Neurology: for healthcare professionals
Additional referral information
Essential minimum tests to accompany a Neurology referral (for GPs and health professionals)
To improve the quality of Neurology referrals it is requested that the following essential minimum tests accompany a Neurology referral.
Please do not send in referrals with ‘CNS-NAD’ as detailed documentation of examination findings is essential to protect you against clinical negligency cases as the former offers no proof of what was tested - or not.
Comment on cognition: No formal tests required if good interview unless indicated
Comment on speech: Language, dysarthric or dysphonic – again not formally tested unless symptoms or obvious issues
Cranials including fundoscopy: Important – most cranials should be tested. Exclusions being:
- If no olfactory issues, hearing tests unless there is hearing symptoms and gag reflex
- X11 can be done quickly and efficiently
Sensation: Only if there are symptoms
Tone, Power, clonus: Of all four limbs
Reflexes, plantars: Of all four limbs
Cerbellum: Finger-nose, rapid alternating movements, heel along shin to toe, tandem gait