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Urgent referrals to St Helier
This information provides an up to date guide to help the local GP community to better explain and ensure understanding of the urgent referral process at St Helier’s Hospital. We hope to improve and expedite urgent referrals to the appropriate speciality, and make local GP colleagues aware of the systems and services available that you can refer to if concerned.
We understand the difficulty in making referrals and getting in touch with the correct team in an appropriate time during busy clinics. If GPs have difficulty with obtaining contact with the correct speciality, it may result in patients sent to ED/SDEC without referral letters or referrals being made.
We in the ED and SDEC Department hope that this information assists and guides you in making you aware of the services available and the pathways to refer patients to the appropriate team.
Once a patient is accepted they will be directed to ED with letter of referral addressed ‘Dear Medical Team’. We ask that the GP discloses the name of the clinician they spoke to, who accepted the referral and address the letter specifically to them. This will help our management of referrals.
Urgent GP Referrals To St Helier
Bypass Number to Switchboard 0208 296 3456
Acute Medicine
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Contact details |
Medical SpR - Bleep #400 Acute Medical Consultant = 07975 232232 (Mon – Fri 9-5pm) If unavailable then contact the Medical Consultant on call via switchboard (020 8296 3456) |
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Patients accepted |
Any unwell medical patient likely to need urgent admission Any patient discharged from medical ward within seven days if same condition / reason for presentation |
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Conditions accepted |
Any primary medical condition |
Once accepted patient to be directed to ED with letter of referral addressed ‘Dear Medical Team’
Same Day Emergency Care (SDEC)
Same day emergency care (SDEC) is a service that provides emergency care to people without the need for an admission to hospital. SDEC is one of the many ways the NHS is working to provide the right care in the right place for people and to improve flow in the emergency department
It encompasses emergency medicine and acute medicine teams working in SDEC, the surgical team in SACU (surgical ambulatory care unit) and the gynaecology team in AGU (acute gynaecology unit).
The aim is to reduce admissions, improve flow in the ED, and for patients to see the right clinicians first time in the right place.
Patients will attend as walk-ins, via ambulance, referrals from 111, or GP referrals.
People with a NEWS2 score of less than 5 can be seen in SDEC.
Abscesses will be seen by the surgical team in SACU in hours and in SDEC out of hours. Excessive vomiting in pregnancy will be seen by the gynaecology team in AGU 8am-4.30pm Monday to Friday. Outside of these times they will go through A&E.
For more details of the SDEC Gold Standard Pan London Pathways click here.
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Contact details |
Same Day Emergency Care Medical team in SDEC: acute medical consultant on mobile 07975 232232 Mon-Fri 9-5pm Outside these hours contact : Medical SpR - bleep #400
For the Surgical team in SACU: SACU ANP on mobile phone: 07776 677209 SACU Registrar #700 If unavailable then contact SACU on 020 8296 8507/8508 If unavailable then contact the surgical consultant via switchboard (020 8296 3456)
For the Gynecolgy team :AGU: Gynae: SHO on bleep 742 In hours 8am -5pm : 020 8296 2954 For consultant of the day 9-5pm via switchboard 020 8296 3456
Locations: SDEC is located next to ED in A block on the ground floor SACU is located next to Mary Moore ward in C1 AGU is located in women’s services in M block, Hours of Opening: SDEC – 24 hours a day 7 days a week Primary assessment specialty Mon - Friday 9-5pm Specialty assessment out of hours via on call team, SACU & AGU – Mon-Fri 8-4.30pm |
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Haematology
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Renal
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Direct patient to ED with a letter addressed ‘Dear Renal’
General surgery
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Stable patients will be directed to SACU
Unstable patients likely to need urgent support and review will be directed to ED with referral letter addressed ‘Dear surgeons’
Orthopaedics
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Ask if SACU has capacity, if so send the patient to SACU
If SACU is full direct patient to ED with a letter addressed ‘Dear Orthopaedics Team’
Urology
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Please direct patient to SACU with a letter addressed to ‘Dear Urology’,
Unstable patients likely to need urgent support/review please direct to ED with referral letter addressed ‘Dear Urology’
Obstetrics
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Gynaecology
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Stable patients will be directed to SAU/EPU. Unstable patient, likely to require immediate support and assessment please direct to ED with letter addressed ‘Dear Gynaecology’.
Ophthalmology
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Direct patient to eye clinic (ground floor, B block, St Helier)
Out of hours patients should be directed to ED for assessment, consider directing patient to St George's Hospital if urgent input required as not available at St Helier.
ENT
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Out of hours patients should be directed to ED for assessment, consider directing patient to St George's Hospital if urgent ENT input required as not available at St Helier.
Paediatrics
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Patients to be directed to Paediatric ED with referral letter addressed ‘Dear paediatric team’. If directing surgical patients, even those not discussed with surgeons please address letter 'Dear surgical team' to the Paediatric ED.
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