This page provides information on referring patients to the Mater Hospital and includes outpatient consultant services, pathology, radiology, emergency services, ECLS, renal medicine, and respiratory medicine.
Please select your referral type by clicking on one of the below options and the relevant information will be displayed for you.
All GPs can now refer to all consultants/specialties using Healthlink.
How does this work?
Electronic GP Referrals are sent in from the GP practice via HealthLink and integrated into our hospital system within 24 hours by our Central Referrals Office. We are the first hospital in the country to have this integrated system in place. Once a referral has been processed to our hospital system, an acknowledgement of receipt of referral is automatically communicated back to the GP via Healthlink.
What happens next?
When the referral has been triaged by the consultant, the following is communicated electronically to the GP:
-If a patient is for an outpatient appointment, an outpatient procedure or to be placed on an inpatient/daycase waiting list
-The triage status of the patient
-Average wait time of specialty/consultant as per the triage status
-Return to referrer - if an outpatient referral is to be returned to the GP, the reason for this will also be communicated back.
What if I am not signed up to Healthlink?
If you are not yet signed up to Healthlink, referrals can be sent as normal through the postal service and will be processed via our Central Referrals Office. This will apply for an interim period only as the ultimate aim is to manage all referrals electronically through Healthlink.
Patients must have fully completed request form or letter with them when they come in for their blood test. Please ensure the letter or form includes all relevant information - please see Pathology Specimen acceptance criteria.
Patients can book appointments online or over the phone. For more information on appointments, see Blood Tests. Results are issued directly to the GP.
Outpatient blood tests are carried out in the Whitty Wing, Level 1. The best entrance to use is the Whitty entance on the North Circular Road
The pathology laboratory provides local, regional and national diagnostic services in all laboratory medicine disciplines; please see our Pathology Test Repertoire document for listing of services provided.
It is essential that users of the pathology service adhere to laboratory policy when submitting samples for testing. This is important to ensure speedy and accurate provision of results. Of particular importance are the following:
If this is not possible, GP’s should submit a fully completed and legible request form with all relevant details completed.
Information on specific tests, turnaround times and required specimen types for all pathology investigations are outlined in the following documents:
In cases where more than one blood specimen is to be taken from a patient, there is a recommended sequence in which specimens should be taken. Please consult the document titled 'Order of draw for GPs' for information.
Our pathology laboratory complies with the Mater Hospital Data Protection policy which details the rights of patients and staff members, and the obligations of hospital staff to act in an ethical and responsible manner in maintaining the security, confidentiality and integrity of all personal information, in line with the Hospital Confidentiality & Data Protection Act 2003 and HSE Standards and Recommended Practices for Healthcare Record Management.
Laboratory Quality Policy & MEDLIS Newsletter
-The Mater Hospital pathology laboratory is accredited by the Irish National Accreditation Board (INAB) to undertake testing as detailed in the scope of tests listed on the INAB website (Registration Number 232MT) in compliance with International Standard ISO 15189 and the EU blood Directive 2002/98/EC.
Departmental Opening Hours:
|Department:||Routine Opening hours:|
|Blood transfusion|| Monday to Friday: 8am to 8pm.
Saturday: 9am to 12pm.
|Clinical chemistry and diagnostic|| Monday to Friday: 8am to 8pm.
Saturday: 9am to 12pm.
|Haematology|| Monday to Friday: 8am to 8pm
Saturday: 9am to 12pm.
|Cellular pathology|| Monday to Friday: 8am to 8pm
Saturday: 9am to 12pm.
|Immunology|| Monday to Friday: 8am to 8pm
Saturday: 9am to 12pm.
|Microbiology|| Monday to Friday: 8am to 8pm
Saturday: 9am to 12pm.
|Pathology laboratory office||
Monday to Friday: 8am to 4.30pm
|Central specimen reception||Monday to Friday, 8am to 4pm.|
-For minor complaints, please telephone the appropriate Pathology Department.
-For more serious complaints, please contact the Laboratory Manager or the Director of Pathology.
GP referrals are accepted at the Mater Hospital for:
A referral letter is required for all of the above services provided by the radiology department.
The referral letter must:
A hard copy of the radiology results will be sent to the referring GP within 7-10 working days of the exam being performed.
There are four main emergency services in the Mater Hospital. Below is an outline of when and how to use/refer to each service.
1. Emergency department - our walk in emergency services are available 24 hours a day 365 days a year. There is a €100 charge but this does not apply if patients have a GP referral letter. Patients with minor injuries, STIs or eye emergencies should be referred to the appropriate service below instead of the Emergency Department.
For more information, see our emergency department page here.
2. Smithfield rapid injury clinic - this is a walk in service. €100 charge applies without GP letter. Please note this service is for acute minor injuries only.
For more information, see our rapid injury clinic page here
3. Sexually Transmitted Infections (STI) clinic - 3 clinics per week. No referral required, however patients must ring to make appointment.Urgent appointments outside of clinic hours, patients must go to the main Emergency Department.
For more information, see our STI clinic page here.
4. Eye emergency department - From Monday to Friday between 8am and 4pm, patients can attend the eye emergency department with a referral letter from a GP or Optician. Outside of these hours, GPs need to contact the on-call eye emergency doctor on 01 803 2000 to discuss an emergency eye injury before they can refer a patient to the hospital. GPS can see our EED out of hours pathway document here for more information.
We have a GP Liaison Nurse in the hospital. The role of the GP Liaison Nurse is to act as a communicative link between our Emergency Department and local community services to provide a complete and enhanced service to the patient.
You can contact the GP Liaison Nurse Monday to Friday from 7.30am - 4pm on 01 8032835.
The Mater Misericordiae University Hospital (MMUH) is the authorised heart valve / tissue establishment for donor selection, consent, procurement and release of heart valves / tissue for clinical use.
Irish heart valve / tissue bank is responsible for the processing, testing, storing and issuing of aortic and pulmonary valves, conduits and patches. The European Directive 2004/23/EC and its technical annexes ensure a standard of quality and safety in relation to the heart valve / tissue bank activities. This applies to the donation, procurement, testing, processing, preservation, storage and distribution of all heart valves / tissues. The heart valves / tissue are mainly used for paediatrics, young adults and patient with endocarditis. Each heart valve / tissue has a shelf life of five years.
Donors being considered for heart valve / tissue donation may be referred from hospitals in the Republic of Ireland.
The initial referral for neonatal heart valve / tissue donation should be made through the Heart / Lung Transplant Coordinator on call, who may be contacted through the main hospital switch number 01 8032000. The Transplant Coordinator can also assist with further information or guidance.
Guidelines, Documents and Requirements:
The Extracorporeal Life Support (ECLS) service, based in the Intensive Care Unit (ICU) in the Mater Hospital, provides comprehensive support for patients with acute potentially reversible lung or heart failure. Extra-Corporeal Life Support (ECLS) can also be known as extracorporeal membrane oxygenation (ECMO).
Worldwide use of ECLS for adult patients has increased over the last 10 years and it is generally accepted that the outcome after ECLS has improved where there is careful patient selection and the experience and technical expertise of ECLS service is well established.
Patients being considered for ECLS in the Mater Hospital ICU may be referred from other hospitals in Ireland.
The initial request for consideration for ECLS should be made through the Mater Hospital ICU Senior Registrar who can be contacted on (01) 8032000. The referral will then be discussed with the ICU Consultant on duty for ECLS.
Guidelines and requirements:
Please ensure that the below guidelines for indications and contra-indications are noted prior to referring patients for consideration for ECLS. Also please note that these are guidelines and if you require further advice, please contact the Mater Hospital ICU.
Where possible, members of the Mater Hospital ECLS service team will attend the referring hospital to directly review the patient for consideration for ECLS. If appropriate, ECLS may be initiated in the referral hospital prior to transfer to the Mater ICU.
Please include as much of the following information as possible in the referral letter to optimise triage of referrals:
Who and when to refer
|< 15||Immediate||Discuss the case with the renal team|
|Discuss the case with the renal team unless eGFR is known to be stable|
Refer the patient if they also have:
1. A confirmed progressive fall in eGFR by >5 ml/min in 1 year
2. A fall in GFR category or stage
3. Microscopic haematuria or red cell casts
3. Albumin-creatinine ratio (ACR) > 30 mg/mmol or protein-creatinine ratio (PCR) > 50 mg/mmol
4. Unexplained anaemia (< 11g) after exclusion of other causes
5. Abnormal potassium, calcium, phosphate or acidosis
6. Suspected systemic illness e.g. SLE7. Uncontrolled hypertension (BP > 140/90mmHg) despite 4 agents at therapeutic doses
|> 60||Not required||Don’t refer unless there is evidence of kidney damage or other reasons – see below|
|Renal referral irrespective of eGFR|
Acute kidney injury
A rapid decline in renal function over hours or days.Can be an acute on chronic decline in function. Depending on severity, the case may need to be discussed with the renal team
Referral to Urology first if: frank haematuria or isolated microscopic haematuria (especially > age 40)
Referral to renal team if: urological investigations are negative or the haematuria is combined with a reduced GFR, hypertension or proteinuria
Urgent: if accompanied by proteinuria, red cell casts or a rapidly progressive decline in eGFR
Urgent: PCR > 300 with low albumin +/- oedema (nephrotic syndrome)
Routine: ACR >70 or PCR > 100 but not nephrotic
orACR > 30 or PCR > 50 with microscopic haematuria
Urgent: malignant hypertension
Routine: uncontrolled (>150/90mmHg) despite 4 agents at therapeutic doses
|Kidney stones||Routine||Renal & urology referral if nephrolithiasis is recurrent or extensive|
|Hereditary kidney disease||Varies||E.g. Polycystic kidney disease
Urgency will depend on the eGFR or other symptoms
E.g. Persistent hyperkalaemia
The rapid access lung clinic was established at the Mater Hospital in 2011, as part of the national cancer control programme strategy.
GP Guidelines and Referral Form:
Further information regarding our respiratory medicine service is available on our respiratory clinical service page here.