Ideally all patients with lipoedema should be referred by their General Practitioner (GP) to a local lymphoedema clinic where they can be assessed and treated with appropriate conservative treatments such as compression garments and advice on diet, lifestyles and suitable exercises.
The British Lymphology Society hold a list of UK Lymphoedema Clinics but not all accept patients with lipoedema. UK Lymphoedema services are inconsistent and a post-code lottery, as a considerable number of CCG areas have no provision at all. A growing number of lymphoedema clinics accept out of area and private patients for diagnosis and treatment.
Tertiary Referral Clinics
St Georges Hospital Trust, Wandsworth, London
Patients cannot self refer to Georges Hospital’s Lymphoedema Clinic.
The clinic provides a routine NHS service for adults and children in Wandsworth, London suffering from lymphoedema and chronic oedema of all types. In addition the clinic treats patients with lipoedema, lipo-lymphoedema and related conditions. Patients are offered appropriate investigations and advice on treatment.
St. George’s Hospital do not have direct access to funding for liposuction. Funding requests for liposuction should be made by a patient’s GP to their own to Clinical Commissioning Group (CCG) on an individual basis. This is a lengthy process with no guarantee at this time, that funding will be approved by the patient’s CCG.
To access the specialist lymphoedema services of Georges Hospital, from outside Wandsworth, a referral letter is required and must come from a hospital consultant. The clinic will not accept direct referrals from a patient’s GP. The best route is to consult your own GP for advice on referrals in your area.
If a St Georges consultant sees a patient on a private basis, they can only treated at St Georges within the NHS service on a private basis; the patient cannot be offered an NHS appointment. The only exceptions to the above are:
1. GPs within Wandsworth CCG can refer directly into the service.
2. Non-private Lymphoedema Clinics can refer directly into the service.
Newly referred patients are offered appointments within the Government’s Waiting List initiative.
Posted Referrals should be addressed to: Dr Kristiana Gordon, Lymphoedema Department, Dermatology, St George’s Hospital, Blackshaw Road, London, SW17 0QT.
Royal Derby Hospital, Derby; Queens Medical Centre, Nottingham and Kingsmill Hospital, Mansfield
Derby Lymphoedema Services provide a regional service across the East Midlands for people with lymphoedema and chronic oedema of all types including adults and children. Derby Lymphoedema Services see people with lipoedema, lipo-lymphoedema and related conditions and offer patients assessment, appropriate investigations and advice on treatment.
Although mainly providing a service for their local area, Derby are happy to see people for assessment and advice from out of the area, particularly those with, or who may have lipoedema.
Referrals to the service can be made to –
Dr Vaughan Keeley, Lymphoedema Consultant, Lymphoedema Service, Secretaries Office
Level 3, M & G, Royal Derby Hospital, Utoxeter Road, Derby, DE22 3NE
Referral enquiries: 01332 787875
Genetic Research into Lipoedema
Researchers at St Georges Hospital and Royal Derby Hospital are now in the process of conducting critical gene identification research into lipoedema. Patients attending either of these clinics may be invited to participate in this research. The genetic research team also recruits suitable candidates at Lipoedema UK events.