Diabetes and endocrinology referrals

 

The Diabetes and Endocrinology Day Centre operates on both hopsital sites (Guy's Hospital and St Thomas' Hospital). It provides a service to people with diabetes and endocrine conditions plus lipid disorders and obesity. A research team is integrated in the department. All services work closely with our local primary care services.

Specialist diabetes services

In addition to clinics at Guy's and St Thomas' there are also specialist community based diabetes clinics. All our clinics have at the Point-of-Care blood glucose testing.

Our clinics include doctors, nurses, dieticians, podiatrists and psychotherapists. The specialist services we provide include:

  • multidisciplinary rapid access clinic for all new referrals
  • single point access for community referrals
  • Type 1 diabetes review
  • intensive Type 1 management
  • continuous subcutaneous insulin infusion (insulin pump therapy)
  • combined renal/diabetes
  • combined vascular/diabetes in conjunction with the vascular team and podiatry
  • pre-conception clinic for women with diabetes (Type 1 and Type 2) planning pregnancy
  • during pregnancy, for women with diabetes an integrated antenatal and postnatal service with women’s health
  • Young Persons and Transition Clinic
  • extensive patient education/self management programmes (eg DAFNE and DESMOND).

Referrals

All NHS GP referrals must be submitted using the NHS e-Referral service (formerly Choose and Book).

Referrals sent by email or post from GPs will not be processed.

Tertiary referrals can be emailed to gst-tr.DiabetesAndEndocrine@nhs.net.

  • Southwark community diabetes

    The service works closely with GPs and practice nurses providing advice on diabetes management.

    There are two intermediate care clinics per week one at Dulwich Community Hospital and one at Artesian Health Centre.

    All NHS GP referrals must be submitted using the NHS e-Referral service (formerly Choose and Book).

    Referrals are via Southwark single point referral and should be sent to gst-tr.southwark-diabetes@nhs.net.

  • Endocrinology

    The endocrine service covers a wide geographic area with strong clinical and academic multi-professional team supporting care. The specialist service includes:

    • rapid access clinics
    • general endocrine clinics
    • onsite endocrine dynamic testing
    • dedicated inpatient bed for Endocrine
    • interventional radiology
    • multidisciplinary thyroid 
    • nurse-led thyroid telephone follow up
    • multidisciplinary Pituitary Clinics
    • thyroid one stop shop clinic for ultrasound and FNA
    • genetic endocrine clinic
    • King's Health Partners Centre of Excellence for Neuro-Endocrine Tumours (NET)
    • dedicated adrenal, NET, pituitary thyroid and thyroid cancer NDMs
    • Young Persons and Transition clinics.

    Inpatients with diabetes or endocrine problems can be referred to the medical teams on both sites.

    • St Thomas' Hospital – bleep 1801
    • Guy's Hospital – bleep 0140

    There is an oncall registrar (non-resident in the hospital) who can give advice and see urgent referrals for medical and nursing staff throughout the Trust, and to give advice to patients and GPs.

    Please email referrals to gst-tr.DiabetesAndEndocrine@nhs.net.

  • Lipids and metabolism

    Lipid services

    The department’s clinics are provided on both sites and are multi-disciplinary including doctors and specialist nurses. They are linked with children's services for genetic disorders provided at Evelina London Children’s Hospital for cascade testing and management of families with lipid disorders. The specialist services we provide include:

    • cardiovascular risk assessment including use of imaging for atherosclerosis
    • investigation and management of intolerance to statins and other lipid-lowering drugs
    • management of complex lipid disorders including HIV dyslipidaemia
    • management of triglyceride (blood fat) disorders
    • genetic diagnosis of familial hypercholesterolaemia
    • management and genetic diagnosis of familial chylomicronaemia syndrome
    • diagnosis and management of rare lipid disorders including low HDL-C syndromes; enzyme deficiencies and cholesterol synthesis pathway disorders.

    Obesity and bariatric medicine

    The department’s clinics are multi-disciplinary including doctors, specialist nurses and coordinate with specialist bariatric surgeons and gastroenterologists. The service works closely with mental health services. 

    Referrals

    Inpatients with diabetes or endocrine problems can be referred to the medical teams on both sites.

    • St Thomas' Hospital – bleep 1801
    • Guy's Hospital – bleep 0140

    There is an oncall registrar (non-resident in the hospital) who can give advice and see urgent referrals for medical and nursing staff throughout the Trust, and to give advice to patients and GPs.

    Please email referrals to gst-tr.DiabetesAndEndocrine@nhs.net.

    The team can be contacted via the swithboard out-of-hours.