« Back to Covid-19 Home Page

COVID-19 clinical support

The current category is COVID-19 General

Secondary care referrals

See the Cancer section for changes to the cancer referral pathways

This includes important information about changes to referral pathways, managing appointments, and using advice and guidance – please review before any referrals.

Temporary changes to services at our acute hospitals
With the rapid rise in Covid-19 cases we have seen a massive increase in demand in our
acute hospitals, where bed occupancy from patients with the virus is significantly higher
than during the first wave.


This has meant our acute hospitals have been forced to think very carefully about what
activity they need to temporarily step down, to ensure they are able to provide urgent
care and care for the high numbers of Covid-19 patients. Much of their activity which is
not deemed essential or clinically urgent (e.g. planned care such as routine operations)
is currently postponed.


The documents below outline changes to referrals. These have been reviewed and
updated for all of our acute hospitals. The latest updates and key messages to practices
are in red.

NB The situation is being reviewed daily, with the aim of restarting activities currently
stood down as soon as possible.

GSTT

All GSTT 2ww clinics (including rapid diagnostic clinic) are still running but may be subject to additional triage before the patient is seen. Please refer as normal.

Tier 4 message from GSTT Community Services

Our teams in the GSTT Integrated Local Services directorate are working hard to provide care and support for our patients in South East London over the Christmas and new year period. We are adapting to current capacity pressures across the system, in the context of Tier 4 requirements and the need to work collaboratively with our colleagues in primary, secondary, social and voluntary care. We are prioritising our delivery of services based on clinical need in relation to available staffing capacity.
We ask that colleagues in primary care continue to refer to our services in the usual manner and provide as much information as much possible to enable us to prioritise accordingly.

Kings

Lewisham and Greenwich

LGT has provided a briefing to GPs regarding the outpatient letters backlog



Consultant connect

Download Consultant Connect to your phone for immediate specialist advice, use this service before making any new referral for hospital care.

Consultant connect will be expanding (available Monday to Friday 9am to 5pm).

Depending on your area, Consultant Connect lines are available for GPs in South East London 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
Haematology 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
HIV (24/7 Line) All 6 SEL CCGs
Neurofibromatosis All 6 SEL CCGs
Ophthalmology All 6 SEL CCGs
Pain Management All 6 SEL CCGs
Palliative Care All 6 SEL CCGs
Post ICU Care 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

Paediatrics at Evelina
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