Urgent referrals to St Helier

Acute Medicine

Specialty: Acute medicine

Contact details Medical SpR - Bleep #400

If unavailable then contact the Medical Consultant on call via switchboard (020 8641 5565)

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

Conditions accepted Any primary medical condition

Once accepted patient to be directed to ED with letter of referral addressed ‘Dear medics’

Ambulatory Care

Specialty: Ambulatory Care

Contact details

Ambulatory Care mobile 07975232232 or bleep #255

If unavailable then contact: Medical SpR - bleep #400

Service not available out of hours
Patients accepted

Stable patient, not requiring admission

Ambulatory or able to self transfer from wheelchair

Self caring and able to sit safely
Conditions accepted
  • Suspected DVT or PE
  • Upper limb cellulitis
  • COPD exacerbation
  • Suspected upper GI Bleed
  • Headache
  • Stable AKI
  • Pneumonia
  • Anaemia

Direct patient to ACU (located in on first floor, C block) with a letter addressed ‘Dear ambulatory’

ENT

Specialty: Ear, Nose and Throat (ENT)

Contact details

Contact ENT hub in working hours to arrange urgent review on 020 8296 5095

Patients accepted

Stable patient

Patient requiring urgent review, but not likely to need admission

Conditions accepted

Otitis Media

Other important information to include (if any)
  • Between 9am -5pm walk-in service available
  • Not available out of hours (OOH)

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. 

Frailty phone service

Specialty: Frailty phone service

Contact details

Frailty Phone  07880 130986

Only available Monday to Friday, 8am - 5pm
Patients accepted

Frail patients (clinical frailty score 5-9)

Those needing urgent assessment

Not suitable for those requiring  urgent medical admission
Conditions accepted Frailty

Haematology

Specialty: Haematology

Contact details

Haematology Consultant via POD on 020 8296 2203. Available Monday to Friday 8am - 5pm 

Haematology Lab SpR – Bleep 559
Patients accepted

Those needing urgent discussion

Patients being transferred from RMH
Conditions accepted
  • Haematological malignancy
  • Acute haematological pathology
Other important information to include (if any) Any patient requiring admission must be discussed with Acute Medicine
For non-acute problems, we recommend the Advice and Guidance facility on e-RS

General surgery

Specialty: General surgery

Contact details

SACU ANP phone: 07776 677209

SACU Registrar: #700

If unavailable then contact: SACU on 020 8296 8507/8508

If unavailable then contact the surgical consultant on call via switchboard
Patients accepted

Patients five years and over with any issue below

Any patient discharge from General Surgery team within 72 hour

Any patient who is less than seven days post-op.
Conditions accepted
  • Abscesses (torso + perianal)
  • Acute abdominal pain
  • Diverticulitis
  • Painful hernia
  • Wound problems
  • Constipation
  • PR bleed

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’

Gynaecology

Specialty: Gynaecology

Contact details

Gynaecology SHO – Bleep #742

Early Pregnancy Unit -  020 8296 2882

If unavailable then contact Gynaecology Consultant on call via switchboard  (020 8641 5565)
Patients accepted

EPU

  • Stable patient
  • Not pregnant or less than 15 weeks pregnant

GAU

  • Stable patient
  • Any patient discharged from gynaecology within 72 hours
  • Any patient post op presenting within seven days
Conditions accepted
  • Abdominal pain of suspected gynaecological aetiology
  • PV bleeding
  • Persistent hyperemesis

Stable patients will be directed to SAU/EPU

Unstable patient, likely to require immediate support and assessment will likely be directed to ED with letter addressed ‘Dear Gynaecology’

Obstetrics

Specialty: Obstetrics

Contact details

Obstetric SHO - Bleep #731

Labour Ward 020 8296 2904. If unavailable then contact the Obstetric Consultant on call via switchboard  (020 8641 5565)

Patients accepted

More than 15 weeks pregnant with presentation related to pregnancy

Any patient who is less than two weeks post partum with related issue
Conditions accepted
  • PV bleeding
  • Abdominal pain
  • Reduced foetal movements
  • Suspected pre-eclampsia
  • Persistent Hyperemesis

 

Ophthalmology

Specialty: Ophthalmology

Contact details Eye Clinic – 020 8296 3817
Patients accepted

Stable patient

Patient with primary ophthalmology concern
Conditions accepted
  • Foreign body
  • Corneal abrasion
  • Painful red eye
  • Visual loss/change
Other important information to include (if any)
  • Between 9am -5pm walk in service available
  • Not available out of hours 

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.

Orthopaedics

Specialty: Orthopaedics

Contact details

Orthopaedic SHO - Bleep #530

If unavailable contact  Orthopaedic SpR - Bleep #525, or FY1 - Bleep #158

If unavailable then contact the Orthopaedic Consultant on call via switchboard  (020 8641 5565)
Patients accepted

Any patient discharged from Orthopaedic team within 72 hour with an orthopaedic problem

Any patient who is less than seven days post-op with an issue related to surgery
Conditions accepted
  • Post-operative wound complications
  • Suspected septic arthritis
  • Issues related to a known fracture

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’

Paediatrics

Specialty: Paediatrics

Contact details

Paediatric ED SpR - Bleep #070

If unavailable then contact the Paediatric Consultant on call via switchboard (020 8641 5565)
Patients accepted
  • Patient under 16 with any medical conditions
  • Patients under 17 with acute mental health issues
Conditions accepted

Any medical conditions

Well neonates with jaundice/prolonged jaundice should be discussed with postnatal SHO Bleep #200 (these patients should not attend through Paediatric ED)
Other important information to include (if any)
  • Surgical issues for patients five years and over should be discussed with surgical team in first instance. Patients under five with surgical issues should be discussed with paediatric surgeons at St George's Hospital not directed to St Helier.
  • Child protection medicals for non-accidental injury (NAI) should be discussed with the duty social worker who should then discuss with the on call team for child protection. This is not appropriate for a Paediatric ED referral in most cases. 
  • Ophthalmology concerns should be directed to Eye clinic within working hours. OOH these patients should be directed to St Gerorge's Hospital
  • Non urgent advice and guidance is available via the eRS (electronic referral service)
A consultant hotline is available Monday - Friday, 1pm - 2pm only, mobile: 07551 124385

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'

Renal

Specialty: Renal

Contact details

Renal Registrar - Bleep #665

If unavailable then contact the Renal Consultant on call via switchboard  (020 8641 5565)
Patients accepted
  • Patients known to renal team with deterioration in renal disease
  • Patients currently receiving dialysis
  • Patients with a renal transplant
  • Any patient discharged from Renal team within 72 hours
Conditions accepted
  • New diagnosis of acute renal disease or deterioration in chronic renal disease
  • Complication of dialysis
  • Complication of transplant
  • Complication or new diagnosis of vasculitis
Other important information to include (if any)

Non urgent advice and guidance is available via eRS (electronic referral service)

Please refer any patients with new masses on renal imaging to urology rather than nephrology

Direct patient to ED with a letter addressed ‘Dear Renal’

Urology

Specialty: Urology

Contact details Urology SpR: ask to be connected via switchboard  (020 8641 5565)

If unavailable then contact: Surgical SHO on Bleep #700

If unavailable then contact the Urology Consultant on call via switchboard (020 8641 5565)
Patients accepted

Any patient with presenting with condition below

Any patient discharge from Urology team within 72 hour

Any patient who is less than seven days post-op
Conditions accepted
  • Suspected testicular torsion
  • Haematuria with clot retention

Direct patient to SACU with a letter addressed to ‘Dear Urology’,

Unstable patients likely to need urgent support/review will be directed to ED with referral letter addressed ‘Dear Urology’

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