Paediatrics

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Paediatric Hot Clinic

Access to Paediatric Hot clinics is through the advice and refer service via eRS. A Paediatric consultant is reviewing these GP requests for hot clinic through eRS and these are answered within 48 hour

The Paediatric HOT Clinic is a general paediatric outpatient clinic for children aged 0–16 years who require an urgent paediatric specialist opinion within 14 working days.

It is intended for children who are not unwell enough to require same-day attendance at the emergency department, but who cannot wait for a routine outpatient appointment.

The clinic is run by Paediatric Registrars supervised by Paediatric consultants, Monday to Friday mornings, in the Paediatric Outpatient Department.

Patients referred to the HOT clinic will be seen within 2 weeks.

Exclusion criteria (as outlined on e-RS)

Acutely unwell children should be referred directly to the Children’s Emergency Department at Queen’s Hospital.

Suspected cancers or patients requiring review within 48 hours should be referred to the CYPAU registrar.

Contact number: 01708 435000 ext. 6172

Paediatrics

The access to Paediatric General clinics and sub-specialty clinics is through the advice and refer service via eRS, a paediatric consultant is reviewing these GP requests through eRS and these are answered within 48 hours.

The patients are triaged into either hot clinics, general paediatric clinic or any sub-specialty clinics. The General paediatric clinic and specialty clinics are run as out-patient clinics for children aged 0-16 years who require non-urgent paediatric specialist opinion including all sub-specialties.

General Paediatrics
Paediatric Cardiology
Paediatric Diabetes (including an insulin pump service)
Paediatric Endocrinology
Paediatric Gastroenterology
Paediatric Clinical Haematology
Paediatric Medical oncology
Paediatric Clinical Immunology and Infectious Diseases
Paediatric Nephrology
Paediatric Neurology
Paediatric Rheumatology
Paediatric Respiratory (including cystic fibrosis)

Exclusions

• Acutely unwell children should be referred to Children’s Emergency Department at Queens Hospital

• Suspected Cancers or patients who need to be seen within 48 hours should be referred to CYPAU registrar contact number is 01708435000 ext 6172

• Psychiatric Problems including Eating Disorders.

• Conditions managed in the community such as ADHD, Autism, Incontinence, Speech and Language , Audiology , Paediatrics Dietitian , Physiotherapy , Podiatric ect.

• Behavioural Issues should be referred to Community or Mental Health services depending on the age of the child.

• Paediatric Dermatology – Should be referred directly to the Peadiatric Dermatology Service either in community or secondary care depending on the case.

• Paediatric ENT/ Surgery / Urology/ Orthopaedics / Gynaecology / Ophthalmology / Maxillo-facial – Should be referred directly to the respected service.

• Paediatric Burns/Plastics – Please refer directly to Broomfield Hospital.

• Pain Management Clinic

Alternative services

Developmental , mental health and behavioural issues consider referring to Community Paediatrician and CAMHS.
Barking and Dagenham -Axe Street – Child and Family Centre- BDSpCommChildren@nelft.nhs.uk
Havering – The Acorn Centre - enquiriesacorncentre@nelft.nhs.uk
Redbridge - The Grove - Paediatrics.redbridge@nelft.nhs.uk
Eating disorders should be referred to - eating.disorder@nelft.nhs.uk or 0300 555 1216 (Mon-Fri, 9am - 5pm)
Any suspected skin cancer refer to dermatology department on 2WW pathway.
Any suspected breast cancer, refer to Breast clinic on 2WW pathway.
Any paediatric surgical case, please refer to paediatric surgeon at the RLH.