Emergency care
Emergency care includes ambulatory emergency care (AEC) and same-day emergency care (SDEC)
What we do
Both hospitals
The ambulatory emergency care (AEC) service is available at both sites and offers high-quality same-day emergency care (SDEC). We aim to ensure that nobody stays in hospital overnight if they are able to go home safely, which means that you will be assessed, diagnosed and treated as an outpatient. We can ensure that any care you need is started quickly, with easy access to specialist clinicians and a range of diagnostic tests.
Chelsea and Westminster Hospital
Chelsea and Westminster AEC provides the following services:
- Medical Same Day Emergency Care: A one-stop service to assess, investigate, diagnose and treat patients, with discharge to their GP, referral for urgent specialist input or admission on the same day
- Surgical/Urology Same Day Emergency Care: Surgical and urology patients with specific conditions who meet the AEC streaming criteria are treated through an ambulatory pathway and managed and optimised for surgery where required
- Hyperemesis Gravidarum Treatment: We care for pregnant women experiencing excessive and persistent nausea and vomiting during early pregnancy. Care is led by our Acute Gynaecology service and we work closely with the Early Pregnancy Assessment Unit (EPAU) – refer to our EPAU webpage for more information
- OPAT (Outpatient Antibiotic Therapy): Our OPAT service oversees outpatient treatment with intravenous antibiotics. Our aim is to support safe early discharge and avoid unnecessary admissions
- Virtual Consultations: We provide telephone consultations for patients who may require a virtual review, follow-up, discussion of results or ongoing support
- GP Advice Service: We provide telephone advice to local GPs to help patients stay well and avoid unnecessary hospital admission, while providing direct access to urgent medical input where needed
- Nurse-led Service: Our nurses care for patients who require treatment for chronic conditions, including biologic infusions, venesection, blood transfusions and some specialist endocrine tests
- Acute Diagnostic Oncology Clinic (ADOC): A service for patients with a suspected cancer diagnosis who are not well enough to wait for a standard two-week referral but are well enough to attend an outpatient appointment – refer to our Trust’s ADOC webpage
We work closely with other hospital departments, including the Emergency Department, medical and surgical specialties and Clinical Imaging, to ensure access to same-day diagnostics and provide the best possible patient care and experience.
Our team
Dr Jonathan Downing (C&W) and Dr Craig Leaper (WMUH) are the Acute Medical Consultants leading our multidisciplinary team, supported by Unit Managers Jhannet Castillo (C&W) and Juan Xu (WMUH), Matron Dean Judd across both sites and Service Manager Sree Brahmapuram.
Our team comprises staff from a range of professional backgrounds, including consultants, physician associates, registrars and junior doctors, microbiology staff, advanced clinical practitioners, nurses, administrative staff and pharmacists, with input from a range of medical specialties.
Contact
Chelsea and Westminster Hospital
We are located on the ground floor near Lift D.
Our services run:
- Mon–Sat, 8am–8pm
- Sun and bank holidays, 9am–5pm
T: 020 3315 3564
West Middlesex University Hospital
We are located in Outpatients 1 at the front of the main hospital building, next to the WHSmith shop.
Our services run:
- Mon–Fri, 8am–8pm
- Saturdays, Sundays and bank holidays, 9am–5pm
T: 020 8321 5966