Urgent and Emergency Care
City and Hackney GPs hold the Duty Doctor contract, which looks at A&E attendances within core hours.
There are several Urgent Telephone Advice/Referral lines available at the Homerton, to consider if same day emergency care needed, which avoid an A&E attendance.
For most medical referrals, please contact Same Day Emergency Care (SDEC)
Provision of same day care of adults with acute medical pathologies who would otherwise be admitted to hospital. Run by A&E/Acute Medical consultant.
t: 07500991259 (10-6pm for advice, OOH bleep 400)
For most paediatric referrals, please contact Acute Paediatrics
t: 07795390715 (9-5pm for advice and urgent outpatient follow up) or bleep 007 for acute admissions
For a list of all emergency, rapid access and urgent care services available to City and Hackney clinicians, see below:
| Specialty | Urgent Services | Contact details | |
|---|---|---|---|
| Cardiology |
ACERs Heart Failure service provides care in the community to optimise medications, monitor symptoms and reduce risk of hospital admission (Monday – Friday) |
02076834698 |
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| Diabetes |
Symptomatic diabetes review, if new diabetes but clinically relatively well – diabetic specialist nurse helpline. If unwell (nausea, vomiting, abdo pain) – SDEC |
Diabetic specialist nurse 02085105005 |
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Diabetes, requiring urgent intervention (symptomatic) including newly diagnosed |
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Dermatology |
TBC |
On call team via 02073777000 |
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| ENT |
ENT emergency clinics at Homerton for adults Monday – Friday in core hours. There is no ENT provision OOH at Homerton. |
On call team via switchboard |
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For Paediatric ENT, OOH or for very acute referrals (unable to eat and drink, breathing difficulty, severe epistaxis, acute mastoiditis) contact the Royal London |
On call team via 02073777000 |
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| Gastro | |||
| Geriatrics |
Urgent assessment or advice by a Care of the Elderly consultant to avoid hospital admission |
07766703203 |
|
| IIT |
Integrated Independence Team provides MDT assessment and/or up to 6 weeks rehabilitation or reablement intervention |
02085107750 |
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| Mental health |
Crisis professionals line 247 (For patients in crisis please signpost to 111 option 2) |
02038194957 |
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Walk-in crisis assessments (for adults in crisis open 0800-2000) |
Raybould Crisis Hub, Homerton Hospital |
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| Neurology | |||
| O&G |
General Gynaecology emergencies |
On call team via switchboard |
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Early Pregnancy Assessment Unit (EPAU) before 18 weeks pregnancy |
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Obstetric Assessment Unit (OAU) Monday – Friday 9-5 |
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| Oncology |
Acute Chemotherapy Hotline 247 for doctors and patients at Barts Hospital |
07917093728 |
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07957724979 |
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| Ophthalmology | |||
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Moorfields A&E – GP to discuss with doctor on call before sending a patient to A&E |
02075214682 |
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Moorfields Virtual A&E |
www.moorfields.nhs.uk/ae/virtual-consultation |
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| Orthopaedics |
General Orthopaedic emergencies |
On call team via switchboard |
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| Paediatrics |
Acute Advice line held by Paediatric consultant/SpR Monday-Friday 9-5 |
07795390715 or bleep 007 for acute referrals |
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Acute Paediatric Sickle Cell Emergencies should be referred to Royal London |
On call team via 02073777000 |
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| Palliative Care |
St Joseph's Hospice 247 advice and support line |
03003030400 |
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| Paradoc |
Rapid assessment and treatment of acutely unwell patients who would otherwise be admitted. The focus is on frail, elderly and complex patients (12-midnight) |
03000339930 |
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| Podiatry |
Emergency service for people at risk of ulceration or amputation with urgent foot problems eg diabetic foot ulcer (walk-in service Monday – Friday 9-10) |
Foot Health Service, St Leonards |
|
| Renal |
Royal London Renal consultant hot phone (Monday – Friday 0830 – 5) |
02035945751 |
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| Respiratory |
ACERs Respiratory 7 day service for anyone in City and Hackney living with diagnosed chronic lung disease. |
02085105107 (24h advice line for patients or clinicians 07920150074) |
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| Stroke |
Royal London HASU, contact HASU SpR or consultant |
SpR 02035945672 or Consultant 02035945671 |
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TIA Pathway – please note if high risk or a Friday, refer to Royal London HASU |
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| Urology |
General Urological emergencies |
On call team via switchboard |
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| Vascular |
General Vascular emergencies for Royal London |
On call team via 02073777000 |
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DVTs contact SDEC |