For referring GPs
Information for GPs
Dr Spiliotis is a Consultant in Diabetes, Endocrinology and General Medicine at Milton Keynes University Hospital, on the GMC specialist register in endocrinology and diabetes mellitus and in general internal medicine. This page sets out how to refer, what you get back, and who prescribes and monitors afterwards.
How to refer
There is no form. Email a referral letter to secretary@hertsendocrinology.co.uk and the practice will contact the patient to arrange an appointment.
What helps most in a referral:
- The question you want answered
- Relevant history and examination findings
- Current medication, including anything recently stopped or not tolerated
- Recent blood tests and imaging, with dates
- Whether the patient is self-paying or claiming on private medical insurance
Patients may also refer themselves. Where a patient is claiming on private medical insurance, the insurer may ask for a GP referral letter and will usually require a pre-authorisation code before the first appointment.
What comes back to you
A letter follows each appointment and, with the patient's consent, a copy is sent to you. It sets out Dr Spiliotis's assessment and plan.
Dr Spiliotis reviews the results of the tests he requests. If a result needs attention before the planned review, he contacts the patient, and you where relevant.
Prescribing, monitoring and shared care
Where Dr Spiliotis starts a treatment privately, he prescribes it and arranges the monitoring, and your practice is not expected to take it over. Shared care may be possible by prior agreement, with the monitoring arrangements set out in writing.
The practice takes no margin on medicines. Prescriptions issued between appointments carry a practice fee, set out on the Fees page.
What Dr Spiliotis sees
General endocrine and metabolic conditions, including thyroid disease, diabetes and diabetes technology, weight and metabolic health, PCOS / PMOS and women's hormone health, pituitary and adrenal disorders, parathyroid and calcium disorders, and men's hormone health. Particular interests are type 1 and monogenic diabetes (MODY), diabetes technology including continuous glucose monitoring and hybrid closed-loop systems, weight management in people with type 1 diabetes, and thyroid disease.
Referrals for a second opinion, for a borderline or difficult-to-interpret result, for a patient whose diabetes does not fit the type they were given, or for a patient whose treatment is not controlling their symptoms, are all welcome.
Investigations
Blood and hormone tests, ultrasound and MRI can be arranged through the hospital where the patient is seen, as Dr Spiliotis judges necessary. They are charged separately at the provider's rates.
Practical points
- Clinics:
- One Hatfield Hospital, Hatfield (dates to be confirmed)
- New appointments allow up to 45 minutes. Follow-up is in person or, where clinically suitable, by video.
- Consultation fees are published on the Fees page. Investigations are charged separately.
- The practice normally replies to email within one to two working days.
- Telephone 01908 014486.
What the practice does not do
Testosterone, growth hormone and related medicines are not prescribed on request, or for sport, body-building or anti-ageing. Where hypogonadism is suspected, it is assessed first, including the appropriate hormone tests and a search for the underlying cause, and treatment is considered only where it is clinically appropriate. Nothing is prescribed without a consultation.