Useful Management Information

NB: Some services children may be directed to and seen by nurse practitioners or advanced practice nurses

  • The Asthma Foundation provides a support service with education and spacer devices. Call 1800 ASTHMA (1800 278462 ).
  • Consider referral to an asthma educator or a community asthma nurse:
    • newly diagnosed asthma
    • poorly controlled asthma
    • severe asthma e.g. requiring PICU
    • compliance issues
    • concerns regarding home management
    • patients from a non-English speaking background
  • Australian Asthma Handbook from the National Asthma Council
  • Australian Society of Clinical Immunology and Allergy
  • If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, you need to contact Child Safety Services
  • Please note that where appropriate and where available, the referral may be directed to an associated public allied health or nursing service. This may include Community Child Health and Child Development Service. Access to some specific services may include initial assessment and management by associated paediatric medical, allied health or nursing services which may either facilitate or negate the need to see a public paediatric specialist.

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Infants < 1 year with effect on sleep or feeding due to chronic or recurrent wheeze
  • Stridor without respiratory distress
  • Persistent breathlessness affecting sleep or quality of life
  • Recent history of severe or life threatening respiratory illness
  • Asthma with unexplained clinical findings, e.g. focal signs, abnormal voice or cry, dysphagia, inspiratory stridor
Category 2 (appointment within 90 calendar days)
  • Asthma with failure to respond to conventional treatment (particularly inhaled corticosteroids above 400 micrograms per day or frequent use of steroid tablets)
  • Faltering growth
  • Doubt about diagnosis of asthma
Category 3 (appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • Current assessment of asthma control: good, partial, poor
  • Current medications
  • Frequency of oral steroid use in the previous 3 months
  • Note if the child has been hospitalized or not, and how often
  • Report presence or absence of concerning features
    • Paediatric ICU admission
    • History of chronic lung disease
    • Extreme prematurity

Additional Referral Information

Highly desirable information – may change triage category

  • Note symptom frequency over the last 3 months:
    • every day
    • episodes of wheeze every week but not every day
    • episodes every month but not every week
    • episodes less than once per month
  • Height/weight/head circumference and growth charts with prior measurements if available.
  • Presence or absence of sleep, feeding or exercise related symptoms.
  • Copy of asthma management plan, if applicable

Desirable information- will assist at consultation

  • Assessment of adherence to medication
  • History of allergic/atopic disease (and family history of same)
  • Other past medical history
  • Immunisation history
  • Developmental history
  • Medication history
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, department of child safety involvement)
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology
  • Any relevant laboratory results or medical imaging reports, urinalysis result
  • Spirometry Reports, if available in children able to perform test (children over 8)
Last updated 24 October 2021

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Paediatric Medicine (E-Blueslips)


(07) 5687 4497


Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215


1300 744 284

Related HealthPathways

No directly related pathways found

Service Availability

Dr Susan Moloney
Medical Director Paediatric Medicine (General Paediatrics)


Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Child Safety

If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.

Gold Coast Health - For Clinicians
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