WEXHAM PARK HOSPITAL (WPH) - FRIMLEY NORTH

MEDICINE (WPH)

Ambulatory Emergency Care Unit (AECU) 

Mon - Fri:

09.00 – 22.00

Wknds & BH:

09.00 - 21.00

07384 527 685
or via switchboard 
(0300 614 5000).

(Outside of these hours calls are taken by the site manager available through switchboard - 0300 614 5000 or on-call Med Reg via switchboard Bleep 4724).

ALL referrals to Acute Medicine & Ambulatory Emergency Care (in the hours specified) need to go via the referral line (07384 527 685).

After acceptance, please complete the referral form available on DXS under ED and Urgent Care Landing Page and email to: Ambulatory medical referrals

For Practices that do not have DXS click here for the AECU referral form. 

Senior medical presence cannot always be guaranteed on the unit.

* PLEASE NOTE - You MUST call the above number first. The AECU is NOT a walk-in service.

AECU Inclusion Criteria:

All medical conditions will be considered for referral. If uncertain whether a patient is suitable for referral, discuss the case with the AECU / Medical team (Registrar or Consultant available via the referral line if needed).

AECU Exclusion Criteria:

· Any patient presenting  with a time critical condition, requiring immediate treatment upon arrival at hospital, MUST continue to be pre-alerted to ED.
· Any patient with suspected (or confirmed) Covid-19 symptoms e.g. 'Flu-like illness; New onset dry, persistent cough; Fever.
· Any patient presenting with a frailty syndrome should be referred via the Community Frailty Assessment Pathway.
· Abdominal pain.
· Active cardiac chest pain with or without ECG changes.
· Active diarrhoea.
· Active PR bleed.
· Lower Back pain.
· Complications following a recent surgical procedure.
· Fall with suspicion of fractures, multiple fractures or c-spine tenderness.
· Head injury.
· Acute confusion or Mental health problems.
·Suspected Neutropenic sepsis.
· Pregnant patients presenting with PV bleeding or a condition best managed by maternity.
·Under 16 yrs old (or 16-17 yrs and known to the paediatric team).
·Urinary retention.
·Patients seen in an outpatient setting with a documented decision to admit by their speciality team.
·Any other presentation considered unsuitable for referral, by the AECU/medical team

SURGERY (WPH)

Ward 2 –Surgical Emergency Unit- SEU

Mon-Fri: 08:00-20:00

GP Referrals -08:00-18:00(if outside these hrs, pts. will be directed to ED)

Location: Ward 2

Advanced Clinical Practitioner:

07468 354436

(Outside these hours calls are taken by the Surgical SHO on-call Bleep 4422 via switchboard – 0300 614 5000).

ALL Acute referrals to General Surgery should go via this number

(07468 354436).

This phoneline takes ALL Acute referral calls for General Surgery and Urology and will decide if appropriate for ED or SEU. Please see below SEU inclusion/exclusion criteria

SEU Inclusion Criteria:

- General Surgical and urology presentations. 

- Breast problems:

• Postop wound and drain problems including haematoma, seroma, infection, wound breakdown etc.
• New symptoms of breast infection (lactational or non-lactational mastitis) or abscess. For lactational beyond the first 4 weeks (midwives have contact with women postnatally until 28 days)
• Acute Abdominal Pain in Children & Young People (CYP) - Age 5 years and above

SEU Exclusion Criteria:

• Acute Head Injury (requiring neurological observations)
• Suspected AAA ruptures/leaks (unless ruled out by CT)
• Unstable spinal injury(requiring log rolling or brace)
• Orthopaedic, Gynaecology or Medical patients
• Paediatrics (children under 16 years)
• Elective admissions. * Exception Acute Abdominal Pain in Children & Young People (CYP) - Age 5 years and above 
• Terminally ill patients (i.e. transfers from hospice)
• Patients with/or requiring epidurals/PCA/nerve block
• Patients on cardiac monitors

If the trust is under extreme pressure these patients will be individually assessed for suitability by the Emergency Surgical Team (EST) consultant or Registrar)

If the patient is clinically unstable or no space in SEU the patient will be booked into ED. 

GYNAE (WPH)

Urgent Gynae Care Centre (UGCC)

Previously known as: Early Pregnancy Unit (EPAU/EPU).

Location: 

Gynaecology Outpatients Department

7 days a week:

Mon - Sun

08:00 - 20:00

Early Pregnancy/UGCC : 0300 615 4429

For Early Pregnancy: Please complete referral form on DXS and email to: fhft.earlypregnancyandugccwph@nhs.net

Once received, the team will then contact the patient to attend. 

For Practices that do not have DXS click here for Early Pregnancy Referral Form 

**PLEASE NOTE  UGCC/Early Pregnancy IS NOT a Walk in Service

Early Pregnancy

UGCC Inclusion Criteria:

· Up to 15+6 weeks. From 16 weeks onwards, send to maternity assessment centre (MAC) (phone: Wexham Park- 0300 615 4520). 
· Please do a urine pregnancy test and ensure patient is pregnant. 
· If possible send Serum HCG and Serum Progesterone. This helps to speed up diagnosis and discharge.

Emergency gynaecology

UGCC Inclusion Criteria:

· Over 16 years of age.
· Any gynaecology related symptoms that need urgent management.
· Post operative patients up to 14 days with surgical related complications (not for suture removal)
· Only mobile, stable and independent patients.
· Bleeding after recent pregnancy where retained products of conception is suspected.
·Acute Batholin’s abscess

UGCC Exclusion Criteria:

· Pregnancy more than 16 weeks – Please refer to MAC.
· Haemodynamically unstable patients.
·Any suspected surgical or medical patients.
· Post-menopausal bleeding   - Please refer to rapid access clinic.
· Any patient who is not mobile and independent and cannot sit unaided in a chair.    

PAEDIATRICS (WPH)

Paediatric Ambulatory Unit/Advice Line (PAU)

24/7 

Location: PAU

Call 07919 175 643. Mon-Fri 09:00 - 18:00 (GP hotline)

Out of hours - Please call via the Switchboard (0300 614 5000) and ask for the Paediatric Registrar Bleep 4516.

Paediatric Advice and Urgent Referral Process Flow Diagram- July 2021

All Acute Referrals to Paediatrics: 07919 175 643

All referral calls will be answered and either accepted for same day care or advice will be given. Please see below for inclusion/exclusion criteria.

Inclusion Criteria:

• All acute medical referrals of children and young people up to the age of 16 years will be considered apart from the exceptions below. If uncertain whether a patient is suitable for referral, please discuss the case with the Paediatric Consultant Hotline - 07919 175 643.

• Please refer young people between 16-18 years with a new diagnoses of Diabetes or Cancer, or who present with a problem related to a condition for which they are still under Paediatric Outpatients.

Exclusion Criteria:

• Young people between 16-18 years  (see above)

• Time-critical conditions, requiring immediate treatment upon arrival at hospital. Please send them to ED. In these cases ED must be pre-alerted.

• Babies under 10 days of age with feeding difficulties or jaundice are usually seen on the Post Natal ward.

OTHER WPH urgent care services can be found here: https://www.fhft.nhs.uk/gps/gp-centre/urgent-advice(including the Frailty details below):

FRAILTY (WPH)

Integrated Frailty Liaison Team

Mon - Sat:

07:30 - 18:00

Sun:

07:30 - 16:00

Consultant: 07787 275775

Email:fhft.frailtyteamwexham@nhs.net

All referrals should go via this number.

This phone line takes referral calls for anyone over 65 years and will decide whether appropriate for ED or Frailty team.

• Patients aged over 65 years who score positively on the Frailty Indicator tool, with a Rockwood score of 5 and above:

• Frail

• Reduced mobility

• Altered level of consciousness

• Incontinence

• Lots of medication

• Patients aged over 65 years from a care home

• Patients aged over 90 years with co-morbidities

Exclusion criteria

• Aged 65 or under

• Single organ pathology with clear specialty need*

• Suspected patients with TIA/stroke

• Chest pains /ACS

• Head injury with LOC,

• Suspected fractured NOF

• Ischaemic Limb

 EMERGENCY DEPARTMENT (ED)

EMERGENCY DEPARTMENT (ED)

If you are referring to SDEC please ensure that you follow the appropriate referral process and if you direct to specialty, please ensure that the speciality has accepted the patient before sending them with a letter.

A referral form is now available on DXS for ED. This has been developed to improve communication between primary and secondary care and should follow a phone call being made to the specialist and not be instead of. It ensures patients being referred to hospital as an emergency have the relevant supporting documentation and ‘hand over’ from primary care colleagues.

The form can be found on DXS Landing Page “ED and URGENT CARE” or can be found by searching with the terms “FHFT ED”, “Emergency”.

The ED form has an option at the top for users to choose which site they would like to refer to and the respective email address for WPH or FPH, the form. This form can be emailed directly from DXS to the specified ED nhs.net inbox these inboxes are:

FPH: fhft.fphed@nhs.net

WPH: fhft.wphemergencydepartment@nhs.net

This is a Minor Injury service only.

Patients with minor illness that attend will be assessed and redirected to their GP practice or pharmacy.

The minor injury service is led by specialist nurses with prescribing capability. The clinicians provide telephone and video consultations in addition to face to face.

The service accepts walk-ins, but if possible, please contact the clinician in charge via the mobile number 07773 018190 to support virtual management or a booked appointment.

Some common conditions or illnesses that can be treated at Bracknell Urgent Care Centre include: 

Sprains and strains

Suspected fractures and broken limbs

Minor head injuriesCuts and grazesBites and stings

Minor scalds and burns

Ear and throat infections

Skin infections and rashes

Eye problems

Coughs and colds

Feverish illness in adults

Feverish illness in children

Abdominal pain

Vomiting and diarrhoea

Emergency contraception

We are unable to see patients for the following:

Long standing medical conditions that are managed by a patient’s own GP

Dental problems

Sick notes/fit notes

Repeat prescriptions

Strong analgesia, benzodiazepines, antipsychotics, sleeping tablets or specialised medications prescribed by a consultant