Ward Manager

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Clinical Referral Guidelines

Exclusion criteria

UKSH provides elective surgery procedures on behalf of the NHS to medically fit, stable patients and as such the majority of patients can be treated at UKSH in the specialties we offer. However there are a number of exclusion criteria to ensure the safety of all patients. Patients requiring high dependency back-up or complex medical interventions are not suitable for our treatment centres. Patients within the following categories are not suitable for treatment at UKSH:

  • Under 18 years of age
  • High suspicion of cancer
  • Clinical emergencies
  • Unstable ASA 3 (i.e. poorly controlled co-morbidities)
  • Pregnancy
  • BMI of more than 40 for general anaesthetic or 45 for local anaesthetic
    (under 160 kgs and able to transfer independently)


A full list of exclusions is available by clicking here. It is important that you review your PCT referral criteria to ensure that your proposed referral complies with local guidance. 

Pathways guide

Please click here to download our complete pathways guide for Shepton Mallet NHS Treatment Centre.

Please click on the links below for the Shepton Mallet pathways guide for individual specialities: