Connect - COVID-19 Response Guy’s and St Thomas’ NHS Foundation Trust – GP Communications (Issue nine) https://guysstthomashospital.newsweaver.co.uk/Connect/ en-us 21 May 2020 12:56:08 BST 21 May 2020 12:56:08 BST https://guysstthomashospital.newsweaver.co.uk/Connect/rss.xml Newsweaver GPLiaison@gstt.nhs.uk (Guy's & St Thomas' Hospital) support@newsweaver.ie (Newsweaver) 60 true Skype seminar for primary care- management of lung cancer during COVID-19 https://guysstthomashospital.newsweaver.co.uk/Connect/19cgvnz70i0?lang=en?rss=true Guy's and St Thomas' would like to invite you to a one hour interactive Skype seminar with a practical overview of lung cancer cases the COVID-19 recovery phase. Dr Fiona Castell and Dr Ana Montes, Consultant Oncologists, will present on the management in primary care of patients with and without a cancer diagnosis particularly those with suspected cancer in the current COVID-19 times . The session will cover also immunotherapy and chemotherapy for lung cancer. Date: Friday 12 June 2020 Time: 13:30- 14.30 21 May 2020 12:00:00 BST 8e3bded4df56d814d4da7da33d0c7aba FEATURE_ARTICLE-clone-29511156-20200406-150034 <p>Guy's and St Thomas' would like to invite you to a one hour interactive Skype seminar with a practical overview of lung cancer cases the COVID-19 recovery phase.</p> <p> </p> <p>Dr Fiona Castell and Dr Ana Montes, Consultant Oncologists, will present on the management in primary care of patients with and without a cancer diagnosis particularly those with suspected cancer in the current COVID-19 times . The session will cover also immunotherapy and chemotherapy for lung cancer.</p> <p> </p> <p>Date: Friday 12 June 2020</p> <p>Time: 13:30- 14.30</p> <p>Guy's and St Thomas' would like to invite you to a one hour interactive Skype seminar with a practical overview of lung cancer cases the COVID-19 recovery phase.</p> <p>Dr Fiona Castell and Dr Ana Montes, Consultant Oncologists, will present on the management in primary care of patients with and without a cancer diagnosis particularly those with suspected cancer in the current COVID-19 times . The session will cover also immunotherapy and chemotherapy for lung cancer.</p> <p> </p> <p>Questions will be taken at the end of the talk.</p> <p> </p> <p>Date: Friday 12 June 2020</p> <p>Time: 13:30- 14.30</p> <p> </p> <p>Please try to use your NHS email for booking, when possible. We had some problems in emailing external emails in the past few weeks.</p> <p> </p> <p>To register <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/1lpnojp8pfx/external">click here</a> or on the link below.</p> <p><a href="https://guysstthomashospital.newsweaver.co.uk/Connect/1lpnojp8pfx/external">https://www.eventbrite.co.uk/e/managment-of-lung-cancer-during-covid-19-skype-seminar-for-primary-care-tickets-105784728972</a></p> http://guysstthomashospital.newsweaver.co.uk/icfiles/1/14211/150535/6359185/807cb9c713f10818b1139521/https___cdn.evbuc.com_images_101228246_118463128557_1_original.jfif Guy's and St Thomas' lung nodule (virtual) clinic https://guysstthomashospital.newsweaver.co.uk/Connect/1k19wvmh2rp?lang=en?rss=true The Guy's and St Thomas' lung nodule (virtual) clinic is available on e-RS The nodule clinic is a virtual clinic for review and follow up of pulmonary nodules (in accordance with British Thoracic Society guidelines). The patients are not seen physically in clinic. CT scans are reviewed by the respiratory physicians and radiologists. Patients receive the outcome of the clinic review by letter (discharge, CT follow up or clinical review) with a copy to their general practitioner. Please note that if the nodule is a new solid nodule greater than 8mm (not ground glass) we would advise a referral to the 2WW lung service The service is currently accessible via e-RS as outlined below: Specialty: Respiratory Medicine Clinic Type: Not Otherwise Specified Service Name: Lung Nodule Virtual Clinic - Respiratory - Guys' & St Thomas' - RJ1 Please advise in the referral where the scan was performed if not done at Guy’s and St Thomas’. Please ensure that the patient is advised not to attend the hospital on the date and time booked. 21 May 2020 12:00:00 BST 5f1db96770d70e9e2e2ca2f5343d1a9b ARTICLE_1_COLUMN-clone-29511144-20200402-115117 <p>The Guy's and St Thomas' lung nodule (virtual) clinic is available on e-RS</p> <p> </p> <p>The nodule clinic is a <strong>virtual</strong> clinic for review and follow up of pulmonary nodules (in accordance with British Thoracic Society guidelines). <strong>The patients are not seen physically in clinic.</strong></p> <p> </p> <p>CT scans are reviewed by the respiratory physicians and radiologists. Patients receive the outcome of the clinic review by letter (discharge, CT follow up or clinical review) with a copy to their general practitioner.</p> <p><strong>Please note that if the nodule is a new solid nodule greater than 8mm  (not ground glass) we would advise a referral to the 2WW lung service</strong></p> <p><strong> </strong></p> <p>The service is currently accessible via e-RS as outlined below:</p> <p>Specialty:         Respiratory Medicine</p> <p>Clinic Type:      Not Otherwise Specified</p> <p>Service Name: Lung Nodule Virtual Clinic - Respiratory - Guys' & St Thomas' - RJ1</p> <p>Please advise in the referral where the scan was performed if not done at Guy’s and St Thomas’.</p> <p><strong> </strong></p> <p><strong>Please ensure that the patient is advised not to attend the hospital on the date and time booked.</strong></p> Post ICU (Critical Care Recovery) Service https://guysstthomashospital.newsweaver.co.uk/Connect/1nzd2pyb94a?lang=en?rss=true Our Critical Care Recovery Clinic Service is available on e-RS for A&G and referrals. In addition we have also set up a dedicated service on Consultant Connect - “Post ICU care”. This is for any syndrome related issues/ complications up to a year post discharge from intensive care. For COVID/ non COVID patients this relates to patients who have been in ICU and been discharged. As there is no speciality on e-RS, the service is currently accessible via General medicine as outlined below: Specialty: General Medicine Clinic Type: General Medicine Service Name: Critical Care Recovery Clinic Service - Guys' & St Thomas' NHS Trust - RJI Please note that this service is NOT for General medicine referrals and read the DoS criteria head of referral or seek advice if unsure. 21 May 2020 12:00:00 BST 8d6f389fc9b18e6254394f3d091c63fa ARTICLE_1_COLUMN-clone-29511144-20200402-115117 <p>Our Critical Care Recovery Clinic Service is available on e-RS for A&G and referrals.  In addition we have also set up a dedicated service on Consultant Connect - “<strong>Post ICU care</strong>”.  This is for any syndrome related issues/ complications up to a year post discharge from intensive care.  <strong>For COVID/ non COVID patients this relates to patients who have been in ICU and been discharged</strong>.</p> <p> </p> <p>As there is no speciality on e-RS, the service is currently accessible via General medicine as outlined below:</p> <p><strong>Specialty:         General Medicine</strong></p> <p><strong>Clinic Type:      General Medicine</strong></p> <p><strong>Service Name: Critical Care Recovery Clinic Service - Guys' & St Thomas' NHS Trust - RJI </strong></p> <p> </p> <p>Please note that this service is <strong>NOT</strong> for General medicine referrals and read the DoS criteria head of referral or seek advice if unsure.</p> Evelina London Children’s Hospital: Paediatric Orthopaedic Service https://guysstthomashospital.newsweaver.co.uk/Connect/vtih7wm88bu?lang=en?rss=true Our paediatric orthopaedic team continue to provide normal services for emergency or urgent musculoskeletal conditions during the COVID-19 pandemic. Traumatic injuries, musculoskeletal infections and concerns regarding possible non-accidental injury should be referred via A&E or the on call Orthopaedic team at St Thomas’ Hospital. Urgent conditions can be referred to the Paediatric Orthopaedics service via e-RS. We are reviewing referrals daily as per normal practice and can arrange to assess patients urgently via virtual or face-to-face appointments if appropriate. This document provides some guidance: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0289-specialty-guidance-emergency-and-urgent-msk-guidance-for-children.pdf [ https://guysstthomashospital.newsweaver.co.uk/Connect/1hsrf4ug9b2/external ] We are also happy to receive routine referrals via e-RS and will triage them to be seen in an appropriate timescale; please advise patients there may be a delay in them being seen. We are also able to give advice via the e-RS ‘Advice & Guidance’ system and ‘Consultant Connect’ telephone service. The Evelina hip dysplasia screening service is running as normal through the COVID pandemic. As per the NIPE guidance (link below), please refer any risk-factor positive babies directly to radiology for an ultrasound scan ideally by 6 weeks of age, and any infants with abnormal examination findings urgently via e-RS. https://www.gov.uk/government/publications/newborn-and-infant-physical-examination-programme-handbook/newborn-and-infant-physical-examination-screening-programme-handbook#examination-of-the-hips [ https://guysstthomashospital.newsweaver.co.uk/Connect/7q7ushqxlly/external ] 21 May 2020 12:00:00 BST a402e8504b23d536a7de8b7e3afe52c6 ARTICLE_1_COLUMN-clone-29511144-20200402-115117 <p>Our paediatric orthopaedic team continue to provide normal services for emergency or urgent musculoskeletal conditions during the COVID-19 pandemic.</p> <ul style="list-style-type: square;"> <li>Traumatic injuries, musculoskeletal infections and concerns regarding possible non-accidental injury should be referred via A&E or the on call Orthopaedic team at St Thomas’ Hospital.</li> <li>Urgent conditions can be referred to the Paediatric Orthopaedics service via e-RS. We are reviewing referrals daily as per normal practice and can arrange to assess patients urgently via virtual or face-to-face appointments if appropriate. This document provides some guidance: <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/1hsrf4ug9b2/external">https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0289-specialty-guidance-emergency-and-urgent-msk-guidance-for-children.pdf</a></li> <li>We are also happy to receive routine referrals via e-RS and will triage them to be seen in an appropriate timescale; please advise patients there may be a delay in them being seen. We are also able to give advice via the e-RS ‘Advice & Guidance’ system and ‘Consultant Connect’ telephone service.</li> </ul> <p>The Evelina hip dysplasia screening service is running as normal through the COVID pandemic. As per the NIPE guidance (link below), please refer any risk-factor positive babies directly to radiology for an ultrasound scan ideally by 6 weeks of age, and any infants with abnormal examination findings urgently via e-RS. <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/7q7ushqxlly/external">https://www.gov.uk/government/publications/newborn-and-infant-physical-examination-programme-handbook/newborn-and-infant-physical-examination-screening-programme-handbook#examination-of-the-hips</a></p> Dimbleby Cancer Care https://guysstthomashospital.newsweaver.co.uk/Connect/1xxx21avbxm?lang=en?rss=true We are currently not providing face-to-face appointments for all our services, apart from the walk-in information nurse service at Guys’ Cancer centre. However, we have adapted our services to continue to be there for people and provide the support people need. The psychological therapy, information nurse and welfare benefits services can all be conducted by phone or video depending on a person’s preference. While our complementary therapy team are unable to provide hands-on treatments during this time, we can still support patients with our Aromastick Service and Online Relaxation and Complementary Therapy Support Service. People can refer to us in the usual way either on EPR or by completing a self-referral. Contact us: · Email: dimblebycancercare@gstt.nhs.uk [ dimblebycancercare@gstt.nhs.uk ] · Tel: 020 7188 5918 Please note, we are not an emergency service. If your patient requires urgent medical or emotional support, please ask them to attend their nearest 24 hour Accident and Emergency (A&E) Department. For 24 hour emotional support please call SLAM 24 hour mental health support line 0800 731 2864 or Samaritans on their new short number: 116 123. 21 May 2020 12:00:00 BST ee2506ae2b884eb680a4ec4f2335da91 ARTICLE_1_COLUMN-clone-29511144-20200402-115117 <p>We are currently not providing face-to-face appointments for all our services, apart from the walk-in information nurse service at Guys’ Cancer centre. However, we have adapted our services to continue to be there for people and provide the support people need.</p> <p> </p> <p>The psychological therapy, information nurse and welfare benefits services can all be conducted by phone or video depending on a person’s preference.</p> <p>While our complementary therapy team are unable to provide hands-on treatments during this time, we can still support patients with our Aromastick Service and Online Relaxation and Complementary Therapy Support Service.</p> <p> </p> <p>People can refer to us in the usual way either on EPR or by completing a self-referral.</p> <p> </p> <p>Contact us:</p> <p>·       Email: <a href="mailto:dimblebycancercare@gstt.nhs.uk">dimblebycancercare@gstt.nhs.uk</a></p> <p>·       Tel: 020 7188 5918</p> <p> </p> <p>Please note, we are <strong><u>not</u></strong> an emergency service. If your patient requires urgent medical or emotional support, please ask them to attend their nearest 24 hour Accident and Emergency (A&E) Department.</p> <p><strong>For 24 hour emotional support please call SLAM 24 hour mental health support line 0800 731 2864 or Samaritans on their new short number: 116 123.</strong></p> Rapid Access Diagnostic Clinic https://guysstthomashospital.newsweaver.co.uk/Connect/uk23szsbyhe?lang=en?rss=true We have amended our Rapid Access Diagnostic clinic on e-RS and it is now mapped to the new clinic type ‘2WW Non-specific symptoms’. The services used to be mapped to General Medicine which has now been end-dated using transition date to allow for any patients referred under this to be processed. All referrals for this service must be made via the new clinic type which can be accessed as follows: Priority: 2ww Specialty: 2ww Clinic Type: 2ww Non-specific symptoms Service Name: Rapid Access Diagnostic Service for non-specific symptoms - Guy's Site -RJ1 The Rapid Diagnostic Clinic (RDC) at GSTT is currently open and reviewing high risk patients. We are triaging all referrals and operating two clinic lists weekly for patients with urgent non-site specific symptoms that are highly suspicious for cancer. The current wait time for an appointment is approx.7 days. The service can be accessed on e-RS via 2WW Cancer of Unknown Primary or via General Medicine. Please find more information on our website: https://www.guysandstthomas.nhs.uk/our-services/rapid-access-diagnostic-clinic/overview.aspx [ https://guysstthomashospital.newsweaver.co.uk/Connect/9p7eaxf32xn/external ] You can also call the team on 07922383126 to discuss clinical cases or seek advice via e-RS. The RDC is also working closely with ED at St Thomas hospital to try and capture high risk patients who present as an emergency. 21 May 2020 12:00:00 BST 03f119ee3e29fcc1bbdd9c8be52e7e07 ARTICLE_1_COLUMN-clone-29511144-20200402-115117 <p>We have amended our Rapid Access Diagnostic clinic on e-RS and it is now mapped to the new clinic type <strong>‘2WW Non-specific symptoms’.  The services used to be mapped to General Medicine which has now been end-dated using transition date to allow for any patients referred under this to be processed.  All referrals for this service must be made via the new clinic type which can be accessed as follows:</strong></p> <p><strong> </strong></p> <p><strong>Priority:           2ww</strong></p> <p><strong>Specialty:         2ww</strong></p> <p><strong>Clinic Type:      2ww Non-specific symptoms</strong></p> <p><strong>Service Name: Rapid Access Diagnostic Service for non-specific symptoms - Guy's Site -RJ1</strong></p> <p> </p> <p>The Rapid Diagnostic Clinic (RDC) at GSTT is currently open and reviewing high risk patients. We are triaging all referrals and operating two clinic lists weekly for patients with urgent non-site specific symptoms that are highly suspicious for cancer. The current wait time for an appointment is approx.7 days. The service can be accessed on e-RS via 2WW Cancer of Unknown Primary or via General Medicine.</p> <p>Please find more information on our website:</p> <p> <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/9p7eaxf32xn/external">https://www.guysandstthomas.nhs.uk/our-services/rapid-access-diagnostic-clinic/overview.aspx</a></p> <p>You can also call the team on 07922383126 to discuss clinical cases or seek advice via e-RS.</p> <p> The RDC is also working closely with ED at St Thomas hospital to try and capture high risk patients who present as an emergency.</p> ** UPDATE** Important Change to Suspected Lower GI Cancer Referrals https://guysstthomashospital.newsweaver.co.uk/Connect/1q7cr7dxtb8?lang=en?rss=true Diagnostic capacity for suspected lower GI cancer referrals is extremely limited during the COVID-19 pandemic. Given this, any diagnostic capacity must be prioritised to patients who show the highest risk of suspected colorectal cancer, which is why the following changes, mandated by NSHE, have been made. All patients suspected of having a lower GI cancer (i.e. meeting NICE 2WW criteria) must now have a FIT test performed before a referral should be made, except in cases of unexplained anal or rectal mass, or anal ulceration who should be referred irrespective of FIT. FIT of ≥10µg/g are positive and should be referred on 2WW. FIT of <10µg/g, FIT of <10μg/g indicate a low probability of bowel cancer (99.6% chance that the patient does not have colorectal cancer). If you are still suspicious of cancer, you should consider: 1) Safety netting and review at 4-6 weeks to consider need for referral if concerning symptoms persist, either LGI 2WW if the patient meets NG12 criteria or routinely if they do not; 2) Consider an alternative suspected cancer pathway that may be more appropriate for the patients symptoms e.g. upper GI, urological, gynaecological or to Rapid Diagnostic Centre (RDC); 3) Seeking advice from a specialist via Advice & Guidance or a similar service; 4) Refer on LGI 2WW pathway but with FULL clinical information included. Further information can be found in the attached one page [ https://guysstthomashospital.newsweaver.co.uk/Connect/t4zx1t6qg6i ]. The suspected lower GI cancer referral form has been updated in light of these changes. You can find a copy of this, as well as further information, on this website: https://www.healthylondon.org/resource/covid-19-cancer-referral-resources [ https://guysstthomashospital.newsweaver.co.uk/Connect/pcsa76lb7x1/external ] DXS has also been updated with these changes. Please don’t hesitate to contact england.tcstlondon@nhs.net [ england.tcstlondon@nhs.net ] if you have any questions regarding these changes. 07 Apr 2020 12:00:00 BST 0ab3539ad918d3b57cd200e603c2efe5 Section title 1 <p>Diagnostic capacity for suspected lower GI cancer referrals is <u>extremely limited</u> during the COVID-19 pandemic. Given this, any diagnostic capacity must be prioritised to patients who show the highest risk of suspected colorectal cancer, which is why the following changes, mandated by NSHE, have been made.</p> <p>All patients suspected of having a lower GI cancer (i.e. <u>meeting NICE 2WW criteria) must now have a FIT test performed before a referral should be made</u>, <strong>except</strong> in cases of unexplained anal or rectal mass, or anal ulceration who should be referred irrespective of FIT.</p> <p> </p> <p>FIT of ≥10µg/g are positive and should be referred on 2WW.</p> <p>FIT of <10µg/g, FIT of <10μg/g indicate a low probability of bowel cancer (99.6% chance that the patient does not have colorectal cancer).</p> <p> </p> <p>If you are still suspicious of cancer, you should consider:</p> <p>1) Safety netting and review at 4-6 weeks to consider need for referral if concerning symptoms persist, either LGI 2WW if the patient meets NG12 criteria or routinely if they do not;</p> <p>2) Consider an alternative suspected cancer pathway that may be more appropriate for the patients symptoms e.g. upper GI, urological, gynaecological or to Rapid Diagnostic Centre (RDC);</p> <p>3) Seeking advice from a specialist via Advice & Guidance or a similar service;</p> <p>4) Refer on LGI 2WW pathway but with FULL clinical information included.</p> <p> </p> <p>Further information can be found in the <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/t4zx1t6qg6i" target="_blank" rel="noopener">attached one page</a>.</p> <p>The suspected lower GI cancer referral form has been updated in light of these changes. You can find a copy of this, as well as further information, on this website: <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/pcsa76lb7x1/external">https://www.healthylondon.org/resource/covid-19-cancer-referral-resources</a></p> <p> </p> <p>DXS has also been updated with these changes.</p> <p>Please don’t hesitate to contact <a href="mailto:england.tcstlondon@nhs.net">england.tcstlondon@nhs.net</a> if you have any questions regarding these changes.</p> Update on urgent and cancer surgery https://guysstthomashospital.newsweaver.co.uk/Connect/uusx4y7otb5?lang=en?rss=true Across all three South East London hospitals, around 100 patients per week requiring urgent cancer, cardiac and other life-saving surgery are being treated at HCA London Bridge and HCA Cancer Centre sites. In order to minimise risk of COVID-19 exposure for this group peri-operatively, clinicians are asking patients and their households to follow shielding protocols for the 14 days prior to their planned admission for surgery. This will include patients who have not otherwise been asked to shield by the Government or been identified by their GP as needing to shield. On these occasions, the hospital will write to the patient’s GP to inform them of our request for the patient and their household to temporarily shield, and they should be temporarily identified as shielded patients potentially requiring similar levels of Government support, e.g. for food deliveries. 14 May 2020 12:00:00 BST b46da27a152c370df9c689a3891ff6d2 Section title 1 <p>Across all three South East London hospitals, around 100 patients per week requiring urgent cancer, cardiac and other life-saving surgery are being treated at HCA London Bridge and HCA Cancer Centre sites. In order to minimise risk of COVID-19 exposure for this group peri-operatively, clinicians are asking patients and their households to follow shielding protocols for the 14 days prior to their planned admission for surgery.</p> <p> </p> <p>This will include patients who have not otherwise been asked to shield by the Government or been identified by their GP as needing to shield. On these occasions, the hospital will write to the patient’s GP to inform them of our request for the patient and their household to temporarily shield, and they should be temporarily identified as shielded patients potentially requiring similar levels of Government support, e.g. for food deliveries.</p> Attending the hospital including A&E services https://guysstthomashospital.newsweaver.co.uk/Connect/7p6qtwmg75p?lang=en?rss=true No visitors will be allowed onto our wards until further notice. No visitors will be accompany patients to any face to face appointments unless it is essential and will be at the discretion of clinical staff on the day. Only one adult should accompany a child. If you are using our emergency departments or urgent care centre services please note: Adults are advised to come alone. One adult only should accompany a child Please inform patients they should not attend if they have any symptoms of coronavirus (COVID-19), unless their condition has deteriorated and they require urgent review by a specialist. Please either direct the patient to ED or contact the specialty. 26 Mar 2020 12:00:00 GMT 513389ab2db4311c60c9b0fdadce212e ARTICLE_1_COLUMN-clone-29511144-20200331-141829 <p><span style="color: #000000;"><strong>No visitors will be allowed onto our wards until further notice. No visitors will be accompany patients to any face to face appointments unless it is essential and will be at the discretion of clinical staff on the day. Only one adult should accompany a child.</strong></span></p> <p><span style="color: #000000;"><strong>If you are using our emergency departments or urgent care centre services please note:</strong></span></p> <ul style="list-style-type: square;"> <li><span style="color: #000000;"><strong>Adults are advised to come alone.</strong></span></li> <li><span style="color: #000000;"><strong>One adult only should accompany a child</strong></span></li> </ul> <p>Please inform patients they should not attend if they have any symptoms of coronavirus (COVID-19), unless their condition has deteriorated and they require urgent review by a specialist. Please either direct the patient to ED or contact the specialty.</p> Please note, without exception, all services are running a reduced service on skeleton staff and so only urgent patients are being seen. Please only refer to a walk-in service if urgent and please consider the safety of the patient when referring. https://guysstthomashospital.newsweaver.co.uk/Connect/1kwxp2ma704?lang=en?rss=true 31 Mar 2020 12:00:00 BST e4cc13f12f2a99d8f30c059c788ee512 ARTICLE_1_COLUMN-clone-29511144-20200401-111748 Community Diabetes clinic https://guysstthomashospital.newsweaver.co.uk/Connect/tfjc5msa3if?lang=en?rss=true Due to current COVID-19 situation the Diabetes Community team have made some changes within the service and will be prioritising patients identified with poor glycaemic control i.e. Hba1c>75mM/M (or troublesome hypoglycaemia) who may be at high risk of decompensation in the event of COVID-19 infection. Therefore clear referral information and record of blood glucose monitoring is essential to enable us to advise and support patients appropriately. Southwark community diabetes team. 1-2 community diabetes nurses working Monday-Friday Community clinics twice per week (Wednesday Dulwich and Friday Bermondsey) with GPSI cover. Mostly telephone appointments but face to face appointment available for urgent cases e.g. insulin starts Refer via e-RS from primary care or usual email from secondary care. Lambeth community diabetes team: 1-2 community diabetes nurses working Monday-Friday Community clinics twice per week (Tuesday Gracefield, Thursday Norwood) with GPSI cover. Mostly telephone appointments but face to face appointment available for urgent cases e.g. insulin starts Refer via e-RS from primary care or usual email from secondary care. 28 Apr 2020 12:00:00 BST 449e0de3c613a06323d2b03aeec8ee96 ARTICLE_1_COLUMN-clone-29511144-20200505-132618 <p>Due to current COVID-19 situation the Diabetes Community team have made some changes within the service and will be prioritising patients identified with poor glycaemic control i.e. Hba1c>75mM/M (or troublesome hypoglycaemia) who may be at high risk of decompensation in the event of COVID-19 infection.</p> <p><strong>Therefore clear referral information and record of blood glucose monitoring is essential to enable us to advise and support patients appropriately.</strong></p> <p><strong> </strong></p> <p><strong><u>Southwark community diabetes team.</u></strong></p> <p>1-2 community diabetes nurses working Monday-Friday</p> <p>Community clinics twice per week (Wednesday Dulwich and Friday Bermondsey) with GPSI cover.</p> <p>Mostly telephone appointments but face to face appointment available for urgent cases e.g. insulin starts</p> <p>Refer via e-RS from primary care or usual email from secondary care.</p> <p> </p> <p><strong><u>Lambeth community diabetes team:</u></strong></p> <p>1-2 community diabetes nurses working Monday-Friday</p> <p>Community clinics twice per week (Tuesday Gracefield, Thursday Norwood) with GPSI cover.</p> <p>Mostly telephone appointments but face to face appointment available for urgent cases e.g. insulin starts</p> <p>Refer via e-RS from primary care or usual email from secondary care.</p> Advance Care Planning for District Nursing patients https://guysstthomashospital.newsweaver.co.uk/Connect/opk3wkcguq5?lang=en?rss=true Our District Nursing teams are working through their caseload to identify patients for whom it would be prudent to make advance care plans. They will be in touch with practices to discuss their patients. 16 Apr 2020 12:00:00 BST e3e474b8d9ae43e5964362397ca331a6 ARTICLE_1_COLUMN-clone-29511144-20200505-132618 <p>Our District Nursing teams are working through their caseload to identify patients for whom it would be prudent to make advance care plans.  They will be in touch with practices to discuss their patients.   </p> Neuro-rehabilitation Referrals https://guysstthomashospital.newsweaver.co.uk/Connect/16i8czzg5yq?lang=en?rss=true Please note community neurological rehabilitation service is still accepting referrals and prioritising for intervention according to need All community neurorehabilitation referrals to email: GST-TR.NeuroRehabService@nhs.net [ GST-TR.NeuroRehabService@nhs.net ] which is monitored daily 05 May 2020 12:00:00 BST b4812aed40cbef902a61bf8ffc91f891 ARTICLE_1_COLUMN-clone-29511144-20200505-132618 <p>Please note community neurological rehabilitation service is still accepting referrals and prioritising for intervention according to need</p> <p>All community neurorehabilitation referrals to  email: <a href="mailto:GST-TR.NeuroRehabService@nhs.net">GST-TR.NeuroRehabService@nhs.net</a> which is monitored daily</p> e-RS https://guysstthomashospital.newsweaver.co.uk/Connect/18o3p886brt?lang=en?rss=true All of our services on e-RS are configured to accept advice requests. We have now set up our Specialist Genetics and Neurofibromatosis service to accept e-RS A&G PLEASE ENSURE THAT YOU HAVE SOUGHT ADVICE PRIOR TO ANY NEW REFERRAL VIA CONSULTANT CONNECT OR e-RS 26 Mar 2020 12:00:00 GMT af5c65354cce98f5b206579c2e965779 ARTICLE_1_COLUMN-clone-29511144-20200401-111359 <p>All of our services on e-RS are configured to accept advice requests.</p> <p> </p> <p><strong>We have now set up our Specialist Genetics and Neurofibromatosis service to accept e-RS A&G</strong></p> <p> </p> <p><strong>PLEASE ENSURE THAT YOU HAVE SOUGHT ADVICE PRIOR TO ANY NEW REFERRAL VIA CONSULTANT CONNECT OR e-RS</strong></p> Consultant Connect https://guysstthomashospital.newsweaver.co.uk/Connect/v95tn1v3jz2?lang=en?rss=true We have rapidly expanded our Consultant Connect lines – most of these are available Monday to Friday 9am to 5pm unless stated otherwise. We would encourage GPs to download the Consultant Connect app for convenient access our services. Please note that our Gastroenterology and Hepatology Lines are for Lambeth & Southwark Our Elderly Care Line and Acute Medicine lines are available 24/7 We have set up a dedicated Post ICU care line. This is for any syndrome related issues/ complications up to a year post discharge from intensive care. For COVID patients this relates to patients who have been in ICU only and been discharged. Depending on your area, Consultant Connect lines are available for GPs in South East London for the following specialities: We have set up dedicated lines for Evelina London services which are now live as below: Speciality CC Coverage Paediatric ENT Lambeth, Southwark & Lewisham Paediatric Allergy All 6 SEL CCGs Paediatric Bladder All 6 SEL CCGs Paediatric Cardiac Surgery All 6 SEL CCGs Paediatric Cardiology All 6 SEL CCGs Paediatric Cleft All 6 SEL CCGs Paediatric Endocrine & Diabetes All 6 SEL CCGs Paediatric Gastroenterology All 6 SEL CCGs Paediatric General Surgery All 6 SEL CCGs Paediatric Haematology All 6 SEL CCGs Paediatric IMMID All 6 SEL CCGs Paediatric Metabolic All 6 SEL CCGs Paediatric Neurology All 6 SEL CCGs Paediatric Ophthalmology All 6 SEL CCGs Paediatric Orthopaedic All 6 SEL CCGs Paediatric Palliative care All 6 SEL CCGs Paediatric Plastic Surgery All 6 SEL CCGs Paediatric Renal All 6 SEL CCGs Paediatric Respiratory All 6 SEL CCGs Paediatric Rheumatology All 6 SEL CCGs Paediatric Sleep All 6 SEL CCGs Paediatric Spinal All 6 SEL CCGs Paediatric Urology All 6 SEL CCGs Paediatrics Evelina CARS All 6 SEL CCGs Adult Services Speciality CC Coverage Elderly Care - Nursing and Residential Homes Lambeth, Southwark Elderly Care (24/7 line) Lambeth, Southwark Foot Health Acute Lambeth, Southwark Foot Health Community Lambeth, Southwark Gastroenterology Lambeth, Southwark Hepatology Lambeth, Southwark Occupational Therapy & Hand Therapy Lambeth, Southwark Physiotherapy Lambeth, Southwark Adult Dermatology via PhotoSAF Lambeth, Southwark & Lewisham Adult Dermatology via PhotoSAF Lambeth, Southwark & Lewisham Gynaecology Lambeth, Southwark, Bromley Neurology Lambeth, Southwark, Bromley Rheumatology Lambeth, Southwark, Bromley Cardiology Lambeth, Southwark, Bromley & Bexley Acute Medicine (24/7 Line) All 6 SEL CCGs Adult Allergy All 6 SEL CCGs Cancer confirmed diagnosis All 6 SEL CCGs Cancer Genetics All 6 SEL CCGs Cardiac Surgery All 6 SEL CCGs Diabetes & Endocrinology All 6 SEL CCGs ENT All 6 SEL CCGs General Genetics All 6 SEL CCGs Haematology All 6 SEL CCGs HIV (24/7 Line) All 6 SEL CCGs Neurofibromatosis All 6 SEL CCGs Ophthalmology All 6 SEL CCGs Orthopaedics All 6 SEL CCGs Pain Management All 6 SEL CCGs Palliative Care All 6 SEL CCGs Post ICU Care All 6 SEL CCGs Plastics All 6 SEL CCGs Renal Medicine All 6 SEL CCGs Respiratory Medicine All 6 SEL CCGs Speech and Language Therapy All 6 SEL CCGs Urology All 6 SEL CCGs Vascular Surgery All 6 SEL CCGs Where available, calls will first go through to your local trust’s specialist team. If the call is not answered, it will pass to the National Consultant Network (where available) which now supports all lines throughout South East London. This will ensure as many calls as possible are picked up. 26 Mar 2020 12:00:00 GMT bd1da55e79bbdecc4fac732db09265a0 ARTICLE_1_COLUMN-clone-29511144-20200401-111359 <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">We have rapidly expanded our Consultant Connect lines – most of these are available Monday to Friday 9am to 5pm unless stated otherwise. <strong>We would encourage GPs to download the Consultant Connect app for convenient access our services</strong>.</p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u>Please note that our Gastroenterology and Hepatology Lines are for Lambeth & Southwark </u></strong></p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u>Our Elderly Care Line and Acute Medicine lines are available 24/7</u></strong></p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong>We have set up a dedicated Post ICU care line</strong>.  This is for any syndrome related issues/ complications up to a year post discharge from intensive care.  For COVID patients this relates to patients who have been in ICU only and been discharged.</p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Depending on your area, Consultant Connect lines are available for GPs in South East London for the following specialities:</p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">We have set up dedicated lines for Evelina London services which are now live as below:</p> <table class="MsoTableGrid" style="border-collapse: collapse; border: none; width: 459px; height: 539px;" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 539px;"> <td style="width: 552.8px; border: 1pt solid windowtext; padding: 0cm 5.4pt; height: 539px;" valign="top"> <table class="MsoNormalTable" style="width: 553px; border-collapse: collapse;" border="0" width="0" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 15.75pt;"> <td style="width: 274.4px; border-top: 1pt solid #4472c4; border-left: none; border-bottom: 1pt solid #4472c4; border-right: none; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong>Speciality</strong></p> </td> <td style="width: 248px; border-top: 1pt solid #4472c4; border-left: none; border-bottom: 1pt solid #4472c4; border-right: none; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong>CC Coverage</strong></p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric ENT</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark & Lewisham</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Allergy</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Bladder</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Cardiac Surgery</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Cardiology</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Cleft</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Endocrine & Diabetes</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Gastroenterology</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric General Surgery</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Haematology</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric IMMID</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Metabolic</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Neurology</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Ophthalmology</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Orthopaedic</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Palliative care</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Plastic Surgery</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Renal</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Respiratory</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Rheumatology</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Sleep</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Spinal</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatric Urology</p> </td> <td style="width: 247.2px; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 274.4px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Paediatrics Evelina CARS</p> </td> <td style="width: 247.2px; background: #d9e1f2; padding: 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> </tbody> </table> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> </td> </tr> </tbody> </table> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong>Adult Services</strong></p> <table class="MsoNormalTable" style="width: 410.0pt; border-collapse: collapse;" border="0" width="0" cellspacing="0" cellpadding="0"> <thead> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border-top: solid windowtext 1.0pt; border-left: solid windowtext 1.0pt; border-bottom: solid #4472C4 1.0pt; border-right: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong>Speciality</strong></p> </td> <td style="width: 192.0pt; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid #4472C4 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong>CC Coverage</strong></p> </td> </tr> </thead> <tbody> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Elderly Care - Nursing and Residential Homes</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Elderly Care (24/7 line)</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Foot Health Acute</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Foot Health Community</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #c00000;">Gastroenterology</span></strong></p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="top" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #c00000;">Lambeth, Southwark</span></strong></p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #c00000;">Hepatology</span></strong></p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #c00000;">Lambeth, Southwark</span></strong></p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Occupational Therapy & Hand Therapy</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Physiotherapy</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Adult Dermatology via PhotoSAF</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark & Lewisham</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Adult Dermatology via PhotoSAF</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark & Lewisham</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Gynaecology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark, Bromley</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Neurology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark, Bromley</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Rheumatology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark, Bromley</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Cardiology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Lambeth, Southwark, Bromley & Bexley</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Acute Medicine (24/7 Line)</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Adult Allergy</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Cancer confirmed diagnosis</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Cancer Genetics</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Cardiac Surgery</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Diabetes & Endocrinology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">ENT</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">General Genetics</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Haematology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">HIV (24/7 Line)</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Neurofibromatosis</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Ophthalmology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Orthopaedics</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Pain Management</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Palliative Care</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #c00000;">Post ICU Care</span></strong></p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #c00000;">All 6 SEL CCGs</span></strong></p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Plastics</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Renal Medicine</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Respiratory Medicine</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Speech and Language Therapy</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border: none; border-left: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Urology</p> </td> <td style="width: 192.0pt; border: none; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> <tr style="height: 15.75pt;"> <td style="width: 218.0pt; border-top: none; border-left: solid windowtext 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: none; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="291"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Vascular Surgery</p> </td> <td style="width: 192.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; background: #D9E1F2; padding: 0cm 5.4pt 0cm 5.4pt; height: 15.75pt;" valign="bottom" nowrap="nowrap" width="256"> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">All 6 SEL CCGs</p> </td> </tr> </tbody> </table> <p style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Where available, calls will first go through to your local trust’s specialist team. If the call is not answered, it will pass to the National Consultant Network (where available) which now supports all lines throughout South East London. This will ensure as many calls as possible are picked up.</span></p> Stroke/ TIA Mobile Helpline https://guysstthomashospital.newsweaver.co.uk/Connect/1nqt9b14hzq?lang=en?rss=true The stroke team have set up a direct mobile. It is manned Mon-Fri 9-5 and they welcome all calls regarding stroke /TIA. 07825023845 Primary care referrals can be made by phoning TIA MOBILE or alternatively email gst-tr.gsttstrokereferrals@nhs.net [ gst-tr.gsttstrokereferrals@nhs.net ] (out of hours). Please see our website for the TIA pathway and GP referral form. All patients referred should receive the TIA patient information leaflet. https://www.guysandstthomas.nhs.uk/our-services/stroke/referrals.aspx [ https://guysstthomashospital.newsweaver.co.uk/Connect/ips4fcck07q/external ] 16 Apr 2020 12:00:00 BST 28c223a7bfb5fb88aec62c34632b6f94 ARTICLE_1_COLUMN-clone-29511144-20200401-111359 <p>The stroke team have set up a direct mobile. It is manned Mon-Fri 9-5 and they welcome all calls regarding stroke /TIA. <strong>07825023845</strong></p> <p> </p> <p>Primary care referrals can be made by phoning TIA MOBILE or alternatively email <a href="mailto:gst-tr.gsttstrokereferrals@nhs.net">gst-tr.gsttstrokereferrals@nhs.net</a> (out of hours). Please see our website for the TIA pathway and GP referral form. All patients referred should receive the TIA patient information leaflet.</p> <p><a href="https://guysstthomashospital.newsweaver.co.uk/Connect/ips4fcck07q/external">https://www.guysandstthomas.nhs.uk/our-services/stroke/referrals.aspx</a></p> Important message to share with patients https://guysstthomashospital.newsweaver.co.uk/Connect/1kty2pfbn0v?lang=en?rss=true Although people are being told to stay home to protect themselves, if you have a patient already under the care of Guy’s and St Thomas’ or who is unwell, they should continue to access the care that they need. For patients with a long-term condition please ask them to keep in touch with their clinical team. They should refer to our services section on our website [ https://guysstthomashospital.newsweaver.co.uk/Connect/txjnz0dekrk/external ] where more information is available, including the best way to contact us, which may include by email or telephone. We have set up dedicated patient helplines. Our emergency department (A&E) including Children’s is open 24 hours a day, seven days a week at St Thomas’ Hospital. Our urgent care centre at Guy’s Hospital is open and can provide help with minor injuries and urgent medical problems. 07 Apr 2020 12:00:00 BST f4aecad340498d848fbd907e91a0d46f <p>Although people are being told to stay home to protect themselves, if you have a patient already under the care of Guy’s and St Thomas’ or who is unwell, they should continue to access the care that they need.</p> <p> </p> <p>For patients with a long-term condition please ask them to keep in touch with their clinical team. They should refer to our services section <a href="https://guysstthomashospital.newsweaver.co.uk/Connect/txjnz0dekrk/external">on our website</a> where more information is available, including the best way to contact us, which may include by email or telephone. We have set up dedicated patient helplines.</p> <p> </p> <p><strong>Our emergency department (A&E) including Children’s is open 24 hours a day, seven days a week at St Thomas’ Hospital.</strong></p> <p><strong>Our urgent care centre at Guy’s Hospital is open and can provide help with minor injuries and urgent medical problems.</strong></p> Urgent Unscheduled Care https://guysstthomashospital.newsweaver.co.uk/Connect/rm1tfkmo333?lang=en?rss=true Across Guy’s, St Thomas’ and Evelina London we have segregated areas for specialists to review COVID-19 negative, suspected and positive patients who require urgent review. Please direct patients to the Emergency Department (ED) or contact the specialist team(s) directly for your patient to be seen. 02 Apr 2020 12:00:00 BST 064b3df90341f21be048f045746a9cde <p><strong>Across Guy’s, St Thomas’ and Evelina London we have segregated areas for specialists to review COVID-19 negative, suspected and positive patients who require urgent review.</strong></p> <p><strong>Please direct patients to the Emergency Department (ED) or contact the specialist team(s) directly for your patient to be seen.  </strong></p> Worklist Management https://guysstthomashospital.newsweaver.co.uk/Connect/1twbzrx8ifb?lang=en?rss=true Please monitor worklists daily on e-RS for advice responses and rejections. 26 Mar 2020 12:00:00 GMT f1c4f2224f576260baadb3df86f8ab65 <p>Please monitor worklists <strong>daily on e-RS</strong> for advice responses and rejections.</p> Guy's St Thomas' website https://guysstthomashospital.newsweaver.co.uk/Connect/b2tzzu6ekuz?lang=en?rss=true To support GPs we have updated our services pages on our website with COVID-19 specific information. There is also a dedicated section for patients with details on how to contact us. https://www.guysandstthomas.nhs.uk/patients-and-visitors/coronavirus/coronavirus-service-updates.aspx [ https://guysstthomashospital.newsweaver.co.uk/Connect/1uz7rp1qjmm/external ] 09 Apr 2020 12:00:00 BST 18a22095a86cc84af0350754056797cd <p>To support GPs we have updated our services pages on our website with COVID-19 specific information.  There is also a dedicated section for patients with details on how to contact us.</p> <p><a href="https://guysstthomashospital.newsweaver.co.uk/Connect/1uz7rp1qjmm/external">https://www.guysandstthomas.nhs.uk/patients-and-visitors/coronavirus/coronavirus-service-updates.aspx</a></p> Existing Referrals – New & Follow ups & Community referrals https://guysstthomashospital.newsweaver.co.uk/Connect/g306j6iajlq?lang=en?rss=true As of 30th March we have reduced activity across all services by 80% - to release clinical staff to support most urgent patients and growing inpatient pressures. Patients will either: Have their appointment via telephone/video consultation Have appointment postponed and retained on a patient waiting list be discharged back to GP with advice as appropriate Please advise your patients they must not come to the hospital for an appointment unless we have specifically asked them to or they require urgent review. If a patient is asked to attend a face to face appointment, please advise them that they must come for this. 26 Mar 2020 12:00:00 GMT 9e996441d20c28a0a01ffc0ed653d9aa <p><strong>As of 30th March we have reduced activity across all services by 80% - to release clinical staff to support most urgent patients and growing inpatient pressures.</strong></p> <p>Patients will either:</p> <ul style="list-style-type: square;"> <li>Have their appointment via telephone/video consultation</li> <li>Have appointment postponed and retained on a patient waiting list</li> <li>be discharged back to GP with advice as appropriate</li> </ul> <p> </p> <p><strong>Please advise your patients they must not come to the hospital for an appointment unless we have specifically asked them to or they require urgent review.</strong></p> <p><strong> </strong></p> <p><strong>If a patient is asked to attend a face to face appointment, please advise them that they must come for this. </strong></p> NEW Referrals – Suspected Cancer (Two Week Wait) https://guysstthomashospital.newsweaver.co.uk/Connect/1lyeic43qfb?lang=en?rss=true GPs should continue to refer a patient with suspected Cancer on this pathway. For the majority of services (except Breast and Dermatology), use the “defer to provider” functionality to generate an Appointment Slot Issue (ASI) and we will be made aware of the patient's referral. All referrals are now being vetted by a nominated Consultant or Nurse Consultant to review. Referrals will be: Accepted and an appointment scheduled Downgraded with advice and guidance back to GP Patient is query cancer but is in vulnerable group and so appointment to be deferred and patient added to waiting list for future appointment ** For Breast - Appointments to be booked via e-RS and clinical team will review clinic lists and reallocate to a telephone clinic appointment for those patients with a lower index of suspicion. ** For Dermatology – please continue to book face to face appointments Please consider urgency of referral and ensure the patients are aware they will be on a pathway and to expect contact from the hospital within 48 hours of the referral being received. 26 Mar 2020 12:00:00 GMT b84e5f6033e1489713608d2c168232ef <p>GPs should continue to refer a patient with suspected Cancer on this pathway. For the majority of services (except Breast and Dermatology), use the “defer to provider” functionality to generate an Appointment Slot Issue (ASI) and we will be made aware of the patient's referral.</p> <p> </p> <p>All referrals are now being vetted by a nominated Consultant or Nurse Consultant to review. Referrals will be:</p> <ul> <li>Accepted and an appointment scheduled</li> <li>Downgraded with advice and guidance back to GP</li> <li>Patient is query cancer but is in vulnerable group and so appointment to be deferred and patient added to waiting list for future appointment</li> </ul> <p><strong> </strong></p> <p><strong>** For Breast - Appointments to be booked via e-RS and clinical team will review clinic lists and reallocate to a telephone clinic appointment for those patients with a lower index of suspicion. </strong></p> <p><strong>** For Dermatology – please continue to book face to face appointments </strong></p> <p><strong> </strong></p> <p>Please consider urgency of referral and ensure the patients are aware they will be on a pathway and to expect contact from the hospital within 48 hours of the referral being received.</p> NEW Urgent & Routine https://guysstthomashospital.newsweaver.co.uk/Connect/doirsnwmjuk?lang=en?rss=true PLEASE ENSURE THAT YOU HAVE SOUGHT ADVICE PRIOR TO ANY NEW REFERRAL VIA CONSULTANT CONNECT OR e-RS. Please DO NOT REFER any new patients prior to seeking advice via e-RS or Consultant Connect (if available). If you need to refer post seeking advice, please use e-RS – do NOT email referrals. Please inform patient’s there will be a delay for routine appointments and avoid sending duplicate referrals You can attach documents to the e-RS advice request, which may include diagnostic results, scanned images (e.g. ECGs). Providers can also respond with attachments. 26 Mar 2020 12:00:00 GMT 39145731036e3da98a83122e5d9711a3 <p><strong>PLEASE ENSURE THAT YOU HAVE SOUGHT ADVICE PRIOR TO ANY NEW REFERRAL VIA CONSULTANT CONNECT OR e-RS.  </strong></p> <p> </p> <p><strong><u>Please DO NOT REFER any new patients prior to seeking advice via e-RS or Consultant Connect (if available)</u></strong>. If you need to refer post seeking advice, please use e-RS – <strong>do NOT email referrals.</strong></p> <p> </p> <p>Please inform patient’s there will be a delay for routine appointments and avoid sending duplicate referrals</p> <p> </p> <p>You can attach documents to the e-RS advice request, which may include diagnostic results, scanned images (e.g. ECGs).  Providers can also respond with attachments.</p>