In this issue
Latest news
GP survey – Unified Point of Access for Enhanced Rapid Response & @home
Pathway Homeless Team to continue for a further year
Redevelopment of Queen Mary's Hospital, Sidcup
GP survey - children’s occupational therapy
Transforming Outcomes and Health Through Imaging (TOHETI)
Service updates
No NHSmail fax referrals to the district nursing service
District Nursing Service – contact details
Prolonged Jaundice Service at Guy’s and St Thomas’
Evelina Centre for Inherited Metabolic Disease Service
Menopause and early menopause clinics
Tuberculosis community nurse-led service
Pathology updates from Viapath
Labelling sample and request forms
Training and events
Free gynaecology update for GPs at Guy’s Hospital
Training and events
SAGE & THYME - a free 3 hour workshop on recognising and managing distress
Transforming end of life care
The Allergy Academy Spring Programme
Resilience in Healthcare Masterclass
5th Annual Anogenital and Oral Dermatology Course
Skin Biopsy Course
Bespoke education programme for teenagers with atopic eczema
Adult Metabolic Study Day
Delirium and Dementia
Eating peanut at an early age prevents peanut allergy
Alex Risorto
Tel: 020 7188 4978
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Prolonged Jaundice Service at Guy’s and St Thomas’

Our Prolonged Jaundice Service receives around 300 referrals a year. Infants should be referred if they are still visibly jaundiced at the age of 21 days.

Phone switchboard on 020 7188 7188 (Monday to Friday 9am to 5pm) and bleep the Neonatal Registrar on 0682.

Assessment is made based on the information obtained at the time of referral (a short clinical survey is performed with the referring midwife or GP) and a set of blood tests (liver function test and conjugated bilirubin level) performed by the phlebotomy service at Evelina London Children’s Hospital. Parents receive results over the phone followed by a letter.

We only see a baby in our clinic and expand the testing if there is any concerning information in the initial survey (ie poor weight gain or non-pigmented stools) or if the bilirubin level or its conjugated fraction is really high. More detailed information from our guidelines is available here

Please note that the majority of referred infants are discharged with a diagnosis of breast milk jaundice. This is a benign, self-limiting condition that may last for 12 weeks and doesn’t need treatment.

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