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St George’s Hospital’s modern Emergency Department (also known as Accident & Emergency) provides a 24-hour emergency service, 365 days a year, and sees around 150,000 patients a year. This service is led by an Emergency Medicine Consultant presence 24 hours a day, throughout the year.

The department assesses and provides initial treatment and management to patients who are severely injured or who have developed a serious illness. St George’s Hospital Emergency Department not only provides a local emergency service but is also one of London’s four Major Trauma Centres.

St George’s also provides specialist regional services for specialties including paediatric surgery, cardiology, stroke, neurosurgery, ENT (Ear, Nose and Throat) and plastics. The department is also heavily involved in several regional and national clinical research projects, which is led by a specialist nursing team.

On arrival patients are assessed by an experienced emergency nurse. This assessment is called streaming and is designed to ensure patients can be assessed early, prioritised in terms of their medical needs and directed to the most appropriate service to continue their care.

Such services may include advice to attend alternative services which may be more appropriate, including your own General Practitioner, your local Walk-in-Centre, your local Pharmacist, NHS 111 Helpline as well as specific walk-in-clinics.

Information and advice about alternatives to A&E for non-emergency injuries and illnesses is available through NHS 111, via the ‘Services near you’ Section.

For local alternatives to A&E, please see Wandsworth CCG’s website.

Our aim is to treat patients within one hour of arrival.  The Trust’s target is to admit, transfer or discharge patients within four hours of arrival.

The Emergency Department itself compromises:

  • an eight-bay Resuscitation Room for the most seriously ill or injured patients
  • a Helipad to receive critically unwell patients from the region
  • a Trolley area in which we received ambulances with 21 cubicles /rooms
  • a Children’s Emergency Department comprising of nine cubicles /rooms, with its own waiting area and baby changing facilities.
  • an Urgent Care Centre which has 11 cubicles, a treatment room and an eye examination room.

The department also has a ward-level Clinical Decision Unit (CDU), to accommodate nine patients who require planned investigation and treatment for a period of no more than 12-24 hours. There is also a seated Clinical Decision Unit, CDU2, for adult patients requiring further planned investigations and treatment.

The Children’s Emergency Department has a similar facility called the Paediatric Assessment Unit (PAU) with 6 cubicles /rooms where children can be observed and cared for for up to 12 hours. Here there are kitchen and rest facilities available for children as well as their parents/guardians.  Follow-up clinics are also held separately for adults and children.  The department is lucky to have Redthread, its own team of Youth Workers for people aged 11-25, based within the department.

The Emergency Department has a team of 24 Consultants, including four dual-trained in Adult and Paediatric Emergency Medicine and approximately 60 Doctors, Physician Associates and Advanced Clinical Practitioners. The department’s staff of more than 140 nurses is led by a Head of Nursing, two Consultant Nurses and three Matrons.

Within the nursing team there are Emergency Nurse Practitioners, who primarily manage patients with minor injuries, Emergency Care Nurses, who specialise in the care of patients in the Resuscitation Room as well as Specialist Research Nurses. The department is supported by a team of non-clinical staff which includes Receptionists, led by a Service Manager.