AEC does not replace any of the existing outpatient pathways at Barts Health (2WW, neurology, arrhythmias, rheumatology, respiratory, etc,)
Some of the common conditions we see:
Pulmonary embolism
Transfusions for anaemia,
Headache,
Acute Jaundice,
Uncontrolled Hypertension
Exclusion criteria
Paediatrics (< 16yrs), Surgical/Trauma problems, Infection control issues, Acute confusion/delirium, acute psychiatric illness
Please also ensure:
– Patient is not critically ill
Pulse < 100
BP > 100 Systolic
Sats> 92% or > 88% if COPD
GCS15 ( or 14 if known Dementia)
– The patient is appropriate to be discharged with current package of care.
– Patient/relatives able to arrange their own public/private transport? (or prearranged hospital transport)
– A clinical review would avoid admission
Other considerations
At predictable risk of deterioration based on history and preliminary investigation
Is not ambulant or mobile in a wheelchair and able to transfer with assistance of one
Already under investigation
The problem is of a chronic nature
Who to refer
All referrals to be discussed with the Ambulatory care team
Following which please complete the referral form (already EMIS under Ambulatory Emergency care) and email it to the team
Before referral
please include patients phone number, NHS number, reason for referral, when the patient should be seen, outline investigations required.
An AEC nurse will contact the patient to arrange an appointment, DO NOT tell the patient to arrive in AEC until they have been contacted
Service contact details
Acute Medicine Consultant: 02035945642 or via switch ext 45642
Out of hours – On call Medical SPR: 02035945645 or via switch ext 45645
email: Bhnt.rlh-ambulatory@nhs.net
Additional notes
Diagnosis and treatment of DVT
VTE nurse specialists provide same or next day (except weekends and Bank Holidays) assessment, diagnosis and treatment of suspected Deep Vein Thrombosis (DVT)
09:00 – 15:00 Monday-Friday: Contact the AEC nurse: 02035945700 or via switch ext 45700
Out of hours: Send to the Emergency Department with a referral letter
Location: Accessed via the main entrance of Royal London Hospital, Ground Floor, opposite lift core 8.