Advice and Guidance

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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

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

Geriatrics
(rapid access phone number) t: 07766 703 203

Other Advice and Guidance

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

Children's Continence Service
https://www.homerton.nhs.uk/continence-service/

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 (not TB)

e: huh-tr.microbiology@nhs.net

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

Learning Disabilties 

Please email Dr Nicole Eady or Dr Laura Checkley

nicole.eady2@nhs.net 

laura.checkley1@nhs.net

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
 t: huh-tr.sexualhealthadvice@nhs.net

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

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

Clinical Contacts

TIA (high risk) – email huh-tr.TIAClinic@nhs.net

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