Same Day Emergency Care (SDEC) Referral Information at King's College Hospital, Denmark Hill
Same Day Emergency Care (SDEC) units at King's College Hospital, Denmark Hill, and St. Thomas Hospital provide rapid assessment, diagnostics, and treatment for acute conditions. General practice colleagues in Lambeth and Southwark can refer patients to SDEC for efficient access to the right care, reducing the need for hospital admission. Referrals are made via Consultant Connect app or phone. Details for referrals and criteria are available for various specialties.
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Same Day Emergency Care (SDEC) King s College Hospital Denmark Hill & Guy s and St. Thomas Hospital (St. Thomas Site)
What is SDEC and How to Refer The Same Day Emergency Care (SDEC) units are led by specialist acute medicine and acute surgical consultants & registrars and provide rapid assessment, diagnostics and treatment for acute conditions. For your patient, this will mean efficient access to the right care in the right place, first time and significantly reduce the likelihood of requiring admission to a hospital bed. General practice colleagues in Lambeth and Southwark can discuss and refer patients who need same day emergency care (SDEC) with the ambulatory care teams at both Kings College Hospital Denmark Hill and St. Thomas Hospital. Rapid diagnostics are available to the units and will allow same day assessment and treatment to the patients and reduce the likelihood of admission to the hospital. These units are open to referrals only and not available as direct patient walk-in services*, all patients must be referred to the right SDEC service via the Consultant Connect app or the contact phone number if Consultant Connect is not available (see specific site info below for contact routes). For services via Consultant Connect, please refer to their service directory and enter your practices unique practice CC phone number. (Service Directory | Consultant Connect). You can download the Consultant Connect app at: www.consultantconnect.org.uk, which makes access to services faster. More information on SDECs can be found here: https://www.england.nhs.uk/urgent-emergency-care/same-day-emergency-care/ For any questions on referring to SDEC in Lambeth & Southwark please contact: avril.satchwell@selondonics.nhs.uk
Kings College Hospital, Denmark Hill, SE5 9RS Service Opening Times Last Referral Accepted Mode of referral Referral Criteria Location for patient to report Service Communications (in event of difficulties) 8am 8pm Arrival in SDEC by 6pm (dependant on capacity) Ambulatory / baseline mobility / can transfer with assistance of 1 < NEWS 5 ( no single news > 2) Not in mental health crisis Does not require isolation for IPC precautions 16 years old or over Accepted by the speciality Not decision to admit Ground floor Hambleden wing. Co-located within ED. KCH Denmark Hill, SE5 9RS Via Switchboard 020 3299 9000 Acute Medicine SDEC Consultant Connect. Search: Acute Medicine SDEC - Denmark Hill 7 days a week Lines operate Mon Sun 8am 8pm If unable to access via Consultant Connect GP referrals via registrar on call: Consultant Extension (Ext) 37221 8am 8pm Arrival in SDEC by 6pm (dependant on capacity) As above for Acute Medical SDEC Ground floor, Golden Jubilee Wing. Co-located within Out Patient clinic. KCH Denmark Hill, SE5 9RS. Via Switchboard 020 3299 9000 Acute Surgical SDEC Consultant Connect. Search: Acute Surgical SDEC - Denmark Hill (For General Surgical referrals for other specialities see below) Lines operate Mon Fri 8am 4pm If unable to access via Consultant Connect Via Switchboard: 020 3299 9000 Surgical registrar (Ext) 38154 Bleep 969 On call urology (Ext) 37425 Bleep 183 On call maxillofacial (Ext) 35051 Bleep 452 On call orthopaedics (Ext) 36575 Bleep 951 Self-referrals of known patients 7 days a week Plus: Not actively withdrawing from alcohol SACU nurse in charge (Ext) 37089 ASU clinical nurse specialist (Ext) 39833 Mon Fri 8am 8pm Arrival in SDEC by 6pm (dependant on capacity) As above for Acute Medical SDEC First floor, Golden Jubilee Wing. Co-located within Out Patient clinic. KCH Denmark Hill, SE5 9RS Via Switchboard 020 3299 9000 Multi- Speciality SDEC Contact on-call Registrar of speciality Via Switchboard 020 3299 9000 Plus: i. ii. iii. iv. Liver (Ext) 34241 / 37385 Bleep 862 Renal Ext) 37429 Bleep 662 Neurological (Ext) 38600 / 36534 / 38839 Rheumatology (Ext) 37042 / 37043 (please go via switchboard at the weekends) Over the age of 17 Nurse in charge (Ext) 37902 Sat Sun 8am 4pm Arrival in SDEC by 2pm For non-same day emergency services, other fast track referrals: Rapid access chest pain clinic via electronic Referral System (eRS) Rapid Diagnostic Clinic - (symptoms of possible underlying cancer not fitting organ specific 2WW) via eRS 2WW suspected cancer pathway via eRS Gerontology - clinic administrator on 020 3299 6185 or email kch-tr.kopaubas@nhs.net
Guys and St. Thomas Hospital (St. Thomas Site), SE1 7EH Service Opening Times Last Referral Accepted Mode of referral Referral Criteria Location for patient to report Service Communications (in event of difficulties) 8am 8pm Arrival in SDEC by 6pm Ambulatory / can transfer with max. assistance of 1 GCS = 15, Sats 88%, HR >40 and <150 (If known) Clinical Frailty Scale (CFS) 5 Not in mental health crisis No alcohol/drug intoxication or withdrawal 16 years old or over Accepted by Acute Medicine Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas Hospital, Westminster Bridge Road, SE1 7EH Contact admin team via Switchboard: Acute Medicine SDEC Consultant Connect. Search: Acute Medicine SDEC GSTT 7 days a week Lines operate Mon Sun 8am 8pm 020 7188 7188 Extension 59544 8am 8pm Arrival in SDEC by 6pm Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas Hospital, Westminster Bridge Road, SE1 7EH. Contact admin team via Switchboard: Acute Surgical SDEC Consultant Connect. Search: Acute Surgical SDEC GSTT (For General Surgical referrals only) Lines operate Mon Fri 8am 6pm NEWS 3 Functionally able to sit in a waiting room Surgical condition suspected (as per Surgical SDEC SOP) 7 days a week 020 7188 7188 Extension 81203 or 55890 Surgical speciality Registrar on-call out-of- hours; via Switchboard: 020 7188 7188 9am-5pm; Mon-Fri Arrival by 4pm For same day or next day specialty- specific assessment/ investigation/ treatment required, or flare of condition in a patient known to the specialty Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas Hospital, Westminster Bridge Road, SE1 7EH. Contact admin team via Switchboard: Multi- Speciality SDEC Referral via the on-call Registrar / CNS for the relevant specialty Via Switchboard: 020 7188 7188 i. Rheumatology - Bleep 0758 ii. Gastro - Bleep 0148 iii. Dermatology - Bleep 2010 iv. Neurology - Bleep 0355 Accepted patients can be booked in by the specialties via the MSAU nursing team, or via their own specialty day unit Specialties can also book accepted patients into MSAU for next day review if suitable 020 7188 7188 Extension 83730 or 84141
Guys and St. Thomas Hospital (St. Thomas Site), SE1 7EH Location for patient to report Service Service Opening Times Last Referral Accepted Mode of referral Referral Criteria Communications (in event of difficulties) This is a nurse-led pathway to specifically exclude / treat DVT (& cellulitis). Please do not refer symptoms suggestive primarily of injury or MSK cause (e.g. knee or ankle pain/swelling, or mechanism of injury) to this pathway without definitive GP/ED plan already in place for treatment of this component. Acute Medicine SDEC DVT & Cellulitis 8am 8pm Mon Fri Arrival in SDEC by 6pm Suspected lower limb DVT Suspected lower limb cellulitis (requiring iv antibiotics) Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas Hospital, Westminster Bridge Road, SE1 7EH Via Switchboard: 020 7188 7188 Consultant Connect. Search: Acute Medicine SDEC - DVT & Cellulitis GSTT Admin team - Extension. 59544 Lines operate Mon Sun 8am 8pm 8am-6pm Mon-Fri; Arrival by 4pm Patient attends via ED Patient referred by @home team for onward referral to AOPU Admissions Ward, Ground Floor, Lambeth Wing, St. Thomas Hospital, Westminster Bridge Road, SE1 7EH Via Switchboard: 020 7188 7188 Acute Medicine Older Persons Unit (AOPU) Aged 65 with a Clinical Frailty Score (CFS) 5, or from a care home NEWS2 4 Discharge potentially possible within 24 hours 10am-6pm Sat/Sun Admin team Extension. 86820 or 89800 Bleep 3024 For non-same day emergency services, other fast track referrals: Rapid access chest pain clinic via electronic Referral System (eRS) Rapid Diagnostic Clinic - (symptoms of possible underlying cancer not fitting organ specific 2WW) via eRS 2WW suspected cancer pathway via eRS
Common Medical SDEC Eligibility Criteria These clinics are for acute patients who need same day / next day emergency secondary assessment in the acute setting. A referrer can discuss an ambulant patient, with an acute abnormality or undifferentiated diagnosis, with the appropriate SDEC service for clinical advice and/or referral. (It should not be used to bypass established clinical pathways including 2 week waits, or referrals to other specialties). Some common SDEC conditions include but are not limited to the following: Acute Medicine (acute undifferentiated diagnosis) Chest pain (suspected acute coronary syndrome, pulmonary embolism, atraumatic pneumothorax) Shortness of breath (suspected PE, pneumonia, congestive cardiac failure, acute COPD/asthma exacerbation) Palpitations (acute or decompensated AF/arrhythmia) Acute headache (e.g. thunderclap headache, suspected subarachnoid haemorrhage) Pyelonephritis Lower limb cellulitis (requiring iv antibiotics) Lower limb deep vein thrombosis Uncontrolled diabetes (acute hyperglycaemia or hypoglycaemia) Suspected malignant hypertension Acute blood test result abnormality Abdominal pain, abscess or post-op complications (refer to Acute Surgical SDEC)
