Latest news
GP survey – Unified Point of Access for Enhanced Rapid Response & @home
 

We need your feedback to guide improvements and help us meet your requirements for referring into the Enhanced Rapid Response (ERR) and @home services.

 
To have your say, please complete this short 5 minute survey by 24 April
 


We need your feedback to guide improvements and help us meet your requirements for referring into the Enhanced Rapid Response (ERR) and @home services.

 
To have your say, please complete this short 5 minute survey by 24 April
 


About these services

 

@home:

Provides acute clinical care at home that would otherwise be carried out in hospital.

 

Enhanced Rapid Response (ERR):

Provides medically stable adults with home based rehabilitation and support to avoid hospital admission.

 

Unified Point of Access

(UPA):

Introduced in Nov/Dec 2014 to:

  • make it easier to refer – a single telephone number
  • help you identify the right service if the referral is complex
  • enable @home & ERR clinicians to work more closely to avoid admissions and offer timely intervention.
Pathway Homeless Team to continue for a further year
 

King’s Health Partners Pathway Homeless Team, based at Guy’s and St Thomas’ and King’s College Hospital, has received ongoing funding from Lambeth and Southwark CCGs and has extended to include South London and Maudsley Mental Health Trust (SLaM).


King’s Health Partners Pathway Homeless Team, based at Guy’s and St Thomas’ and King’s College Hospital, has received ongoing funding from Lambeth and Southwark CCGs and has extended to include South London and Maudsley Mental Health Trust (SLaM).

Over the last year the inter-professional team - including nurses, GPs, housing workers, an occupational therapist, a social worker and a peer advocate from Groundswell (a charity supporting homeless people) has integrated the care of homeless and vulnerably housed inpatients across the three hospital trusts. 

 

The team receives referrals for people who are homeless or vulnerably housed (including homeless hostel dwellers, those in temporary accommodation, squatters and those at immediate threat of eviction). Staff are closely linked with Guy’s and St Thomas’ Health Inclusion Team and other Pathway homeless teams in London.

 

Relationships with housing departments and housing commissioners have been key to success, as have innovative projects including the team’s frequent attenders forum, which has successfully created active working partnerships with outreach services, hostel managers and the London Ambulance Service.

 

The launch of the SLaM team service is also very exciting. This is the first time that a Pathway Homeless Team has delivered a service in a mental health trust. The funding award has enabled a three-year pilot of the service with an associated economic evaluation. The SLAM service started on 23 February.

Redevelopment of Queen Mary's Hospital, Sidcup
 
Work started on the new state-of-the-art Guy’s and St Thomas’ Cancer Centre at Queen Mary’s Hospital, Sidcup in November 2014. When it is completed in 2016, the Queen Mary’s Cancer Centre will provide 16,000 radiotherapy and 4,600 chemotherapy treatments a year. Most patients will no longer have to travel into central London for radiotherapy and chemotherapy because Guy’s and St Thomas’ staff will provide these treatments in Sidcup.

Work started on the new state-of-the-art Guy’s and St Thomas’ Cancer Centre at Queen Mary’s Hospital, Sidcup in November 2014. When it is completed in 2016, the Queen Mary’s Cancer Centre will provide 16,000 radiotherapy and 4,600 chemotherapy treatments a year. Most patients will no longer have to travel into central London for radiotherapy and chemotherapy because Guy’s and St Thomas’ staff will provide these treatments in Sidcup.

The Cancer Centre will include two new linear accelerator machines for radiotherapy treatment, as well as chemotherapy treatment facilities, together with an information and support service for cancer patients and their families provided by Dimbleby Cancer Care and Macmillan Cancer Support.

 

The redevelopment programme for Queen Mary’s Hospital, which is owned by Oxleas NHS Foundation Trust, is set to deliver a range of state-of-the-art facilities for local people. It will also include a new Guy’s and St Thomas’ Kidney Treatment Centre.

 

Watch a short film about the new Cancer Centre and the new Kidney Treatment Centre.

GP survey - children’s occupational therapy
 

Evelina London Children’s Community Occupational Therapy Team is conducting a referrers’ survey.

The survey is open to all GPs in Lambeth and Southwark and has been designed to capture the general understanding of the children’s community occupational therapy service and the services it provides.

 


The survey is open to all GPs in Lambeth and Southwark and has been designed to capture the general understanding of the children’s community occupational therapy service and the services it provides.

 

The short survey can be completed online or contact Sinead Barry (Paediatric Physiotherapist) at sinead.barry1@gstt.nhs.uk with your views.

Transforming Outcomes and Health Through Imaging (TOHETI)
 
It has been all-go for TOHETI to start the New Year and we’ve been able to see the work across our pathways really start to move forwards. 
It has been all-go for TOHETI to start the New Year and we’ve been able to see the work across our pathways really start to move forwards. 

TOHETI is looking at how imaging can lead to improvements across the entire patient pathway. A working group has been set up with GP Azhar Saleem, Lambeth clinical lead, to support improvements in primary and secondary care links. This programme of work will be crucial in ensuring that systems are in place to support revised pathways and new models of working.

Examples include:

  • Standardised radiology reports
  • New advances in Radiology training day for GPs
  • Urgent imaging protocol
  • Access to imaging for all primary care


We hope you enjoy reading this second edition of the newsletter, which provides an update on some of the work happening across the TOHETI programme. As always, please do get in touch with any ideas or questions you would like to discuss, we would love to hear from you.


Service updates
No NHSmail fax referrals to the district nursing service
 

Due to the closure of the NHSmail fax service on 31 March, the District Nursing Service is promoting electronic referrals.


Due to the closure of the NHSmail fax service on 31 March, the district nursing service is promoting electronic referrals.


Who will be affected by this change?

 

Any GP who currently refers to the district nursing service using the NHSmail fax service.

 

What do I need to do?

 

Please start sending your referrals securely by email using an NHSmail generic mailbox ie your GP practice nhs.net account.

 

Referrals to Lambeth District Nursing

Email: gst-tr.ReferralsAdultCustomerservice@nhs.net

 

Referrals to Southwark District Nursing

Email: gst-tr.SWKDNReferrals@nhs.net

Can I continue to send referrals by fax machine after 31 March?

Yes, if you normally use a fax machine the District Nursing Service is continuing to accept referrals by fax until June 2015.




District Nursing Service – contact details
 

Nine teams of district nurses are spread across seven localities in Lambeth and Southwark.

Please click on the link below to find the key contacts of the District Nursing Service in your area.


Contact details for the District Nursing Service are the following:

 

Location

 

Manager

Telephone

 

Cepta Hamm (Head of Nursing)

 07733 464550

 

Anita Macro (Deputy Head of Nursing District Nursing

020 3049 4734 and 07930 471593

North Lambeth

Randy Loo (Locality Nurse Manager)

020 3049 8891 and 07918 338911

South East Lambeth

Claire Ruscoe (Locality Nurse Manager)

020 3049 7820 and 07918 338737

 

South West Lambeth

Ridwan Soopee (Locality Nurse Manager)

020 3049 7662 and 07918 338852

 

Bermondsey and Rotherhithe

Jenny Jones (Locality Nurse Manager)

 

020 3049 7159 and 07919 128615

Borough and Walworth

Ayo Ajibade (Locality Nurse Manager)

020 3049 7817 and 07918 338770

 

Dulwich; Peckham and Camberwell

Ivy Jehu-Appiah

(Locality Nurse Manager)

020 3049 7828 and 07775 111681

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.


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.

Evelina Centre for Inherited Metabolic Disease Service
 
We provide a clinical Inherited Metabolic Disease (IMD) service both for children and adults based at Evelina London Children’s Hospital. IMD represents a group of more than 600 inherited conditions due to disruption of a single or multiple metabolic pathway leading to a diverse range of clinical presentations.

We provide a clinical Inherited Metabolic Disease (IMD) service both for children and adults based at Evelina London Children’s Hospital. IMD represents a group of more than 600 inherited conditions due to disruption of a single or multiple metabolic pathway leading to a diverse range of clinical presentations.

Phenylketonuria (PKU) is one of the most common metabolic diseases. Pregnant women with PKU should be referred by their GP if not already under the care of a metabolic specialist. This is because high phenylalanine levels disturb the development of the foetus and raised levels during pregnancy can cause microcephaly, mental retardation, congenital heart disease, spontaneous abortion, and low birth weight.

In collaboration with four major metabolic laboratories, the clinical IMD service provides diagnostic procedures in addition to acute and long term management of patients with a metabolic disorder. The most common conditions include:

  • Amino acid disorders, eg Phenylketonuria (PKU) and Urea cycle disorders
  • Carbohydrate disorders
  • Organic acid disorders 
  • Glycogen storage disorders
  • Lysosomal Storage Disorders (LSDs), eg Gaucher disease, Fabry disease, Mucopolysaccharidosis 1 (MPS1)
  • Purine/pyrimidine disorders
  • Fatty acid oxidation defects, eg Medium Chain Acyl CoA enzyme dehydrogenase deficiency (MCADD)
  • Mitochondrial disorders.


Please refer to:

Adult Metabolic Consultant

Fax 020 7188 8901


For more information please contact:

Joanna Gavin (Medical Secretary) Tel 020 7188 4004

Menopause and early menopause clinics
 
Women experiencing problems at menopause can be overlooked. Promoting a healthy menopause can avoid some chronic diseases later in life.  The Gynaecology Service offers two menopause clinics: one for women having problems with menopause and one for women with an early menopause (under the age of 45).
Women experiencing problems at menopause can be overlooked. Promoting a healthy menopause can avoid some chronic diseases later in life.  The Gynaecology Service offers two menopause clinics: one for women having problems with menopause and one for women with an early menopause (under the age of 45).

The clinics see women with:

 

  • Problems with Hormone Replacement Therapy (HRT)
  • Complex medical issues
  • Bleeding on HRT
  • Early menopause.

 

We give advice on all symptoms and treatment options, including support on healthy lifestyle.

In addition, women with diagnosed early menopause have direct access in clinic to a specialist fertility doctor who can advise on fertility issues, saving the need for separate appointments with the fertility service. The clinic also provides training for doctors and nurses undertaking menopause courses.

 

How to refer:

 

 Referrals are made via Choose and Book.

 

Alternatively, referrals can be made by letter to McNair Centre, Guy’s Hospital, Great Maze Pond, London SE1 9RT or by fax to 020 7188 3674.

For more information please contact Professor Janice Rymer (Consultant Gynaecologist) janice.rymer@kcl.ac.uk or Debra Holloway (Consultant Nurse) debra.holloway@gstt.nhs.uk.

Tuberculosis community nurse-led service
 
More than 4,500 people in Lambeth and Southwark have beaten Tuberculosis since the boroughs’ TB service, now run by Guy’s and St Thomas’ was launched in 1994.
More than 4,500 people in Lambeth and Southwark have beaten Tuberculosis since the boroughs’ TB service, now run by Guy’s and St Thomas’ was launched in 1994.

Guy's and St Thomas' community team| runs TB clinics at St Thomas' Hospital, King's College Hospital, and Lewisham and Greenwich NHS Trust. We provide a range of free and confidential services including:

  • Screening for tuberculosis
  • BCG vaccinations for contacts only
  • Support with medication
  • Advice on how to manage your illness
  • Continuing care assessment
  • Referral where necessary.


To raise awareness of TB, the team runs events in venues across Lambeth and Southwark including community centres, GP surgeries and day centres. Staff also visit patients at home or in other locations that are more convenient to them.

How to refer

For referral contacts please visit our website.

Pathology updates from Viapath
Labelling sample and request forms
 

Did you know that approximately 5% of sample requests have missing/illegible patient data? If we don't receive the correct patient data, we are unable to process test requests.

Information we must have:

Routine Samples:

  • Patient’s full name, date of birth, sex and clinical details
  • Contact name (requesting doctor, nurse or other clinician)
  • Contact telephone number
  • Collection date of sample taken and time of collection (TOC)

Cervical Smear Samples:

  • Patient’s full name and date of birth
  • Address
  • NHS Number

Malaria:

When sending sample for Malaria, please provide patient travel history (dates of travel and other clinical details).

Contact us:

For any queries or concerns, please contact the customer service team by email customersupport@viapath.co.uk or phone 020 7188 9684.


Chickenpox

Patients with suspected chickenpox symptoms must not be sent to the Phlebotomy Department at St Thomas’ Hospital for a blood test to check/confirm their status. This can lead to serious consequences not only for the vulnerable patients but also for our hospital staff.

For any advice please contact the customer service team by email customersupport@viapath.co.uk or phone 020 7188 9684.


Training and events
Free gynaecology update for GPs at Guy’s Hospital
 
Women's Services at Guy’s and St Thomas' would like to invite all GPs and community nurses to a free evening workshop on Monday 13 July.
Women's Services at Guy’s and St Thomas' would like to invite all GPs and community nurses to a free evening workshop on Monday 13 July.

Topics include:   

Management of fibroids

• Cervical screening and colposcopy


Cost:
free

Date:
Monday 13 July 2015 (7-9pm)

Venue:  Robens Suite, Floor 29 Tower Wing, Guy’s Hospital, Great Maze Pond, London, SE1 9RT

Light supper will be provided.

There will be clinical case discussions and attendance certificates.   This evening event carries two CPD points.

To book a place click here.

If you have any problems in accessing the weblink, please email alex.risorto@gstt.nhs.uk.

Training and events
SAGE & THYME - a free 3 hour workshop on recognising and managing distress
 

Psychological distress is common among patients, their families and their carers. Effective communication is widely regarded as being a key factor in determining a patient’s satisfaction, compliance with treatment and recovery.

 


Psychological distress is common among patients, their families and their carers. Effective communication is widely regarded as being a key factor in determining a patient’s satisfaction, compliance with treatment and recovery.

SAGE & THYME was developed to teach the core skills of dealing with people in distress.  

This free course helps healthcare professionals to:

 

• Recognise psychological distress

• Empower patient and carers who are worried or distressed

• Avoid causing psychological harm

• Communicate honestly and compassionately

• Know when they have reached the boundary of their competence.

For dates in 2015 click here
 
For further information on venues and to book a place email: Eileen.Mcnamara@gstt.nhs.uk / kathleen.desantos@gstt.nhs.uk or phone 020 7188 7549

Transforming end of life care
 
This free two day course for GPs, nurses and allied health professionals is organised by Guy’s and St Thomas’ palliative care team.

This free two-day course for GPs, nurses and allied health professionals is organised by Guy’s and St Thomas’ palliative care team

Topics include:  

  • Pain and symptom management
  • Advance care planning
  • Do not attempt cardio-pulmonary resuscitation-  decisions and discussions
  • The last days of life
  • Syringe driver training;
  • A death in the family – how families grieve
  • Hospital and community interface – minding the gap. 

Training dates:

13 and 14 April  -  New Hunt's House, Guy's Campus


Venue: Sherman Lecture Theatre, Guy’s Hospital 
Cost: Free

For more information and to book a place, please email  Kathleen.DeSantos@gstt.nhs.uk  or phone 0207 188 7549

The Allergy Academy Spring Programme
 

The Allergy Academy is delighted to announce its spring programme for 2015. These study days are aimed at healthcare professionals of all levels, in both primary and secondary care.


The Allergy Academy is delighted to announce its spring programme for 2015. These study days are aimed at healthcare professionals of all levels, in both primary and secondary care.

Please visit www.allergyacademy.org for more information and to book your place.







Resilience in Healthcare Masterclass
 

A one and a half day course for researchers and health professionals who want to learn how to apply resilience engineering concepts to improve care quality and safety.


A one and a half day course for researchers and health professionals who want to learn how to apply resilience engineering concepts to improve care quality and safety.

Organised by the Centre for Applied Resilience in Healthcare (CARe) ‐ a clinically embedded research centre.

This interactive masterclass will include:

•           An overview of resilience engineering principles and quality improvement

•           The latest learning from our resilience work in emergency care, medication safety, care of older people and clinical governance

•           Interactive sessions with experts to learn how to apply a resilience approach

•           Reflections on the benefits and challenges of applying resilience engineering

Participants are encouraged to identify a care quality problem they would like to address during the workshop with the assistance of resilience experts. CPD pending.

Date: 7‐8 May 2015

Registration fees: £250

Register via: http://resiliencecentre.org.uk/masterclass

For further info: masterclass@resiliencecentre.org.uk

5th Annual Anogenital and Oral Dermatology Course
 

This two day annual course is aimed at all health care professionals (dermatology, gynaecology, GU medicine, oral medicine, GPs, and specialist nurses) who wish to learn more about the diagnosis and management of male and female anogenital and oral dermatological disorders. It will address the importance of multi-disciplinary working in the care of these patients.


This two day annual course is aimed at all health care professionals (dermatology, gynaecology, GU medicine, oral medicine, GPs, and specialist nurses) who wish to learn more about the diagnosis and management of male and female anogenital and oral dermatological disorders. It will address the importance of multi-disciplinary working in the care of these patients.

Overall aims and objectives

This course provides participants with an overview of anogenital and oral dermatology, including diagnosis, treatment options, dealing with complications and comorbidities, and the latest research in the field. Throughout the programme clinical based studies will be used to highlight current treatments and to combine theory and clinical practice.


Register today  to take advantage of the early booking fee.

Date:    14 – 15 May 2015
Time:    9.00am –  5.00pm
Venue:  The Royal College of Physicians, 11 St Andrews Place, London, NW1 4LE

If you have any enquiries about this course, please contact the events team at events@gstt.nhs.uk or phone 020 7188 1622/3


Skin Biopsy Course
 

A unique two-day course brought to you by St John’s Institute of Dermatology, St Thomas’ Hospital in central London.


A unique two-day course brought to you by St John’s Institute of Dermatology, St Thomas’ Hospital in central London.

This course includes a range of practical and theoretical workshops delivered by nursing and medical experts in the field of Dermatological Surgery.

Workshops include:

  • Skin biopsies
  • Excisions
  • Cautery
  • Cryosurgery
  • Suturing
  • Professional issues


Date: 21 and 22 May

Venue: St Thomas' Hospital
Westminster Bridge Road
London
SE1 7EH

Cost: £350.00

For more information and to book your place, please contact Jamie Biggs on 0207 188 6293 or email educationadmindermatology@gstt.nhs.uk

Bespoke education programme for teenagers with atopic eczema
 
The Eczema Education Programme runs a one-day course for teenagers with atopic eczema.  This course is held on Saturdays or in school holidays. 

The Eczema Education Programme runs a one-day course for teenagers with atopic eczema.  This course is held on Saturdays or in school holidays. 

The usual Eczema Education Programme referral pathways apply and we triage referrals based on the child's date of birth.  

 

This free course covers: 

 

  • The science behind Eczema and why they have it
  • Triggers and getting the most out of their treatments
  • How to speak confidently to their doctors and nurses
  • The answers to awkward questions.  


The next Teenage Education Programme will be held at St Thomas' Hospital on Saturday 23 May (10am - 3pm).

For more information on how to refer to the Eczema Education Programme, please email eczemaeducation@gstt.nhs.uk.

Adult Metabolic Study Day
 

Hosted by Dr Radha Ramachandran and Dr Yusof Rahman (Consultants in Adult Inherited Metabolic Disease), this one-day meeting is aimed at all GPs and chemical pathologists in London and the south east who may be involved in the care of adults affected by inherited metabolic disease and their families.


Hosted by Dr Radha Ramachandran and Dr Yusof Rahman (Consultants in Adult Inherited Metabolic Disease), this one-day meeting is aimed at all GPs and chemical pathologists in London and the south east who may be involved in the care of adults affected by inherited metabolic disease and their families.


Programme includes:

  • Inherited metabolic disease services
  • Patient pathways
  • Adult metabolic services
  • Phenylketonuria (PKU),Urinary Cycle Disorders (ME/UCD), Mitochondrial disorders (Mit)
  • Lab overview : analytical audit, vitamin deficiency : B12/IMD’s
  • Folate pathway and nutristasis lab.

 

Date: 26 June 2015 (9.30am-4.30pm)

Venue: Guy’s and St Thomas’ Education Centre, London SE1 7NJ

Cost: The registration fee is £25.00

 

To request a registration form or copy of the programme please email: Jacqui McAleer, JM Associates at  jmassociates1@me.com

Royal College of Pathologists accreditation applied for (1 CPD credit per hour)

Royal College of General Practitioner Accreditation: 1 CPD credit per hour can be applied for

Delirium and Dementia
 
This programme combines the use of low and high fidelity simulation techniques and medical actors to explore how to safely care for and assess patients with delirium in the home and ward setting.

This  one day course combines the use of low and high fidelity simulation techniques and medical actors to explore how to safely care for and assess patients with delirium in the home and ward setting. Topics covered will include:

  •  Assessment and structured communication
  • Considerations in MDT and discharge planning
  • Special circumstances around Delirium and Dementia

Upcoming dates:

Friday 29 May 2015

Tuesday 7 July 2015

Wednesday 7 October 2015

Tuesday 1 December 2015

Tuesday 2 February 2016

Tuesday 1 March 2016

 
Time: 8:30am - 4:45pm

Venue: SaIL centre, Guy's and St Thomas’ Hospital

1st Floor, St Thomas' House

Westminster Bridge Road

London SE1 7EH


Cost: free

 

For further details and an application form please email: simulation@gstt.nhs.uk

Research
Eating peanut at an early age prevents peanut allergy
 

The Learning Early About Peanut Allergy (LEAP) study, led by Professor Gideon Lack  (Head of Paediatric Allergy Service) and published in the New England Journal of Medicine, shows for the first time that eating peanuts is an effective way to prevent food allergy.


The Learning Early About Peanut Allergy (LEAP) study, led by Professor Gideon Lack  (Head of Paediatric Allergy Service) and published in the New England Journal of Medicine, shows for the first time that eating peanuts is an effective way to prevent food allergy.

The study included 640 children aged 4-11 months from Evelina London Children’s Hospital who were considered at high risk of developing peanut allergy.

 

To determine whether eating or avoiding peanut is the most effective means of preventing peanut allergy, half of the children were asked to eat peanut foods three or more times each week, and the other half avoided eating peanut until they were five-years-old.

 

Remarkably, less than 1% of children who consumed peanut as per study protocol and completed the study developed peanut allergy by five-years-old, while 17.3% in the group that avoided peanuts developed the allergy.

 

This represents a greater than 80% reduction in the prevalence of peanut allergy. Importantly, the early introduction of peanut foods was found to be safe and well tolerated. None of the infants were fed whole peanuts, as they carry a risk of choking.

The study therefore showed that early, sustained consumption of peanut is safe and associated with a significant decrease in the development of peanut allergy in high-risk infants.  Deliberate avoidance of peanut in the first year of life is consequently brought into question as a means to prevent allergy. 

Watch this short film from King’s College London about the groundbreaking findings.

The research was supported by the National Institute for Health Research-  Biomedical Research Centre at Guy's and St Thomas' and King's College London.

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