Information for health professionals Nelson Health Centre, Kingston Road, London, SW20 8DB www.mertonccg.nhs.uk/nelson Contents Outpatient services Making a referral Eligibility Diagnostic services What to expect as a referrer Benefits of referring to the Nelson Transport advice for patients page 2 page 2 page 3 page 3 page 4 page 5 page 6 Useful phone numbers Nelson Health Centre general enquiry line 020 3668 3300 Nelson Health Centre Outpatients Appointments Hotline for GPs 020 3668 3337 St George's University Hospital NHS Foundation Trust Moorfields Eye Hospital NHS Foundation Trust (ophthalmology) 020 3668 3341/2/3 (enquiries) 020 8725 1794 (appointments) 020 8266 6332 Nelson Pharmacy 0208 540 6141 Sutton and Merton Community Services 0845 567 2000 SWLStG Older People’s Memory Clinic 020 3513 6301 SWLStG Merton Recovery and Support Team 020 3458 5596 SWLStG Eating Disorders 020 3513 6747 Outpatient services Outpatient services at the Nelson are provided by St George’s University Hospital NHS Foundation Trust and Moorfields Eye Hospital NHS Foundation Trust (sub-contracted by St George’s), giving access to a wide range of consultant-led services locally to the community in Merton. The Nelson Health Centre provides a world-class setting for the people of Merton to receive high-quality secondary and tertiary care outside of hospital. Outpatient services available Anti-coagulation Ophthalmology Cardiology Plastic Surgery Colorectal surgery Respiratory Dermatology Rheumatology Diabetes Trauma and orthopaedics (see below) Gastroenterology Upper G.I. Endoscopy (see Diagnostic Services) Urology Gynaecology Vascular Trauma and Orthopaedics clinics currently available are: Hand, wrist and elbow Soft tissue knee and knee replacements Foot and ankle Hip and back Hip and knee Making a referral You can refer to outpatient services using Choose and Book (excluding endoscopy – see over) or referral forms available on the Merton CCG intranet and website. Intranet: http://nww.mertonccg.nhs.uk/Primary%20Care/Nelson%20Referrals/Forms/AllItems.aspx Merton CCG website: http://www.mertonccg.nhs.uk/Local-Services/the-nelson/Pages/GP-information.aspx Referrals (excluding Ophthalmology) can be emailed to stgh-tr.ref1@nhs.net Ophthalmology referral forms should be emailed to meh-tr.nelsonmoorfields@nhs.net Patients with suspected cancer should not be referred to the Nelson Health Centre and should be referred through the usual 2WW channels. Contents correct as of January 2016 2 Eligibility Diagnostic services are available to all Merton CCG patients aged 16 years or over (with the exception of phlebotomy, which can see younger patients, and endoscopy, for which patients must be aged 18 or over). All other services are available to all Merton CCG patients aged 18 years or over Diagnostic Services Diagnostic services are provided by St George’s University Hospital NHS Foundation Trust. With the exception of endoscopy, the diagnostic services listed below can be requested electronically using TQuest, the St George’s Ordercomms system, which most practices now have installed. Using this service, the results are returned to the practice electronically. Diagnostic services available Phlebotomy Echo and electrocardiogram Endoscopy (OGD and flexi sig) A walk-in phlebotomy service is available Monday to Friday 8am-8pm, and Saturday mornings. Blood tests (for the SWL Pathology service) can be requested on TQuest. The service also accepts the St Helier Hospital DART forms, with these samples being sent to St Helier Hospital Pathology services for testing. The service is available for patients aged 10 and over, although children over the age of 5 and under the age of 10 can be seen if an appointment is pre-booked. In addition to TQuest, this service can also be requested using the referral form on the Merton CCG intranet or website http://www.mertonccg.nhs.uk/Local-Services/the-nelson/Pages/GPinformation.aspx The service is available for patients aged 16 and over. Please use the referral form on the Merton CCG intranet or website http://www.mertonccg.nhs.uk/Local-Services/the-nelson/Pages/GPinformation.aspx The service is available for patients aged 18 and over. Ultrasound Ultrasound can be requested on TQuest. The service is available for patients aged 16 and over. X-ray A walk-in X-ray service is available Monday to Friday 8am-8pm, and Saturday mornings. X-Rays can be requested on TQuest. The service is available for patients aged 16 and over. Contents correct as of January 2016 3 What you can expect as a referrer Patients will be seen and treated in consultant-led services with the same clinical teams that they would be seen by at St George’s Hospital. Diagnostic services can be requested electronically using the St George’s Ordercomms system, TQuest, and the results are returned to the practice electronically. Within five working days of attendance at the Nelson Health Centre, there will be written communication, to both the patient and referring clinician, of the assessment findings and the subsequent management plan. Any follow-up procedure, investigation or appointment which forms part of the management plan agreed with the patient should be scheduled with the patient as part of the consultation, or immediately following it. If a Specialist Service recommends a new or urgent (needed within 14 days) medication for the patient then they will be provided with a prescription for four weeks’ supply. All medication is prescribed on FP10. If the Nelson Health Centre rejects a referral as being outside of the scope of the services offered there then this will be communicated to the referring clinician within two working days of receipt of referral. Contents correct as of January 2016 4 Benefits of referring to the Nelson Waiting times are generally shorter than at other providers in South West London Outpatient services in the Nelson Health Centre are consultant-led Consultants have access to on-site diagnostics Patients who have already used the services have rated them as exceptional There is an on-site pharmacy designed to complement the services on offer in the Nelson Patients have access to a modern, award-winning building with state-of-the-art facilities Due to local pricing agreements, the Nelson offers fantastic value for money, supporting our wider improvement plans for primary healthcare in Merton The Nelson is available to all Merton CCG patients regardless of where in the borough they live Financial Benefits The tables below show the locally negotiated price comparisons for referrals to the Nelson in five high-volume specialties. Utilising our Nelson contract fully will mean more money to spend on other patient services both now and for the future. First outpatient attendance StG ESTH KH Nelson Trauma and orthopaedics £144 £142 £144 £121 Ophthalmology £126 £124 £126 £113 Cardiology £199 £196 £198 £168 Dermatology £126 £124 £126 £100 Gynaecology £159 £156 £158 £138 Trauma and orthopaedics £85 £83 £85 £64 Ophthalmology £72 £70 £71 £61 Cardiology £112 £110 £111 £85 Dermatology £82 £81 £82 £56 Gynaecology £97 £95 £97 £79 Follow-up attendance Contents correct as of January 2016 5 Transport advice for patients Please note that information leaflets aimed specifically at patients can be ordered from Merton CCG. The centre is a 5 minute walk from Wimbledon Chase train station and a 10 minute walk from Merton Park tram stop. The centre is easily accessible by bus from Wimbledon, Sutton, Morden, Tooting and Mitcham; buses 152, 163, 164, K5 stop directly outside the centre. There is parking on site; car parking charges are lower than at local hospitals. Contents correct as of January 2016 6