Urgent and Emergency Care

City and Hackney GPs hold the Duty Doctor contract, which looks at A&E attendances within core hours.

There are several Urgent Telephone Advice/Referral lines available at the Homerton, to consider if same day emergency care needed, which avoid an A&E attendance.

For most medical referrals, please contact Same Day Emergency Care (SDEC) 
Provision of same day care of adults with acute medical pathologies who would otherwise be admitted to hospital.  Run by A&E/Acute Medical consultant.
t: 07500991259 (10-6pm for advice, OOH bleep 400)

For most paediatric referrals, please contact Acute Paediatrics
t: 07795390715 (9-5pm) 

For a list of all emergency, rapid access and urgent care services available to City and Hackney clinicians, see below:

Specialty Urgent Services Contact details
Cardiology

ACERs Heart Failure service provides care in the community to optimise medications, monitor symptoms and reduce risk of hospital admission (Monday - Friday)

02076834698

 

Acute Chest Pain Pathway

 

 

 

 

Diabetes

Same day assessment for suspected Type 1 Diabetes

07833048047

 

 

 

Dermatology

Urgent advice 0900 - 2000 via on call Derm SpR at Royal London

On call team via 02073777000 

 

   
ENT

ENT emergency clinics at Homerton for adults Monday - Friday in core hours.  There is no ENT provision OOH at Homerton.

On call team via switchboard

 

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

 

Sudden Onset Sensorineural Hearing Loss Pathway 

 

 

Tonsillitis Urgent Care Pathway

 

 

 

 

Gastro

Inflammatory Bowel Disease Pathway

 

 

 

 

Geriatrics

Urgent assessment or advice by a Care of the Elderly consultant to avoid hospital admission 

07766703203

 

 

 

IIT

Integrated Independence Team provides MDT assessment and/or up to 6 weeks rehabilitation or reablement intervention

02085107750

 

 

 

Mental health

Crisis professionals line 247 (For patients in crisis please signpost to 111 option 2)

02038194957

 

Walk-in crisis assessments (for adults in crisis open 0800-2000)

Raybould Crisis Hub, Homerton Hospital

 

 

 

Neurology

Suspected cauda equina pathway

 

 

First Seizure Epilepsy Pathway

 

 

Headache Urgent Care Pathway

 

 

 

 

O&G

General Gynaecology emergencies

On call team via switchboard

 

Early Pregnancy Assessment Unit (EPAU) before 18 weeks pregnancy

huh-tr.epau.referrals@nhs.net

 

Obstetric Assessment Unit (OAU) Monday - Friday 9-5

 

 

 

 

Oncology

Acute Chemotherapy Hotline 247 for doctors and patients at Barts Hospital

07917093728

 

Suspected Metastatic Spinal Cord Compression dedicated coordinator at Royal London (Monday - Friday 9-5)

07957724979

 

 

 

Ophthalmology

Minor Eye Conditions Service 

 

 

Moorfields Professionals helpline - first point of call for GPs with queries or escalation point

02075214661

 

Moorfields A&E - GP to discuss with doctor on call before sending a patient to A&E

02075214682

 

Moorfields Virtual A&E

www.moorfields.nhs.uk/ae/virtual-consultation

 

 

 

Orthopaedics

General Orthopaedic emergencies

On call team via switchboard

 

 

 

Paediatrics

Acute Advice/Referral line held by Paediatric consultant/SpR Monday-Friday 9-5

07795390715

 

Acute Paediatric Sickle Cell Emergencies should be referred to Royal London

On call team via 02073777000

 

Paediatric Acute Asthma Pathway

 

 

Paediatric Bronchiolitis Pathway

 

 

 

 

Palliative Care

St Joseph's Hospice 247 advice and support line 

03003030400

stjosephs.firstcontact@nhs.net

 

 

 

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

 

 

 

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

 

 

 

Renal

Royal London Renal consultant hot phone (Monday - Friday 0830 - 5)

02035945751

 

 

 

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)

 

Asthma Urgent Care Pathway

 

 

COPD Acute Exacerbation Pathway

 

 

 

 

Stroke

Royal London HASU, contact HASU SpR or consultant 

SpR 02035945672 or Consultant 02035945671

 

TIA Pathway - please note if high risk or a Friday, refer to Royal London HASU

 

 

 

 

Urology

General Urological emergencies

On call team via switchboard

 

Ureteric Colic pathway

 

 

 

 

Vascular

General Vascular emergencies for Royal London

On call team via 02073777000

 

DVTs contact SDEC