If in doubt, discuss the patient with the stroke registrar / fellow at TQEH on (08) 8222 6000 or at the RAH on (08) 7074 0000. We provide a daily TIA clinic but access to this is only available via the stroke team.
  • Could the patient undergo further investigations prior to referral?
    This may clarify the problem and speed our assessment when we do see the patient. Please view the list of common neurological problems and the usual investigations that we perform at the end of this web page.
  • Please provide us with sufficient clinical information about your patient to judge the clinical urgency. Unfortunately many referrals provide only a symptom, such as ‘dizziness’ or ‘headache’. It is then impossible to judge the acuity and severity of the problem. Please outline the time course and severity of the problem of concern.
  • Please write legibly (or type) and include findings from your examination and the results of all relevant investigations, including imaging.
    Attach information to the standard referral sheet if required as this often has inadequate space.
  • If your patient has a very urgent neurological problem, such as severe sudden headache that is not usual for the patient, or rapidly progressive weakness, send the patient to the nearest emergency department.

Immediate referral process

Where consultation is 'same day' urgent, the neurolology registrar or the on call medical registrar if after hours, should be contacted via the RAH switchboard (08) 7074 0000 or the TQEH switchboard (08) 8222 6000 to discuss the patient. A written referral marked 'urgent' should then be faxed or sent with the patient if urgent assessment arranged. If the condition is life-threatening, the patient should be sent to the nearest emergency department.

Less urgent referrals

Preferred method of referral is by fax or letter. All referrals including those urgently requiring consultation must be in writing and a named referral is preferred.

Non-urgent referrals will be allocated to the next available appointment. Non-urgent referrals may incur a wait. The waiting time for appointment will vary and be dependent on the demand for this service and the medical urgency of the patient’s condition.

Neurological problems not considered high priority (see eligibility and referral criteria table in the following section) have a longer time for an appointment. Please consider other options and do not refer to multiple providers regarding the same presenting complaint.

Should changes occur to a patient’s medical condition during the waiting time for an appointment, referrers should send updated clinical information and where appropriate, contact the neurology registrar via the RAH switchboard: (08) 7074 0000 or the TQEH switchboard: (08) 8222 6000.

Referrals unlikely to be offered an appointment

The following conditions are not routinely seen:

  • patients who are being treated for the same condition at another SA public hospital
  • children under 18 years of age – referrals should be made to a pediatric neurologist
  • elderly patients with complex medical problems – referral to a geriatric medical unit is more appropriate
  • sleep disorders / narcolepsy – these conditions require a formal sleep study and should be referred to respiratory medicine
  • back or neck pain without neurological signs and / or normal imaging – these conditions require assessment by a spinal clinic or pain management unit
  • complex, longstanding pain disorders – referrals should be made to a chronic pain management unit
  • conditions where symptoms are non-specific, such as lightheadedness, tingling, poor concentration and not necessarily neurological. These patients should be referred to a general medical unit for initial assessment.

The clinical information provided in your referral will determine the triage category. The triage category will affect the timeframe in which that the patient is offered an appointment.

Eligibility and referral criteria

Neurology priorities are based on clinical urgency as displayed below:

Priority Examples
(not an exhaustive list)
Referral process
Immediate (direct to an emergency department) These include:
Headache with ‘red flags’
Suspected spinal cord compression
Stroke / transient ischemic attack (TIA)
Acute and sudden onset of prominent weakness
Phone neurology registrar via
TQEH switchboard on (08) 8222 6000
RAH switchboard on (08) 7074 0000
Urgent These include:
Rapidly evolving neurological dysfunction
First seizure
Urgent cases must be discussed with the neurology registrar via:
TQEH switchboard on (08) 8222 6000
RAH switchboard on (08) 7074 0000
and a referral faxed to:
TQEH on (08) 8222 6093
RAH on (08) 7074 6247
Semi-urgent These include:
Increased seizure frequency in known epilepsy
First seizure
Mark as 'semi-urgent' and fax a referral to:
TQEH on (08) 8222 6093
RAH on (08) 7074 6247
Routine These include:
Chronic neurodegenerative disorders, such as
Parkinson’s disease, dementias
Tremor
Chronic headaches
Peripheral neuropathy
Fax a referral to:
TQEH on (08) 8222 6093
RAH on (08) 7074 6247

Note: these guidelines indicate what is clinically desirable, not what is always feasible in terms of delivery which is dependent on size and staffing of the hospital department.

Neurology clinical information sheets

The following information sheets about presentations commonly seen in Neurology outpatients provide the minimum information required for assessing a referral under the headings of: eligibility, priority, differential diagnosis, clinical information and investigations required, pre-referral management strategies and discharge criteria.

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