In this issue
Latest updates
Outpatient services
Elective Surgery
Consultant Connect – please complete the survey
Andrology
New electronic X-ray referral pathway for GP direct to radiology referrals
Phlebotomy walk-in services
The Tier 3 Healthy Weight Management Programme
Skype seminar for primary care- management of lung cancer during COVID-19
TIA/stroke for primary care clinicians - free skype seminar
Allergy for GPs and primary care clinicians - free Skype lunchtime seminar
Domestic abuse during COVID-19: a reminder of advice for NHS staff
Changes to referrals at Guy's and St Thomas'
Change to suspected lower GI Cancer referrals
Advice and Guidance
e-RS
Consultant Connect
Stroke/ TIA Mobile Helpline
Attending the hospital
Attending the hospital including A&E services
Changes to walk-in services
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.
Changes to Community Services at Guy's and St Thomas'
Community Diabetes clinic
Advance care planning for District Nursing patients
Neuro-rehabilitation Referrals
Important message to share with patients
Urgent Unscheduled Care
Worklist Management
Guy's St Thomas' website
Existing Referrals – New & Follow ups & Community referrals
NEW Referrals – Suspected Cancer (Two Week Wait)
NEW Urgent & Routine
Latest updates
Outpatient services

As we begin to increase the number of outpatient services we are able to provide, we have launched 'Stay safe, keep apart' - a Trust-wide social distancing campaign designed to keep everyone as safe as possible in adherence with the Government guidelines. The aim is to ensure we are giving our patients absolute confidence that our hospitals and community sites are safe places for them to come to.

 

To ensure that our outpatient areas, clinics and waiting rooms, are as safe as possible, there are a number of measures we have implemented in these areas. These will differ depending on the risk assessments for each location. We recognise that some of our buildings make it difficult to maintain a two metre distance at all times and indeed clinical care cannot be provided from two metres away so we have put in additional measures.  

 

We will continually review and amend our guidance as the national guidelines may change and also because we are asking staff to make practical and sensible arrangements in their areas to keep patients and colleagues as safe as possible.

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Elective Surgery

We have re-commenced elective surgery on both Guy’s and St Thomas’ sites in a phased manner from 1st June. All patients undergoing elective surgery will be swabbed up to 72 hours prior to their operation for COVID-19 at their home, and will then proceed to surgery once confirmed negative.

 

Patients and their households are being asked to strictly self-isolate for 14 days prior to surgery to reduce their risk of exposure to COVID-19 and more details on this can be found here.

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Consultant Connect – please complete the survey

Please note that Consultant Connect (CC) is only available to GPs working in practices in south east London.

 

We had reports that Q12 survey was causing issues. These have now been resolved, please can you complete the survey.

For any questions, please email arti.trivedi@gstt.nhs.uk

 

CC is a telephone advice and guidance service which has been available to GPs in Southwark, Lambeth and Bromley since October 2017.

 

As part of the Commissioning Intentions for 2020/2021, the plan was always to expand specialty coverage.  However with COVID and the need to be more accessible to GPs, Guy’s and St Thomas' introduced more specialities and made the service available (in most cases) to all six SEL CCGs.

 

As part of our evaluation of the service, we are seeking feedback from Consultants and GPs, and we would be grateful if you could complete this short GP survey.

 

The survey is designed to take no more than 5 minutes.

https://www.surveymonkey.co.uk/r/Consultantconnectevaluation

 

Your responses are anonymous unless you choose to provide your contact details at the end of the survey.

 

We would appreciate your feedback (positive and negative) so we can ensure that we can evaluate our service and continue to support you with A&G.  Please can you pass this onto all GPs within your Practice.

 

Deadline extended to 12 June 2020

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Andrology

Following recent announcements from the government regarding returning to the ‘New normal’ way of working, the Cytology Department at Guy’s and St Thomas’ will be reopening the Andrology services which have been suspended due to the COVID-19 pandemic. The full services are in operation since Monday 1 June, with the reopening of the laboratory for infertility and post vasectomy semen analysis investigations.

 

  • In order to accommodate all booked appointments on a clinic day, whilst observing social distancing, the capacity for on-site production has been reduced by 40%.
  • Until social distancing is relaxed further, we will be unable to accommodate the number of patients we previously did at our on-site production facility.
  • Therefore we will encourage patients, as much as it is possible, to produce their samples at home and bring them into the department within their appointment time.
  • All paper resources including magazines that our patients have previously been able to access in order to aid production of samples will be removed to reduce the risk of spread of COVID-19.
  • In order to meet requirements such as social distancing, reduce overcrowding and accommodate more robust and stringent cleaning measures, the time slots between patients will be increased.
  • To minimise the number of patients on site, patients are advised to arrive the laboratory or onsite production facility not more than 5 mins before their appointment time. We will be operating a strict one-way system around the site to ensure a safe flow of patients.

All patients should adhere strictly to the ‘2 metres social distancing’ rules to ensure the safety of our staff and other patients.

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New electronic X-ray referral pathway for GP direct to radiology referrals

NEW ELECTRONIC X-RAY REFFERAL PATHWAY FOR GP DIRECT TO RADIOLOGY REFERRALS DUE TO COVID 19 PANDEMIC – 01/06/2020.

 

Please note that our web page will be updated shortly with the information below.

 

From 1st June 2020 we no longer accept paper referrals, However, paper referral requests made prior to this date will still be accepted.

 

Please use our nhs.net radiology referral email box when referring patients for X-ray imaging:  gst-tr.radiologyreferrals@nhs.net

Subject header must include: Patient SURNAME, First NAME and D.O.B.

 

All requests must adhere to the following:

  • Completed referral form - The latest online template can be found at:

 https://www.guysandstthomas.nhs.uk/our-services/radiology/referrals.aspx#na

  • Template must have referrer’s name/e-signature.
  • Template must have referrers GMC number.
  • Template must adhere to latest IRMER 17 regulations, GSTT IRMER procedures, RCR and NICE guidelines.

 

Failure to comply with the above could cause unnecessary delay and possible rejected requests with patients being returned home.

Service Managers must ensure to share the trust’s Employer’s Procedures for IRMER17 attached and assure that only entitled IRMER referrers will request imaging.

 

From the 1st June 2020 and upon referral, the sender will receive an auto reply as follows:

 

Thank you for sending this X-ray request. Please advise your patient to attend either Guy’s or St Thomas’ X-ray imaging department between 08:30 – 17:00 and Evelina Children’s Imaging department 09:00 – 17:00. All requests more than 3 months passed the referral date will be deleted and require a new referral. All requests must have name of referrer, contact details, e-signature, GMC number of referrer and must be sent by the referrer to comply with IRMER 17 regulations and existing trust employer’s procedures. Failure to do so will result in unnecessary delays and rejected referrals upon patient arrival. Please note that requests are not justified when sent through, only upon attendance of the patient.

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Phlebotomy walk-in services

The current service will be as follows:

  • St Thomas’ Hospital: 07.30-16.30 (last patient entry 16.15)
  • Guys Hospital: - moving back to Phlebotomy 4th Floor Tower Wing: 07.30-13.00 (last patient entry 12.45)
  • Gracefield Gardens: 08.30-17.00 (last patient entry 16.45)
  • King’s College Hospital (Denmark Hill): 07.30-16.00 (last patient entry at 15.45)
  • Tessa Jowell Health Centre: 07.30- 16.00 (last patient entry 15.45)
  • Cancer Centre - Cancer Centre patients only: 08.00- 17.00
  • Paediatric Phlebotomy – St Thomas’s Hospital: 07.30-16.30 (last patient entry 16.15)

Please note that phlebotomy services at the Dulwich Community Hospital have now closed.

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The Tier 3 Healthy Weight Management Programme

The Tier 3 Healthy Weight Management Programme has resumed its Initial Assessment triage appointments from 01 June. Currently these are not directly bookable through e-RS however we are still accepting referrals – please use e-RS and patient can be deferred to provider (creating an Appointment Slot Issue).

Please note that the service is under review. Due to COVID-19 social distancing requirements, the programme has moved to a virtual intervention using online group sessions rather than face to face group meetings. Our Directory of Services on e-RS will be updated to reflect that appointments will be virtual.

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Skype seminar for primary care- management of lung cancer during COVID-19

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

[ READ MORE ]
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TIA/stroke for primary care clinicians - free skype seminar

Guy's and St Thomas' would like to invite you to an interactive Skype seminar with a practical overview of TIA/Stroke cases in the COVID-19 recovery phase.

 

Date: Tue: 16 June

Time: 1.30 to 2.30pm

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Allergy for GPs and primary care clinicians - free Skype lunchtime seminar

Dr Chris Rutkowski, Clinical Lead for Adult Allergy at Guy's and St Thomas' would like to invite you to a one hour interactive Skype seminar where you will learn how to improve the diagnosis, patient referrals and the management of allergy in primary care. Questions will be taken at the end of the talk.

 

The talk will cover the following topics:

  • Itchy rash and recurrent swellings?
  • Penicillin allergy (what to do?)
  • Is it really nut allergy?

 

Date: Friday 26 June 2020

Time: 13:30- 14.30

 

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Domestic abuse during COVID-19: a reminder of advice for NHS staff

Sadly during the COVID-19 pandemic, domestic abuse charities and other organisations have reported an increase in cases of abuse and requests for help:

 

• General online domestic abuse searches have increased by 352.5%

• Support lines and web chat activity has increased by 53.9% and 70.4% respectively

• There has been a substantial rise in self-referrals to ChildLine

• And an increase of up to 50% in Multi Agency Risk Assessment Conference (MARAC) domestic abuse referrals

 

Please download the attached letter from NHSEI which sets out additional resources for NHS staff. Please share within your teams as appropriate.  

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