Types of acute conditions we treat in AAU

Our Acute Admissions Unit is an instant, clinical referral system for patients who require an urgent, general medical or surgical consultant review. Available 24 hours a day, 7 days a week, this acute service offers access to a rota of consulting physicians and surgeons working on an on call basis. 

When we first opened our Acute Admissions Unit in 2012, it was to fill a much needed service for our patients who became ill outside of our standard clinic and surgical hours and needed urgent but not emergency treatment. Our acute patients will stay in the unit on a short term basis for treatment, they will then be discharged after treatment or transferred into the main hospital for further treatment.

Call our dedicated GP line for AAU admissions on 020 7483 5999   

Respiratory Conditions

If you are experiencing breathlessness or difficulty in breathing, the acute admissions unit will bring in a respiratory physician to assess your condition.

With access to on-site X-ray facilities and its own lung function laboratory, the Acute Admissions service offers a complete initial assessment of your problem, medical assistance to ease your symptoms and referral on for investigations required to diagnose or treat your symptoms

About our lung function service

Types of respiratory conditions include:

  • Asthma
  • Chest Infections
  • Pleural Effusions
  • Pneumonia
  • Pneumothorax
  • COPD 

 

Abdominal Conditions

Some of the common abdominal symptoms our patients present will include;

  • Unknown Abdominal pain
  • Bloating
  • Nausea and vomiting 
  • Diarrhoea and constipation 
  • Fevers
  • Jaundice 
  • Loss of appetite
  • Gastroenteritis

The acute admissions unit has a rota of physicians specialising in Gastro Intestinal care and access to onsite imaging services, to help diagnose conditions related to the abdomen.

If urgent surgery is required, such as an appendectomy, an on-call surgeon is available to operate at short notice.   

More about our GI Service

 

 

Cardiac Conditions

In most circumstances your GP will refer you to the nearest emergency department for urgent cardiology conditions. However if you have a known history of existing cardiac symptoms,that are being monitored, or you are a previous patient from our cardiac department your GP may refer you to our acute admissions unit.

The main conditions we treat include:       

  • Chronic Chest Pain
  • Left ventricular failure
  • Unstable angina

Please be aware we do not have a walk in urgent care centre, and should you have crushing chest pain, we will advise your GP to send you directly to the local emergency department. 

About our Chronic Chest Pain Clinic

Our chronic chest pain clinic (CCPC) provides a quick and early specialist cardiology assessment for patients with chronic chest pain thought likely to be stable angina. Our clinic is a fast route of entry into cardiology services for patients with suspected coronary artery disease.

This consultant-led clinic, enables a rapid and definitive assessment of symptoms and investigations and results in either the initiation of treatment or the swift reassurance of patients without pathology.

How do I access the CCPC?

Your GP will need to refer you via our Acute Admissions Unit.The clinic is available from Monday to Friday 0900 until 18:00. All patients are offered an appointment within 24 hours of referral, with appointments given over the telephone.

What conditions do you treat?

We care for patients with:

  • Stable angina which is typically characterised by episodes of substernal chest pain /discomfort related to activities that increase myocardial oxygen demand and in most cases is due to gradual occlusion of the coronary arteries by arethroma.
  • Ischaemic heart disease and worsening symptoms who need urgent assessment.
  • Atypical Chest pain with 2 more risk factors for Chronic Artery Disease.

Please be awarePatients with suspected myocardial infarction (MI) or acute coronary syndromes should go directly to A&E. These include symptoms such as sudden chest pain, new severe chest pain, or a change in the pattern of previously stable angina.

Consultant Cardiology Team

Dr Raj Amersay
Dr George Amin Youseff
Dr Tom Evans
Dr Azad Ghuran
Dr Roger Hayward
Dr Simon Kennon
Dr Faisal Khan
Dr David Lipkin
Dr Anthony Nathan
Dr Devan Patel
Dr Roby Rakhit
Dr Elliot Smith

Neurological Conditions

Our neurologist work closely wiht teh acute admission team, to treat patients who have neurological conditions including

  • TIA and non-thrombolysis stroke
  • Acute confusion
  • Worsening dementia and seizures

Please be aware we cannot treat a hyper-acute stroke, all GPs will be advise to refer patients to the closest thrombolysis unit, or hyper-acute stroke unit. 

About our Neurology service

Gynaecological Conditions

Such as retained productions of conception, and pelvic pain

Urological Conditions

including: UTI, pyelonephritis. stone and acute urne retention

Surgical Conditions

including acute biliary problems acute appendicitis and intestinal obstruction 

General Medical Problems

It is not always clear from the onset of symptoms what treatment will be required, referral to the unit means our doctors can investigate your medical condition. We have a network of rotas integrated to the unit, whereby we can access a large range of specialists at short notice.

General medical problems cover topics such as deep vein thrombosis (DVT), pulmonary embolisation and worsening diabetes.  

More about General Medicine

Whilst our unit has full high dependency and intensive care facilities, it does take over an hour for the hospital to arrange an ambulance. If your GP feels your condition is not stable enough to wait this length of time, then we will suggest the GP refers you to a local A&E or emergency hospital.

What happens during an acute admission?

Becoming ill can be unexpected. Whether you're at home, in a hotel room or staying with a friend, we are ready to care for you at any time of the day, even if it's 3am in the morning! GPs can call our dedicated line - 020 7483 5999

Your GP will make an initial assessment of your condition and contact the unit to admit you to the hospital for investigations.

Your GP will make an initial assessment of your condition and contact the unit to admit you to the hospital for investigations.

We can assist with arranging a taxi should you need assistance with getting to the hospital.

We can assist with arranging a taxi should you need assistance with getting to the hospital.

On arrival you will be registered by our team in the unit and our resident doctor will make you comfortable and explain what will happen next, arranging for any initial tests or administering any necessary medication.

On arrival you will be registered by our team in the unit and our resident doctor will make you comfortable and explain what will happen next, arranging for any initial tests or administering any necessary medication.

A rota of physicians, surgeons and specialist nurses are in place to ensure anyone admitted to the unit is seen by the appropriate doctor as soon as they arrive.

A rota of physicians, surgeons and specialist nurses are in place to ensure anyone admitted to the unit is seen by the appropriate doctor as soon as they arrive.

For urgent oncology cases, our specialist nurses will assist you in line with your oncologists recommendations.

For urgent oncology cases, our specialist nurses will assist you in line with your oncologists recommendations.

After investigations, a treatment plan is agreed. From this plan you will either be discharged home or transferred to the appropriate nursing floor for further treatment.

After investigations, a treatment plan is agreed. From this plan you will either be discharged home or transferred to the appropriate nursing floor for further treatment.

Onsite support services - 020 7483 5999

Due to the complex nature of some acute conditions we may need to perform a range of diagnostic tests or scans to determine a diagnosis. Some areas of the hospital who work closely with the Acute Admissions Unit include 

Please be aware

All admissions must be referred by a GMC registered health professional.

Our acute service excludes conditions such as crushing chest pains, chronic renal failure, dialysis, obstetrics, and paediatrics. Out-of-hours urgent care for children is offered by our sister hospital The Portland Hospital for Women & Children

Insurance cover or a deposit covering the patient's care is required on admission

The acute admissions service is part of a wider HCA Healthcare service with an Urgent Care Centre based at The Princess Grace Hospital and similar medical and surgical services in place at The London Bridge Hospital and The Harley Street Clinic.