Camden COVID-19 Information

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It is a statutory duty of all registered medical practitioners to report suspected/possible cases of COVID-19. Please find out how by reading the GP responsibilities for suspected COVID cases.


This page will provide updates on changes to services in Camden as a result of COVID-19. For NCL-wide COVID-19 updates, please visit the NCL COVID-19 GP website.

New services within Camden have also been set up in order to deal with the pandemic, you can see these, as well as COVID-19 resources, on our COVID-19 topic page

For guidance on COVID-19 testing for NCL health and care staff, please read the guide.

 

Please see individual service pages on this website which now reflect the current situation. You can also refer to the NCL COVID-19 GP website Cancer pages for COVID-19 related cancer updates for information that is not listed on local borough websites. Please direct commissioning queries to lucy.mclaughlin@nhs.net.

Continue to send Urgent (non-2WW) referrals directly to Trusts using e-Referrals – please ‘defer to provider’ if no appointments showing.

Complications in the Post ICU COVID-19 population include brachial plexopathy and common peroneal nerve compression which require immediate referral to the RNOH PNI. See update on how to refer.

UCLH

Paediatrics would like all specialty referrals (excluding Paeds ENT and AVM) to be  sent to:

  • Children & Young People Rapid Referral Clinic, Paediatrics Division – UCLH – RRV
  • Clinic type – Other medical  / Priority - Urgent

If you're unsure if a referral is needed please ring the consultant on 07803 853567. The consultant may be able to help or sort investigations without an appointment.

CNWL Camden

  • Intermediate care at St Pancras​ – see document for changes

Royal Free

  • Cardiology urgent clinics – see document for service changes

GPs should discuss with patients about alternative support and self-care whilst hospitals are limiting the amount of elective care that is being provided.

If a routine Consultant Led referral is made, GPs should continue to submit these as per the current process to CCAS via e-Referrals. Please note, however, that patients will have to wait much longer to receive an appointment.

Specific service updates:

Royal Free

  • Nephrology – all referrals (including for diabetic kidney disease and hypertension services) to the Nephrology Referral Assessment Service
  • Infectious diseases & HIV – direct access referrals are not being accepted into this service. Alternative services are currently available at UCLH (both), NMUH (HIV) and WH (Infectious diseases only)
  • Out-patient audiology service changes

During COVID-19, stroke patients will be taken by ambulance to the National Hospital for Neurology and Neurosurgery (NHNN)


UCLH – The children and young people’s emergency department at UCLH is closed and diverting to Whittington Hospital (Magdala Ave, London N19 5NF).

Transport from UCLH to Whittington Health NHS Trust:

  • Underground: Warren Street or Euston underground station, Northern Line to Archway Station
  • Bus: 134 bus from Warren Street tube station

For more information, please visit the Whittington Health NHS Trust website.

Children and young people’s emergency services also continue to be available at Royal Free Hospital (Pond St, London NW3 2QG).


Barnet Hospital – The children and young people’s emergency department at Barnet Hospital will be temporarily diverted to other hospitals as follows:

  • London residents: North Middlesex University Hospital (Sterling Way, London N18 1QX)
  • Hertfordshire residents: Watford General Hospital (Vicarage Road, Watford, Herts WD18 0HB).

Royal Free Hospital –The Acute Ambulatory Foot Service remains open and is continuing to see diabetes patients with limb and life-threatening foot conditions. The RF podiatry team is also offering virtual consultation support, see document for details.


If people urgently need medical help or advice, but it is not a life-threatening situation, or if they don’t know who to contact, they should check NHS 111 online.

GP Direct Access imaging services in North Central London have reopened for referrals. These services should be requested sparingly to support care for those patients for whom an imaging diagnostic is essential. Important: specify level of clinical priority for request (Red, Amber, Green) – referrals without this will be returned.

InHealth remains operational.

Visit the NCL GP COVID-19 website for the latest diagnostics updates including access for MSK patients.


UCLH

  • Radiology – will now accept non-COVID, adult and GP Plain Film walk-in referrals. The Department will not accept any GP direct access referrals for ultrasound, CT and MRI until further notice. All 2WW cancer referrals will need to follow the current protocol of referring directly into the specialist tumour group. Similarly, any urgent non-cancer referral will need to be submitted directly to the subspecialty clinical service (T&O, GI, Urology etc.) as an urgent secondary referral to UCLH. If you identify that a patient under your care who has had their Radiology appointment cancelled and you are concerned, please email details to ucl-tr.UCHRadiology@nhs.net.
  • Endoscopy – closed to GP Direct Access referrals
  • Nuclear Medicine – all bone density appointments postponed. All bone density referrals that have been received but have not yet been booked will be placed on a ‘to book’ list. Please don’t send any new referrals to the department during this time. If you identify that a patient under your care who has had their Nuclear Medicine appointment cancelled and you are concerned please email details to UCLH.NucMed@nhs.net

For more information on GP direct-access X-ray service at UCLH and the latest GP request form, see the NCL COVID-19 GP website.


St Mary's

  • Not accepting walk-ins. Email form to ichc-tr.imagingreferralssmh@nhs.net. A call will be returned within 24hrs to book appointment. Mark clearly if urgent. Patients can contact dept on 020 3312 6418.

Community services are being restricted or reduced. The CCG is continuing to work across NCL to determine alternative service provision

    Diabetes Prevention Programme – Please see changes to criteria
  • Camden Diabetes IPU – Non-essential appointments suspended. Urgent telephone consultations and some face-to-face appointments provided. For information on new referrals read the document.
  • Camden COPD & Home Oxygen service – See document for details
  • Rapid Response Admission Avoidance – Rapid Response operating as normal. Two-hour response window for appropriate patients. Please call 07717 858 081 to speak to a clinician to discuss a potential referral.
    All Camden Rapid Access Services pathways (Rapid Response, D2A Pathway 1 and CADS) operating as normal, including for COVID-19 positive and query COVID-19 patients.
  • CNWL Camden Intermediate care at St Pancras​ – see document for changes
  • St John's Hospice Lymphoedema service – Now moved to telephone and video call assessment and review
  • Camden Baby Feeding support – infant feeding/breastfeeding support including tongue-tie referral t: 07808 891260

During the COVID-19 situation, the minor surgery service will cease except for urgent referrals for incision and drainage for abscess.

Referrals can still be sent though and CCAS will hold them until such time as the service can be fully re-instated. GPs need to inform the patient it may take some time to get an appointment.

Referrals for Incision and drainage can be made by phoning CCAS as normal (020 3688 1748) and they will work with the practices to try to book them in, please note that this remains subject to staff availability but we are trying to maintain this element of the service to keep the pressure off secondary care. To help the service triage, where appropriate please take a photo or ask the patient to take a photo. 

Please find the current Perinatal Mental Health COVID-19 Care Pathway.

Camden & Islington NHS Foundation Trust (CIFT):

CAMHS:

All interpreting support should be provided by telephone only. Face-to-face interpreting support will only be used in exceptional circumstances for people who are confirmed as NOT having COVID-19. All bookings will be restricted to one hour. Any bookings over one hour after 25 March 2020, will be the financial responsibility of individual practices unless approved by the CCG. Exceptional circumstances are:

  • vulnerable children and adults
  • mental health issue
  • organ/tissue donation
  • discussing severe illness such as cancer
  • delivering bad news

LanguageLine provides interpreting services in over 200 languages and dialects. For any queries about this service, email Andrew Johnson or telephone 07506 710446.

Sign language support

  • RAD Interpreting can facilitate telephone access for your Deaf patients through video calls. Surgeries/Clinics require a telephone and the Deaf patient requires a facility to accept video calls. Patient must consent to their contact details being shared with interpreter – personal information will not be stored after appointment has taken place. For more information please contact interpreting@royaldeaf.org.uk or phone 0300 688 2626.
  • BSL Health Access – On-demand remote BSL interpreting service 

 

Abortion and Unplanned Pregnancy service – in operation and adapted to offer, where appropriate, telephone consultations and home use mifepristone and misoprostol for patients at up to 10 weeks gestation. If home-use mifepristone and misoprostol is not appropriate or patients require surgical treatment, clinics remain open with services adhering to national guidelines to ensure safe treatment.

Contact NCL Central Booking Service, delivered by the British Pregnancy Advisory Service, t: 0333 999 9951

Please note Covid-19 opening hours: Mon-Fri 8am-6pm.

Outside these hours, patients can request callback. Staff are working at weekends to respond to callbacks only, usually within 24 hours.


Under 25’s EHC and Contraception update
Brook, Brandon Centre and Pulse N7 (Camish Network) are offering online postal EHC and contraception for under 25’s who are currently self-isolation/shielding or unable to attend a pharmacy or GP practise for any other reason.

Brandon Centre and Pulse – offering EHC and contraception online by postal service to 18+ following telephone consultation.

Brook – offering EHC, contraception and pregnancy tests by post to under 18’s and 18+ following telephone consultation.

Coronavirus and your health and wellbeing

During this time, the changing pattern of working and living can be very stressful. 

Read the Camden CEPN Training Hub guide below which includes links to resources to help everyone stay well. 

Coronavirus and your health and wellbeing

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