Advice and Guidance

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Advice and guidance allows the 'requesting' clinician to seek advice from a clinician at the provider hospital on:

  • treatment plan and/or patient management
  • test results
  • appropriateness of a referral (e.g. whether to refer, what the most appropriate alternative care pathway might be)
  • most clinically appropriate service to refer to (and how to find it) 

e-RS Advice and Guidance

e-RS Advice and Guidance is available in the following specialties:

  • Allergy
  • Cardiology
  • Care of the Elderly (see exceptions in Downloads)
  • Dermatology (For photos RAS Teledermatology)
  • Diabetes
  • Endocrinology
  • ENT for Adults and Children
  • Gastroenterology
  • General Surgery (see exceptions in Downloads)
  • Gynaecology
  • Haemotology
  • Locomotor  (Extended Scope Physio (ESP) - St Leonard's -  RQX20) Service ID: 7950704)
  • Locomotor Pain Service
  • Neurology
  • Paediatric (see exceptions in Downloads)
  • Respiratory Medicine
  • Rheumatology
  • Trauma and Orthopaedics
  • Urology

Please add a contact number to any request so that the consultant can call you to discuss in detail - if needed.  We suggest the bypass number or your mobile - depending on when you are looking for the consultant to call.   Please also share your availability.   Please ensure the complexity/urgency of the case is highlighted in the request to support a timely response.

Urgent Telephone Advice

t:  07795 390715 (9 am - 5 pm)

t: 07766 703 203 (rapid access phone number)

Refering to Specialty Team via A&E

Urgent referral specialties include medicine, surgery, orthopaedics, obstetrics, gynaecology, and psychiatry:

  • Bleep specialty registrar via switchboard on 0208 510 5555
  • Emergency psychiatric clinic – 0208 510 8533
  • Emergency gynaecology clinic – 0208 510 7861 or bleep 295 via switchboard

Telephone/Email Advice & Guidance


Children's Continence Service
Tel: 020 7014 7111

Drug and alcohol




Infectious Diseases (excluding TB)


Learning Disabilities 
e: / (service clinical leads)

t: 020 8356 7444

Maternity and Obstetric



Sexual Health

Stroke and Transient Ischaemic Attack


t: 020 8510 5555 and ask to speak aircall Dr Lehmann or the TIA nurse on bleep 227. 

TB Team


Urology Nurse Specialist
For advice on catheter, prostate and erectile dysfunction phone Urology Nurse Specialist:
t:  0208 510 7962 and bleep 599

 Key Information

  • Responsibility of the patient remains with the GP unless a decision to refer is made
  • e-RS Advice and Guidance correspondence can be converted into a referral. 
  • Written response time is typically 2 working days
  • Find the e-RS Advice and Guidance Dashboard in downloads- this shows how practices are using the service. Please consider using the support to manage patients in primary care

External Links