Company : NHS Trust Foundation

Category : Cardiology

Key Products : Cancer Care, Children's Hospital, Cardiovascular Centre, Kidney Treatment Centre, Orthopedic Hospital

Located in the heart of London, Guy’s and St Thomas’ NHS Foundation Trust is an organization of high pedigree with a proud history going back over 900 years.

 

Our clinical services are delivered from three of London’s best known hospitals, Guy’s Hospital, St Thomas’ Hospital and Evelina London Children’s Hospital (which has recently been rated ‘outstanding’ by the United Kingdom’s Care Quality Commission).
 

As one of the busiest and most successful teaching NHS foundation trusts – in terms of number of patient contacts, clinicians trained and research conducted and adopted in practice – we have developed world-class services in a number of specialties.
 

The Trust provides a full range of services, as well as specialist services including cancer, cardiothoracic, women and children’s services, kidney care and orthopedics. Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
 

Excellence in education and training for healthcare professionals, students and support staff is at the heart of Guy’s and St Thomas’. With our internationally renowned teaching hospitals, we are committed to developing a healthcare workforce of the highest quality. This is vital to ensuring that our workforce remains skilled and equipped to deliver improvements in healthcare, and also for training and educating the next generation of clinicians and academics.
 

Training our staff and students in research techniques and methodologies is also important for achieving research excellence. We:

  • provide world-class, innovative education and training in a wide range of health disciplines and create a culture in which learning is informed by research
  • train and develop the entire workforce, including nurturing future leaders
  • give opportunities to students who have the talent, but not necessarily the educational qualifications, to pursue careers in healthcare disciplines
  • impact upon our local communities by increasing patient access to information
  • affect a cultural shift in educational practices towards learning techniques that include the best, proven technological developments.
     

Those training at Guy’s and St Thomas’ receive some of the best medical education in the country. We are one of the largest postgraduate medical education centres with over 500 doctors in training, including foundation doctors, medical trainees, surgical trainees and specialist trainees at any one time. The academic component is provided by King’s College London (KCL) and the clinical teaching component is provided by Guy’s and St Thomas’. Our partnership with KCL also means that we can integrate KCL accredited academia when setting up bespoke programmers'.

Cancer Care

Guys Cancer are one of the UK’s leading providers of care and treatment for people with cancer.
 

World-leading clinical care

We are home to some of the best specialists in the country and offer the very latest facilities and pioneering treatments, thanks to our extensive research programmes. We are also part of something much bigger. Guy’s and St Thomas’ NHS Foundation Trust is an internationally renowned healthcare organization with expertise across the full range of medical care. If you need surgery, diabetes treatment or psychological support, we have specialists right here, on site, who can work as part of your cancer team.

For you, that means joined-up care, all in one place, for an all-round better experience of healthcare.
 

The best place for care

Our new, state-of-the-art Cancer Centre at Guy’s Hospital brings most of our cancer services under one roof, helping us to give our patients seamless care. The Cancer Centre offers a welcoming, uplifting environment, designed with patients at its heart.
 

Care that's made for you

At Guy's Cancer, we understand that cancer can affect you and your loved ones in many ways. 

 

Our experts will assess your medical needs and provide a package of care that works for you. We will also explore how cancer may affect your emotional, social and family life too.

Cardiovascular Centre

Our specialist cardiovascular centre treats problems of the heart and blood vessels. We provide a wide range of services to London, the south east and beyond. Guy's and St Thomas' also has an internationally renowned children's heart service at Evelina London Children's Hospital.
 

The cardiovascular centre has specialized vascular ultrasound cardiovascular services and strong links with the King’s College London cardiac imaging service.
 

Our departments

The centre is comprised of three main departments:

  • cardiology
  • cardiac surgery
  • vascular surgery

 

Our dedicated staff

Our staff are highly skilled and experienced. We also have strong support teams and researchers working to find new treatments for cardiology and vascular services.

 

Our nurse-led continuing care team provides ongoing support and advice to patients both at home, and when they have returned home. Their aim is to help patients to recover fully and regain as much independence as possible.

Children's Hospital

Evelina London Children's Healthcare is part of Guy's and St Thomas' NHS Foundation Trust.

 

We are the second largest provider of children's services in London.

 

Our vision is to be a world leading centre of life-changing care for children, young people and their families. 
 

Who we are

We provide comprehensive health services from before birth, throughout childhood and into adult life.

 

Our community services care for children and families in Lambeth and Southwark. Our children's hospital not only cares for local families but also provides an extensive range of specialist services for children with rare and complex conditions from across south London, Kent, Surrey and Sussex.
 

Based in a stunning purpose-built building on the site of St Thomas', our hospital includes:

  • 215 beds, including 30 intensive care beds
  • 52-cot neonatal unit
  • 6 dedicated children's operating theatres
  • a full children's imaging service with MRI scanner, x-ray and ultrasound
  • a kidney dialysis unit
  • 2 dedicated children's research units
  • an outpatients department
  • a hospital school.

 

Our community services across the boroughs of Lambeth and Southwark provide comprehensive healthcare from health visitors and school nurses to specialist input to prevent children with long-term health conditions needing hospital care. We have two children's health centers and care for more than 40,000 children and young people in the community every year.

 

We're also building our specialist clinical network so that the 1.6 million children in London, Kent, Surrey and Sussex can benefit from our expert care.
 

A hospital that does not feel like a hospital

With themed floors, a conservatory, rooms with views, sunlight and fresh air, Evelina London Children's Hospital was designed around the needs of children and their families.  

 

It's a seven-storey glass-fronted building, featuring a four-storey conservatory and dramatic views of Lambeth Palace and Archbishop’s Park.

 

Inpatients are on the upper levels of the building, so children staying in hospital enjoy the best views. They also overlook the conservatory, the social heart of the building, housing a gallery and performance space and the hospital school.
 

Finding your way around

The building is themed around the natural world, from the sea at ground level to the sky at the top. It has visual symbols to make getting around easier and themed artwork on the floor of each level.

Kidney Treatment Centre

Urology is a surgical specialty, covering the diagnosis and treatment of disorders of the kidneys, ureters, bladder, prostate and male reproductive organs. We offer services to patients from Lambeth, Southwark and Lewisham as well as further a field for some of our specialist activities.

 

Our service is based in a state-of-the-art urology centre at Guy's Hospital, where most of our clinical activities take place.
 

 Our urology centre

Our award-winning urology centre at Guy's has allowed us to minimize queuing and bring all the aspects of urological diagnosis together in one place.

 

The development of the multi-million pound urology centre was supported by a grant from Guy's and St Thomas' Charity. We have been visited by 26 different urology units to see how our clinics run and have won 3 awards for the centre. 
 

Our one-stop clinics

All newly-referred patients to the urology centre are assessed at one of our weekly one-stop clinics, where they can have a range of investigations at the same time, if necessary.

 

One-stop clinics allow patients to have a consultation with a urologist and a range of investigations in a single visit. At the end of their visit, most patients will have received a diagnosis and their treatment options will have been discussed. Those who need to be admitted for surgery meet our admissions officer before leaving the centre.

Orthopedic Hospital

We are one of London's leading orthopedic departments, with a wide range of specialist services, and are a member of the Specialist Orthopedic Alliance. We treat patients from the hospital’s catchment area of Southwark and Lambeth, as well as patients referred to us from across south east London, Kent and Sussex. We have specialist interests in:
 

  • hip and knee replacements, including complex and revision joint replacements
  • knee ligament reconstruction, including isolated anterior cruciate (ACL) reconstruction and multiple ligament injury
  • surgery for young adult hip disorders, including hip arthroscopy and major pelvic osteotomy
  • spinal surgery, including cervical spine (neck) surgery, and the treatment of metastatic disease and infection of the spine
  • foot and ankle surgery, including ankle replacements, ankle arthroscopy and joint fusions in the foot and ankle
  • shoulder and elbow surgery, including shoulder and elbow replacements and revision joint replacements, and shoulder and elbow arthroscopic techniques
  • hand and wrist surgery, including wrist arthroscopy, hand and wrist joint replacements/fusions, scaphoid non union surgery, tendon transfers and rheumatoid hand surgery
  • fractures and acute musculoskeletal injury, including the treatment of patients with pathological fractures of the long bones.
     

Orthopedics Centre Of Excellence

The Trust is pleased to announce a partnership with Johnson and Johnson that will enable the development of a new Orthopedics Centre of Excellence at Guy’s Hospital.

Accident and Emergency

Waiting times in Accident and Emergency services

Our emergency department (A&E) at St Thomas’ Hospital is open 24 hours a day, 365 days a year to treat patients with the most serious or life-threatening injuries and conditions. Patients with the most serious problems will be seen first. 

 

What's the standard?

It is expected that at least 95% of patients attending A&E will wait less than four hours to be diagnosed, treated, discharged or admitted to hospital.

 

How are we doing?

Our recent performance:

  • June 2019 – 83.2% of patients coming to our A&E department waited less than four hours
  • May – 85.4%
  • April – 84.3%.

 

We are working hard to meet the standard although this has been proving difficult due to the increasing number of patients attending both A&E and the urgent treatment centre every day.

 

Four hours is the maximum time you should have to wait and most patients will be seen more quickly.

 

Our staff will always try to keep you informed of how long your wait is likely to be. However, waiting times will vary depending on how many seriously ill patients need treatment.

General medicine service

The Acute and General Medicine provides acute medical services or general medicine service for adults of all ages across a wide range of specialties and is part of the integrated therapies and medicine directorate.

 

Most of our general medicine patients are admitted through accident and emergency (A&E). Only 2% of our general medicine admissions are planned.

 

Admissions from A&E generally go the Admissions Ward. Here, patients are reviewed by a team of doctors, nurses and therapists. Some patients may be discharged home the same or following day (often with rapid outpatient follow-up and your appointment may be either at Guy’s Hospital or St Thomas’ Hospital), whereas other patients may need to stay for a few days or longer.  

 

If you need to stay in hospital you will be transferred to one of our general medical wards at St Thomas' Hospital or to a specialty ward either at St Thomas' or Guy's Hospital.

 

There are many medical conditions that when you are first admitted to hospital are often looked after by the general medicine team, such as sickle cell disease, HIV/AIDS, infectious diseases, rheumatology and neurology.

 

If you have a condition usually managed by a different specialty or we diagnose something that should be managed by a specialty team, we will contact the team to discuss taking over your care whilst you are in hospital (or in outpatients when you are discharged).

 

If the specialty team agrees to take over your care and you need to remain in hospital, we will arrange for you to be transferred to a bed managed by that team. There may be a delay in transferring you if no beds are available. Where there is a delay, we will ask the specialty team to review you whilst you remain in one of our beds to ensure that you get the appropriate care that you need.

 

If you need to stay in hospital for more than a day or two then you will either be transferred to one of our general medical wards at St Thomas' Hospital or to a specialty ward either at St Thomas' Hospital or Guy's Hospital if this is more appropriate.

 

The general medicine outpatient team work on both sites providing care to patients with a range of conditions including hypertension, stroke prevention and falls whilst also covering general medicine.

 

Wards for general medicine:

  • Admissions Ward
  • Albert Ward
  • Hillyers Ward
  • William Gull Ward

Adult allergy clinic

We hold our outpatient clinics in different locations at Guy's Hospital on different days of the week. Please ensure you check your outpatient appointment letter and/or appointment text message reminder for the correct location of your outpatient appointment.

General allergy clinics are also held at Queen Mary’s Hospital, Frognal Avenue, Sidcup, Kent DA14 6LT.

 

About us

The adult allergy service is a centre of excellence, serving the local community in Lambeth and Southwark, and provides specialist care across the country to individuals who suffer with allergic disease.

Over the past 40 years there has been a dramatic rise in the number of reported allergies. We aim to consider all of the allergies together, considering their impact and potential treatment on the physical and emotional well-being of each individual.

Through our active research program and excellent clinical services we are established leaders in the care of adults suffering with allergic disease.

 

Consultation, testing and help in one single visit

Our adult allergy service is an integrated clinical and academic unit based at Guy’s Hospital.

Our team provides expert advice, diagnostic tests and practical help, all within a single visit to our clinic.

We are committed to:

  • providing a first class clinical service to all who are under our care
  • approaching each person as an individual, drawing on the skills of the whole team to provide holistic care 
  • ensuring all our clinical staff are experienced in the diagnosis and treatment of allergies 
  • listening to our patients and adapting to their needs 
  • improving the treatment options available to our patients through an active research programme 
  • fostering a learning environment, supporting the educational development of our own staff as well as other health professionals.
     

Dietitian

The adult allergy service also includes a specialist dietitian to advise people with a food allergy or intolerance. This includes helping to understand food allergies, explaining which foods to avoid, finding suitable replacements and maintaining a healthy and balanced diet despite food restrictions. When testing is inconclusive, the dietitian may supervise exclusion and elimination diets, under the guidance of the allergy consultants.

Adult community nursing team

The district nursing service provides adult community nursing care in the home to adults over the age of 16 who are housebound and unable to care for themselves.

 

Where possible, we help and support patients towards independence in managing their care needs and long term conditions. We aim to prevent unnecessary admissions to hospital and facilitate early discharge.

 

Our service is available 8am-8pm, 365 days a year. 

 

Our teams of nurses are based in nine different localities across Lambeth and Southwark. They are led by district nursing sisters and charge nurses who work closely with GP practices. Community matrons sit within the district nursing teams and manage patients with long-term conditions to prevent unnecessary hospital admissions.

 

Our service provides:

  • Assessment and case management
  • Management of long-term conditions
  • Wound management
  • Leg ulcer clinics (in Southwark)
  • Palliative and end-of-life care
  • Nurse prescribing
  • Medicines management
  • Education and support for self care
  • Bladder and bowel management

 

Guy’s and St Thomas’ is the first NHS organization in England to test a new method of community nursing which uses key elements of the Dutch nursing model known as Buurtzorg.

Anaesthetic information for patients

We anaesthetise over 50,000 patients a year across both hospitals, including the Evelina London Children's Hospital. Our department has a special interest in teaching and training, regional anaesthesia, patient optimisation, intra-operative echocardiography, enhanced recovery and difficult airway skills. We have an active role in the simulation centre.

 

We cover all surgical specialties with the exception of neurosurgery and liver transplantation.

 

Anaesthetics are given by specially trained doctors called anaesthetists. The anaesthetist is responsible for your wellbeing and safety throughout your surgery and will plan your type of anaesthetic service and pain control with you.

 

What is an anaesthetic?

Anaesthesia stops you feeling pain during an operation. There are different types of anaesthetic:

  • a local anaesthetic uses an injection to numb a part of your body. You stay awake but don’t feel pain
  • a regional anaesthetic uses an injection of anaesthetic to numb a larger part of your body (such as an arm or a leg). You stay awake but don’t feel pain
  • a general anaesthetic gives a state of controlled unconsciousness during which you feel nothing. This is essential for many operations and you will be asleep for the entire procedure.

Assisted Conception Unit

Established in 1991, the Assisted Conception Service Unit at Guy's and St Thomas' has developed a reputation for excellence in both NHS and private fertility treatment. 

 

We are one of the leading innovators in the field of fertility and a trusted choice for people trying to conceive.

 

The unit is located on the 11th floor at Guy's Hospital and has recently been refurbished with state-of-the-art facilities. We have dedicated labs, theatres, and procedure rooms, all designed to be a contemporary and calming space.

 

Featured on the BBC and other television channels, our fertility treatments and services are led by world renowned clinicians.

 

You will be treated by a team of experts who are constantly researching and innovating the field of fertility and in particular IVF. The techniques that we have developed have been implemented by clinics around the country. At the Assisted Conception Unit at Guy's and St Thomas' you will be able to access treatments by the people who developed them.

 

We are also the largest and most successful clinic in the UK for pre-implantation genetic diagnosis (PGD) and are licensed to carry out stem cell research.

 

We are proud to say that our commitment to pioneering research and the expertise of our clinicians has given us good success rates, helping to increase your chances of conception.

 

Our Services

At the Assisted Conception Unit UK, every patient is treated as an individual. We understand that works for one patient may not be successful for another. So when it comes to your treatment and care we don’t make any assumptions whether that is for IVF or a more complex condition.

We pride ourselves on the comprehensive services we offer – everything from initial investigations through to specialized procedures. 

 

You will be given all the advice and support you need every step of the way, together with professional counseling services to help you cope with the emotions involved in fertility treatment.

 

At the Assisted Conception Service Unit we have a dedicated and experienced team, state-of-the-art facilities and a track record in supporting our patients through their treatment.

Bladder cancer services

Bladder cancer is the second most common urological cancer. Every year, 10,500 new cases are diagnosed and 5,000 patients die of this disease. It is three to four times more common in men than women. It can occur at any age but is generally diagnosed in patients aged 60-80.

 

The most common risk factor is history of smoking, which increases the risk of this cancer by four times. Patients normally notice blood when they pass urine (haematuria). Presence of visible blood in the urine therefore requires urgent investigation. Repeated urine infections or need to pass urine frequently and urgently are other possible symptoms. The most common tumour is transitional cell carcinoma (TCC). These tumours can affect the inner lining of the kidney and ureter (pipe from kidney to bladder). 

 

Diagnosing and treating bladder cancer

Patients are initially investigated in the one-stop clinic where they have an ultrasound examination of their urinary tract and a flexible cystoscopy (inspection of the bladder using a fibre-optic telescope). Urine samples are sent to the laboratory to look for abnormal cells. The type of cancer you have will determine the treatment you need.

 

Bladder cancer service at Guy's

Expand the following information areas to find out more about our service.

 

Team

The bladder cancer team consists of highly experienced urological surgeons, uro-radiologists, uro-pathologists, oncologists, a bladder cancer care nurse specialist, fast track recovery nurse, dietician, physiotherapist and a team of stoma nurses.

 

The 'Older Persons Assessment Unit' is also available throughout the clinic to assess patients' fitness for surgery (if over 65 years of age), and also to optimise patients medically who are being considered for surgery or radiotherapy.

 

Clinic

Every Friday morning at Guy's, we hold a clinic for patients with bladder cancer. There is a multi-disciplinary briefing session at the start of the clinic which is attended by all the team members to discuss the clinical information, review each patient's x-rays and histology (tissue samples) and formulate an individual management plan for each patient due to be seen on the day. Thus when the patients are seen in clinic, they will have had the benefit of everyone’s expertise, not just of the person they are seeing. 

 

Complex cases are discussed at a weekly specialist meeting involving surgical teams from other hospitals. We regularly give second opinions to patients from around the country to try and help them understand the disease they have.

 

Diagnostics

Patients who need a check cystoscopy (telescope examination of the bladder under local anaesthetic) for their follow up can have this done in the clinic so that they do not need to come back for another appointment. The service has access to the modern diagnostic techniques of Photodynamic (Blue Light) Cystoscopy and Narrow Band Imaging.

 

Treatment/Rehabilitation

There is an outpatient service delivering laser treatment to bladder tumours under local anaesthetic, which allows frail elderly patients to be treated without general anaesthesia and as outpatients. Combination treatment with BCG and electromotively administered (a special device for better penetration) Mitomycin (chemotherapy) into the bladder has been our standard regimen for patients with high-risk superficial bladder cancer which have enabled many patients to avoid removal of the bladder.

 

New instruments for transurethral resection have been designed by the team in conjunction with Karl Storz for en bloc ‘sand wedge’ resection of removing the bladder tumour without spillage of tumour cells as can happen with conventional loop resection techniques.

 

The Guy’s team pioneered the robotic cystectomy technique in 2004. Patients for radical cystectomy are offered the option of open or robotic cystectomy approach and choice of all types of urinary diversions (ileal conduit, continent urinary diversion or orthotopic bladder substitutions) appropriate to the individual clinical situation.

 

Enhanced Recovery After Surgery (ERAS) programme has been introduced to enable patients for a faster post-operative recovery, improve their experience and shorten length of stay. This programme is driven by a dedicated nurse.

 

The oncology aspects of the bladder cancer team are managed by a dedicated team. All neo-adjuvant, adjuvant and palliative chemotherapy for the network is delivered from a single bladder oncology clinic at Guy's Hospital.

 

Younger patients keen on maintaining sexual function are offered a nerve sparing option if clinically appropriate and penile rehabilitation is provided following surgery driven by a nurse specialist.

 

Truly advanced access is available for emergency re-attendance to clinic.

 

The bladder team is actively involved in clinical trials, has national and international reputation for its innovative work in bladder cancer, is one of the leading European contributors to the International Robotic Cystectomy Consortium (IRCC) and is well represented in the International Bladder Cancer Network (one clinical oncology consultant, one urology consultant and one histopathology consultant).

 

There is access to palliative radiotherapy within 14 days of consent for treatment (unless patients opt otherwise). All radical radiotherapy for bladder cancer is delivered using IGRT to ensure accuracy of treatment delivery and allow patients to have their treatment re-planned if necessary either to ensure adequate tumour coverage or reduce predicted toxicity.

Cardiology services

Our cardiology department provides a full range of services for inpatients and outpatients. We pride ourselves on the quality of these services, and we are recognised as a world leader in the development and application of innovative treatments for heart conditions.

 

The services we offer are delivered by expert cardiologists using state of the art facilities.

 

Our sub-specialties

 

Find out more about the services we offer:

 

  • adult congenital heart disease
  • arrhythmia
  • continuing cardiac care/ cardiac rehabilitation 
  • heart failure
  • inherited cardiac conditions
  • interventional cardiology
  • male cardiovascular health clinic
  • non-invasive testing
  • rapid access chest pain
  • stress echocardiography
  • structural intervention
  • valve disease

South Thames cleft service

Our team of healthcare professionals provide cleft service specialist care for children and adults up to the age of 20 born with a cleft lip and/or palate in south London, Kent, Surrey and Sussex. We also provide care in parts of Hampshire, as well as Jersey, Malta and Gibraltar.

 

Outpatient clinics are held at St Thomas' Hospital and at our six regional outreach clinics. Surgery is carried out at Evelina London or at Guy's Hospital (our twin site).

Clinical genetics services

Our clinical genetics service serves over five million people. Our team works together to offer accurate information and support.

 

Regional genetics clinics offer services to diagnose and assess the risk of you or your family inheriting a genetic condition. It is not always possible to make a specific diagnosis for a family or child, however, a genetic assessment will help you to understand the possible diagnoses and treatment options.

 

Genetic counseling

 

Because diagnosis and testing will often have an impact on the wider family, the genetic counseling process includes an explanation and risk assessment with any available options for family members.

 

It may take time to adjust to new diagnoses and to decide on the best possible course of action. Our team will provide up-to-date and unbiased information. We suggest asking for an update when the affected person and family members reach reproductive age, and before a new pregnancy. Testing, risk-reducing treatment and research options change over time.

 

Commitment to research

 

The genetics clinic is part of the Division of Medical and Molecular Genetics at King’s College London. Our team are committed to genetic research and academic excellence.

 

100,000 Genomes project

 

The South London Genomic Medicine Centre (GMC), hosted by Guy’s and St Thomas’, is one of the centres taking part in the 100,000 Genomes Project.

 

The national programme will focus on cancer and rare diseases and will enable pioneering research to decode 100,000 human genomes, a scale not seen anywhere else in the world.

 

Find out how Guy's and St Thomas' are involved in the 100,000 Genomes Project.

 

News

Prenatal genetics course

We are running a three-day, skills-based course from Wednesday 4 March to Friday 6 March 2020 exploring the application of genetics and genomics in a prenatal setting.

 

It is aimed at midwives and other health professionals working in prenatal testing but with little training in genetics tools.

 

Topics covered include:

 

  • obtaining a family history
  • identifying high-risk family histories
  • approaches to genetic testing
  • consent taking and counseling skills associated with providing information and results.

 

Genetic counseling experience

 

Due to the high volume of requests, we are unable to offer shadowing or work experience within the genetic counseling team.

 

For individuals interested in a career in genetic counseling, we offer a half-day of talks about various aspects of the profession and the day-to-day life of a genetic counselor at Guy’s clinical genetics.

Critical care services

Critical Care

 

We provide critical care to patients across both the Guy’s Hospital and St Thomas’ Hospital sites. All units across both sites provide patients and their families with the highest level of care in an atmosphere of kindness, dignity and respect. Our co-ordinated approach to patient care ensures that every aspect of treatment is carefully planned within a comfortable and safe environment.

 

What is Critical Care?

 

Critical care - also known as Intensive Care (ICU) – is a multi-disciplinary healthcare team looking after people with life-threatening conditions. Critical care units are areas within the hospital which are specially staffed, equipped and designed to closely monitor and treat patients with life-threatening conditions. Patients may need specialist treatment because one or more of their body systems, such as their heart, lung or kidneys, are not working properly.

 

Because our patients are often very unwell, they will have much greater care needs than those patients being cared for on more general wards within the hospital. For this reason, each nurse will care for one patient only at a time and patients will be reviewed by different teams regularly.

 

The Critical Care Service Includes:

 

Intensive Care Units: 

 

Patients in intensive care are often very sick and require very close monitoring, with 1:1 nursing. The intensive care service also includes Extra Corporeal Membrane Oxygenation (ECMO) therapy for the most unwell patients.

 

High Dependency Units: 

 

Patients in high dependency units (HDU) are often not as sick as those in ICU but still need close monitoring, and treatments that cannot be provided on the general ward. Patients are admitted from the ward or ‘stepped down’ from ICU to HDU where they continue their recovery and often stay for a period of time in a more general ward before being discharged home.

 

Our patients are admitted to ICU/HDU from the emergency department, theatres, wards or other departments in the hospital and sometimes from other hospitals.

 

Critical Care Outreach: 

 

Both sites also have a critical care outreach team that sits within the critical care team. They provide early, skilled assistance to staff on wards or departments caring for patients who deteriorate, attempting to prevent further deterioration and, when appropriate, arrange for them to be admitted to one of the intensive care units. To assist in continuity in patient care, the outreach teams also review all discharges from the unit on to general wards.

 

Post Intensive Care Service:

 

All intensive care patients who are at risk of Post-intensive Care Syndrome (PICS) will be invited to attend an appointment in the post-critical care follow-up clinic around 2-3 months after discharge from hospital.

Dental services

The postgraduate centre is on the 22nd floor of Tower Wing. Postgraduate services operating on this floor are:

 

  • endodontics
  • orthodontics
  • periodontology
  • prosthodontics
  • restorative.

 

Implants postgraduate services will be operating out of the dental postgraduate annexe on floor 21.

 

Children's day cases remain on floor 23, Tower Wing, Guy's Hospital.

 

Together with King's College London, our dental services make up King's College London Dental Institute.

 

Adult dental services are based at Guy's.

 

The children's dentistry department is based at The Dental Centre, St Thomas' Hospital. We also treat inpatients at Evelina London Children's Hospital. For more information about our children's services, see the Evelina London website.

 

We also provide a wide range of general and specialist clinical NHS services.

 

New state of the art dental facilities

 

The new postgraduate centre occupying floors 21 and 22 of Guy’s Tower and the recently refurbished Dental Centre at St Thomas’ Hospital, provide the following specialized treatments: orthodontics, children's dentistry, prosthodontics, periodontics and implant dentistry.

 

Clinical facilities and services have been upgraded and expanded. As a result, referred patients accepted for treatment are being seen within minimal waiting times. Our increased capacity means that we are happy to receive additional referrals in all specialties, particularly in orthodontics and children's dentistry. Our acceptance criteria for these specialties can be found on the referrals page.

 

Education and training

 

We provide undergraduate and postgraduate training for dental students and to train dental care professionals, such as dental nurses, hygienists and hygiene therapists. 

 

Ours is the largest dental school in Europe, and a world leader in dental research. We train 20% of all dentists qualifying in England.

Dermatological surgery and laser unit

Our dermatological surgery and laser service unit (DSLU) is the largest and longest established centre in the UK with over 20 years of experience. We are a leading centre for Mohs micrographic surgery to treat skin cancer performing over 1,000 cases of Mohs surgery every year.

 

We offer photodynamic therapy for some low risk skin cancers.

 

As a tertiary referral centre for laser treatment to treat certain skin conditions, we offer a comprehensive laser service to treat birthmarks and certain pigmentary conditions.

 

We are the only hospital in the country using reflectance confocal microscopy on suitable patients, enabling us to view cells and structures of the skin without the need for a biopsy.

 

Research

 

We are the first hospital in the UK to use a new microscope, called a Vivascope, which can detect skin cancer, providing such detailed images that it effectively performs a non-invasive biopsy.

 

Once validated, it will make it easier and quicker to determine whether moles and skin lesions are a cause for concern. This will:

 

  • reduce the number of precautionary biopsies
  • provide a diagnosis in uncertain cases - often such lesions are re-examined after three months
  • provide on-the-spot diagnosis - enabling patients to be examined, diagnosed and treated in a single visit
  • ensure there has been complete treatment for conditions such as lentigo maligna or superficial basal cell carcinomas, where topical treatments (medication applied to the skin) have been used.

 

Dermatological surgery and laser unit referrals

 

We accept referrals directly from your GP or any other hospital specialist only.

Dermatopathology laboratory

Our dermatopathology laboratory is the largest dedicated skin pathology centre in UK, with vast experience in complex and rare cases.

 

We are a major referral centre for both general and specialist dermatopathology. More than 14,000 cases a year are processed by the laboratory and reviewed by specialist consultant dermatopathologists.

 

We provide support for the Mohs micrographic surgery unit, which involves the removal of facial skin cancer. The Mohs unit is now one of the largest units within the UK for this service.

 

We have a growing reputation in the study of lymphoma and melanoma, and offers extensive laboratory tests and investigations in these areas.

 

Opening times

 

The routine laboratory opening times are from 9am-5.15 pm, Monday to Friday.

 

There is no formal weekend working or after hours working arrangements.

 

Routine specimens should not be delivered for processing after 4pm on any given day.

Foot health services

The foot health (podiatry) team is located at both Guy's and St Thomas' hospitals.

 

Our patients may be outpatients who visit the clinic, or an inpatient on a ward.

 

The team provides the following services:

 

  • musculoskeletal assessment/exercise and insole therapy
  • advanced wound prevention and management
  • footwear advice/collaborative working with the orthotist.

 

Everyone who is referred to our service has an assessment, which we use to draw up a diagnosis and treatment plan for foot health care. We'll always explain our findings and discuss your options with you.

 

Main treatments we provide

 

Musculoskeletal assessments

 

Also known as biomechanices, musculoskeletal assessments might involve:

  • assessment of gait, walking and orthoses
  • insole prescription and modification
  • stretching and exercise programmes.

 

The aim is to restore as near to normal foot function as possible and at the same time limit further problems.

 

Wound prevention and management

 

We provide advice and management if there is a risk of a wound developing, or where one has occurred. This may also be called an ulcer.

 

Treatments may include a dressing plan, vacuum assisted closure (VAC) therapy, larval therapy and total contact plaster casting.

 

Nail surgery under local anaesthetic

 

This procedure usually takes places where there are repeated episodes of the nail sides piercing the toe skin and where there may have been an infection.

 

Either the offending piece of nail or the whole toenail is removed. A dressing plan will form part of this treatment.

 

Footwear

 

We assess footwear based on the individual patient. Each aspect of fit is checked and patient advice offered. We also decide if insole therapy is required.

 

In some cases we will refer you to an orthotist to see if other types of footwear are necessary.

 

Community foot health clinics

 

We also provide a placement programme for students and training for qualified podiatrists (foot specialists).

Gynaecology services

The gynaecology service at both Guy’s and St Thomas’ hospitals provide comprehensive care for women with a wide range of gynaecology issues. The service provides inpatient, outpatient and emergency services.

 

Inpatient services

 

Our gynaecology ward at St Thomas’ Hospital cares for women who need to stay in hospital after surgery and emergency admissions.  The ward has been fully modernised and many of the rooms provide superb views over the river Thames.

 

Outpatients clinics

 

We run a wide range of general and specialist clinics including:

 

  • suspicion of cancer rapid access clinic (strict referral criteria)
  • cancer follow-up clinic
  • multi-disciplinary oncology clinic
  • colposcopy clinics
  • continence and urodynamic service
  • reproductive medicine clinic
  • recurrent miscarriage service
  • outpatient procedure clinics
  • menopause clinic for women experiencing a problematic menopause or those requiring HRT (hormone replacement therapy) advice 
  • laparoscopic sterilisation clinic offerings counseling to women requesting sterilization as a contraception option
  • hormone dysfunction clinic
  • minimally invasive surgery
  • endometriosis clinics

 

Emergency services

 

The emergency gynaecology unit is based at St Thomas' and is open seven days a week.

Haematology services

Clinical haematology

 

Haematology is a specialty covering the diagnosis and treatment of blood disorders, from conditions such as iron deficiency through to leukaemia.

 

Your haematology appointment

 

You will be offered an appointment within six weeks of being referred. At the end of your visit, we aim to give you a diagnosis and discuss treatment options. For more information including clinic locations, please see the patients page.

 

The haematology centre

 

In a typical year, our haematology department deals with:

 

  • 13,500 outpatient visits to consultant-led clinics
  • 8,000 day unit attenders
  • 900 inpatient admissions

 

Our haematology centre was supported by a grant from Guy's & St Thomas' Charity. We offer services to patients from Lambeth, Southwark and Lewisham, as well as further afield for many of our specialist activities. 

 

You will be offered an appointment within six weeks of being referred. At the end of your visit, we aim to give you a diagnosis and discuss treatment options.

 

General haematology services

 

General haematology deals with a wide variety of conditions, including disorders such as:

 

  • anaemia (low haemoglobin)
  • high haemoglobin (polycythaemia)
  • low and high white cell counts
  • iron overload (haemachromatosis)
  • high and low platelets.

 

Our service

 

We are a national referral centre for patients with high haemoglobin (PCV/Hct > 0.51 in men, >0.48 in women) for which our nurses run a venesection (process which involves taking a pint of blood) service.

 

We also provide care for gastroenterology patients who have conditions such as haemachromatosis and anaemia caused by certain bowel disorders.

Harrison Wing pharmacy

Harrison Wing has delivered specialist care for people living with HIV since 1993, and currently looks after over 3500 individuals. We were previously based in the Lambeth Wing at St Thomas’ Hospital, but moved to our new home in the Southwark Wing at Guy’s Hospital in July 2017.

 

Over the past three decades since, progress in HIV treatment has been enormous and this is now a manageable long term condition. Our primary aim is to support people to live well with HIV.

 

Harrison Wing is for people who have already been diagnosed with HIV. If you would like a HIV test, please contact out sexual health service at Burrell Street.

 

Patients can self refer to our service, or can be referred via a GP or healthcare professional.

 

Opening hours

 

Monday, Tuesday, Thursday and Friday: 8.30am-6pm

 

Wednesday: 12.30pm-7.30pm

 

We are closed on weekends and on bank holidays.

 

Specialist HIV services

 

We offer the following specialist services by appointment:

 

  • antenatal clinic (with specialist midwife)
  • dietetic services
  • email clinic for patients with stable HIV
  • emergency clinic (daily)
  • hepatitis co-infection clinic for patients with hepatitis B and C co-infection
  • HIV pharmacy clinic
  • metabolic clinic
  • neurocognitive clinic
  • new fill clinic for facial lipoatrophy
  • renal clinic for patients with HIV and kidney problems
  • physiotherapy service
  • treatment advice clinic for highly treatment experienced patients
  • tuberculosis clinic
  • women’s clinic
  • young adult clinic for patients aged 18-25.

 

Health professionals available at the Harrison Wing

 

  • clinical nurse specialists
  • dieticians
  • health advisors/counselors
  • midwives
  • physiotherapists
  • patient representative

 

Emotional and psychological support services

 

We offer a range of psychological support services and work closely with community services and voluntary organisations to provide holistic care and patient support.

These include:

 

  • short-term counselling for newly-diagnosed HIV patients and their partners
  • assessment and referral to the mental health team (including psychiatry and psychology services)
  • referral to community based Clinical Nurse Specialists
  • referral to voluntary support organisations
  • support with risk-taking behaviour including drug use and chemsex.

Interventional Radiology

Interventional radiology is a sub-specialty of radiology which utilises image-guided procedures in order to diagnose and/or treat diseases using the least invasive techniques. A significant number of medical conditions that once required surgery can now be treated by interventional radiology techniques offering reduced physical trauma, less pain and recovery time thus reducing hospital stay. 

 

About us

 

We are an internationally renowned tertiary referral interventional radiology centre providing a broad range of minimal invasive image guided procedures covering almost all aspects of both vascular and non-vascular interventional radiology. The department with the collaboration of the vascular surgery team has one of the largest aortic stent grafting programmes in the country, encompassing EVAR, emergency EVAR and fenestrated grafts.

 

Other areas of special interest in the department are; peripheral occlusive arterial disease, image guided biopsies, spine intervention (vertebroplasty and kyphoplasty), renal intervention, vascular intervention (embolisation - fibroids, PPH, trauma, prostatic artery embolisation, GI bleeding, carotid stenting), interventional oncology (tumour ablation, stenting of tracheo-bronchial tree, GI dilatation and stenting, and biliary intervention) and paediatric vascular and non-vascular interventions.

 

Patient

 

Interventional radiology is offered at both of our hospitals by appointment only. Please remember to check your appointment letter before you come for your scan.

 

Our interventional radiology team offer a number of services.

 

Percutaneous biopsy and drainages

 

Image-guided biopsies, thoracic and complex abdominal drainages, percutaneous nephrostomy, percutaneous biliary drainage and stenting, image-guided gastrostomy and gastrojejunostomy, ureteral stenting, percutaneous cholecystostomy.

 

Central venous access

 

Subcutaneous Port-A-Cath, PICC lines, temporary central catheters, permanent tunneled hemodialysis catheters, tunneled Hickman lines.

 

Arteriovenous shunts interventions

 

Hemodialysis grafts thrombectomy, central venous angioplasty, fistula thrombolysis and angioplasty, hemodialysis lines, immature fistula salvage interventions.

 

Peripheral angioplasty

 

Renal, visceral, iliac, femoropopliteal, infrapopliteal and pedal angioplasty, subintimal angioplasty, infrainguinal and infrapopliteal - BTK angioplasty with drug-eluting balloons and drug-eluting stents, catheter-directed thrombolysis, Angiojet thrombectomy catheter directed thrombo-aspiration, CO2 angiography and angioplasty.

 

Tumor ablation

 

Liver/kidney/lung radiofrequency or microwave ablation.

 

Aortic interventions

 

EVAR, TEVAR, fenestrated and branched grafts including rupture aneurysms and acute aortic dissections.

 

Venous interventions

 

IVC filter insertion and removal, varicocele embolization, Angiojet thrombectomy, catheter-directed thrombolysis, pulmonary thrombectomy/thrombolysis, venous angioplasty and stenting.

 

Miscellaneous vascular and non-vascular procedures

 

Gastro-duodenal stenting, uterine fibroid embolization, embolization i.e. for hemorrhage or trauma, sclerotherapy for malformation treatment.

 

Paediatric interventions

 

Subcutaneous Port-A-Cath, temporary central catheters, permanent tunneled hemodialysis catheters, tunneled Hickman lines peripheral and central-tunneled PICC lines, esophageal dilatation, percutaneous nephrostomies and ureteric stents, percutaneous drainage procedures, conversion of percutaneous gastrostomy to jejunostomy, renal angioplasty, sclerotherapy for malformations).

Lane Fox Respiratory Service

Lane Fox weaning, rehabilitation and home mechanical ventilation service

 

Lane Fox Respiratory Unit Service is a super-specialist respiratory service that supports both the acute and long-term management of patients with sleep disordered breathing, chronic respiratory failure and pulmonary hypertension. Currently, there are over 2200 patients managed in the Lane Fox Respiratory Service. With 34 beds and purpose built outpatient facilities, Lane Fox is the largest weaning, rehabilitation and home ventilation service in the UK serving south London and the south east of England. Lane Fox Respiratory Unit Service has built a national and international reputation and our vision is to ensure all patients with chronic respiratory failure are able to access super-specialty care.

 

We provide inpatient weaning and rehabilitation services to those patients who cannot successfully be liberated from invasive ventilation following critical illness.

 

We provide inpatient and outpatient home mechanical ventilation treatment for patients with chronic respiratory failure resulting from a variety of causes such as:

 

  • chronic obstructive pulmonary disease (COPD)
  • neuromuscular disease and chest wall disease (for example Duchenne muscular dystrophy, motor neuron disease and scoliosis)
  • chronic respiratory failure related to obesity.

 

We provide a comprehensive service for those suffering from the late consequences of poliomyelitis including expert rehabilitation and orthotic support and a post-polio rehabilitation programme.

 

We are unique in the UK as we provide a 24-hour medical, nursing and technical back-up service for assisting patients who are experiencing difficulty in the home environment.

 

We aim to deliver high-quality, coordinated, multi-disciplinary care from inpatient to long-term outpatient management, with the vision to develop a network of fully integrated technical, medical, nursing and therapy teams that delivers clinical, research and educational excellence to support our complex respiratory patients.

 

Partnership with REMEO

 

The Lane Fox Respiratory Service joined with REMEO Ltd, a subsidiary of the Active Care Group, and in 2014 opened a 20-bedded weaning, rehabilitation and home ventilation centre on the East Surrey Hospital site. This novel public-private partnership allows clinical care to be delivered to more patients with chronic respiratory failure under the care of the Lane Fox Respiratory Service.

 

Clinical research

 

Research underpins our activities and informs our patient, carer and staff educational programmes. The research service is housed in the Lane Fox Clinical Respiratory Physiology Centre, part of the King's College London School of Basic and Biomedical Sciences, and the translational science programme is focussed on three themes of admission prevention in COPD, prevention of skeletal muscle wasting during critical illness and clinical trials to improve long term outcome in patients with sleep disordered breathing and chronic respiratory failure. The Lane Fox Respiratory Service ensures life-long support for patient.

 

We have an active clinical research programme, including the Lane Fox PhD research programme, led by Professor Nicholas Hart, Professor Joerg Steier and Dr Patrick Murphy, supported by our clinical trials team.

Obstetric medicine service

Our obstetric medicine service has an international reputation, and as one of only four such units in the UK, we receive referrals from across the country.

 

The team work with consultant obstetricians, maternal fetal medicine specialists and specialist midwives to care for women who have medical problems during pregnancy.

 

Our services

 

There are three general obstetric medicine clinics per week for women with a variety of medical conditions, as well as specific clinics for diabetes, thyroid disease, kidney problems, connective tissue disease, elevated blood pressure and epilepsy.

 

We also run a weekly specialist clinic with a consultant cardiologist for women with complex cardiac disease, including congenital heart disease.

 

Our pre-pregnancy counselling service provides advice for women on long term medication, with pre-existing medical conditions or who have previously had a poor pregnancy on the best way to plan for pregnancy.

Occupational therapy services

Occupational therapists work with patients who have functional, cognitive and psychological impairments and social care issues. Through evalution of daily occupations, we provide rehabilitation, education, support and advice, to help adults and children, to resume everyday activities after illness or injury.

 

Our occupational therapy team services work with inpatients and outpatients, adults and children, and provide:

 

  • assessment and solutions for patients to carry out personal and domestic activities
  • equipment
  • cognitive and perceptual assessment relating to functional tasks
  • home assessments
  • rehabilitation programmes
  • education and support.

 

Our hand therapy service includes hand and upper limb treatments including splinting.

 

Our children’s services are managed at Evelina London Children’s Hospital.

 

We are involved in various adult's and children's research programmes to support development of the best possible treatments.  

 

Our Elderly Care service includes complex assessment and management of falls and long term conditions for individuals over the age 65 in Southwark, Lambeth and South Westminster.

 

Opening hours

 

  • Occupational therapy: 8.30am-4.30pm, Monday to Friday with seven day services to selected inpatient areas and operating extended.
  • Hand therapy: 8am-5pm, Monday to Friday.

Neuro oncology services

Our neuro-oncology (brain cancer) service provides treatment and care for patients with tumours of the brain.

 

Clinics are held at St Thomas' and at King's College Hospital.

 

If you are receiving treatment your appointments will be at the Guy’s Cancer Centre.

 

If you are under active surveillance or having a follow-up appointment, you will be seen in the joint neuro-oncology clinic at King's College Hospital.

 

If you are an existing cancer patient and are unwell outside of office hours (9am-5pm, Monday to Friday), you can get advice by calling our switchboard on 020 7188 7188 and asking for the on-call oncology registrar.

 

 Brain tumour support group

 

We hold a brain tumour support group for patients and their carers on the first Monday of every month from 2.30pm-4pm. No appointment is needed, so please feel free to just turn up. You do not need to be a patient of Guy's and St Thomas' or King's College Hospital to attend. If you would like further information please contact the neuro-oncology nurses using the contact details on this page.

 

  • Location: The Macmillan Cancer Centre, Kings College Hospital.

Paediatric Dermatology and Genetic Skin Diseases

Our dermatology department, known as St John's Institute of Dermatology, is the largest clinical dermatology department in the UK and one of the world's leading centres for patients with skin disease. We are also an internationally recognised centre of research into skin diseases.

 

Specialist Services We treat a wide range of skin diseases, including rare and severe conditions that require specialist treatments.

 

Our specialist services include: 

 

  • adult general dermatology
  • dermatology pathology
  • adult epidermolysis bullosa (EB)
  • adult and paediatric genetic skin diseases
  • paediatric dermatology
  • cutaneous allergy
  • dermatological surgery and laser unit (DSLU)
  • inflammatory skin disease
  • oral dermatology
  • photodermatology
  • skin cancer
  • urticaria
  • women's dermatology
  • xeroderma pigmentosum (XP)

 

St John’s Facilities

 

St John's Institute of Dermatology comprises numerous outpatient consulting facilities including specialised clinical accommodation for cutaneous allergy, paediatric dermatology, a day treatment centre providing topical day treatments, photopheresis, IV therapy and an ambulatory day unit for topical and phototherapy, dermatology and laser theatres, its own histopathology, microbiology, immunoflouresence, EB and mycology laboratories.

 

Its primary role is to support education and training, research and development in all areas of dermatology. These functions are undertaken in both clinical and academic settings, and in particular within specialist departments such as the Paediatric Dermatology Department, the Genetic Skin Disease Group and Geneodermatosis Service, the Department of Cutaneous Photobiology, Dermatological Surgery and Laser Unit, Skin Tumour Unit and Skin Therapy Research Unit.

 

Paediatric Dermatology Services

 

Paediatric Dermatology Services are based at St Thomas’ Hospital alongside the Paediatric Allergy Service with whom there are close clinical and research collaborations. Clinics encompass a wide range of secondary as well as tertiary referrals covering common childhood conditions as well as more highly specialised conditions. Mutlidisciplinary subspecialty clinics are held regularly for Vascular Anomalies, Paediatric Hair Disorders, Paediatric Vulval Dermatology, Paediatric Allergy and Dermatology, Paediatric Rheumatology, Adolescent Inflammatory Dermatoses and Skin Genetics.

 

Adult Epidermolysis Bullosa Service

 

St John’s Institute of Dermatology is one of two national centres for the clinical care of adults with EB. The National Diagnostic EB Laboratory is also based at the Trust, allowing us to provide comprehensive EB diagnostics (skin biopsy, genetic testing and prenatal testing) for the UK and beyond. We are also a leading centre for translational and clinical research for EB through the Genetic Skin Disease Group at King’s College London led by Prof John McGrath.

 

Our multidisciplinary EB team includes colleagues from other departments in the Trust, including plastic surgery, specialist nursing, dentistry, interventional radiology, oncology, dietetics, ophthalmology, physiotherapy, occupational therapy, psychotherapy and podiatry.

 

Genetic Skin Disease Service

 

In addition to EB, St John’s Institute of Dermatology provides clinical and diagnostic expertise in a wide range of services for rare genetic skin diseases including ichthyoses, ectodermal dysplasias, palmoplantar keratodermas and other disorders of keratinisation. We have close links with the Clinical Genetics Department with whom a bi-monthly multidisciplinary clinic is held for patients with complex multisystem genetic disease, including skin manifestations.

Paediatric Intensive Care Unit

Our children's intensive care unit (known as PICU) cares for critically ill children, and provides support to their families. The unit has 20 beds and is based on Forest Ward.

 

We're the lead centre for caring for critically ill children for the south Thames region and provide a wide range of services and clinical expertise.

 

We're also a busy heart (cardiac) unit, providing all types of heart surgery (except heart and lung transplants).

 

Transporting critically ill children

 

We help co-ordinate the South Thames Retrieval Service- this specialist ambulance service transports critically ill children from across the south east to intensive care units in London.

 

The leaflet Transferring your child to a paediatric intensive care unit (PDF 1.15Mb) provides more information.

 

Help us with research

 

The PICU team participates in research which aims to improve patient care. We are currently participating in an international study of cooling following cardiac arrest as well as studying a blood clotting drug following children’s heart surgery.

 

We may invite you to take part in a relevant research study. We will give you information to help you decide whether you would like to take part. If you decide not to participate, it will not affect your child's treatment in any way.

 

Data collection

 

It is a national requirement that data on every intensive care admission is shared nationally for audit (PICANet). This information is stored confidentially and children cannot be identified by any of the reports that are produced. If you wish to know more about this data and how it is used then please contact one of the intensive care consultants or research nurses.

Paediatric Infectious Diseases & Immunology

The Paediatric Infectious Diseases & Immunology team operates a busy consult service providing advice to PICU, NICU and General Paediatric teams, as well as a broad range of paediatric subspecialty services, including haematology, endocrinology, gastroenterology, nephrology, respiratory medicine, neurology, rheumatology and several of surgical specialties. The team also provides a tertiary service for paediatric patients from regional hospitals across South East England and supports their King’s Health Partners (KHP) colleagues at King’s College London.

 

Infection prevention and control is also an important part of our work, as is promoting the appropriate and responsible use of antibiotics and other antimicrobial medicines. We work closely with specialist colleagues from every department of Evelina London, with the Infectious Diseases team for adult patients and the Department of Infection at St Thomas' Hospital, which includes specialised Microbiologists and Virologists.

 

When children are recovering from severe infections but still require long courses of intravenous antibiotics, we support their ongoing treatment in their own homes, offering outpatient antibiotic therapy (OPAT).

 

Research

 

We regularly take part in national and international research studies. Recent and ongoing projects include the following areas:

 

  • Chronic infections, including HIV
  • Diagnosis and treatment of encephalitis
  • Genetics of Kawasaki disease
  • Vaccine studies
  • Severe enterovirus infections
  • TB epidemiology & diagnostics (part of the Paediatric Tuberculosis Network European Trials Group (ptbnet))
  • Non-tuberculous mycobacterial infections

 

Clinics

 

  • Paediatric infectious diseases clinic
  • Immunology clinic (tertiary)
  • 22q clinic
  • TB clinic
  • Congenital infections clinic (HBV, HCV, CMV, toxoplasmosis)
  • Children’s HIV clinic
  • OPAT clinic
  • Rapid access clinic (urgent referrals)
  • Kawasaki clinic – joint with cardiology
  • Fever clinic – joint with rheumatology

Paediatric Metabolic Medicine

Inherited metabolic diseases (IMD) are a group of genetic, inherited disorders of the metabolism. They can lead to a dangerous imbalance of chemicals in the body, ultimately resulting in organ damage and disabilities.

 

In the UK, at least 600 babies are born with IMD every year. There are currently around 20,000 children and adults living with IMD in the UK, and half of those affected do not attend a specialist service to treat their condition. Our adult services (for over 16s) are based at St Thomas' Hospital.

 

Our service

 

We are the regional IMD service for south Thames covering south London, Kent, Sussex, Surrey and beyond with outreach clinics as far as Portsmouth, Cambridge and Norwich. Here, we see more than 300 new patients each year with over 200 admissions to the ward.

 

We have close links with all of the clinical services at Guy’s and St Thomas’, in particular the genetics department. We are one of the main IMD centres in the UK offering treatment to patients with all types of IMD. This includes procedures for diagnosis and acute and long-term management.

 

We work closely with the children's liver service and the adult neurology service at King’s College Hospital.

 

Conditions

 

Our service includes procedures to diagnose patients and acute and long-term management of metabolic disorders. The most common conditions include: 

 

  • amino acid disorders, e.g. phenylketonuria (PKU), tyrosinaemia
  • carbohydrate disorders, e.g. galactosaemia
  • fatty acid oxidation defects, e.g. medium chain acyl CoA enzyme dehydrogenase deficiency (MCADD)
  • glycogen storage disorders
  • hypoglycaemia
  • lipid disorders including familial hypercholesterolaemia
  • lysosomal storage disorders (LSDs)
  • mitochondrial disorders
  • organic acid disorders
  • purine/pyrimidine disorders
  • urea cycle disorders.

 

Laboratories

 

Our centre is supported by four metabolic laboratories with national and international reputations for research and innovation: 

 

  • General metaboli
  • Regional Newborn screening
  • Enzymology and Biochemical Genetics
  • Purine research laboratory
  • WellChild research laboratory
  • Metabolic clinic  Phenylketonuria (PKU) clinic
  • Lipid clinic
  • Glycogen storage disease (GSD) clinic
  • Metabolic liver clinic
  • Neurometabolic clinic
  • Adult metabolic clinics

 

Transition to adult inherited metabolic diseases service

 

The move from the children's to the adult inherited metabolic diseases IMD service is a gradual process. From the age of 14 years a patient is slowly introduced to the adult inherited metabolic disease service and attends transition at Evelina London. Patients will have four appointments over the two-year period between 14-16 years old. At the last appointment patients will be shown where the adult IMD clinic is, at Gassiot House, St Thomas' Hospital. At the first two clinic appointments patients see staff from the children's IMD team while at the last two appointments; they see both the children's and adult teams.

 

When the transition process begins, we work with the patient to set some goals that they want to achieve. At each appointment we will talk through these goals with the patient and how they think they're doing.

 

During the first two clinic visits, parents/guardians will be invited to come along to the appointments, but patients will also be given the opportunity to see us on their own. During the last two visits, we ask patients to see us without their parent/guardian to help them become more independent.

 

This position would provide the opportunity to spend time with the adult metabolic team.

Paediatric Rheumatology

The award-winning rheumatology service at Evelina London diagnoses and treats rheumatological inflammatory conditions and provides rehabilitation services for those with musculoskeletal pain. We are a specialist unit, covering south London, Kent, Surrey and Sussex.

 

Conditions we treat include:

 

  • Juvenile idiopathic arthritis (JIA)
  • Juvenile systemic lupus erythematosis (lupus)
  • Juvenile dermatomyositis
  • Scleroderma
  • Vasculitis
  • Chronic pain
  • Musculoskeletal imbalances and sports injuries
  • Auto inflammatory conditions.

 

Supporting transition

 

We also provide specialist clinics for older children to make sure they get the advice and support they need when moving to adult services (transition).

 

Clinics

 

  • One-stop shop' rheumatology clinic
  • Adolescent twilight rheumatology clinic
  • Young adult rheumatology clinic
  • Complex inflammatory conditions
  • Collaborative clinics with renal, infectious diseases and dermatology services
  • Rapid access rheumatology clinic
  • Outreach rheumatology clinics
  • Chronic pain clinic

 

Network clinics

 

We also provide outreach network clinics to the following hospitals in south London:

 

  • East Surrey
  • Lewisham
  • Dartford
  • St Georges
  • Frimley Park

Paediatric Urology

Our paediatric urology service provides specialist care for children with kidney, bladder and genitalia problems from all over the UK and internationally. Our team works closely with the kidney and bladder department.

 

Many of the children cared for by our specialist team will have been diagnosed before they were born with many others developing kidney and bladder problems during their childhood. We treat children from prenatal scanning right up to the move to adult care.

 

The service specialises in prenatally diagnosed urinary tract problems (e.g. hydronephrosis, cystic kidneys), posterior urethral valves, genital abnormalities (e.g. hypospadias), bladder problems (e.g. urinary incontinence), renal stones and pre and post-renal transplant management.

 

Our paediatric nephro-urology service

 

  • Cares for children throughout their childhood into adulthood
  • Offers both outpatient and inpatient services for planned and emergency treatment
  • Has a dedicated chronic kidney disease service
  • Has integrated dialysis facilities, offering both peritoneal dialysis (home based) and haemodialysis (hospital based)
  • Offers renal transplantation services

 

Beach, the paediatric renal and urology inpatient floor contains 18 beds, including four cubicles for children with infections that may need isolation. Crab zone, the integrated dialysis unit is located on Beach. The inpatient service is covered by one consultant nephrologist and a consultant urologist on call on a weekly basis.

 

Research

 

We are actively involved in research projects and clinical trials to improve urology treatment. One of our current projects is on regenerative medicine with the aim of developing a tissue engineered bladder for children who need complex bladder reconstruction.

 

Clinics

 

  • General urology clinic
  • Posterior urethral valves (PUV) clinic
  • Foreskin clinic
  • Complex urology clinic
  • Young onset urology clinic – for children and young adults whose care is moving to adult services.
  • Perinatal clinic – a specialist clinic for conditions detected whilst having an ultrasound when pregnant.
  • Anorectal malformation VACTERL clinic
  • Telephone clinic
  • Stone clinic
  • Joint endocrine urology clinic – a specialist clinic for children with both urological and endocrine conditions.
  • Hypospadias clinic

Pain management services

Who we are

 

The INPUT Pain Unit at St Thomas’ Hospital was opened in 1989. We are an NHS service, running pain management programmes throughout the year for patients from all over the UK. We have strong links with King's College London and an active research programme.

 

Our aim

 

Our vision is to provide world-class pain management, good health outcomes and excellent patient experience, based on research, evidence and national and international standards.

 

Our aim is to work together with patients, GPs, consultants, King's Health Partners, and other healthcare providers to deliver effective and patient-centered care, enhance patients' quality of life, improve clinical outcomes and deliver world-class teaching.

 

 Our approach

 

Our main aim is to help you achieve your goals. We want to help you to do more of what you want to do, especially to participate in the activities that give your lives a sense of vitality and meaning.

 

To do this, our pain management programme helps you develop skills to respond to pain, and the distress that often accompanies it, in new ways.

 

We try to help you to 'drop the struggle' with pain, rather than reducing or curing pain.



The programme includes a combination of physical exercise and psychological skills training, designed to start with small steps and gradually build capabilities.

 

We focus on individual goals. For example, goals of previous patients have included walking without a stick, reducing medication, returning to playing football and starting voluntary work.

 

We want to help you make lifelong changes.

 

Your first appointment

 

Visit our appointments page to find out more information about your first appointment at INPUT.

 

Our pain management programme

 

We have several formats of our pain management programme. We will discuss with you at your appointment which is most suitable for you.

Photodermatology service

Our photodermatology team provides expertise on the effects of light on skin disease. Our unit has two functions:

 

Photodermatology service

 

For the diagnosis, specialist investigation and treatment of patients who suffer skin disorders caused by sunlight, eg:

 

  • polymorphic light eruption
  • actinic prurigo
  • chronic actinic dermatitis
  • cutaneous porphyria
  • xeroderma pigmentosum. 

 

We offer a highly specialist service including complex diagnostic testing (phototesting) which, due to its complexity and technical difficulty, is available at very few centres nationally. We also provide a national cutaneous porphyria clinical service, and a national xeroderma pigmentosum clinical service.

 

Phototherapy service

 

The Dowling Phototherapy Unit is a clinical unit within the Bermondsey Centre deigned to provide the full range of phototherapy, with ultraviolet light being used to treat patients with skin diseases including:

 

  • psoriasis
  • eczema
  • vitiligo
  • polymorphic light eruption.

 

The unit is fully staffed between 7.30am and 5.30pm Monday to Friday. In addition to all the regional and whole body therapies with PUVA, and narrowband UVB, we are also one of two centres in England to provide high output UVA1 therapy, a valuable new treatment for a different set of skin diseases.

 

Our unit is also acting as the hub and lead for a network of phototherapy units in hospitals throughout south east England.

 

The unit also provides iontophoresis, a treatment for hyperhidrosis (excess sweating of hands and feet) on Mondays 9am–1.30pm.

 

Research

 

We have an active research programme as part of the Biomedical Research Centre, and in collaboration with the King's College London (KCL) Photobiology Unit.

Physiotherapy

Welcome to Guy's and St Thomas’ physiotherapy service. We provide physiotherapy for a range of chronic and acute conditions, across a number of sites in Lambeth and Southwark.

 

Physiotherapy at Guy's and St Thomas’ NHS Foundation Trust is a science-based profession which aims to assist your recovery from injury or chronic illness. We involve you in the design of your treatment, so that it is meaningful to you and fits into your lifestyle.

 

You can benefit from physiotherapy at any time in your life. It helps with a variety of problems from low back pain or sudden injury to managing long-term medical condition such as COPD.

 

We provide assessment and a range of treatment options and approaches for all musculoskeletal conditions.

 

 Ambulatory oxygen service

 

The ambulatory oxygen service at Guy's and St Thomas' provides assessments for ambulatory oxygen, for the residents of Lambeth and Southwark. We also help patients from further afield who are having difficulty accessing oxygen services or require more detailed assessment than can be provided locally.

 

Kidney (renal) rehabilitation physiotherapy service

 

The kidney (renal) rehabilitation physiotherapy service helps patients with kidney disease start exercising regularly. They also help patients who are on dialysis exercise during their dialysis treatment.

 

Musculoskeletal physiotherapy

 

The musculoskeletal physiotherapy service provides initial consultations and a range of treatment options for all musculoskeletal conditions including simple lower back pain through to high level sports injuries.

 

Musculoskeletal assessment service (MCATTS)

 

Our musculoskeletal assessment service (MCATTS) consultations are with an advanced physiotherapy practitioner. They will provide you with an expert opinion for your musculoskeletal condition and are able to refer you to other services such as orthopaedics, rheumatology and pain management.

 

We are able to request investigations for musculoskeletal conditions when they are needed to guide future management including x-rays, ultrasound, MRI scans, nerve conduction studies and blood tests.

 

We can also provide treatment options such as corticosteroid injections under ultrasound guidance.

 

Neurorehabilitation physiotherapy

 

The neurorehabilitation physiotherapy service has been developed to provide high quality neuro specific care. We provide initial consultations and a range of treatment options for all neuro conditions including Parkinson’s, multiple sclerosis (MS) and stroke.

 

Older persons physiotherapy

 

Physiotherapy in the older person’s assessment unit at Guy’s Hospital has been developed to provide high quality care for older adults in the local area. We see and treat a variety of conditions, including reduced function after a hospital stay, poor balance and reduced confidence.

 

Pulmonary rehabilitation

 

Pulmonary rehabilitation is a supervised, personalised seven-week programme of exercise and education. It is designed specifically for people with lung conditions who experience breathlessness in daily life.

 

Vestibular and facial physiotherapy

 

The vestibular physiotherapy service provides initial consultations and treatment options for vestibular conditions and facial palsy conditions.

 

Women's and men's health physiotherapy

 

The women’s and men’s health physiotherapy service provides specialist care for women and men with bladder, bowel and pelvic floor muscle related disorders.

Amputee Rehabilitation Unit

The Amputee rehabilitation unit provides specialist rehabilitation for adults who have undergone major amputation. 

 

 About us

Most amputees in south east London will undergo major amputation here at St Thomas' Hospital. Shortly after amputation, when you are medically well and if ready to complete an intensive amputee rehabilitation programme, we will transfer you to our specialist Amputee Rehabilitation Unit where you will participate in therapy every day.

 

The unit has 12 beds and is located at Lambeth Community Care Centre in Kennington, London.

 

In addition to receiving therapy every day, you will have access to specialist medical and nursing care and counseling professionals. If appropriate, we will also provide you with prosthetic limbs.

 

We aim to help you return to a normal life as soon as possible.

 

When it is time for you to leave the unit, we will transfer you to the amputee rehabilitation for units service at Bowley Close rehabilitation centre. This is our community outpatient hub, where we provide life-long prosthetic and medical care, including physiotherapy, occupational therapy and counseling.

 

If you live outside south east London / Kent, we will transfer your amputee care to your local outpatient amputee service.

 

How to access our service

You must have a written referral from your hospital doctor.

 

Visiting the unit

  • visiting time is 11am-8.30pm
  • no more than two visitors per bed
  • we operate a protected mealtime service between 12 noon and 1pm and 5pm to 6pm
  • special arrangements for visiting must be made with the nurse in charge
  • children must be accompanied by an adult.

Psychology services

Clinical health psychologists provide support for patients and their families/carers to help cope with the psychological aspects of living with an illness, or with pre-existing problems that might be affecting the management of an illness. Their aim is to improve the overall quality of life by helping patients manage their illness and reduce the impact of disability.

 

Support is given in a variety of ways, including one-to-one sessions, family work and support groups, using evidence-based approaches such as cognitive behaviour therapy. Patients may be seen on the ward or as outpatients.

 

As well as providing psychological support, psychologists are also involved in training, research, audit and writing guidelines for good patient health care.

 

Psychologists at Guy's and St Thomas' often work as part of a wider multidisciplinary team, enabling other health care professionals to care more holistically for patients.

 

We have dedicated teams in -

 

  • cancer
  • chronic pain
  • cleft palate
  • cochlear implant
  • dental
  • dermatology
  • skin cancer
  • medical dermatology
  • hematology and haemophilia
  • kidney/renal
  • children's neuro disability
  • neurofibromatosis
  • sleep

 

We also work closely with the counseling services, liaison psychiatry teams and the community to alleviate distress and promote psychological well-being. 

 

Charity support

 

Guy's and St Thomas' Charity funds the psychology input for our clinic for children and young people affected by Tourette's Disorder. It also funds a three-year project looking at psychological factors associated with rheumatoid arthritis.

Renal and Transplant Medicine

We are a regional centre for people with all forms of kidney disease in south east London, Kent and the surrounding areas.

 

We offer treatment to patients at all stages of the kidney disease pathway. This ranges from diagnosis of early kidney disease through to caring for patients with all forms of advanced kidney disease, including dialysis, kidney transplantation and end of life care.

 

We have become leaders in the field of kidney care since our kidney services were established in the 1970s and are nationally recognised as having particular expertise in kidney transplantation.

 

This section gives information about your kidneys, our My Kidney website and the services we provide, both in our hospitals and in units in the south east of England.

 

About your kidneys

 

Your kidneys are located at the back of your body, below your ribs. They provide many functions, including filtering your blood to make urine, controlling your blood pressure and making new red blood cells. If your kidneys are not working properly some or all of these functions may be affected.

 

Chronic kidney disease or CKD means that your kidneys are not working properly. Chronic means it is long term.

 

About kidney disease - the My Kidney website

 

Visit the My Kidney website for more information about chronic kidney disease, the stages of kidney disease and possible treatment options. The website also contains advice about lifestyle issues and brings you news and research updates from Guy’s and St Thomas’ and King’s College Hospitals.

 

Having a kidney transplant

 

A transplant surgeon talks about the different types of kidney transplants. Patients tell us about their experiences and explain how having a transplant has benefited them.

Kidney and transplantation clinics

A kidney transplant operation is when a healthy kidney from one person is placed in the body of another person with kidney disease. The person receiving the kidney is called the recipient. 

 

A kidney can either be donated by someone who has died or from a living person.

 

Not all patients are suitable to have a transplant. For those people who are suitable a transplant will, in most cases, give you a better quality of life than dialysis. Your kidney team will discuss transplantation with you during your clinic visits. You may need to have several tests and medical examinations to help decide whether you are suitable for a transplant.

 

You will not be put into the transplant waiting pool or put forward for a living donor kidney transplant until you have been assessed as being suitable by one of our transplant surgeons.

 

Having a kidney transplant

 

 A transplant surgeon talks about the different types of kidney transplants. Patients tell us about their experiences and explain how having a transplant has benefited them.

Rheumatology services

Our rheumatology department offers a wide range of services to diagnose and treat joint, bone and connective tissue diseases. We also diagnose and treat patients with back pain. We work closely with the hospital's pain clinics to help patients develop long-term pain management programmes.

 

There are over 200 types of rheumatic and arthritis disease, with arthritis being the second most common cause for time off work. Early diagnosis and treatment is therefore essential in ensuring that patients can control their disease.

 

Our rheumatology department is one of the largest departments of its kind in the UK. We offer a range of specialist clinics, with close links with several other departments. We also have one of the most active rheumatology research programmes in the UK, which means that we are at the forefront of care and treatment.

 

Nurse telephone helpline

Our rheumatology department offers an online booking rheumatology services UK for existing patients.

 

You can book an appointment online for a nurse to call you if you need advice or help with:

 

  • your diagnosis
  • medicines, including any side effects 
  • concerns about your symptoms that need to be addressed before your next appointment.

Sexual Health and HIV

We provide sexual health and contraception services in our three clinics (Burrell Street, Walworth Road and Streatham Hill) across Lambeth and Southwark.

 

 Sexual health

 

We offer a general sexual health walk-in service where we can help you with all aspects of sexual health. You can self-refer to most of our clinics, or at certain times it is possible to book an appointment.

 

You can also visit the SXT website to find out where your nearest clinic is and get advice on many areas of sexual health.

 

This section will give you more information about:

 

  • contraception (including emergency contraception) and what method is right for you
  • family planning advice
  • how you can get an HIV test and what to do if you think you have recently been exposed to HIV
  • common sexually transmitted infections (STIs)
  • advice on what to do if you have been sexually assaulted 
  • useful websites.

 

Your clinic visit

 

What services we provide

 

  • General sexual health clinic walk-in service
  • Check-ups for sexually transmitted infections (STIs)
  • Treatment for infections
  • HIV testing (including one minute tests)
  • Sexual health counselling and psychotherapy
  • Contraception (including emergency contraception)
  • Pregnancy advice 
  • Free condoms and lubricants
  • Referrals to other services and agencies
  • HIV services (Harrison Wing)

Sleep disorders centre

Our sleep disorders centre is a nationally renowned centre of excellence for the investigation and treatment of disorders of sleep, including:

 

  • sleep apnoea
  • unusual behaviours during sleep such as sleepwalking and acting out dreams
  • causes of excessive sleepiness such as narcolespy and other neurological disorders
  • disorders of circadian rhythm

 

 

Our main unit is in Nuffield House at Guy's Hospital where we have nine beds for attended overnight sleep studies.

 

Outpatient clinics are also held in Nuffield House, and we have one outpatient clinic at the Lane Fox Unit at St Thomas'.

 

Please note that we do not provide services for primary insomnia.

Speech and language therapy services

We offer a Speech and Language Therapy service to adults with swallowing, communication or voice disorders. We have specialists who help with:

 

  • voice disorders
  • rehabilitation after head and neck surgery, including surgical voice restoration after a total laryngectomy
  • respiratory medicine and tracheostomy management
  • stroke rehabilitation
  • care of the elderly
  • communication and swallowing problems arising from cancer treatment 

 

Our inpatient service

 

Our staff care for patients on all of the acute inpatient wards. Referrals can be made by staff and we aim to see patients urgently referred to us in one working day and two working days for all other patients.

 

We also offer a fibre optic endoscopic evaluation of swallowing service for inpatients at both hospitals.

 

Our outpatient service

 

We have an outpatient service at Guy's Hospital for voice patients. Head and neck cancer patients are seen at Guy's and in the community by the head and neck cancer team (CHANT). A small number of patients with acquired neurological disorders of speech and swallowing are seen as outpatients at Guy's and referred onto their local community team if they need ongoing care.

 

The speech and language therapists also offer video fluoroscopy clinics jointly with the radiology team to assess swallowing problems.

Vascular surgery services

Guy’s and St Thomas’ vascular surgery unit is a national tertiary referral centre providing diagnosis and treatment of disorders of the blood vessels. We have a large team of specialist surgeons, radiologists, doctors and nurses to look after you.

 

The Vascular surgery department is the hub of the South East Thames Network. We provide emergency and elective vascular services to people living in south east London and west Kent. Our ‘network’ hospitals are:

 

  • King’s College Hospital NHS Trust (Kings College Hospital and Princess Royal University Hospital)
  • Lewisham and Greenwich NHS Trust (Lewisham Hospital and Queen Elizabeth Hospital, Woolwich)
  • Dartford and Gravesham NHS Trust (Darent Valley Hospital and Queen Mary’s Hospital, Sidcup)
  • Maidstone and Tunbridge Wells NHS Trust (Tunbridge Wells Hospital).

 

We are a national tertiary referral centre for complex aortic disease specialising in endovascular and open surgery for aneurysms and aortic dissection.

 

We are a leading unit in the management of diabetic patients with vascular disease and have a large multi-disciplinary team of surgeons, radiologists, physicians and podiatrists who provide a multidisciplinary care for these patients. We are committed to supporting our network hospitals diabetes services through the diabetic foot network.

 

We have a specialist interest in the management of deep venous disease with a multidisciplinary team specialising in this field.

 

Our performance

 

Mortality rates from surgery carried out in the unit are well below the national average. In 2016, our:

 

  • complex endovascular aneurysm repair mortality rate was 1.3%
  • infrarenal aneurysm repair (EVAR) mortality rate was 0.5%
  • carotid endarterectomy stroke and mortality rate was 1.0%.

 

Find out more about aortic aneurysms

 

We offer a number of specialist vascular services. These include the treatment of aortic aneurysms.Visit our link https://www.guysandstthomas.nhs.uk/our-services/cardiovascular/specialties/vascular-surgery/overview.aspx and watch out the two videos about repairing complex aortic aneurysms.

Contact Details

NHS Trust Foundation

20 St Thomas St,

London SE1 9RS,

United Kingdom

Tel: +44 20 7188 7188

Email: vpp@gstt.nhs.uk

Website: https://www.guysandstthomas.nhs.uk/Home.aspx

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