Bedford Endocrine Service

Services

The Endocrine team deals with the diagnosis and management of a diverse range of hormonal and metabolic disorders. It encompasses a wide variety of conditions ranging from those which are common, for example Hyperthyroidism or polycystic ovarian syndrome, to those that are rare but eminently treatable such as pituitary tumours, multiple endocrine neoplasia and Addison's disease.

Clinics are held at Bedford Hospital NHS Trust

Contact Details for the Endocrine Service

Tel: 01234 792287   Fax: 01234 792180

Postal Address: The North Bedfordshire Diabetes Centre 
Bedford Hospital NHS Trust,
Kempston, Road,
Bedford, MK 42 9DJ

Who to Refer

All adult (18 years or above) patients with endocrine conditions requiring secondary care management or clarification of diagnosis  e.g.

  • pituitary disease including hypogonadotrophic hypogonadism
  • growth and pubertal disorders
  • adrenal disease
  • thyroid disorders  (pregnant female patients who have previously had ablative thyroid procedures for thyrotoxicosis - surgery or radioactive iodine - please refer to Mrs Babbur - Joint ANC)
  • hirsuitism
  • PCOS
  • parathyroid diseases/hypercalcaemia/hypocalcaemia
  • assessment of adrenal reserve following long-term steroids (only when patients are on no more than Prednisolone 5mg o.d .or equivalent)
  • hypoglycaemia (in non diabetic)

Patients aged 16-18 may be seen after discussion with the consultant - but these would normally be referred to Paediatrics.

Suggested investigations prior to referral:

Suspected pituitary disorders:
All patients:  Prolactin, LH, FSH, TSH, FT4(if possible)
Females: + Estradiol (unless definitely postmenopausal or on HRT/OCP)
Males:+9am testosterone

Suspected :PCOS/annovulation/hirsutism:
LH, FSH, Estradiol (within first 5 days of cycle if possible) Prolactin, testosterone
NB pelvic/ovarian ultrasound scan is NOT required:

Hypercalcaemia:
Calcium and PTH, TSH, myeloma screen if PTH not raised.

Hypocalcaemia:
Calcium, Magnesium, ALP,

Thyroid disorders:
TSH, FT4.
Please do not routinely organise Thyroid ultrasound scan unless thyroid is clinically asymmetrical.
Thyroid autoantibodies are not routinely required.

 

Who not to Refer

  • Primary Hypothyroidism unless complex or in adolescents/young adults (<21 years)
  • Suspected Thyroid cancer (refer urgently to Head and Neck Service)
  • Paediatric Endocrine problems
  • Primary testicular failure (unless associated with developmental /pubertal abnormalities)


Last updated: 21/05/2012

Update due: 21/05/2013