Guy's Hospital, London

General hospital information

  • Number of beds: 282
  • % of single rooms: 30%
  • Total parking spaces: 41
  • Average parking fee per hour: £1.61

Address & description

Guy's Hospital,
St Thomas Street, Waterloo, London, England, SE1 9RT
Tel: Work 020 7188 7188
Guy's Hospital

Two of London's oldest teaching hospitals form Guy's and St Thomas' NHS Foundation Trust. It became one of the first NHS Foundation Trusts and has been awarded a maximum three stars in the national performance ratings every year since its creation.

As well as providing a full range of hospital services for our local communities in Lambeth, Southwark and Lewisham, the trust provides specialist services for patients from further afield, including cancer, cardiothoracic, renal and children's services. Guy's is also home to the largest dental school in Europe.

The new £60m Evelina Children's Hospital has also opened on the St Thomas' site, with 140 inpatient beds including 20 intensive care beds, three operating theatres, renal dialysis and a full imaging service. As major teaching hospitals, Guy's and St Thomas' work closely with King's College London.

The trust plays a key role in the education and training of tomorrow's doctors, nurses and other health professionals.

* this profile text was provided by Guy's and St Thomas' NHS Foundation Trust

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Services at Guy's Hospital

General Services Information

Hospital Questions

  • How many single rooms are available to NHS patients at this hospital: 59
  • Of these how many have an ensuite toilet: 33
  • Of these how many have an ensuite toilet and shower or bath: 33
  • Does this hospital operate an accident and emergency unit: No commentsGuy's does have a minor injuries unit
  • How many specialist palliative care beds are available at this hospital: 0
  • Does this hospital have a named private unit/service: Yes
  • What is the name of the private unit/service: Guy's Nuffield House
  • How many beds are available within the private unit/service: 46
  • How many single rooms are available within the private unit/service: 44
  • Of these, how many have an ensuite toilet: 40
  • Of these, how many have an ensuite toilet and shower or bath: 40
  • Direct telephone number for the private unit: 02071885205

Trust Questions

  • Does the Trust treat private patients: Yes

Patient Safety

Trust Questions

  • Is there a system for recording operations that resulted in a foreign body being left post surgery: Yes
  • What is the reporting system for a foreign body being left post surgery: Reported as a clinical incident on Datix
  • Is there a system for recording operations that were cancelled due to missing notes: Yes
  • What is the reporting system for operations that were cancelled due to missing notes: Reported on Galaxy
  • Is there a system for recording operations that resulted in wrong site surgery taking place: Yes
  • What is the reporting system for operations that resulted in wrong site surgery taking place: Reported as a clinical incident on Datix
  • During the period 01 April 2010 - 31 March 2011, how many operations resulted in a foreign body being left post surgery: 1
  • During the period 01 April 2010 - 31 March 2011, how many operations were cancelled due to missing notes: 10
  • During the period 01 April 2010 - 31 March 2011, how many operations resulted in wrong site surgery taking place: 0
  • How many incident investigations using a full Root Cause Analysis did were carried out in 2010/11: 155
  • What percentage of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed: 100%
  • What percentage of acute inpatients have a track and trigger warning system in place for the duration of the admission: 100%
  • What percentage of patients are risk assessed for venous thromboembolism on admission: 91-99%
  • Compliant with all relevant NPSA safety alerts issues in 2010/11 (you can find a full list of alerts issued at http://www.nrls.npsa.nhs.uk/resources/?p=3). : Yes
  • Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: Yes commentsEach directorate has a clinical lead and data is reviewed monthly
  • Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Yes
  • Is safety and quality data available on a central platform and actively disseminated to users: Yes

Infection Control

Trust Questions

  • Does the Trust employ an antibiotic pharmacist: Yes
  • Does the Trust operate a pre-admission assessment clinic or equivalent system where patients are screened and results returned in advance of the day of admission: Yes
  • Elective patient groups screened at the pre-op assessment clinic: All elective surgical and medical commentsAll elective admissions are screened as per DH guidelines and the Trust's published MRSA policy. Where applicable patients are screened at a pre-admission clinic, or if clinical is not attended at the time of admission
  • Are all oncology patients screened at the pre-op assessment clinic: YES
  • Are all chemotherapy patients screened at the pre-op assessment clinic: YES
  • Are all elective neurosurgery patients screened at the pre-op assessment clinic: Not Applicable
  • Are all patients with past history of MRSA screened at the pre-op assessment clinic: Yes
  • What method of MRSA screening is used when screening at admission: Culture based in 24-48hrs commentsChromogenic agar
  • On admission, does topical suppression take place immediately: Yes commentsIn patients whose MRSA status is unknown or if they have a recent history of MRSA carriage
  • Does the Trust have at least one accident and emergency unit: Yes
  • Are all patients admitted through A&E screened: Yes commentsProvided that they are admitted and not attending
  • Is screening done according to individual risk assessment: Yes
  • Does the Trust have a dedicated isolation ward: No
  • Protocol for isolating patients with infections: The Trust has a reasonable number of single rooms that can be used for isolation purposes. Patients are determined for either single room or cohort isolation dependent on the risk that they pose, e.g. repiratory viral infections, Varicella or Clostridium difficile will have a higher risk rating that MRSA commentsOur experience over a number of years is that we do not require a dedicated isolation unit as we have an adequate number of isolation rooms available as and when needed
  • Does the Trust have an isolation policy: Yes
  • Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: Yes
  • Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients: Yes
  • Does the Trust routinely isolate all patients with diarrhoea: Yes

Stroke Medicine

Hospital Questions

  • Does the hsopital have a specialist stroke unit: No

Trust Questions

  • Does the Trust have a specialist stroke unit or units: Yes
  • Is the Trust part of a stroke care network: Yes
  • Details: South London Cardiac and Stroke Networks
  • How many emergency admissions with a primary diagnosis of stroke (ICD10 codes I60 - I64) did the Trust receive in the financial year (period 01 April 2010 - 31 March 2011): 603
  • Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 579
  • Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : Yes
  • Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment: No commentsWe have the facilities to treat these patients at GSTT

Trauma & Orthopaedics

Trust Questions

  • Does the Trust offer a trauma service: Yes
  • Does the Trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday): No commentsWe do not have a dedicated trauma list available 24 hours a day for the duration of the week, however we do offer 24/7 trauma surgery as patient need dictates.
  • Does the Trust offer an orthopaedics service: Yes
  • Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular meetings at least once a week: Yes
  • Does the Trust run a pre-operative patient education session/class for patients to attend prior to Total Knee Replacement (TKR) and Total Hip Replacement (THR)? : Yes
  • What is the audited Percentage of all patients that attend the class prior to surgery: 75
  • Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: Yes
  • Estimated percentage compliance to this protocol: 90
  • Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 95
  • Does the Trust have a specialist orthopaedic physiotherapy service which is available 7 days a week: Yes
  • How many patients' discharge's delayed due to lack of physiotherapy services at weekends - estimated figure: 0
  • Are patients for total knee replacement (TKR) and total hip replacement (THR) admitted prior to the day of surgery: Yes
  • What is the principle reason for patients not being admitted on the day of surgery: Severe medical conditions e.g. sickle cell disease, haemophilia, diabetes, renal disease
  • Are patient records routinely recorded using a specific multi-disciplinary team THR/TKR pathway document: No
  • Is criteria-based discharge used: Yes
  • Are patients routinely phoned in the first 48 hours after discharge to check on their progress: No

Paediatrics

Hospital Questions

  • Does the hospital have a paediatrics service: No

Trust Questions

  • Is the Trust's elective paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit: Yes
  • Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: Yes
  • Is a paediatrician on site (SpR or higher) 24 hours per day, 7 days per week: Yes
  • Are at least two registered children's nurses on duty 24hours per day in each children's ward: Yes
  • Is there a designated facility on site for parents or guardians to stay overnight: Yes

Palliative Care

Trust Questions

  • Does the Trust provide a palliative care service: Yes
  • How is specialist palliative care delivered at the hospital: Other (please specify) commentsHospital support team and community team operating from service; no beds; also refer to local hospices.
  • Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Counsellor(s),Other (please specify) commentsMedical consultants, nurse consultants, clinial nurse specialitsts, social work, psychological support, chaplaincy, pharmacy, administrative support.
  • Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: Yes
  • Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Yes
  • Does the Trust routinely survey and evaluate the views of patients and bereaved relatives and carers regarding the delivery of care on the end of life programme: Yes

Maternity Care

Maternity Sites

  • St Thomas' Hospital - Consultant Led
  • How many women gave birth in the unit during the year? (not including home births): 6497
  • How many babies were born in the unit during the year? (not including home births): 6646
  • How many women were booked for a home birth: 251
  • How many women had a home birth? (not including births at home by accident): 160
  • Number of antenatal rooms: 7
  • Total antenatal beds: 19
  • Number of assessment area rooms (for monitoring and / or induction): 4
  • Total assessment area beds: 7
  • Number of delivery rooms: 19
  • Total delivery beds: 30
  • Number of postnatal rooms: 14
  • Total postnatal beds: 39
  • Number of rooms in obstetric high dependency unit: 1
  • Total obstetric high dependency beds: 3
  • Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 8
  • Amenity rooms; Are women able to book a single room in advance of their birth: No commentsAmmenity rooms can be requested in advance although not always available due to capacity constraints.
  • If women can pay for a single room what is the average cost per night (GBP): 690
  • Does the maternity unit have a neonatal intensive care unit: Yes
  • Does the maternity unit have a neonatal high dependency unit: Yes
  • Does the maternity unit have a special care baby unit: Yes
  • Security measures - ankle bands for the baby: Yes
  • Security measures - cot alarms: No
  • Security measures - CCTV: Yes commentsEntry doors to units / lift lobby areas
  • Security measures - restricted access: Yes
  • Other security measures: 24 hour reception on labour ward and 8am-10pm reception on postnatal ward.
  • Pain relief available - bath or shower: Provided by unit
  • Pain relief available - birthing pool: Provided by unit
  • Pain relief available - birth ball: Provided by unit
  • Pain relief available - Massage: Provided by unit
  • Pain relief available - Aromatherapy: Provided by unit
  • Pain relief available - TENS: Provided by women
  • Pain relief available - Epidural: Provided by unit
  • Pain relief available - Mobile epidural: Provided by unit
  • Pain relief available - Entonox (gas and air): Provided by unit
  • Pain relief available - Intramuscular injection: Provided by unit
  • Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 228.25
  • Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 228.25
  • Does the unit have midwives available to provide one-to-one care available 24 hours a day, 7 days a week: On site
  • Does the unit have midwives available for home births available 24 hours a day, 7 days a week: On call
  • Does the unit have midwives trained and experienced in water birth available 24 hours a day, 7 days a week: On site
  • Does the unit have a paediatrician available 24 hours a day, 7 days a week: On site
  • Does the unit have an obstetrician available 24 hours a day, 7 days a week: On site
  • Does the unit have an anaesthetist available 24 hours a day, 7 days a week: On site
  • Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week: On site

Trust Questions

  • Do all women have a choice about where they receive their antenatal appointments (i.e. at hospital or local health centre): No commentsThe majority of antenatal appointments take place in the community although women with high risk conditions attend clinics in hospital.
  • Are NHS antenatal classes available (e.g. Parentcraft): Yes
  • Available during the daytime (until 5pm): Yes
  • Available in the evenings (after 5pm): Yes
  • Available at weekends (Saturday and/or Sunday): Yes
  • Available for women only groups: Yes
  • Available for other groups: Yes
  • Also available for: Twins / Multiple births / Other language Portuguese / Italian other language with interpreter Spanish / French / Arabic / Polish / Manderin / Mum's with Cardiac conditions / Teenagers commentsHome birth workshops.
  • Are all women routinely offered ultrasound scans: Yes
  • Scan 1 available between: 11-13
  • Scan 2 available between: 20-22

Trust Statistics

Trust Questions

Consultants at Guy's Hospital

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