Lambeth PCT - Alternative care pathways VERSION 3-15 th November 2010

Transcription

1 VERSION 3-15 th Alternative Care pathways Service (Non-tariff options available in 2010/11) Acupuncture Adult Community Nursing Service Service Description: Musculoskeletal, Headache/migraine How to refer: GP Referral Referral criteria: NICE guidelines Location(s): Gateway Clinic, Lambeth Hospital, 108 Landor Road, SW9 9NT Contacts: Tel: Service Description A service providing nursing care, education and support for primarily housebound people registered with GP s in Lambeth. Common areas covered (but not exclusive to) include palliative and end of life care, tissue viability, diabetic care and education, bladder and bowel care, administration of drugs including IV Location various (see referral information) Contact Telephone Referral via fax: Mawbey Brough Health Centre Elmcourt Health Centre Myatts Field Health Centre Rathmell Drive Health Centre Gracefield Gardens Health Centre Page 1 of 23

2 VERSION 3-15 th Audiology Adult (17 years +) Service Description: Inhealth Netcare assessment, hearing aid fitting, follow up. GSTT Complex audiology services as tinnitus, balance (referrals through ENT). This department also provides a comprehensive rehabilitation service, including specialist tinnitus, vestibular and balance rehabilitation. St Georges - Complex audiology services as tinnitus, balance (referrals through ENT), specialised diagnostic and rehabilitative services for patients presenting with dizziness, imbalance, hearing loss and tinnitus, and also provides specialist learning disability clinics. Inhealth, GSTT and St Georges will provide ingoing repair and management of hearing aid after their 8 week follow up appointment How to refer: Direct access. Inhealth Referral form should be completed which can be downloaded from or requested by telephoning Fax completed form to Full details of how to refer as well as the assessment and fitting process can be found in the GP Audiology Referral Guide available from Alternatively you can telephone or referrerinfo@inhealthnetcare.com for further information. GSTT Referrals can be faxed to or alternatively sent to the following address: 3 rd Floor Thomas Guy House, Guys Hospital, Great Maze Pond, London. SE1 9RT. Referral criteria: For Inhealth, prior to referral you should ensure wax has been removed from patients ears to prevent cancellation or delay of the assessment. For GSTT, Over 60 years of age No excessive ear wax No active discharge or history of discharge No skin disease in ear canals No perforated or inflamed ear drums Page 2 of 23

3 VERSION 3-15 th No earache No tinnitus (other than the occasional/transient) No sudden onset of hearing loss or sudden deterioration of loss No fluctuating loss (beyond that associated with colds) No markedly asymmetrical hearing loss No vertigo (not the common unsteadiness of old age) If the patient already wears an NHS hearing aid it would be helpful to include where it was fitted, to enable GSTT to contact them for further information. St Georges Via Choose and Book or referral letters can be faxed to or posted to the following address: Lanesborough Wing, St Georges Healthcare NHS Trust, Blackshaw Road London. SW17 0QT When referring to SGH for direct access audiology services patients should be over 60 years old. If the patient already wears an NHS hearing aid it would be helpful to include where it was fitted, to enable SGH to contact them for further information. If you have any queries regarding referrals that have been made please contact: Location(s): GSTT, St Georges, Inhealth Netcare at Gracefield Gardens Blood Borne Virus Team (Three Boroughs Primary Healthcare Services) Contacts: Inhealth or referrerinfo@inhealthnetcare.com GSTT Audiology St Georges Audiology Service description: Specialises in providing physical health care for people with drug and alcohol problems. Open access nurse-led clinics are attached to substance misuse services in Lambeth and Southwark only. Location: Riverside Medical Centre, Unit 16, Hobart House St.George Wharf, Wandsworth Road, Vauxhall SW8 2JW Page 3 of 23

4 VERSION 3-15 th Contact for opening times: Tel: For information: Clinical Nurse Specialist Team (HIV) (Three Boroughs Primary Healthcare Services) Service description: A specialist nurse led team which provides free and confidential advice and support to people who are infected and affected by HIV living in Lambeth, Southwark & Lewisham. Clients can be seen at home, within clinics, in our office and any other location where appropriate. Location: The Streatham Hill Group Practice, 6 Leigham Court Road, Streatham, SW16 2PG Contact Tel: For information: Community Children Nursing Team Service Description: Specialist community Children s nursing service providing nursing care to sick and terminally ill children at home This service provision is aimed at providing care to ill children & young people. The service aims to deliver timely accessible services to high quality, evidence based care delivered by staff with the right skills & competencies, whether it be in the home. The Community Children s Nursing Team provide care to the following care groups: 1. Acute Caseload - Acute caseload consists of those children and young people requiring short-term intervention or nursing care from the team. Such as administration of intravenous drugs, wound management, eczema intervention e.g. wet wraps. 2. Chronic Caseload - Chronic caseload consists of those children and young people who are requiring long term support over several months or years. 3. Specialist Caseload those children with HIV/AIDS Page 4 of 23

5 VERSION 3-15 th Location: Hosted by Lewisham Community Health Services Burgess Industrial Park Units 2-4 Park House Street Camberwell London SE5 7TJ Contacts: Alison Fagan Telephone: , Mobile: Community Heart Failure Service Service Description: A community based team providing expert care, support, disease management and optimisation to patients with heart failure in Lambeth. Primarily a clinic based service with limited home visiting capacity. Also works closely with selected General Practices in developing heart failure knowledge, skills and processes for identifying patients and managing them better. The service works very closely with local acute heart failure services. Location: Clinics held at Lambeth Community Care Centre and Whittington Centre. Soon to start at Gracefield Gardens Health and Social Care Centre Contacts Amanda Parsons: Heart Failure Nurse Specialist: / amanda.parsons@lambethpct.nhs.uk Simon Radford: Heart Failure Nurse Specialist: Tel: /simon.radford@nhs.net Rebecca Curran: Heart Failure Pharmacist: / rebecca.curran@lambethpct.nhs.uk Community Matron Service description Service description: A service providing case management and admission avoidance to patients who are high users of Page 5 of 23

6 VERSION 3-15 th hospital and A&E services. Location various (see Adult Community Nursing Service) Community therapy ( PT OT SLT) Neuro and complex pathways Complex Needs Nursing Service Referral Contacts See Adult Community Nursing service information. Service description Assessment /management for all adults with physical /functional problems or disability. Including mobility, functional decline, swallowing problems. Urgent referrals, prioritised, seen within 3 days < 4 weeks Access via service centre SPA (single point of access) 9-5 Mon-Fri Contact: Fax Tel Phone after 1.30pm to speak directly to clinician for referral advice. Service Description The service is for children and young people who have complex health and palliative care needs and covers children who are aged This service provision will include children and young people who: 1. Have palliative care/ end of life needs where their physical and mental health needs are so complex they cannot be managed by their families without support from the specialist complex care nursing team. 2. Are in receipt of a continuing care package and who require specialist respite care due to the complexity and intensity of their condition. 3. Attend the specialist schools / units within the borough of Lambeth Location Mary Sheridan Centre for Children Wooden Spoon Renfrew Road London SE11 Page 6 of 23

7 VERSION 3-15 th Contact: Natalie Hastings Telephone : Mobile : COPD STAR Clinics Service available until March 2011 Service Description: A cluster clinic is run by a GPwSI, respiratory nurse and HCA. The appointment covers: o spirometry testing to confirm a COPD/asthma diagnosis o review of drugs o smoking assessment and advice o discussion re lifestyle and support o onward referral, where applicable, to pulmonary rehabilitation Pulmonary rehabilitation is a set number of classes where patients engage in exercise appropriate to their stage of disease. Location(s) Whittingdon centre, Lambeth Walk Group Practice and Binfield Road. The team are happy to do clinics within practice contact to arrange. Contacts: The STAR clinic service is contactable by: copdstar@nhs.net Tel: Mobile/s: /7 Landline: Fax: See website where you can find: o Sites for the clinics in Lambeth o Referral form o Patient information Page 7 of 23

8 VERSION 3-15 th Diabetes intermediate care team Service Description The Lambeth Diabetes Intermediate Care Team consists specialist diabetes nurses and a specialist diabetes dietician. The team offer the following services: Clinical support and advice on diabetes management to Lambeth general practices. This can be by telephone or . Virtual diabetes clinics in general practices Diabetes clinics in general practices jointly with practices nurses/gps Joint visits with Community Nurses to improve diabetes care to housebound patients Community Insulin Start Groups Individual insulin starts in practices Community exenatide start groups Food and diabetes groups at Gracefield Gardens DESMOND (structured education for people with type 2 diabetes) Individual support for diabetes patients and their carers Contacts: Julie Haylock, Team PA (DESMOND referrals, insulin starts, general enquiries) Tel: Fax: julie.haylock@nhs.net Mark Chamley, Clinical Lead, Diabetes Tel: mark.chamley@nhs.net Julia Azille, Diabetes Specialist Nurse, North Locality Tel: Julia.azille@nhs.net Page 8 of 23

9 VERSION 3-15 th Deirdre McGowan, Diabetes Specialist Nurse, South East Locality Tel: Rosarie Atkinson, Diabetes Specialist Nurse, South West Locality Tel: Liz Camfield, Diabetes Specialist Nurse, South West Locality Tel: Elderly care Krishna Wadher, Diabetes Specialist Dietitian, Lambeth Tel: Caroline Rook, Specialist Practice Nurse Tel: Older people 1. Older persons Day assessment units a) Duwich ( Betty Alexander unit) - MDT assessment service Monday to Friday Patient with chronic conditions, complex medical / social needs requiring assessment, intervention & case management to prevent hospital admissions. Rapid access for urgent reviews and dagnostics Infusions service: Day Case Treatment Infusions, I.V. therapy & Transfusions Specialist outpatients General Geriatric Medicine clinic s as well as Falls, Memory, Continence, Osteoporosis, Hypertension, Stroke And Parkinsons clinic s Referral: Comprehensive letter with: reason for referral, past medical history, medication list, patient contact details & any other relevant information. Page 9 of 23

10 VERSION 3-15 th Urgent referrals Tel to speak to the nurse in charge. Fax number b) Guys (OPAU- older persons assessment unit) Similar to above Rapid access full out patient assessment & investigations/ diagnostics Tel/ Fax Elderly Care Unit GST office on Urgent Older persons Consultant opinion/advice GSTT Elderly care consultant opinion fax letter to telephone advice Duty older persons consultant via GST switchboard or ECU office (9-5) ) NB Consultants will divert to OPD or IC bed if appropriate (rather than hospital admission or A&E) 3. Community consultant clinics at Whittington centre. Movement disorders and general geriatric medicine Transport provided Held Tue pm alternate weeks 1 to 2 week access if urgent Contacts: Telephone service centre or Betty Crooks on Fax letter to Intermediate care 1. Beds - LCCC or Pulross Centre Contact Contact: Telephone service centre on or fax Monday to Friday 9am to 5pm (planned or same day admission can be arranged) 2. Community - Rapid Response Team Nurse therapists rehab support workers, to prevent unnecessary admission. Page 10 of 23

11 VERSION 3-15 th Will assess patient within 2 hours. Referral: telephone days a week 8.30am to 7pm (please call as early as possible) Falls clinic Service description Specialist multi-factorial assessment, diagnostics & management includes consultant, nurse and therapies- transport provided 1 week wait if urgent Location: Clinics weekly at Whittington all day Wednesday Contacts: Letter/ referral faxed to Telephone contact service centre or Betty Crooks Headache clinic Funded until March 2011 For practices within North Lambeth only. Service Description: specialist community headache service provided by a team of GPwSIs in headache Location: Lambeth Walk Group Practice, 5 Lambeth Walk, London. SE11 6SP Contacts: Tel : Fax referral form to Health Promotion Specialist team The Specialist Health Promotion Team provides a comprehensive service to support the integration Page 11 of 23

12 VERSION 3-15 th and delivery of Lambeth s Staying Healthy strategic priorities by health professionals, Local Authority, the voluntary and community sectors. The team adopts a holistic view of health which encompasses both physical health and mental health and well-being; building local capacity by facilitating education & training as well as engaging and developing partnerships with key service providers and recipients. Their core work includes :- Translating health promotion theory into practice by developing, supporting and managing community based health promotion project Providing a range of generic and tailored training opportunities to increase the capacity of front line staff and community providers to deliver, monitor and evaluate effective health promotion activities for priority groups. Providing consultancy, advice and guidance to a range of providers and voluntary sector groups, promoting community development and partnership working to increase the relevance, appropriateness and effectiveness of local health promotion activity. Healthy bowel and bladder services (Incontinence) For more information please contact the team on Enquiries.healthpromotion@lambethpct.nhs.uk Service Description: There are two aspects to this service. 1. Bladder & bowel assessments undertaken by generic nurses for housebound adults, children and adolescents through the general adult community nursing and childrens nursing teams with a focus on the promotion of continence. Children with special needs and enuresis can be referred to the childrens bowel and bladder service. 2. A Continence Specialist Nurse providing training, advice & support to generic nurses across the borough. In addition providing a specialist service on referral directly to clients in clinics venues across Lambeth. Contacts Housebound adults: Referral details see adult community nursing service. Page 12 of 23

13 VERSION 3-15 th Continence Specialist Nurse: Referral preferred via secure Telephone Childrens bladder and bowel clinics (including enuresis) Referrals in writing to: Bowel and bladder service Mary Sheridan Centre For Child Health Wooden Spoon House 5 Dugard Way Kennington SE11 4TH Homeless Team (Three Boroughs Primary Healthcare Services) Service description: Provides health care services to single, homeless adults. The team runs open-access nurse-led health clinics in homeless hostels and day centres. The core business of the team is to facilitate and provide joint working between homeless and mainstream services. Location: Riverside Medical Centre, Unit 16, Hobart House St.George Wharf, Wandsworth Road, Vauxhall SW8 2JW Contact /opening times Tel: For information: IAPTS LCH employs 6 psychological wellbeing practitioners (PWPs) who work jointly with SLAM IAPT. SLAM manage the staff rota s, supervision and triage the referrals. The team are based with SLAM but work across LCH and other health and voluntary sector sites in Lambeth. The PWP s provide brief evidence based psychological interventions to people with mild to moderate depressions and anxiety problems. They also provide guided self help to people with anger, self esteem, eating problems and sleep difficulties. Page 13 of 23

14 VERSION 3-15 th Exclusion Criteria Under 18, people who live outside of Lambeth or are not registered with a Lambeth GP. People with serious mental illness where this is the primary presenting problem. People with substance misuse problems where this is the primary presenting problem People with a diagnosis of Personality Disorder People who are actively suicidal as this is not a crisis service (offenders on an ACCT will be assessed on a case by case basis as to whether they are suitable) People with difficulties where CBT is not the indicated treatment Contacts: central referral contact point, based at Dalbury House in Brixton. Tel: and fax number Musculoskeletal Clinical Assessment, Trial and Treatment Service (MCATTS) Musculoskeletal Physiotherapy Service Description: clinical assessment and treatment service for musculoskeletal conditions Location(s) and contact details Guy s & St. Thomas 3 rd Floor Lambeth Wing St. Thomas Hospital Westminster Bridge Road SE1 7EH Tel: Fax: gst-tr.mcats@nhs.net Kings College Hospital Therapy suite, 1 st floor Golden Jubilee Wing Denmark Hill, London, SE5 9RS Tel: Fax: kch-tr.mskcats@nhs.net Joint Assessment Clinic 47a Pulross Road, London SW9 8AE Telephone: Fax: lam-pct.mcatts@nhs.net Crystal Palace Physiotherapy & Sports Injury Centre, Jubilee Strand, London, SE19 2BB Tel: Fax: bevan.ellis@nhs.net Service description: Community musculoskeletal out patient service (Block contract) Page 14 of 23

15 VERSION 3-15 th Location: Pulross and Lambeth Community Care Centre cover whole borough. Urgent patients all seen within 3 days Contact: Fax referral form to service centre Phone with urgent referral/ for advice also via service centre MyAction Service Description: Lambeth MyAction service delivers an intervention to patients, and their families, who are identified as very high-risk of developing CVD but have not yet had a cardiac event. These individuals are identified after having an NHS Health check either at their GP practice or in a community setting, carried out by the NHS Health Checks outreach team. They and their partners are offered the programme in a community health centre or other convenient community venues. The MyAction is a 8-12 week programme delivered by a multidisciplinary team of a lead nurse, dietitian and physical activity specialist. The programme covers the following topics:- Lifestyle Habits (smoking, diet, physical activity) Cardiovascular Risk Factors (anthropometrics, blood pressure, blood lipids and blood glucose) Cardio-protective Medications Psycho-social Factors (Health Related Quality of Life, Anxiety and Depression, Illness and Risk Perception) Family and Social History presentation of cardiac symptoms and medical history Contact Name: Jacqueline Quinn Telephone: lam-pct.myaction@nhs.net Page 15 of 23

16 VERSION 3-15 th NHS Health Checks Outreach team Service Description: This is a team of two specialist nurses who offer CVD risk assessment and advice aiming to reduce the risk factors of those vulnerable to developing vascular disease and to detect early indication of disease. The service is targeted at adults (male and female) between the age of 40 to 75 years who reside in Lambeth or who are registered with a Lambeth General Practitioner (GP) and who have no previous diagnosis of cardiovascular disease. Most of the health checks are provided through general practice, however, the LCH service has adopted an outreach focus with clinics are provided in various locations around Lambeth to maximise access for hard to reach groups. The checks involve: Risk assessment - will constitute questions to establish factors in individuals family history, lifestyle and other conditions that may affect their levels of risk - Appropriate tools and methodologies, using Near Patient Testing to measure individuals physical indicators of risk of Cardiovascular Disease - Use of JBS2 tool to calculate the individuals level of risk Communication of risk and advice on how to reduce/manage the risk Onward referral - to general practice and behaviour change interventions for individuals at high risk (>20%) in order to obtain support to manage the risk Nutrition and Dietetics service Contact Name: Tessa Thomas Douglas or Thelma Bangura Telephone: / lam-pct.nhshcteam@nhs.net Adults Currently the Lambeth Community Adult Nutrition & Dietetics service can see the following patients: Care home/nursing home residents Page 16 of 23

17 VERSION 3-15 th Patients unable to leave their home who require a home visit Contact Sophie Beverly, Specialist Dietitian Lambeth Community Health Whittington Centre Rutford Road SW16 2DQ Tel (direct): Fax: sophie.beverly@lambethpct.nhs.uk / sophie.beverly@nhs.net (for referrals) Children Community Paediatric Dietitian (Children with Special Needs) Community based working with children with special needs to improve their nutritional status. Working with special needs schools, parents, carers, community paediatricians and other health professionals. Ensure that children with special needs have optimum nutrition, which will prevent complications leading to morbidity and mortality. Contact Adriana DeAlmeida Tel: / Fax: Adriana.DeAlmeida@lambethpct.nhs.uk Early Years Nutritionists and Dietitians (Children s Centres) The main aim of the team within the children's centres is to improve the nutrition of children between the ages of 0-5 years old. This also includes their families, siblings and pregnant mothers. Page 17 of 23

18 VERSION 3-15 th Children can be seen for various nutritional problems including fussy eating, faltering growth, feeding problems/difficulties and general healthy eating etc. Contact Early Years Nutritionists: North Locality: South East locality: South West locality: Ophthalmology Glaucoma Referral Refinement Scheme Service Description: Optometrists perform additional tests to confirm suspicious IOP measurements to inform whether patients with suspected chronic open angle glaucoma should be referred to ophthalmology GP referral criteria: Patient with suspected chronic open angle glaucoma How to refer: GP referral Location(s): TBC Cataract Pathway Scheme Hypertension: Blood Pressure monitoring Service Description: Optometrists are able to directly refer patients with suspected cataract to ophthalmologist GP referral criteria: Patient suspected for cataract How to refer: patient self referral, GP referral Location(s): TBC 4296 Service Description: A blood pressure screening service targeted at Black-African and Black- Caribbean males over 30 years old who are registered with a Lambeth GP practice Referral criteria: Patient suspected for chronic open angle glaucoma How to refer: Patient self referral Location(s): Participating optometrists Contacts: For list of participating optometrists NHS Lambeth Optometry services Tel: , Page 18 of 23

19 VERSION 3-15 th Paediatric Audiology Clinic Service Description: This is a second tier clinic. Administration based at Mary Sheridan Centre, but clinics are held at Gracefield Gardens and Mawbey Brough Health Centres. Contact Audiology Admin: Tel Fax: Clinician in charge: Dr. Petra E. Mitchinson: Tel petra.mitchinson@lambethpct.nhs.uk Referral criteria Children aged 6 months 17 years (or 19 years if Special Needs and in full time education) registered with a Lambeth GP. Exclusions: Babies under 6 months of age Children who are so severely disabled that they are unlikely to be able to participate in any type of behavioural hearing test Children who use, or are known to require, hearing aids Children who are referred because they recently suffered bacterial meningitis or a skull fracture Referrals should be made using the Audiology referral form. Podiatric Surgery Service description: alternative to orthopaedic foot and ankle surgery based in the hospital - operate under local anaesthesia on a daycase basis. Location: Pulross Centre Contact: Tel podadmin@lambethpct.nhs.uk Fax: Podiatry Service Description: The Foot Health Service provides expertise in diagnosis, prevention and treatment of foot / ankle disorders for the population of Lambeth. Location: Foot Health Office, Round House and Whittingdon Centre, Rutford Road, Page 19 of 23

20 VERSION 3-15 th Streatham, SW16 2DQ Popodaediatric Refugee Health Team LSL (Three Boroughs Primary Healthcare Services) Contact details: Send referrals to: Railton Road Health Centre, Railton Rd, London, SW24 0LT Tel: Fax: Service description: Developmental issues for children and their gait. Part of podiatry service. Contact: see podiatry Service description: A multi-disciplinary and outreach NHS specialist team which provides holistic care assessment and health care to refugees, asylum seekers and new migrants from the A2 & A8 countries. They also identify and address difficulties preventing access to health services, reducing the inequalities facing our clients and preventing social exclusion Location: Gracefield Gardens Health and Social Care Centre, 2-8 Gracefield Gardens, London SW16 2ST Contact Opening times: Tel: For information: Renal Funded until March 2011 Service Description: The service: triages referrals to ensure patients are managed in the most appropriate location carries out blood pressure checks and monitoring manages, treats (including intravenous iron as required) and educates identified patients about their condition educates and supports practices to manage patients with egfr within certain thresholds in primary care Referring GP will be expected to have undertaken a routine initial assessment including diagnostic Page 20 of 23

21 VERSION 3-15 th tests Operates Tuesday Friday Reproductive and sexual health clinics Contacts: Patsy Cobham, Clapham Family Practice Direct line: Fax: Service description: Sexual & reproductive health clinics offer a full contraception service as well as testing and treatment for sexually transmitted infections and information and referral for abortion, cervical smears, emergency contraception, HIV testing, sexual health information and referral for many other specialist services including Psychosexual & Menopause. Location Kings RSH, 100 Denmark Hill, Camberwell, SE5 9RS Lambeth RSH see below for details Lambeth RSH offer a walk-in service at the following times and sites: Streatham Hill Monday 11-8pm; Tuesday 11-5pm;; Thursday 11-8pm; Friday 11-4pm; Saturday pm Wednesday Young Persons clinic for 20 and under 3-6pm Vauxhall Riverside Monday pm; Tuesday pm; Appointment service available at the following times and sites: Streatham Hill Tuesday pm & 6-8pm; Wednesday 11-2pm; Thursday pm Vauxhall Riverside Wednesday pm; Friday 11-1pm & pm Page 21 of 23

22 VERSION 3-15 th Clapham Manor H.C Tuesday pm Wednesday pm Referrals We accept referrals including for: Menopause, Psychosexual, IUD and Implant insertions and removals Free Self-service available at Streatham Hill Asymptomatic clients can vend from the vending machine the following items without seeing a HCP: Condoms, Pregnancy testing kits, Chlamydia and gonorrhoea testing kits Contact For opening times call Lambeth RSH Telephone: Kings Telephone: Lambeth RSH web site Sickle cell Service description: provides specialist nursing service to screen for and help manage individuals with sickle cell, thalassaemia and similar haemoglobin types. Genetic counselling to support the local screening programmes, care advice, monitoring and support for individuals affected by these conditions. Location: Wooden Spoon House, 5 Dugard Way, Kennington, SE11 4TH Tissue viability Contact Opening times: Telephone: Service description: A specialist nurse advisory service, offering telephone advice and home visits for patients with difficult to manage wounds Page 22 of 23

23 VERSION 3-15 th Tuberculosis Team (Three Boroughs Primary Healthcare Services) Location: Block B, Dulwich Hospital, East Dulwich Grove, East Dulwich, London, SE22 8PT Contact: Caroline Hunter, , Service description: A multi-disciplinary team which provides support and care to TB patients and their families/carers. The team is based in the chest clinic at the three major hospitals across Lambeth, Southwark and Lewisham. Locations and contacts Kings College Hospital Team: Flat 7, Binfield Court, 111 Coldharbour Lane, London SE5 9NT Telephone: St Thomas Hospital Team: Chest Clinic, 1 st Floor, Lambeth Wing, Westminster Bridge Road, SE17EH Telephone: Lewisham Hospital Team: Lewisham High Street, London SE13 6LH Telephone: ext 6186/6349 Ultrasound Funded until March 2011 For practices within SACH PBC consortium only If you have Service Description: ultrasound scan service (obstetrics and gynaecology) Location: Clapham Family Practice and Gracefield Gardens Contact: For details of service and referral procedure contact jim.stock@gp-g85011.nhs.uk Page 23 of 23