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New Royal London Hospital Guide for Primary Care Clinicians

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<strong>New</strong> <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

<strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong><br />

A guide to the services moving to the<br />

new <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

Bringing excellence to life<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

1


Bringing excellence to life<br />

Contents<br />

Introduction 3<br />

Section 1 Benefi ts of the new hospital <strong>for</strong> patients and staff 4<br />

Section 2 Moving into the new hospital 6<br />

Section 3 Services in the new hospital 8<br />

Section 4 Making referrals to the new hospital 12<br />

Section 5 The essentials about the new hospital 15<br />

Main telephone numbers and maps 18<br />

How to fi nd out more<br />

For further in<strong>for</strong>mation about the new<br />

hospitals programme, please visit<br />

www.bartsandthelondon.nhs.uk/<br />

newhospitals or contact newhospitals@<br />

bartsandthelondon.nhs.uk<br />

For GPs and other clinicians<br />

considering referring urgent and<br />

non-urgent patients to Barts and<br />

The <strong>London</strong> NHS Trust, but who<br />

require advice be<strong>for</strong>e doing so,<br />

there is a range of contact options<br />

available. These can be found<br />

on the Trust’s website at<br />

www.bartsandthelondon.nhs.uk/<br />

<strong>for</strong>-clinicians/how-to-contact-us/<br />

GP Hotline (emergency admissions<br />

and advice only): 020 7377 7461<br />

For GPs having diffi culties accessing<br />

our services, please contact the<br />

Appointment Issues Resolution<br />

Service (AIRS) dedicated helpline <strong>for</strong><br />

GPs on 020 7377 7074.<br />

Published by the Communications Department,<br />

Barts and The <strong>London</strong> NHS Trust, 9 Prescot Street,<br />

<strong>London</strong>, E1 8PR, tel 020 7480 4876. November 2011<br />

2 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Introduction<br />

Welcome to the new <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong>, developed as part of<br />

the new hospitals programme to replace many of our existing ageing<br />

buildings with state-of-the-art healthcare facilities. The new hospital<br />

is home to a range of specialist centres including <strong>London</strong>’s leading<br />

trauma and emergency care centre, one of Europe’s largest renal<br />

services and a dedicated Women’s Centre and Children’s <strong>Hospital</strong>.<br />

We have already opened one of Europe’s most advanced cancer<br />

centres at Barts in March 2010. The second phase at Barts will be a<br />

cardiac centre of excellence, due <strong>for</strong> completion in 2014.<br />

Over a three-month period – from 6 December 2011 until<br />

28 February 2012 – 110 wards and departments and more than<br />

3,000 staff members will relocate into the new hospital from<br />

buildings across The <strong>Royal</strong> <strong>London</strong> and Barts.<br />

The opening of the new hospital will trans<strong>for</strong>m the experience of<br />

patients, staff and visitors, with outstanding new facilities and an<br />

exceptional environment <strong>for</strong> the delivery of patient care.<br />

How to use this guide<br />

This guide has been produced to familiarise<br />

you with the new <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

and help you respond to any questions you<br />

may receive from your patients. It contains<br />

details about the move into the new<br />

hospital, key services in the new building,<br />

making referrals into the new hospital and<br />

essential in<strong>for</strong>mation you need to know<br />

about the new building.<br />

Please browse through this guide and keep<br />

it handy <strong>for</strong> future reference.<br />

If you need extra copies, please<br />

email your request to the <strong>New</strong><br />

<strong>Hospital</strong>s Communications Team at<br />

newhospitals@bartsandthelondon.<br />

nhs.uk<br />

A pdf of the guide can be<br />

downloaded from the Trust website<br />

at www.bartsandthelondon.nhs.uk/<br />

<strong>for</strong>-clinicians<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

3


Bringing excellence to life<br />

Section 1<br />

Benefits of the new hospital <strong>for</strong><br />

patients and staff<br />

The new hospital will trans<strong>for</strong>m<br />

the experience of our patients<br />

and the working environment<br />

<strong>for</strong> staff. The substantial benefits<br />

include:<br />

Improved privacy and dignity – all<br />

accommodation will be single-sex, with<br />

40% provided in single rooms. These single<br />

rooms will ensure patients with particular<br />

needs, including those at highest risk of<br />

infection, are treated appropriately.<br />

Personalised care – with bed-side patient<br />

entertainment, day rooms, enhanced<br />

washing facilities, en-suite provision, and<br />

local temperature control, the new spaces<br />

will provide the best environment to offer<br />

high standards of compassion and care. The<br />

site will benefit from multi-faith facilities in<br />

the heart of the hospital and there will be<br />

a restaurant on the fifth floor, with a varied<br />

menu to cater <strong>for</strong> a range of diets.<br />

Multidisciplinary working through the<br />

co-location of services – the hospital’s<br />

layout will help teams to work together to<br />

provide the best patient care.<br />

Improving care pathways and<br />

patient experience<br />

Through new ways of working across<br />

teams and services, we aim to develop<br />

more integrated care pathways and<br />

improve patient experience.<br />

Consistently screening all incoming<br />

patients<br />

We want to make best use of patients’ first<br />

few hours in hospital. During this initial<br />

period, this means, <strong>for</strong> example, carrying<br />

out a number of essential assessments<br />

consistently <strong>for</strong> all patients – including<br />

nutritional, VTE and MRSA screening,<br />

identifying diabetic risk, and involving<br />

specialist teams as appropriate, such as our<br />

new GP-led homeless people’s service.<br />

Improving theatre management to<br />

avoid cancellations<br />

We must ensure that no operations are<br />

cancelled unnecessarily on the day of<br />

surgery. This will be achieved through<br />

a number of measures – including:<br />

ensuring our beds are available; staggering<br />

the arrival times of elective patients,<br />

reorganising our timetable to decompress<br />

multiple calls on HDU admission on the<br />

same day, relocating pre-assessment to<br />

Outpatients so that that process can begin<br />

4 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


at the time people are listed <strong>for</strong> surgery;<br />

and by completing part one consent be<strong>for</strong>e<br />

the day of major surgery.<br />

Reducing the length of stay<br />

We want to lower risk <strong>for</strong> patients, by<br />

shortening their length of stay, without<br />

increasing readmission rates. This will be<br />

achieved in a number of ways – including:<br />

By moving to nurse-led discharge <strong>for</strong> all<br />

elective work and named emergency<br />

procedures, we can shift the timing of<br />

discharges to the morning.<br />

Using the investment in consultant-<br />

delivered emergency care, ward rounds<br />

and cross-team board rounds, we can<br />

get decisions expedited.<br />

By meeting our minimum standard of no<br />

more than 48 hours’ wait <strong>for</strong> emergency<br />

surgery that is not life threatening, we<br />

will reduce pre-operative waits.<br />

By substituting day care <strong>for</strong> both elective<br />

and emergency patients, we can make<br />

the most of the Ambulatory <strong>Care</strong> and<br />

Diagnosis (ACAD) unit.<br />

Integrating services <strong>for</strong> elderly<br />

patients<br />

We want to meet the needs of older<br />

people using our hospital, by using our<br />

two designated elderly wards effectively<br />

and making sure all specialties support our<br />

newly enlarged elderly patients’ medical<br />

team. This means patients’ acute phase of<br />

care will be provided at The <strong>Royal</strong> <strong>London</strong><br />

and their longer-term rehabilitation at Mile<br />

End. With the designated therapy input<br />

to the unit, which began in the summer,<br />

we can improve outcomes and support<br />

community care.<br />

More effectively managing critical<br />

care patients<br />

We want to make best use of the huge<br />

investment in critical care made by<br />

commissioners. In the new hospital, we will<br />

have an integrated HDU and ITU unit, with<br />

44 beds from April 2012, and a support<br />

programme <strong>for</strong> level 1 beds through the<br />

Critical <strong>Care</strong> Outreach Team (CCOT),<br />

and level 1a and out-posted level 2 beds<br />

through the enlarged intensivist team. This<br />

will help us to manage acutely ill patients,<br />

as well as ensuring that patients stepping<br />

down from level 3 beds, or up from resus,<br />

can do so rapidly within hours.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

5


Bringing excellence to life<br />

Section 2<br />

Moving into the new hospital<br />

The moves into the new building will take place between December<br />

2011 and February 2012, and patients will begin to use the new<br />

building as services move over. The new hospital will be fully<br />

open on 1 March 2012, after all services have moved to their new<br />

locations, and a range of events is planned during this month.<br />

Moving patients<br />

Patients will be transferred via a temporary<br />

bridge which runs through the ITU on the<br />

third fl oor of Holland Wing. This connects<br />

the hospital with the third fl oor of the<br />

new building.<br />

Further changes to The <strong>Royal</strong> <strong>London</strong><br />

site – 2012 - 2014<br />

At the end of January 2012, Alex Wing<br />

will be handed over to Skanska, our<br />

construction partners, to be refurbished<br />

and then reopened as the new Dental<br />

<strong>Hospital</strong> in 2014. Holland Wing,<br />

East Wing, Garden House, David Hughes<br />

and Fielden House will all be demolished.<br />

Front Block will not be used and we will<br />

protect the building while the estate and<br />

commercial strategy of the Trust is further<br />

developed. To do that, the majority of the<br />

older parts of the hospital will be secured<br />

and wrapped within a hoarding to protect<br />

the buildings.<br />

A map showing the changes to The<br />

<strong>Royal</strong> <strong>London</strong> site between 2012-<br />

2014 is shown on page 23.<br />

6 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Main moves into the new building at The <strong>Royal</strong> <strong>London</strong><br />

December 2011 January 2012 February 2012 March 2012<br />

Early to mid Dec<br />

Majority of Imaging<br />

Endoscopy<br />

Adult Critical <strong>Care</strong><br />

Unit (ACCU)<br />

Acute Admissions<br />

Unit (AAU)<br />

Adult wards <strong>for</strong><br />

Elderly <strong>Care</strong> &<br />

Elective Orthopaedics<br />

Mid Dec<br />

<strong>London</strong>’s Air<br />

Ambulance; A&E<br />

Emergency<br />

Department and<br />

Urgent <strong>Care</strong> Centre<br />

open on 14 Dec<br />

Majority of medical<br />

wards<br />

Fracture Clinic<br />

Outpatient imaging<br />

Stroke Unit<br />

Adult Theatres<br />

(phased transfer)<br />

Late Dec<br />

Surgical Admissions<br />

Unit (SAU)<br />

Neurosciences inc<br />

OMFS, ENT, Head &<br />

Neck Cancer<br />

Urology will<br />

temporarily move<br />

from Barts to<br />

Milward ward at RLH<br />

Early Jan<br />

The new ring-fenced<br />

elective facility <strong>for</strong><br />

short-stay surgery<br />

(ACAD) opens on 9<br />

January.<br />

Outpatient services:<br />

Ophthalmology<br />

(from both Barts<br />

and RLH)<br />

Dermatology<br />

Neurophysiology<br />

Cardiac<br />

Investigations Unit<br />

Lung Function<br />

(Adult)<br />

Haematology Day<br />

Unit<br />

Mid Feb<br />

Therapy Services<br />

Surgical wards<br />

including Vascular,<br />

GI, HPB,<br />

Orthopaedic,<br />

Plastics & Trauma<br />

Mid to late Feb<br />

All women’s and<br />

children’s services move<br />

into dedicated facilities<br />

across three floors.<br />

Women’s services<br />

include:<br />

Obstetrics<br />

Gynaecology inc<br />

EGU<br />

Antenatal<br />

Labour and<br />

Maternity<br />

Wards and theatres<br />

Children’s services<br />

include:<br />

Outpatients<br />

Day care<br />

Neonatal<br />

Wards and theatres<br />

Paediatric Critical<br />

<strong>Care</strong> Unit (PCCU)<br />

Renal and Urology<br />

come together on the<br />

ninth floor.<br />

1 March<br />

<strong>New</strong> building at The<br />

<strong>Royal</strong> <strong>London</strong> opens.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

7


Bringing excellence to life<br />

Section 3<br />

Services in the new hospital<br />

The move into the new hospital means that many clinical teams and<br />

departments are brought together <strong>for</strong> the first time, providing more<br />

integrated patient services.<br />

The hospital contains 727 inpatient<br />

beds and 23 theatres, which will be split<br />

between specialist and general use. It also<br />

provides room <strong>for</strong> us to expand in the<br />

longer term into the space on floors 14 and<br />

15, which are currently unallocated. Key<br />

services in the new building include:<br />

A&E Emergency Department and<br />

Urgent <strong>Care</strong> Centre – ground floor<br />

Located on the ground floor, the Emergency<br />

Department, <strong>for</strong> children and adults, is<br />

three times bigger than the Accident and<br />

Emergency Department in the old hospital,<br />

with a full range of services dedicated to the<br />

care of emergency and trauma patients. This<br />

includes lifts linking it directly to the helipad<br />

<strong>for</strong> <strong>London</strong>’s Air Ambulance.<br />

The department is equipped with a<br />

dedicated imaging facility which includes<br />

three x-ray rooms, an ultrasound suite and<br />

two state-of-the-art CT scanners. This is in<br />

addition to the main imaging departments<br />

on the first and second floor.<br />

Opening hours:<br />

24 hours / 7 days a week<br />

The Urgent <strong>Care</strong> Centre is part of the A&E<br />

Emergency Department. Open seven days<br />

a week, 12noon -10pm, the centre will see<br />

patients with minor injuries and illnesses,<br />

after assessment within A&E. This assessment<br />

will be by a GP, Emergency Nurse Practitioner,<br />

or hospital doctor. Prior to this, patients will<br />

be assessed to see whether their care is more<br />

appropriately provided by their local GP.<br />

Physiotherapy and dressing clinic services<br />

previously provided by the Whitechapel<br />

Walk-in Centre, will be provided through<br />

the Trust’s community health services.<br />

The GP out of hours service will also be<br />

based in the Urgent <strong>Care</strong> Centre and will<br />

be by appointment only. After liaising with<br />

the relevant on-call team, local GPs and<br />

out of hours doctors can direct patients to<br />

the Acute Admissions Unit (<strong>for</strong>merly the<br />

Medical Admissions Unit), the Paediatric<br />

Assessment Unit (PAU) and the Surgical<br />

Assessment Unit (SAU).<br />

Community walk-in clinics are available at:<br />

The Barkantine Practice<br />

121 Westferry Road<br />

<strong>London</strong> E14 8JH<br />

St Andrews Health Centre<br />

1-3 Birchdown House<br />

Devons Road, Bow<br />

<strong>London</strong> E3 3NS<br />

The Trust’s Minor Injuries Unit at Barts<br />

<strong>Hospital</strong> is unaffected by these changes.<br />

The Whitechapel Walk-in Centre building<br />

will close on 14 December 2011.<br />

Acute Admissions Unit (AAU)<br />

– eleventh floor<br />

Previously the Medical Admissions Unit,<br />

the AAU is a 48-hour short stay medical<br />

unit that accepts direct medical referrals<br />

from GPs and medically referred patients<br />

8 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


from the Emergency Department. The unit<br />

consists of 78 beds to include eight GP<br />

assessment spaces and eight Level 1a beds.<br />

Adult Critical <strong>Care</strong> Unit (ACCU)<br />

– fourth floor<br />

Adult critical care services are co-located on<br />

the fourth floor (4E and 4F). In total, from<br />

April 2012, we will have 44 beds across our<br />

intensive care and high dependency units.<br />

Ambulatory <strong>Care</strong> and Diagnosis<br />

(ACAD) unit – third floor<br />

The Ambulatory <strong>Care</strong> and Diagnosis (ACAD)<br />

unit is a short-stay unit located on the third<br />

floor <strong>for</strong> elective surgical day case patients<br />

and those needing admission <strong>for</strong> up to 48<br />

hours. The provision of the dedicated ACAD<br />

is an important part of the Trust’s strategy<br />

<strong>for</strong> treating patients in separate areas based<br />

on acuity and length of stay.<br />

Children’s <strong>Hospital</strong><br />

– sixth, seventh and eighth floors<br />

The Children’s <strong>Hospital</strong> is co-located<br />

with the Women’s Centre on the sixth,<br />

seventh and eighth floors. The hospital<br />

brings together all children’s outpatient<br />

and inpatient activity (including theatres)<br />

allowing us to separate children from the<br />

general hospital population.<br />

All of the wards have spaces <strong>for</strong> parents<br />

to stay on bed settees. The hospital also<br />

features a children’s garden and a play area.<br />

Imaging<br />

– first and second floors<br />

Imaging is located on the first and<br />

second floors, with a dedicated area <strong>for</strong><br />

outpatients (on the second floor) and a<br />

separate children’s area.<br />

Outpatient services – second floor<br />

and other floors <strong>for</strong> specialist<br />

outpatients services<br />

Most outpatient services in the new<br />

hospital are located on the second floor,<br />

with a number of specialist outpatient<br />

departments on other floors in the new<br />

building – as shown in the table below:<br />

Service Floor<br />

Antenatal 8<br />

Dermatology 2<br />

Dexa scan 2<br />

ENT 3<br />

Endoscopy 3<br />

Fracture clinic 2<br />

Gynaecology including<br />

Emergency Gynaecology Unit<br />

(EGU)<br />

8<br />

Haemodialysis and dialysis 9<br />

Imaging 2<br />

Maternal and foetal assessment 8<br />

Medical photography 2<br />

Neurophysiology 2<br />

Ophthalmology 0<br />

Paediatrics 6 and 7<br />

Renal and Urology 9<br />

Therapies 2<br />

Urology 9<br />

Other <strong>Royal</strong> <strong>London</strong> outpatient services<br />

remain in the existing Outpatients<br />

Department on Stepney Way. See page 11<br />

<strong>for</strong> a list of those not moving.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

9


Bringing excellence to life<br />

Renal and Urology – ninth floor<br />

The renal and urology service is located on<br />

the ninth floor.<br />

The service – one of the biggest in Europe<br />

– includes:<br />

Haemodialysis centre, with 70 dialysis<br />

stations<br />

Outpatient department <strong>for</strong> both renal<br />

and urology<br />

Two inpatient renal and urology wards<br />

(9E and 9F).<br />

Theatres – fourth and sixth floors<br />

Located across the fourth and sixth floors<br />

there will be 23 theatres, including 11<br />

general theatres and dedicated obstetric<br />

and paediatric theatres.<br />

Therapy services – eleventh floor<br />

(adult inpatients), second floor<br />

(adult outpatients) and seventh floor<br />

(children’s)<br />

Inpatient adult therapy services are located<br />

on the eleventh floor. The service includes<br />

dietitians, speech and language therapists,<br />

physiotherapists and occupational<br />

therapists. Outpatient therapies are located<br />

on the second floor.<br />

The children’s therapy team is based on<br />

the seventh floor, within the Children’s<br />

<strong>Hospital</strong>, and sees both inpatients and<br />

outpatients.<br />

Wards (adult inpatient) – floors 10-14<br />

Most adult inpatient wards are located on<br />

floors 10-14 in the new building – with the<br />

exception of the renal and urology wards,<br />

which are on the ninth floor.<br />

Opening hours:<br />

Most wards are open to visitors from<br />

3pm - 4.30pm and from 7pm - 8.30pm.<br />

In special circumstances, visitors may be<br />

admitted at additional times.<br />

Women’s Centre<br />

– sixth and eighth floors<br />

The Women’s Centre is located on the<br />

sixth and eighth floors. The centre includes<br />

gynaecology, maternity and obstetric services<br />

(including theatres). The centre allows these<br />

specialist women’s services to be separated<br />

from the general hospital population.<br />

Maternity<br />

Outpatient and inpatient maternity<br />

services are located in the Women’s<br />

Centre, including the outpatients clinic and<br />

maternity and labour wards (6E and 6F).<br />

These wards have been designed to provide<br />

a spacious, homely environment. There is<br />

one fixed birthing pool and a number of<br />

mobile pools <strong>for</strong> water births.<br />

Patient support services in the<br />

new building<br />

Patient Advice and Liaison Service (PALS)<br />

PALS will be moving to the second<br />

floor from January 2012. It offers a free<br />

confidential service <strong>for</strong> patients, their<br />

families and carers. This includes providing<br />

in<strong>for</strong>mation and advice about NHS services,<br />

helping to deal with concerns around the<br />

services the hospital provides and ensuring<br />

feedback is used to improve Trust services.<br />

For more in<strong>for</strong>mation, please contact<br />

PALS on Pals@bartsandthelondon.<br />

nhs.uk<br />

10 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Additional patient support services – including<br />

the bereavement office and a multi-faith<br />

centre – are also available on the second floor.<br />

Clinical services located in other<br />

buildings at The <strong>Royal</strong> <strong>London</strong><br />

Ambrose King Sexual Health Centre<br />

and Grahame Hayton Unit<br />

The Ambrose King Sexual Health Centre<br />

and Grahame Hayton Unit will remain in<br />

their current location, behind the existing<br />

Outpatients Department on Stepney Way.<br />

From December 2011, access to the<br />

Ambrose King Centre will be via Mount<br />

Terrace (accessed from <strong>New</strong> Road). Access<br />

to the Grahame Hayton Unit will be via the<br />

existing Outpatients Department (entrance<br />

on Stepney Way).<br />

Dental <strong>Hospital</strong><br />

The Dental <strong>Hospital</strong>, located on <strong>New</strong> Road,<br />

will continue to provide dental services <strong>for</strong><br />

The <strong>Royal</strong> <strong>London</strong>.<br />

Opening hours:<br />

Monday to Friday: 8.30am - 4pm<br />

The Out of Hours Urgent Dental <strong>Care</strong><br />

Service will be moving to the Dental<br />

Institute, entrance via <strong>New</strong>ark Street.<br />

Opening hours:<br />

Monday to Friday: 7pm - 11.45pm<br />

Weekends: 8am - 5.15pm<br />

Bank Holidays: 8am - 2.30pm and<br />

4pm - 10.30pm<br />

Dental services will move to Alex Wing in<br />

2014 once it has been refurbished.<br />

Outpatient clinics<br />

Many adult outpatient clinics will remain in<br />

the existing Outpatients Department<br />

on Stepney Way. Some further clinics will<br />

relocate there from Barts in spring 2012.<br />

They include:<br />

Medical Outpatient Clinics<br />

Cardiology<br />

Diabetes<br />

Dietetics<br />

Epilepsy<br />

Gastroenterology<br />

Lipid<br />

Liver<br />

Multiple Sclerosis<br />

Neuro vascular<br />

Neurology<br />

Neurosurgery<br />

Palliative <strong>Care</strong> Team<br />

Pharmacist<br />

Psychiatry<br />

Surgical Outpatient Clinics<br />

Cardiology<br />

Colo-rectal Surgery<br />

Diabetic Foot<br />

General Surgery<br />

Hepatobilary (HPB)<br />

Joint Cancer<br />

Neurology<br />

Neurosurgery<br />

Plastics<br />

Vascular<br />

Key contact details <strong>for</strong> the existing<br />

Outpatients Department are<br />

provided on page 21.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

11


Bringing excellence to life<br />

Section 4<br />

Making referrals to the new hospital<br />

Depending on the urgency, and in some cases the specialty, there<br />

are different routes in which patients can be referred. The preferred<br />

method <strong>for</strong> referring patients is Choose and Book.<br />

Choose and book<br />

The process <strong>for</strong> referrals via choose and<br />

book will remain the same but please<br />

ensure you check the service name of<br />

clinics <strong>for</strong> those being discontinued in their<br />

current location. These will have the prefix<br />

#donotuse#.<br />

Paper referrals<br />

GPs can submit paper referrals, addressed<br />

either to a specific consultant, or ‘any’<br />

consultant, at Barts and The <strong>London</strong> NHS<br />

Trust. These can either be posted or faxed<br />

to us. The majority of referrals should be<br />

sent to the Trust’s ‘Central Appointments<br />

Office’, but there are some exceptions<br />

(listed right).<br />

Written referrals<br />

Central Appointments Office<br />

Barts and The <strong>London</strong> NHS Trust<br />

1st Floor<br />

9 Prescot Street<br />

<strong>London</strong><br />

E1 8PR<br />

Tel: 020 7767 3200<br />

Fax: 020 7480 4751<br />

Cancer referrals are unaffected and<br />

will continue to be dealt with by the<br />

Central Appointments Office (CAO).<br />

Exceptions<br />

For the following ‘exception’ services,<br />

referrals should be sent direct to the<br />

service, as currently. For any exception<br />

services that are moving to the new<br />

building, the move date and new address<br />

are supplied here.<br />

Anticoagulation Team<br />

From 16 January 2012, referrals should be<br />

sent to:<br />

Anticoagulation Team<br />

Haematology Day Unit<br />

Ground Floor<br />

Main Building<br />

The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

Whitechapel<br />

<strong>London</strong>, E1 1BB<br />

Fax: 020 359 41859<br />

NB: Please send a print-out from EMIS<br />

(primary care system) covering current<br />

medication and PMH.<br />

Cardiothoracic Surgery – no change to<br />

contact details<br />

Dietetics – no change to contact details<br />

12 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Haemophilia Team<br />

From 16 January 2012, referrals should be<br />

sent to:<br />

Haemophilia Team<br />

Haematology Day Unit<br />

Ground Floor<br />

Main Building<br />

The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

Whitechapel<br />

<strong>London</strong>, E1 1BB<br />

Fax: 020 359 41859<br />

NB: Please send a print-out from EMIS<br />

(primary care system) covering current<br />

medication and PMH.<br />

Immunology – no change to contact<br />

details<br />

ITP – no change to contact details<br />

Maternity/Obstetrics<br />

From 22 February 2012, referrals should be<br />

sent to:<br />

The Antenatal Clinic<br />

Eighth Floor<br />

Main Building<br />

The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

Whitechapel<br />

<strong>London</strong>, E1 1BB<br />

Fax: 020 359 42574<br />

Sickle Cell and Thalassaemia/<br />

Haemoglobinopathies – no change to<br />

contact details<br />

Speech and Language Therapy<br />

From 9 January 2012, referrals should be<br />

sent to:<br />

Speech and Language Therapy<br />

Second Floor<br />

Main Building<br />

The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

Whitechapel<br />

<strong>London</strong>, E1 1BB<br />

Fax: 020 359 43212<br />

Please note that this is <strong>for</strong> acute referrals<br />

only and is not the route <strong>for</strong> Community<br />

Paediatrics.<br />

Tuberculosis – no change to contact details<br />

Updating contact details<br />

Please ensure you replace the old contact<br />

details in your phones, fax machines,<br />

computers and other places where they are<br />

stored with the new ones.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

13


Bringing excellence to life<br />

Supporting patients who have<br />

appointments in the new hospital<br />

The Trust’s Central Appointments team is<br />

sending letters and site maps to patients<br />

who have appointments booked after<br />

their service moves into the new hospital,<br />

in<strong>for</strong>ming them of the new location of<br />

their appointment in the new building.<br />

Patient in<strong>for</strong>mation leafl ets will be<br />

updated with the new contact details and<br />

locations of services.<br />

Signage has been provided to help patients<br />

fi nd their way around the hospital and<br />

maps will be available at each reception<br />

desk. In addition, volunteers will be<br />

available to help patients around the<br />

hospital during the moving period.<br />

Key messages <strong>for</strong> your patients<br />

Your help is appreciated in supporting<br />

patients who will be attending<br />

appointments in the new hospital. Patients<br />

should be advised as follows:<br />

To carefully check their appointment<br />

letter <strong>for</strong> the location of their<br />

appointment – their service may have<br />

moved into the new hospital – located<br />

next to the existing <strong>Royal</strong> <strong>London</strong>.<br />

It is a good idea to allow extra time to<br />

reach their appointment.<br />

The move into the new hospital will not<br />

change the clinical team who will be<br />

managing their care.<br />

Signage, staff and volunteers will be on<br />

hand to help them to find their way to<br />

their appointment in the new building.<br />

Whitechapel Walk-in<br />

Centre closure<br />

Whitechapel Walk-in Centre will close on<br />

14 December 2011 and will not be<br />

relocated to the new hospital. Physiotherapy<br />

and dressing clinic services previously<br />

provided by the Whitechapel Walk-in<br />

Centre, will be provided through the Trust’s<br />

community health services. Please ensure<br />

that all staff in your practice are aware of<br />

the closure and that they should no longer<br />

be directing patients to the walk-in centre<br />

from 14 December 2011.<br />

Urgent care of patients will continue in<br />

the new A&E Emergency Department and<br />

Urgent <strong>Care</strong> Centre, as outlined on page 8.<br />

14 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Section 5<br />

The essentials about the new hospital<br />

The new hospital has been carefully designed to best manage<br />

patient, visitor and staff foot traffic. There is extensive signage<br />

throughout the building to help people to find their way around.<br />

However, the new environment may be confusing <strong>for</strong> many of our<br />

patients and visitors on their first visit. Volunteers and additional<br />

support staff, in addition to our receptionists, will be on hand to<br />

assist patients and visitors to find their way.<br />

Access<br />

Public access points<br />

There are several public entrances to the<br />

new building including:<br />

Stepney Way – pedestrian and vehicle<br />

access (main drop-off point <strong>for</strong> patients<br />

arriving by car and taxi).<br />

Whitechapel Road/East Mount Street<br />

– pedestrian access only<br />

A&E entrance off the north end of<br />

Milward Street – pedestrian access <strong>for</strong><br />

A&E only<br />

The two South Tower clinic<br />

entrances:<br />

Ophthalmology Clinic<br />

Haematology Day Unit and access to<br />

Outpatients on the first and second<br />

floors via lift core six<br />

Ambulance access point<br />

The ambulance entrance is located near<br />

the A&E entrance on the north end of<br />

Milward Street.<br />

Receptions – 24/7 access<br />

The receptions at the Stepney Way entrance<br />

and Whitechapel Road entrance to the<br />

old building are staffed 24 hours a day,<br />

seven days a week. The reception at the<br />

Whitechapel Road entrance will close in<br />

March 2012.<br />

Transport and parking<br />

Metered car parking close to The<br />

<strong>Royal</strong> <strong>London</strong><br />

There is very limited metered parking<br />

available around The <strong>Royal</strong> <strong>London</strong>.<br />

However, meters can be found on the<br />

following streets located to the rear of the<br />

hospital:<br />

Turner Street<br />

Ashfield Street<br />

Varden Street<br />

Cavell Street<br />

Cycle access and parking<br />

The <strong>Royal</strong> <strong>London</strong> is serviced by Bicycle<br />

Superhighway Route CS2, which runs<br />

from Bow to Aldgate, taking in the<br />

Whitechapel Road.<br />

Cycle parking facilities are available around<br />

the hospital.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

15


Bringing excellence to life<br />

Non-emergency patient transport<br />

(NEPT)<br />

Patients being brought to the hospital by<br />

non-emergency patient transport (NEPT)<br />

will be dropped off at the Whitechapel<br />

Road/East Mount Street entrance of the<br />

new building.<br />

Patients being collected by NEPT will be<br />

picked up at the Stepney Way entrance<br />

(close to the new departure lounge which is<br />

located inside the entrance).<br />

Opening hours:<br />

Monday to Friday, 8.30am – 5.30pm<br />

Tel: 020 346 55121<br />

Fax: 020 7377 7435 (bookings/<br />

cancellations)<br />

Temporary bus service<br />

A temporary bus service is being provided<br />

to transport any patients who misread<br />

their appointment letter and arrive at Barts<br />

when their service has moved to The <strong>Royal</strong><br />

<strong>London</strong>. Details are provided on posters<br />

and signage around the Barts site.<br />

<strong>New</strong> contact details –<br />

address, telephone and fax<br />

<strong>Hospital</strong> address<br />

The hospital address remains the same as<br />

be<strong>for</strong>e:<br />

The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong>,<br />

Barts and The <strong>London</strong> NHS Trust,<br />

Whitechapel Road,<br />

Whitechapel,<br />

<strong>London</strong><br />

E1 1BB<br />

Ward names<br />

Wards in the new hospital are identified<br />

using an alpha-numeric system, based on<br />

the floor (number) and tower (letter) in<br />

which they are located – as follows:<br />

Wards A and B – North Tower<br />

Wards C and D – Central Tower<br />

Wards E and F – South Tower<br />

For example, Ward 12C is located on the<br />

12th floor in the Central Tower. This is<br />

designed to make it easier <strong>for</strong> people to<br />

find their way around the building.<br />

Ward and clinic addresses<br />

Clinic and ward addresses in the new<br />

hospital will follow the following <strong>for</strong>mat:<br />

Ward or clinic name (eg 14F)<br />

xxth Floor<br />

Main Building<br />

The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong><br />

Whitechapel Road<br />

Whitechapel<br />

<strong>London</strong><br />

E1 1BB<br />

16 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Telephone numbers<br />

The main hospital number (the<br />

Switchboard) will not change –<br />

020 7377 7000.<br />

All wards and departments in the building<br />

will have new telephone numbers that<br />

follow the following <strong>for</strong>mat:<br />

020 359 4xxxx. These numbers can be<br />

dialled directly by external callers without<br />

needing to go through the Switchboard.<br />

A main number is allocated to each ward<br />

and department, as listed on pages 18-21.<br />

If you are unsure of the number of the<br />

department or ward you require, please<br />

contact the Switchboard on 020 7377<br />

7000 and they will put you through.<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

17


Bringing excellence to life<br />

Main department telephone<br />

numbers in the new building<br />

Floor Department Telephone number<br />

0 A&E Emergency Department 020 359 40004<br />

0 Children’s 020 359 40005<br />

0 Imaging 020 359 44300<br />

0 Majors 020 359 40002<br />

0 Minors 020 359 40001<br />

0 Trauma – Adult 020 359 40869<br />

0 Trauma – Children’s 020 359 40866<br />

0 Discharge Lounge 020 359 40016<br />

0 Haematology Day Unit 020 359 41855<br />

0 Ophthalmology 020 359 43900<br />

0 Ward D – Clinical Decision Unit (CDU) 020 359 40048<br />

1 Diagnostic Imaging 020 359 40949<br />

1 Appointments 020 359 41500<br />

1 Children’s 020 359 40972<br />

1 CT/MRI 020 359 40956<br />

1 GI Physiology 020 359 40091<br />

1 Lithotripsy 020 359 40155<br />

1 Ultrasound 020 359 40988<br />

1 Nuclear Medicine 020 359 41032<br />

2 Cardiac Tests (ECG) & Lung Function 020 359 42000<br />

2 Dermatology 020 359 42069<br />

2 Fracture Clinic 020 359 40163<br />

2 Medical Illustration 020 359 42186<br />

2 Neurophysiology 020 359 42500<br />

2 Outpatient Imaging 020 359 40185<br />

2 Outpatient Therapies 020 359 41082<br />

18 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Floor Department Telephone number<br />

3 ACAD 020 359 40300<br />

3 Theatres 020 359 43000<br />

3 Recovery 020 359 43100<br />

3 Ward 3D – ACAD Short Stay 020 359 40310<br />

3 Ward 3E – Stroke Unit 020 359 40320<br />

3 Ward 3F – Surgical Admissions Unit (SAU) 020 359 40330<br />

3 Endoscopy 020 359 43800<br />

4 Adult Critical <strong>Care</strong> (ACCU) 020 359 40410<br />

4 Ward 4E – Adult Critical <strong>Care</strong> (ACCU) 020 359 40420<br />

4 Ward 4F – Adult Critical <strong>Care</strong> (ACCU) 020 359 40430<br />

4 Main Adult Theatres 020 359 44000<br />

5 Inpatient Pharmacy 020 359 40202<br />

6 Children’s & Obstetric Theatres 020 359 40500<br />

Children’s Recovery 020 359 40600<br />

Obstetric Recovery 020 359 42414<br />

6 Children’s Day <strong>Care</strong> 020 359 40610<br />

6 Children’s Medical illustration 020 359 40394<br />

6 Children’s Outpatients – Clinic 1 020 359 40640<br />

6 Children’s Outpatients – Clinic 2 020 359 40650<br />

6 Children’s Social Work 020 359 40397<br />

6 Ward 6C – Paediatric Critical <strong>Care</strong> (PCCU) 020 359 40375<br />

6 Ward 6E & 6F – Labour and Maternity 020 359 42388<br />

7 Children’s Outpatients – Clinic 3 020 359 40760<br />

7 Children’s Outpatients – Clinic 4 020 359 40770<br />

7 Children’s Outpatients – Clinic 5 020 359 40777<br />

7 Children’s Outpatients – Lung Function 020 359 41499<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

19


Bringing excellence to life<br />

Floor Department Telephone number<br />

7 Ward 7C(b) – Children’s Gastro Intestinal Failure 020 359 40710<br />

7 Ward 7D – Children’s Surgery 020 359 40730<br />

7 Ward 7E – Paediatric Assessment Unit (PAU) 020 359 40740<br />

7 Ward 7F – Children’s Medical 020 359 40750<br />

8 Antenatal Outpatients 020 359 40100<br />

8 Gynaecology Outpatients 020 359 41585<br />

8 Neonatal Transfer Team 020 359 40888<br />

8 Ward 8B – Gynaecology Inpatients & EGU 020 359 40810<br />

8 Ward 8D – Neonatal Unit 020 359 40820<br />

8 Ward 8F – Maternity 020 359 40830<br />

9 Renal Institute 020 359 40900<br />

9 Renal Inpatients 020 359 40980<br />

9 Renal Outpatients 020 359 40930<br />

9 Ward 9E – Renal and Urology 020 359 42612<br />

9 Ward 9F – Renal and Urology 020 359 40920<br />

10 Floor 10 Reception 020 359 41010<br />

10 Ward 10E – Elderly <strong>Care</strong> 020 359 41020<br />

10 Ward 10F – Elective Orthopaedics 020 359 41030<br />

11 Floor 11 Reception 020 359 41100<br />

11 Ward 11C – Acute Admissions Unit (AAU) 020 359 41110<br />

11 Ward 11E – Acute Admissions Unit (AAU) 020 359 41111<br />

11 Ward 11F – Acute Admissions Unit (AAU) 020 359 41120<br />

11 Inpatient Therapies 020 359 40637<br />

12 Floor 12 Reception 020 359 41200<br />

12 Ward 12C – Emergency Orthopaedic Surgery<br />

and Plastics 020 359 41210<br />

20 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


Floor Department Telephone number<br />

12 Ward 12D – Trauma 020 359 41220<br />

12 Ward 12E – Neurosciences, ENT & OMFS 020 359 41230<br />

12 Ward 12F – Neurosciences, ENT & OMFS 020 359 41240<br />

13 Floor 13 Reception 020 359 41300<br />

13 Ward 13C – Vascular and general surgery 020 359 41310<br />

13 Ward 13D – General surgery 020 359 41320<br />

13 Ward 13E – Cardiac and Respiratory Medicine 020 359 41330<br />

13 Ward 13F – Infection, Regional HIV &<br />

Respiratory Medicine 020 359 41340<br />

14 Floor 14 Reception 020 359 41400<br />

14 Ward 14E – Elderly <strong>Care</strong> 020 359 41410<br />

13 Ward 14F – GI Medicine and Metabolic 020 359 42899<br />

17 <strong>London</strong>’s Air Ambulance 020 359 40781<br />

Useful department numbers in other buildings at<br />

The <strong>Royal</strong> <strong>London</strong><br />

Department Telephone number<br />

Ambrose King Sexual Health Centre 020 7377 7306<br />

Grahame Hayton Unit 020 7377 7039<br />

Dental <strong>Hospital</strong> 020 7767 3203<br />

Dental <strong>Hospital</strong> Out-of-Hours Urgent <strong>Care</strong> Dental Service 020 7377 7031<br />

Outpatients Department Reception 020 7377 2048<br />

Dressings Clinic 020 7377 3416<br />

Medical Outpatients Reception 020 7377 2041/2042<br />

Surgical Outpatients Reception 020 7377 3420<br />

Pathology and Pharmacy Reception 020 324 61109<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

21


Bringing excellence to life<br />

Access to the new hospital at The <strong>Royal</strong> <strong>London</strong><br />

22 Barts and The <strong>London</strong> NHS Trust <strong>Guide</strong> <strong>for</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Clinicians</strong>


The <strong>Royal</strong> <strong>London</strong> site plan 2012-2014<br />

www.bartsandthelondon.nhs.uk Barts and The <strong>London</strong> NHS Trust<br />

23


The <strong>Royal</strong> <strong>London</strong> <strong>Hospital</strong> Phase 1<br />

FLOOR NORTH TOWER CENTRAL TOWER BRIDGE SOUTH TOWER<br />

ROOFTOP<br />

17<br />

16<br />

15<br />

14<br />

13<br />

12<br />

11<br />

10<br />

9<br />

8<br />

7<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

GROUND<br />

BASEMENT<br />

GyNAECOLOGy<br />

(INCLUDING WARD 8B)<br />

CHILDREN’S OUTPATIENTS<br />

CHILDREN’S OUTPATIENTS<br />

CHILDREN’S DAy CARE<br />

PLANT<br />

A&E & URGENT CARE CENTRE<br />

Move Dates Colour Key:<br />

HELICOPTER PAD<br />

HEMS<br />

NOT CURRENTLy FITTED OUT<br />

VASCULAR & GENERAL SURGERy (13C)<br />

GENERAL SURGERy (13D)<br />

FACILITIES MANAGEMENT<br />

* Most Diagnostic Imaging services move in early December, with the exception of Lithotripter (late December),<br />

Vascular Lab (early January) and Children’s Imaging (mid February).<br />

PLANT<br />

NOT CURRENTLy FITTED OUT<br />

ELDERLy CARE (14E)<br />

GI MEDICINE AND METABOLIC (14F)<br />

CARDIAC & RESPIRATORy MEDICINE (13E)<br />

INFECTION, REGIONAL HIV & RESPIRATORy MEDICINE (13F)<br />

EMERGENCy ORTHOPAEDIC SURGERy & PLASTICS (12C)<br />

TRAUMA (12D)<br />

NEUROSCIENCES, ENT AND OMFS (12E & 12F)<br />

ACUTE ADMISSIONS UNIT - AAU (11C)<br />

THERAPy SERVICES<br />

ACUTE ADMISSIONS UNIT - AAU (11E & 11F)<br />

PLANT<br />

OFFICES<br />

ELDERLy CARE (10E)<br />

ELECTIVE ORTHOPAEDICS (10F)<br />

RENAL AND UROLOGy (INCLUDING WARDS 9E & 9F)<br />

NEONATAL<br />

(INCLUDING WARD 8D)<br />

PROPOSED ADOLESCENT UNIT (7C)<br />

CHILDREN’S GASTRO INTESTINAL FAILURE (7C(b))<br />

CHILDREN’S SURGERy (7D)<br />

CHILDREN’S THEATRES<br />

OBSTETRIC THEATRES<br />

PAEDIATRIC CRITICAL CARE UNIT- PCCU (6C)<br />

DIAGNOSTIC IMAGING*<br />

CHILDREN’S INDOOR<br />

PLAy SPACE<br />

OBSTETRIC RECOVERy<br />

RESTAURANT INPATIENT PHARMACy<br />

MAIN ADULT THEATRES<br />

ADULT CRITICAL CARE UNIT - ACCU (4E)<br />

MAIN ADULT THEATRES<br />

ADULT CRITICAL CARE UNIT - ACCU (4F)<br />

ACAD & DAy THEATRES<br />

ENDOSCOPy<br />

ACAD SHORT STAy (3D)<br />

STROKE UNIT (3E)<br />

SURGICAL ADMISSIONS UNIT (3F)<br />

OUTPATIENT IMAGING<br />

OUTPATIENT SERVICES FRACTURE CLINIC<br />

MULTIFAITH CENTRE<br />

OUTPATIENT SERVICES<br />

STEPNEy WAy<br />

Early December Early January Mid February<br />

ANTENATAL OUTPATIENTS AND<br />

ULTRASOUND<br />

MATERNITy WARD (8F)<br />

PAEDIATRIC ASSESSMENT UNIT - PAU (7E)<br />

CHILDREN’S MEDICAL (7F)<br />

LABOUR / MATERNITy<br />

WARDS (6E & 6F), LDRP<br />

Mid December Mid January Mid-Late February<br />

Late December<br />

Move in Dates<br />

OFFICES<br />

OPHTHALMOLOGy<br />

HAEMATOLOGy DAy UNIT

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