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Community Direct Access Non-Obstetric Ultrasound (NOUS) and Cardiology Diagnostics

Community Outpatients, an award-winning, leading provider of NHS specialist care, has been commissioned by NHS Barking, Havering and Redbridge to provide non-obstetric ultrasound (NOUS) and cardiovascular diagnostic services in the community.

Our team of expert technicians, nurses and clinical assistants are supported by leading consultant radiologists and cardiologists. Equipment used is hospital-standard.

Patients will normally be seen in less than four weeks, and reports will be sent back to the referring GP within two days of seeing the patient. Patients will be offered their choice of location, time and day of appointment across a network of community-based clinics which are designed to be closer to patients’ homes.


North East London Cardiology Service 

Our diagnostic cardiology service offers non-invasive assessment for patients in less than four weeks from receipt of referral, in locations across North East London. We deliver a comprehensive specialist community cardiology service for patients 18 years and older registered with a general practice, who require:

  • 24 hour ECGs reporting for atrial fibrillation and palpitations
  • Echocardiography
  • 24 hour ambulatory blood pressure monitoring
  • Home based blood pressure monitoring
  • 12 Lead ECGs

Support to Clinicians

Our multi-disciplinary team is available to provide training and support to primary care clinicians and practitioners with special interest at clinical commissioning groups or within protected learning sessions.

Medical Director - Dr Jonathan Byrne

  • Consultant Cardiologist, MB ChB PhD MRCP
  • Head of Cardiology, King's College Hospital
  • Interventional cardiologist specialising in the treatment of coronary artery disease, and management of cardiovascular risk
  • Re-launched the Southwark community heart failure clinic in 2012

Referral Criteria - Cardiology

(ECG / 24 hour tape / ABP / Echo)

Inclusion

  • Patients presenting to general practice with chest pain not requiring urgent assessment
  • Patients presenting to general practice with palpitation
  • Patients diagnosed to general practice with atrial fibrillation
  • Patients requiring confirmation/exclusion of historical diagnoses of heart failure
  • Patients in general practice presenting with suspected hypertension
  • Patients with unexplained blackout with suspected cardiac cause
  • Investigations for patients previously diagnosed with a cardiac condition
  • Patients requiring cardiac investigation following NHS Health Check/CVD risk assessment

Exclusion

  • Suspected Myocardial Infarction
  • Chest Pain requiring urgent assessment
  • Evidence of life threatening arrhythmia
  • Acute left ventricular failure
  • Acute loss of consciousness with evidence of cardiac heart block
  • Paediatric cardiology referrals (unless transition from paediatric to adult services)
  • Any other cardiological emergencies

North East London Ultrasound Service 

Our Non-Obstetric Ultrasound (NOUS) service offers assessment for patients in less than four weeks from receipt of referral, in locations across North East London. The aim of our community ultrasound service is to aid early diagnostics for patients and provide them with expert outpatient clinics that are conveniently located closer to your home. This avoids the need for unnecessary referral to secondary care and supports the shift of activity in to a primary care setting whilst at all times improving access.

This service has been established to provide easy access for patients to a wide range of diagnostic procedures such as:

  • General abdominal – includes assessment of the aorta, biliary tract, gallbladder, inferior vena cava, kidneys, liver, pancreas, retroperitoneum and spleen
  • Gynaecology – including transabdominal and transvaginal
  • Renal / bladder / prostate
  • Scrotal / testicular
  • Musculoskeletal
  • Vascular – including suspected DVT

Medical Director - Dr Justin Harris

  • BSc (Hons), MBBS, FRCR
  • Consultant Diagnostic and Interventional Radiologist, East Sussex Healthcare NHS Trust
  • Specialist Interventional training at the Royal Free Hospital, London
  • Interests include vascular and non-vascular interventional radiology, MSK ultrasound and ultrasound guided procedures
  • Passionate about teamwork and an MDT approach to patient care
  • Interest in clinical governance and teaching
  • A team player who empowers sonographers

Referral Criteria - NOUS

Non-obstetric ultrasound

Inclusion

  • General abdominal – includes assessment of the aorta, biliary tract, gallbladder, inferior vena cava, kidneys, liver, pancreas, retroperitoneum and spleen
  • Gynaecology – including transabdominal and transvaginal
  • Renal / bladder / prostate
  • Scrotal / testicular
  • Musculoskeletal
  • Vascular – includes suspected DVT

Exclusion

  • Cancer – any Patient with suspected cancer should be referred through the two week wait referral pathway
  • Ultrasound guided procedures
  • Obstetric carea
  • Scans for:
    • Breast
    • Cardiac Imaging
    • Chest
    • Ophthalmology
    • Superficial masses or lumps in the neck, axilla or groin
    • Thyroid
  • Other exclusions:
    • Children under the age of 18
    • Non-NHS Patients

Contact Us 

For more information or for any queries please contact Sherry Ally, Service Manager, on 0203 176 6454 or email sherry.ally@nhs.net.

Opening hours at the Referral Management Centre (RMC) are 08:00-19:00 (Mon-Fri)

Email Queries
NEL.referrals@nhs.net
Referral Fax Number
0203 004 1354
Referral Email Address
NEL.referrals@nhs.net
Service Manager- Sherry Ally
sherry.ally@nhs.net

NB: Redbridge patients cannot access the cardio-diagnostics service.

Barking & Dagenham

  • Barking Community Hospital, Upney Lane, Barking, Essex, IG11 9LX
  • Porters Avenue Doctors' Surgery, 234 Porters Avenue, Becontree, Dagenham, Essex, RM8 2EQ

Havering

  • Harold Wood GP Walk in Centre, St Clements Avenue, Off Gubbins Lane, Harold Wood, Essex, RM3 0FE

Redbridge

  • Hainault Health Centre, Manford Way, Chigwell, Essex, IG7 4DF