| Cardiology |
ACERs Heart Failure service provides care in the community to optimise medications, monitor symptoms and reduce risk of hospital admission (Monday - Friday) |
02076834698
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Acute Chest Pain Pathway |
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| Diabetes |
Same day assessment for suspected Type 1 Diabetes |
07833048047 |
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| ENT |
ENT emergency clinics at Homerton for adults Monday - Friday in core hours. There is no ENT provision OOH at Homerton.
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On call team via switchboard |
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For Paediatric ENT, OOH or for very acute referrals (unable to eat and drink, breathing difficulty, severe epistaxis, acute mastoiditis) contact the Royal London |
On call team via 02073777000 |
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Sudden Onset Sensorineural Hearing Loss Pathway |
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Tonsillitis Urgent Care Pathway |
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| Gastro |
Inflammatory Bowel Disease Pathway |
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| Geriatrics |
Urgent assessment or advice by a Care of the Elderly consultant to avoid hospital admission |
07766703203 |
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| IIT |
Integrated Independence Team provides MDT assessment and/or up to 6 weeks rehabilitation or reablement intervention |
02085107750 |
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| Mental health |
Crisis professionals line 247 (For patients in crisis please signpost to 111 option 2) |
02038194957 |
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Walk-in crisis assessments (for adults in crisis open 0800-2000) |
Raybould Crisis Hub, Homerton Hospital |
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| Neurology |
Suspected cauda equina pathway |
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First Seizure Epilepsy Pathway |
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Headache Urgent Care Pathway |
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| O&G |
General Gynaecology emergencies |
On call team via switchboard |
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Early Pregnancy Assessment Unit (EPAU) before 18 weeks pregnancy |
huh-tr.epau.referrals@nhs.net |
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Obstetric Assessment Unit (OAU) Monday - Friday 9-5 |
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| Oncology |
Acute Chemotherapy Hotline 247 for doctors and patients at Barts Hospital |
07917093728 |
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| Suspected Metastatic Spinal Cord Compression dedicated coordinator at Royal London (Monday - Friday 9-5) |
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07957724979 |
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| Ophthalmology |
Minor Eye Conditions Service |
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Moorfields Professionals helpline - first point of call for GPs with queries or escalation point |
02075214661 |
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Moorfields A&E - GP to discuss with doctor on call before sending a patient to A&E |
02075214682 |
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Moorfields Virtual A&E |
www.moorfields.nhs.uk/ae/virtual-consultation |
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| Orthopaedics |
General Orthopaedic emergencies |
On call team via switchboard |
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| Paediatrics |
Acute Advice/Referral line held by Paediatric consultant/SpR Monday-Friday 9-5 |
07795390715 |
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Acute Paediatric Sickle Cell Emergencies should be referred to Royal London |
On call team via 02073777000 |
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Paediatric Acute Asthma Pathway |
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Paediatric Bronchiolitis Pathway |
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| Palliative Care |
St Joseph's Hospice 247 advice and support line |
03003030400
stjosephs.firstcontact@nhs.net
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| Paradoc |
Rapid assessment and treatment of acutely unwell patients who would otherwise be admitted. The focus is on frail, elderly and complex patients (12-midnight) |
03000339930 |
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| Podiatry |
Emergency service for people at risk of ulceration or amputation with urgent foot problems eg diabetic foot ulcer (walk-in service Monday - Friday 9-10) |
Foot Health Service, St Leonards |
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| Renal |
Royal London Renal consultant hot phone (Monday - Friday 0830 - 5) |
02035945751 |
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| Respiratory |
ACERs Respiratory 7 day service for anyone in City and Hackney living with diagnosed chronic lung disease. |
02085105107
(24h advice line for patients or clinicians 07920150074)
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Asthma Urgent Care Pathway |
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COPD Acute Exacerbation Pathway |
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| Stroke |
Royal London HASU, contact HASU SpR or consultant |
SpR 02035945672 or Consultant 02035945671 |
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TIA Pathway - please note if high risk or a Friday, refer to Royal London HASU |
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| Urology |
General Urological emergencies |
On call team via switchboard |
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Ureteric Colic pathway |
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| Vascular |
General Vascular emergencies for Royal London |
On call team via 02073777000 |
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DVTs contact SDEC |
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