In this issue
News from the Trust
The Hand Trauma Unit has moved to a new location
A closer look at Guy’s and St Thomas’ infectious disease service
Have your say
Single point of access for headache at Guy's and St Thomas' – tell us your views
Service updates
Specialist skincare closer to home for Southwark residents
Fracture liaison Service at Guy’s and St Thomas’
Guy’s and St Thomas’ electronic maternity records
Rejected referrals – take action!
Test services on e-RS
Referrals for Sleep Medicine
Spirometry Referrals
Supporting the Somali community to better health
Partnership News
Improving health outcomes with the Vital 5
New and revised GP Guidelines on DXS and the CYPHP website
Over 3,000 staff wearing NHS rainbow badges
Have you seen the brand new CYPHP Health Check videos?
Pathology updates from Viapath
The Phlebotomy Service based at Gracefield Gardens is not for children blood tests
Research
New technology could speed up diagnosis for Huntington's disease
Training and events
SL EASE: Common Respiratory Diseases in Primary Care
Allergy in adults for GPs and nurse practitioners
Minimising the risks of surgery for older people: a guide for general practice
Free chronic kidney disease update for GPs at Guy’s and St Thomas'
Training and events
Guy’s Cancer Academy: Chemotherapy induced nausea and vomiting
One-day Mind & Body Programme clinical skills course
New technologies in thoracic oncology conference 2019
DermAcademy Alopecia ‘360’ – A Masterclass in Hair Loss Course
Schwartz Centre Round: paediatrics
The Children & Young People's Practitioner Course
Home Mechanical Ventilation UK Meeting 2019
Evelina London Gait Analysis Course
Contact
Alex Risorto
Alex.Risorto@gstt.nhs.uk
Tel: 020 7188 4978
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News from the Trust
 
The Hand Trauma Unit has moved to a new location

The Hand Trauma Unit at St Thomas’ Hospital, previously known as the Hand and Plastic Emergency Unit, has relocated from the 10th floor of North Wing, to its new department on the ground floor of Lambeth Wing which provides  much improved access for patients.

 

The Hand Trauma Unit treats all patients with both closed and open hand injuries, complex wounds, and hand therapy treatment. The trauma team consists of plastics and orthopaedic surgeons, hand therapy practitioners, specialist nurses, trauma coordinators and administrators.

The unit is purpose built, containing a specialist hand therapy treatment room, clinic rooms, nursing wound management rooms, and a minor injuries treatment room for minor surgical procedures.

 

The unit is now on the ground floor, Lambeth Wing, opposite St Thomas’ Day Surgery, where its location allows the team to work closely with the Emergency Department and Day Surgery.

 

Hand injuries – emergency referrals

Where GPs need advice, emergency patient review or to arrange an admission, please telephone the switchboard on 020 7188 7188 and ask to speak to the on-call specialist registrar or senior house officer in plastic surgery.

If you would like to refer to our hand and plastic emergency clinic at St Thomas', please download this referral form and send it to gst-tr.handtrauma@nhs.net Please see the form for details of referral criteria.

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A closer look at Guy’s and St Thomas’ infectious disease service

This month we asked Dr William Newsholme and Dr Victoria Allen from the infectious disease team, to tell us about their service and give GPs some hints and tips.

 

Could you tell us about your service and the type of conditions you treat?

The infectious diseases service at Guy’s and St Thomas’ comprises six full time consultants and several registrars. We offer an inpatient and outpatient service. Outpatient services comprise of scheduled consultant clinics including a viral hepatitis clinic, TB clinic (run in conjunction with respiratory consultants) and several general infectious diseases clinics. The general infectious diseases clinics see patients with a diverse range of conditions including bone and joint infections, worms and other parasitic infections. There is also an Outpatient Parenteral Antibiotic Therapy service (OPAT) where people can be given longer courses of IV antibiotics in the community to facilitate early discharge from hospital.

 

 

[ READ MORE ]
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Have your say
 
Single point of access for headache at Guy's and St Thomas' – tell us your views

Transforming Outcomes and Health Economics Through Imaging (TOHETI) programme is looking to develop a single point of access for patients referred onto the headache pathway at Guy’s and St Thomas’.

 

If you are a GP working in Lambeth or Southwark, please take a few of minutes to tell us about your experience with the current service and give us your suggestions on how to improve it.

 

To start the survey click on this link

 

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Service updates
 
Specialist skincare closer to home for Southwark residents

The community dermatology service manages a wide range of dermatological conditions for patients living in Southwark.

 

It is a consultant and GPwER (GP with an extended role) led NHS service, commissioned by Southwark CCG and delivered by Guy's and St Thomas’ in partnership with King’s College Hospital Trust and Improving Health Limited.

 

 

[ READ MORE ]
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Fracture liaison Service at Guy’s and St Thomas’

The fracture liaison service at Guy’s and St Thomas’ diagnoses, treats and integrates care for all patients over the age of 50 within the local population who have suffered a fragility fracture.

 

Why is this important?

[ READ MORE ]
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Guy’s and St Thomas’ electronic maternity records

In line with recommendations from the National Maternity Review, Guy's and St Thomas’ is moving towards a fully electronic maternity record for women booked with us for pregnancy care. This started with women booked from 1 May 2019 onwards.

[ READ MORE ]
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Rejected referrals – take action!

As a general rule, if there is a UBRN (unique booking reference number) visible on a worklist this means it requires attention.

[ READ MORE ]
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Test services on e-RS

We have a number of test services set up on live e-RS – these are all labelled clearly as XX GP DO NOT USE XX however we are still seeing patients being referred into such services.  Please kindly refrain from using any test services as they are not always monitored.

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Referrals for Sleep Medicine

For referrals to our sleep service, please use the specialty Sleep Medicine on e-RS to access the correct servicePlease do NOT use the service below

Speciality:          Respiratory Medicine

Clinic Type:        Sleep - see Sleep Medicine

Service name:   “Respiratory Unit (Lane Fox - NOT Sleep)”

 

As this service states in the name and exclusions this is NOT for sleep referrals yet we are still getting practices using this, thus referring inappropriately.

 

In addition, please note that the Sleep Service does not accept referrals for primary insomnia.  For snoring without sleepiness or apnoeas, these should be referred to the ENT department for evaluation.

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Spirometry Referrals

Please note the Community Lung Function Service for Lambeth and Southwark GPs is provided by King’s College Hospital from various community locations, therefore please refer directly to them for Spirometry referrals.  The service can be accessed on e-RS as follows:

 

Specialty:           Diagnostic Physiological Measurement, not Respiratory Medicine.

Clinic Type:        Respiratory - Full Lung Function

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Supporting the Somali community to better health

Therapy staff and exercise instructors from Guy’s and St Thomas’ are helping Somali women and men to reduce their risk of falls and improve their general health and well-being. Free weekly exercise classes are held at the Somalian Integration and Development Association, based in the Camberwell Business Centre.

 

Judith Hall, clinical lead and head of the Guy’s and St Thomas’ nurses community rehabilitation and falls service, said: “Research shows that if you participate in a falls prevention exercise programme aimed at improving strength and balance and continue with these exercises regularly, you can significantly reduce the risk of a fall.”

 

To find out more about the initiative call 020 3049 5424

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Partnership News
 
Improving health outcomes with the Vital 5

Professor John Moxham, Director of Value Based Healthcare at King’s Health Partners, talks to Dr Rachna Chowla, Clinical Lead at Clinical Effectiveness Southwark, about how measuring, recording and controlling five key measures - the Vital 5 – could help GPs to improve value and reduce health inequalities.

Watch the interview now.

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New and revised GP Guidelines on DXS and the CYPHP website

Have you seen the new and revised GP Guidelines about common childhood conditions?

 

These guidelines are supporting Lambeth and Southwark GPs to deliver evidence-based practice as part of everyday care and are now available on DXS. You can also download them from the Children and Young People Health Partnership  (CYPHP) website.

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Over 3,000 staff wearing NHS rainbow badges

More than 3,000 staff at Guy’s and St Thomas’ are wearing NHS rainbow badges to support lesbian, gay, bisexual and transgender (LGBT+) patients.

The scheme was developed by Evelina London and rolled out across the Trust this February during LGBT history month.

 

More than 300 NHS organisations, including hospital trusts, clinical commissioning groups and GP surgeries, have requested a special toolkit developed by Evelina London to help roll out the scheme. Currently one in five trusts in England have already launched the scheme or are planning to roll it out.

 

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Have you seen the brand new CYPHP Health Check videos?

Last month the Children and Young People Health Partnership (CYPHP) celebrated its one year anniversary of the Health Check. The past year has been exciting to say the least, with many positive outcomes and intriguing insights, to find out more click on this link. To date, more than 2,600 Health Checks have been completed.
 
To help get the message out to more families, two videos were created to make it easier for families and professionals to know what the Health Check is, and what the benefits are of completing it. You can view the video made for professionals here.
 
If you would like to see the families' video, please click here

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Pathology updates from Viapath
 
The Phlebotomy Service based at Gracefield Gardens is not for children blood tests

The Phlebotomy Service based at Gracefield Gardens is an adults-only service. The team is currently experiencing an increase in the number of children attending for blood tests. Unfortunately, the service based at Gracefield Gardens is not able to take blood from children and therefore staff have to refer children back to their GP or another service.

 

Please be aware that the only location for paediatric blood tests within the Guy's and St Thomas' catchment area is at St Thomas' Hospital on the Ground Floor, South Wing. The service is located next to the Evelina London Children Hospital, operating as a walk-in service, between 8.00am and 17.45pm with a highly skilled team, all with the relevant competencies in obtaining blood from children of all ages. GP and patients are advised the waiting time is shorter between 8.00am - 12pm.

 

Viapath Customer Services: 020 7188 8008

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Research
 
New technology could speed up diagnosis for Huntington's disease

The world’s first genetic test for Huntington’s disease using nanopore-based DNA sequencing technology is now available at Guy’s and St Thomas’. The test could drastically cut the waiting time for the most complicated cases of Huntington’s disease and has huge potential for other genetic disorders in the future. 

The breakthrough was achieved by a collaboration between Viapath, the NIHR Guy’s and St Thomas’ Biomedical Research Centre and its academic partner King’s College London, and the London South Genomic Laboratory Hub.

The team used MinION DNA sequencing devices made by Oxford Nanopore Technologies that provide results much faster than traditional testing methods. They have shown for the first time that these sequencing devices can meet the stringent, internationally recognised standards for use in clinical laboratories, providing ‘proof-of-principle’ that this new technology can be used in the NHS. 


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Training and events
13 Jun, 19
SL EASE: Common Respiratory Diseases in Primary Care
 

EASE is a free monthly event to trainees and GPs which is held on the 2nd Thursday each month, rotating between the three London Faculties: North East London, North and West London and South London. 

 

The South London Faculty is hosting the EASE event on 13 June 2019. 

[ READ MORE ]
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18 Jun, 19
Allergy in adults for GPs and nurse practitioners
 

Guy's and St Thomas' would like to invite you to attend an all-day free teaching event on Tuesday 18 June 2019.

 

This event is being hosted by Dr Chris Rutkowski (Consultant Allergist and Clinical Lead for Adult Allergy) and Dr Olympia Tsilochristou (Allergist, Clinical Research Fellow) as part of the British Society for Allergy and Clinical Immunology (BSACI) Regional Primary Care Allergy Training Days with the general aim of encouraging a dialogue between primary care and local adult allergy specialist services.

[ READ MORE ]
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27 Jun, 19
Minimising the risks of surgery for older people: a guide for general practice
 

The POPS (Perioperative medicine for Older People having Surgery) department at Guy’s and St Thomas’ would like to invite you to a free evening teaching event on Thursday, 27 June 2019. 

 

Primary care clinicians are facing increasing numbers of older, complex, multimorbid, and frail patients. This can be a challenge at any time, but the surgical period poses a particular risk. 

 

  • What do you do when the 84 year old diabetic with dementia needs a knee replacement for debilitating pain?
  • Or when the heavy smoker with COPD develops prostatic symptoms that could be treated with TURP? 
  • What can the GP do to prepare these patients for the trials and tribulations of the surgical pathway they are headed down?
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17 Jul, 19
Free chronic kidney disease update for GPs at Guy’s and St Thomas'
 

An evening event for GPs organised by Guy’s and St Thomas’ and King's College Hospital's renal departments. Dr Elham Asgari (Consultant  in Nephrology and General Medicine), Dr Catriona Shaw (Consultant Nephrologist) and Dr Katie Vinen (Consultant Nefrologist) will present on:

  • An overview of chronic kidney disease (CKD)
  • Most common causes, complications
  • Referral criteria
  • How to best manage in primary care with reference to NICE guidelines.

This event attracts two CPD points

 

Light supper and a certificate of attendance following the event will be provided.

[ READ MORE ]
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12 Jun, 19
 
Guy’s Cancer Academy: Chemotherapy induced nausea and vomiting

Guy’s Cancer Academy would like to welcome staff and students from King’s Health Partners, South East London Accountable Cancer Network and South East London Cancer Alliance to a free, multi-disciplinary, educational event focusing on Chemotherapy Induced Nausea and Vomiting.

 

This Symptom of the Month event will hear presentations on:

  1. Physiology of chemotherapy-induced nausea and vomiting and pharmacological interventions
  2. Patient experience of fear of chemotherapy induced nausea and vomiting
  3. Management of chemotherapy induced nausea and vomiting at Guy’s Cancer
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17 Jun, 19
 
One-day Mind & Body Programme clinical skills course

One-day Mind & Body Programme clinical skills course

 

Free to all clinical staff, this King’s Health Partners course aims to equip medical, psychiatry, nursing, and therapies staff with clinical skills to help manage both the physical and psychological needs of patients. The course is suitable for practitioners at all levels and dates are available on 17 June, 15 July, and 27 September.

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24 Jun, 19
 
New technologies in thoracic oncology conference 2019

The New Technologies in Thoracic Oncology Conference on 24 June will help participants to appreciate the importance of a multidisciplinary approach to diagnosing and treating thoracic malignancies and understand roles of thoracic surgery in the era of targeted therapy and the impact of new technologies.

 

The aims of the conference for physicians and allied health professionals are as follows;

  •  Improve understanding of contemporary, minimally-invasive surgical approaches to lung cancer
  •  Gain a multimodality approach to pulmonary metastases, advanced tumour and rare thoracic malignancies.
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24 Jun, 19
 
DermAcademy Alopecia ‘360’ – A Masterclass in Hair Loss Course

We are pleased to announce that the St John’s DermAcademy Alopecia ‘360' – A Masterclass in Hair Loss Course course is running for its second year in 2019. This is a one-day course aimed at improving practical skills in the diagnosis and management of scarring and non-scarring alopecia. 

 

Topics covered include:

  • Hair histopathology
  • Hair disorders in ethnic skin
  • Managing androgenetic alopecia
  • Systemic therapies for scarring alopecias
  • Trichoscopy
  • Hair transplantation
  • Future perspectives in the field.
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24 Jun, 19
 
Schwartz Centre Round: paediatrics

Developed by the Schwartz Centre for Compassionate Healthcare in the USA, Schwartz Centre rounds provide a structured, monthly one-hour forum for staff from all disciplines to discuss difficult emotional and social issues that arise caring for patients. Discussions are confidential and take place in a safe environment. Their purpose is not to solve problems but to explore the human aspects of delivering care and the challenges that staff face.

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11 Jul, 19
 
The Children & Young People's Practitioner Course

King’s Health Partners Mind & Body Programme and Children and Young People Health Partnership present a one day course, promoting the inter-professional care of children and young people with health and other complex needs.
 
The course will meet the following learning objectives using role-play, inter-professional group work, and didactic teaching:

  1. Understand how mind and body interact, including understanding health in its broadest definition (physical, mental, and social)
  2. Improve skills in managing challenging clinical situations involving interacting physical and psychological needs within the wider social context (e.g. parental mental health, safeguarding concerns, etc.)
  3. Understanding the professions, services, and pathways available to people with physical and psychological needs

 

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12 Jul, 19
 
Home Mechanical Ventilation UK Meeting 2019

The HMV UK Meeting provides a multi-disciplinary network for established clinicians and healthcare professionals that are either caring for patients dependent on home mechanical ventilation, or that have an interest in continual care using highly advanced specialist technologies. The meeting offers an invaluable opportunity to learn more about the latest advances in the management of children and adults with chronic respiratory failure.

The 2019 programme will cover topics including:

  • Advanced sleep studies in ventilated patients
  • Auto-titrating NIV – recent study results
  • Home NIV in bronchiectasis
  • Tracheostomy ventilation in MND in the UK
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28 Aug, 19
 
Evelina London Gait Analysis Course

The Evelina London Gait Analysis Course will provide attendees with an understanding of the factors that influence walking, and the knowledge required to interpret clinical gait data through a mixture of lectures and workshops, including case study discussions and the opportunity to observe a patient volunteer undergoing gait analysis in our gait laboratory.

 

The course is suitable for professionals who have a clinical interest in understanding movement pathology. These professionals might include: physiotherapists, orthopaedic surgeons, rehabilitation physicians, paediatricians, neurologists, biomechanists and orthotists.

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