The Infectious Diseases and Tropical Medicine department at London North West Healthcare NHS Trust is the largest in the country and is based at two sites, Ealing Hospital and Northwick Park Hospital.
The service assesses and treats patients who suffer from symptoms of an infection or tropical disease, for example:
- Tuberculosis (TB)
- Cosmopolitan infections like skin, bone and kidney infections.
Patients can access the infectious disease team either by direct referral from their GP or by going to one of our A&E departments at either Ealing or Northwick Park Hospitals.
The service at Ealing Hospital is run by Dr Gurjinder Singh Sandhu (Consultant in Infectious Diseases and General Medicine), Dr. William Lynn (Consultant in Infectious Diseases and General Medicine) and Prof. Stephen Ash (Consultant in Infectious Diseases and General Medicine). The Consultants are supported by Acute Medicine and Infectious Diseases trainees, alongside specialist nurses for Chronic Hepatitis, HIV and Tuberculosis.
As a service we have a close working relationship with the department of genitourinary medicine. The HIV inpatient and outpatient service on Level 8 is managed jointly with our GUM consultants. There is a dedicated HIV consultant rota managing inpatients and providing out of hours advice on all HIV-related emergencies including needlestick injuries. The duty HIV consultant can be contacted via Ealing Hospital switchboard. Several HIV clinics are run each week, able to see patients urgently. Full back up by Health Advisers, Sexual Health services, Psychologist, specialist pharmacy, and dedicated ID/HIV specialist ward (Wilmot Ward – 8 South).
We provide a service for the evaluation and treatment of patients with chronic viral hepatitis B and C. Clinical Nurse Specialist run treatment clinic. Real-time liver elastography on site.
The tuberculosis service is shared with the respiratory department and the Infectious Diseases Team provide services for extrapulomary TB. One stop service available for lymph node biopsy's. TB Specialists nurses provide services for contact tracing, monitoring, DOT and latent TB treatment, alongside the TB chest clinic.
The OPAT service provides home intravenous antibiotics either through a District Nurse run community service (limited capacity), ambulatory care or self administration.
We hold regular ward rounds for ID and HIV inpatients as well as participating in the on call medical rota. The unit contributes to the following weekly Multi Disciplinary Team meetings: Microbiology and Infection Control, Intensive Care and Diabetic Foot MDT.
We also have an inpatient service with isolation facilities located on Wilmot Ward (8 South) which looks after patients with Infectious Diseases including HIV, Tuberculosis and Neutropenic sepsis.
Outpatient clinics are located in the Robert Dann Unit (8 North) of Ealing Hospital
Fever clinic runs weekly on a Tuesday morning (ASH03) and is able to see patients urgently if referred by telephone call on the previous day 020 8967 5746 or 020 8967 5747, or send a fax to 020 8967 5677 by the preceding Friday mentioning telephone contact details of patient.
We have students from Imperial College years three and five as well as undergraduate medical students from the American University of the Caribbean. We also provide a joint infection and opthalmology special study module with Moorefields eye hospital for University College Hospital medical students. We provide a lecture based postgraduate Infectious Diseases course for University of Buckingham students.
Northwick Park Hospital
The infectious disease service at Northwick Park is led by Dr Robert Davidson (Consultant in Infectious Diseases) along with Dr Laurence John (Consultant in Infectious Diseases and Acute Medicine), Dr Tumenah Corrah (Consultant in Infectious Diseases) and Dr Alastair Mac Gregor (Consultant in infectious Diseases and Microbiology). The consultants are supported by specialist registrars (SpR) and senior house officers (SHO), alongside a specialist nursing team.
We have dedicated inpatient facilities -15 negative pressure rooms on Elgar Ward and 10 beds in Defoe Ward. We provide a daily Acute Medicine liaison service and care for a number of patients on the Acute Assessment Unit and other outlying wards in addition to the 25 inpatient ID beds. We share the care of patients with sepsis or other critical conditions related to infection. We also care for patients with HIV in collaboration with the GUM/HIV outpatient teams and are a tertiary referral unit for inpatients with HIV, severe or complicated TB including drug resistance and tropical Infections.
There are five outpatient clinics per week including TB, OPAT, HIV discharges and viral hepatitis. We have a busy daily ambulatory Infectious Disease facility (IDAR) based on Clarke Ward run by our specialist nurses which is a venue for urgent GP referrals for with patients with infection, TB diagnosis, OPAT and an Interferon treatment service for those patients with viral hepatitis B and C.
We hold weekly multidisciplinary ward rounds for ID inpatients, HIV and TB, a weekly radiology meeting and journal club.
We have Imperial College medical students attached to the department throughout the academic year and runs firms for years three, five and six. We are supported Imperial College funded teaching fellow who coordinates our undergraduate teaching activities.