Clinics and services

Supporting patients to improve health and independence

Our specialist clinics are held at the older persons assessment unit at Guy's Hospital.

All clinics are by appointment only and are consultant led. Open the tabs below to find out more about each clinic.

  • Bladder and bowel clinic 

    At the bladder and bowel clinic, we assess and treat patients for:

    • bladder or bowel incontinence
    • constipation
    • urinary tract infections
    • catheter-related problems.
  • Comprehensive geriatric assessment (CGA) clinic

    A wide range of specialist staff attend this clinic, such as doctors, nurses, physiotherapists, occupational therapists, and other health professionals as appropriate.

    This clinic assesses older people with recent deterioration in function, who are not already known to a geriatrician (consultant who specialises in elderly care).

    Patients may be referred to this clinic if they:

    • are aged 60 and over
    • have complex long term or multiple medical conditions
    • are experiencing a decline in activities of daily living due to chronic underlying illnesses.
  • Falls clinic

    • Held weekly on Wednesday
    • Tel: 020 7188 2093
    • Consultant: Dr Jim Fleet

    This clinic provides a multi disciplinary assessment for patients aged 60 and above who have fallen or who are at high risk of falls. We also accept patients under 60 where it's felt we can best address their needs.

  • Falls fracture clinic

    • Held weekly on Thursday
    • Tel: 020 7188 2093 and 020 7188 2076
    • Consultant: Dr Fionna Martin

    The clinic sees patients aged 50 and over (or younger if there is a clinical need) who have:

    • a history of fractures and falls
    • a history of falls and osteoporosis risk factors.
  • Heart failure clinic

    This clinic aims to:

    • provide rapid response heart failure services for older people
    • help patients develop a management plan for their condition
    • provide patient education.
  • Memory clinic 

    The Southwark and Lambeth memory clinic accepts referrals for memory problems where there is no clear cause know.

    The service is available to all ages, although memory issues typically emerge in older people.

    We offer a thorough assessment and advice, support and signposting for patients and carers.

  • Mindfulness clinic

    • Held on alternate Thursdays
    • Tel: 020 7188 2093
    • Consultant: Dr Thomas Ernst
  • Tilt clinic

    • Held weekly on Monday
    • Tel: 020 7188 2093
    • Consultant: Thomas Ernst

Other support

We also have dietitian, physiotherapy and occupational therapy services for patients at the unit.

  • Dietitian

    • Held weekly on Tuesday and Wednesday afternoons. 
  • Occupational therapy 

    • Work across different clinics in the OAPU
    • Tel: 020 7188 2093

    The occupational therapy service provides assessment and treatment for older people who are struggling to live independently. It can involve:

    • an assessment of patients at home
    • management of dementia including carer support
    • provision of aids and adaptations
    • help with preventing falls
    • anxiety management.
  • Physiotherapy

    • Daily service
    • Tel: 020 7188 2091

    The physiotherapy service at the older persons assessment unit provides assessments and treatment plans for older outpatients with complex or multiple health conditions.

    We aim to minimise the effects of any physical injuries or impairments, help patients to strengthen their muscles, increase flexibility and improve balance.

    We also offer a twice weekly strength and balance group for patients to attend for up to eight weeks and provide education about preventing falls and how to cope with a fall. We encourage patients to continue strength and balance training in community exercise groups.

    Physiotherapists also work as part of the comprehensive geriatric assessment, falls, falls fracture and memory clinics.