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St George’s Hospital’s modern emergency department provides a 24-hour emergency service, 365 days a year, and sees around 160,000 patients a year. This service is led by an Emergency Medicine consultant presence 24hours 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 triage 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 ‘Rapidly Assess and Treat’ patients requiring further care in the emergency department within an hour by a doctor to help initiate investigations and treatment you require. The minor injury area operates a ‘See and Treat’ system which is designed to ensure that patients with minor problems are seen without delay.

The department has a target of treating and admitting, transferring or discharging patients within four hours of arrival.

The emergency department itself compromises:

  • The emergency department itself compromises:
  • an eight-bay resuscitation area for the most seriously ill or injured patients
  • a helipad to receive critically unwell patients from the region
  • a major illness area which has 21 beds / cubicles
  • a paediatric unit comprising of nine beds/cubicles, with its own waiting area and
  • baby changing facilities.
  • a minor injuries area which has 11 cubicles
  • a treatment room
  • an eye examination room.

The department also has a ward-based clinical decision unit (CDU), to accommodate 10 patients who require planned investigation and treatment for a period of no more than 24-36 hours. There is also a seated clinical decisions 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 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 emergency department has 24 consultants, including five dual-trained in adult and paediatric emergency medicine and about 60 junior doctors. The department’s staff of more than 140 nurses is led by a head of nursing, consultant nurse and matron.

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 area 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.