Advice and Guidance

Add to CPD Subscribe to page updates Start a discussion

For the COVID-19 Update on Homerton Advice and Guidance- click here


eRS Advice and Guidance

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 is available in the following specialties:

  • Allergy
  • Cardiology
  • Care of the Elderly (see exceptions in Downloads)
  • Dermatology (not photos)
  • Diabetes
  • Endocrinology
  • ENT for Adults and Children
  • Gastroenterology
  • General Surgery (see exceptions in Downloads)
  • Gynaecology
  • 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

Responsibility of the patient remains with the GP unless a decision to refer is made. The multi-way dialogue can then be converted into a referral. The CCG and Homerton have agreed an initial request response turnaround time of 2 working days for 80% of requests to the Homerton. 

Uptake of eRS Advice and Guidance

The eRS advice and guidance uptake dashboard (see Downloads section) compares practice use of eRS advice and guidance and shows a wide variation in terms of usage. We are encouraging all practices to consider using eRS advice and guidance for queries or if they believe they could manage a patient in primary care with this additional support. 84% of requests for are responded to within two working days.

Urgent Telephone Advice

t:  07795 390715 (9 am - 5 pm)

(rapid access phone number) t: 07766 703 203

Other Advice and Guidance


Children's Continence Service

Drug and alcohol



Infectious Diseases (not TB)



Learning Disabilties 

Please email Dr Nicole Eady or Dr Laura Checkley

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

Clinical Contacts

TIA (high risk) – email

To refer 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

External Links