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
