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Information for GPs - UL Hospitals Group

This page offers information on services and initiatives available to GPs.

GP forum

The UL Hospitals/GP Forum allows discussions about issues that are common to both primary and acute care.

The GP forum takes place quarterly.

For further information contact:

Injury Units

There are 3 Injury Units in the Midwest. One in Ennis, Nenagh and St. John's Hospitals. Injury Units treat non-life-threatening injuries in adults & children over 5 years.

  • Injury Unit staff perform x-rays, reduce joint dislocations, apply plaster casts and treat wounds by stitches.
  • People can avoid long waiting times in the Emergency Department by attending our Injury Units when it’s appropriate to do so. Average wait time is 2 hours.
  • Patients can self-refer or be referred by their GP; it’s a walk-in service.

Injury Units can treat:

  • broken bones
  • dislocations
  • sprains and strains
  • wounds
  • scalds and minor burns
  • sports injury

St John’s Injury Unit, Limerick
061 462 132
Open from 8am to 7pm every day

Ennis Injury Unit
065 686 3121
Open from 8am to 8pm every day

Nenagh Injury Unit
067 42 311
Open from 8am to 8pm every day

Read more about when to visit an injury unit

Bed Bureau

The Bed Bureau is available to GPs for Medical Assessment Unit appointments and Acute Surgical Assessment Unit appointments. The service is available 24/7 on 061 585 858.

Medical Assessment Unit (MAU)

MAUs provide assessment, diagnosis and treatment for patients referred with medical conditions including chest infections, COPD (chronic obstructive pulmonary disease), pneumonia, urinary tract infections, fainting episodes, clots in the leg, anaemia or non-acute cardiac problems.

Patients can be referred by their GP directly to a Medical Assessment Unit in Ennis, Nenagh or St John’s Hospitals. The units are open Monday to Friday 8am to 8pm and Ennis is open on Saturday and Sunday from 10am to 6pm. Suitable patients that do not require access to critical care and meet the criteria are accepted.

GPs can contact the Bed Bureau to arrange an appointment at the MAU in Ennis, Nenagh or St John’s.

Patients will be seen by a senior clinician within one hour with a decision to admit or discharge made within six hours. There are a range of diagnostics tests available to support the assessment and where possible, the required tests will be completed on the day.

Acute Medial Assessment Unit (AMAU)

The AMAU in University Hospital Limerick (UHL) predominantly provides a rapid assessment facility for some medical patients who are acute unwell and who present to the emergency department (ED) with a GP letter.

Acute Surgical Assessment Unit (ASAU)

The ASAU in UHL provides a rapid assessment facility for acute surgical conditions in patients such as breast, general surgical or vascular. Patients must be over 16 years and have been assessed by a GP or Consultant. The ASAU is open Monday to Friday (excluding public holidays) from 8am to 8pm.

GPs can contact the Bed Bureau to arrange an appointment for the Acute Surgical Assessment Unit in UHL on telephone 061 585 858.

Centralised Referral Management System

A Centralised Referral Management System for outpatient referrals is available at UL Hospitals. This is a secure, fast and traceable way of sending referrals to our Consultant services.

GPs submit referrals by post or by e-referral using Healthlink. With Healthlink, A GP will receive an immediate alert once the referral is accessed. Healthlink services are free of charge to all GP practices. All referrals are reviewed and graded by a clinical Consultant.

We accept outpatient referrals for all specialties including Dermatology National Cancer Control Programme NCCP referrals. All other NCCP referrals are received directly by the relevant specialties.

We manage the following specialties centrally:

  • Dermatology
  • Gastroenterology
  • General Surgery
  • Neurology
  • Ophthalmology
  • Orthopaedics
  • Otolaryngology (ENT)
  • Pain Relief
  • Plastic Surgery
  • Urology
  • Vascular Surgery

All Referrals received in Central Referrals for any other specialty are processed in accordance with agreed guidelines.

GPs may contact the central referrals office by email:

Endoscopy referrals are paper based. We accept them into all 4 endoscopy units in:

  • University Hospital Limerick
  • Ennis Hospital
  • Nenagh Hospital
  • St John’s Hospital

St John’s Hospital accepts outpatient and endoscopy referrals from GPs.

Trolley update

Three times daily at 8am, 2pm and 8pm acute hospitals report the number of patients awaiting admission to an inpatient hospital bed. The system known as TrolleyGAR enables daily monitoring of ED performance and helps trigger the hospitals’ response during busy periods.

The DESMOND programme

DESMOND is Diabetes Education and Self-Management for Ongoing and Newly Diagnosed.

This education programme is for people with type 2 diabetes. It is a 6 hour programme that is delivered over 2 days. DESMOND is a resource to help patients manage the changes diabetes will bring about in their life and it is an opportunity to meet and share experiences with others.

GPs, Nurses, other health care professionals can refer to the programme as well as self–referrals.

DESMOND Referral Form Clare (PDF, size 87 KB, 1 page)

DESMOND Referral Form North Tipperary (PDF, size 87 KB, 1 page)

DESMOND Referral Form Limerick (PDF, size 87 KB, 1 page)

Developmental dysplasia of the hip

Developmental dysplasia of the hips (DDH) is a cause of disability in children and young adults. It can be detected up to three months of age by a specific physical examination by a trained healthcare professional and confirmed by an ultrasound. GPs and Community Health Doctors in the Midwest can complete the referral form which asks specific questions to determine whether the infant is eligible for screening. This examination is time sensitive and must be performed between 6 to 12 weeks of age, after 12 weeks it is no longer satisfactory.

Nenagh Radiology department is the only department in the group that offers this service. All referrals must come to Nenagh Radiology department.

Ultrasound Referral for Suspected Infant Developmental Dysplasia of the Hip (Word, size 483 KB, 1 page)

Laboratory manuals

The laboratory user manuals and laboratory guidance documents of Ennis Hospital, Nenagh Hospital and University Hospital Limerick are controlled in accordance with the ULHG pathology quality Management system requirements. The current amendments for the laboratory user manuals are outlined in the amendment table in each hospital laboratory user manual.

University Hospital Limerick Laboratory User Manual, Edition 13 - Updated 16.11.2020

Nenagh Hospital Laboratory User Manual, Edition 09 - Updated 26.09.2019

Ennis Hospital Laboratory User Manual, Edition 05 - Updated 12.11.2020

UHL Guidance Management of MGUS in Primary Care Edition- Updated 01.03. 2019

Feedback welcome from GPs

We are always improving how we do our business and how we engage with all our partners including GPs. We welcome all GP feedback. This helps us to recognise where we need to make improvements and if changes we make have a positive effect.

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