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

Paediatrics
t:  07795 390715 (9 am - 5 pm)

Geriatrics
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

Anticoagulation
e: huh-tr.Antico@nhs.net

Children's Continence Service
Tel: 020 7014 7111

Drug and alcohol
e: CNW-tr.hrsreferrals@nhs.net 

Haematology
e:  huh-tr.haem@nhs.net

Hypertension

e: huh-tr.Hypertension@nhs.net

Infectious Diseases (excluding TB)
e: huh-tr.microbiology@nhs.net

Infertility
e: huh-tr.fertility.unit@nhs.net

Learning Disabilities 
e: nicole.eady2@nhs.net / laura.checkley1@nhs.net (service clinical leads)

t: 020 8356 7444

Maternity and Obstetric
e: huh-tr.obstetricquery@nhs.net

Parkinson’s
e: huh-tr.parkinsonsservice@nhs.net

Renal 
e: renal.homerton@nhs.net

Sexual Health
e: huh-tr.sexualhealthadvice@nhs.net

Stroke and Transient Ischaemic Attack

e: huh-tr.TIAClinic@nhs.net 

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

TB Team

e: huh-tr.tbteam@nhs.net

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