NHS Basildon & Brentwood Clinical Commissioning Group

Adults Service Directory

CONTACTS

BBCCG - Version1 - Dec. 2013 - Viv Clements 2 For all UNPLANNED CARE

Does the patient have a loss of function?

YES

Does patient have any of the following that may prevent them from being managed in community setting (home, clinic or community hospital bed)?

Tachycardia Tachypnoea Sepsis Acute Abdomen Cardiovascular problems

YES NO NO

Refer to secondary Does the patient have one of the Does the patient care following conditions? present with a functional decline  Cellulitis that has a health and social care need?  UTI

 Faecal impaction

 DVT

 Dehydration Patient assessed and  COPD/CCF can’t be YES YES NO managed by a community RING SINGLE POINT OF REFERRAL 01277 695550 service For assessment, and management plan or/& coordination of further needs

Opening hours: Monday to Friday 9am – 7pm Saturday and Sunday 9am to 5pm

SAME DAY RESPONSE TO GP: Adult social care provides advice and services to people over the age of 18 who may need help because of their  outcome of age, a disability or learning difficulty. assessment This may include:  action taken  onward referral if  frailty due to age needed  visual and/or hearing impairments  physical and/or learning disabilities  mental health issues BBCCG - Version1 - Dec. 2013 - Viv Clements 3 Telephone: 0845 603 7630 UNPLANNED CARE

BBCCG - Version1 - Dec. 2013 - Viv Clements 4 CARERS

Basildon Careline Emergency Alarm Service For the elderly who live alone or feel vulnerable because of a disability, medical condition or harassment, Basildon Careline could help them feel safe, secure and independent in their own home by providing bogus caller button, carbon monoxide detector or emergency response service alarm.

Referral method: • Complete application form which is available on Basildon Council website: www.basildon.gov.uk/careline

Basildon Careline Contact details 01268 465151 www.basildon.gov.uk/careline

The Carers’ Emergency Planning Service will support you to complete an emergency contingency plan should a carer suddenly be unable to fulfil their caring role. The service operates 24 hours per day, 7 days per week, is free of charge and continues whilst longer term arrangements can be made.

Referral method: • By email giving patient and carers details and contact numbers to: carers@essex.gov.uk

Contact details The Carers’ Hotline: 01206 222400 [email protected]

BBCCG - Version1 - Dec. 2013 - Viv Clements 5 Chronic obstructive pulmonary disease (COPD)

The community COPD team offers specialist care for patients with respiratory disease, particularly chronic bronchitis, emphysema and chronic asthma.

Referral criteria: Patients with MRC3 and above with any of the following: • Respiratory disease • Respiratory disease receiving long term oxygen • COPD who exacerbate frequently • Respiratory disease who require frequent admissions to hospital • Respiratory disease who require specialist intervention or opinion

Exclusion criteria • Patients with asthma

Referral method: • SystmOne • Referral form faxed or posted to the address or fax number below

1st Floor, Brentwood Community Hospital, Crescent Drive, Brentwood CM15 8DR Telephone: 01268 242142 Fax: 01268 246932 Monday to Friday 9am – 7pm Weekends and Bank Holidays 9am – 5pm

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DAY HOSPITALS

Day hospitals provide community based out-patient care, through which multi-professional assessment and treatment is available on a full or part-day attendance basis. Lead person for queries: Gary Townsend, Head of Unplanned Care: Mobile: 07949 024889

Referral criteria: • Adults over the age of 18 • Registered with a South West Essex GP • Requiring continuation of medical, nursing or therapeutic intervention, e.g. leg ulcer management, falls clinics, IV infusions, blood transfusions • Requiring assessment of a clinical condition • Rehabilitation following illness or surgery where the need cannot be met by the integrated community team

Referral method: • SystmOne task • Referral form faxed or posted to the address or fax number below • Telephone on the number below Brentwood Day Hospital Brentwood Community Hospital Crescent Drive, Brentwood, Essex CM15 8DR Telephone: 01277 695038 Fax: 01277 695056

Thurrock Day Hospital John Tallack Centre Thurrock Community Hospital Long Lane, Grays, Essex RM16 2PX Telephone: 01375 364413 Fax: 01375 364458

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DEMENTIA

Dementia Intensive Support Team (D.I.S.T.) Referral can be made to DIST via SPOR 01277 695550 or direct to their landline 01268 524900 ext. 2873 or Duty Mobile: 07957 643140

Inclusion Criteria: People with dementia (or suspected dementia) who are at risk of admission, with conditions that may not have required admission if there were not factors related to the dementia. People with dementia (or suspected dementia) within BTUH where factors other than their acute condition are delaying discharge

Community Dementia Nurses Referral can be made by telephone or fax to: Basildon/Billericay: 01268 643281 – Mobile: 07773 370699 – Fax: 01268 288938 Older People Mental Health Team Ely House, Basildon, Essex SS14 2BQ Brentwood: 01277 265300 – Mobile: 07814 479138 or 07976 932179 – Fax: 01277 265302 Brentwood Older peoples Community Mental Health Team Brentwood Resource Centre, Highwood Hospital, Geary Drive, Brentwood, Essex CM15 9DY

The Community Dementia Nurses (CDN’s) roles include: • Promoting early diagnosis of Dementia • Increasing the numbers of people on the Dementia Registers to ensure that people with Dementia have access to specialist care • Assisting with reviews of people with Dementia • Liaising with Care Homes, Community Mental Health Teams, End of Life team, Alzheimer’s Society, Carers groups and Memory Services • Providing signposting, support and advice on all Dementia matters to the Practice team

BBCCG - Version1 - Dec. 2013 - Viv Clements 8 DERMATOLOGY

Accessing Community Dermatology

For Basildon and Brentwood CCG Localities Referrals to this service should be sent by writing to: Dr U Buhari , Community Dermatology clinic , Mayflower Community Hospital , Blunts Wall Road, Billericay , Essex, CM12 9SA Tel: 01277 621134 Fax: 01277 634226 BBCCG - Version1 - Dec. 2013 - Viv Clements 9 DIABETES CARE CLINIC

Inclusion criteria All adults over 18 years of age with diabetes mellitus and also one of the following:

• Type 1 diabetes – needing insulin initiation • Poor glycaemic control – needing initiation or titration of treatment • Experiencing hypo or hyperglycaemia • Where there is a concern over diagnosis i.e. genetic variation • For structured education for both Type 1 and Type 2 diabetes • For whom insulin pump therapy is indicated.

Exclusions criteria

• Patients with a diagnosis of diabetes under the age of 18 years • Newly diagnosed patients with diabetes who have poor renal function – CKD 4 and 5 • All adult patients with diabetes who are pregnant • All adult patients with diabetes who are acutely unwell from complications of having diabetes • All adult patients with diabetes who have an “at risk” foot complication

Accessing Service

By referral form faxed, posted or emailed to: Diabetes Care Centre , Craylands Clinic, Craylands, Basildon SS14 3RR (Monday to Friday 8am to 5pm) Telephone. 01268 521555 Fax. 01268 522917 Secure Email. [email protected]

BBCCG - Version1 - Dec. 2013 - Viv Clements 10 END OF LIFE TEAM

Inclusion Criteria This service acts as a resource to support the generic workforce in the provision of care at end of life. This includes meeting with individuals and their families to discuss advance care planning for people approaching end of life and advocates the use of the three National End of Life Care Tools as recommended in the End of Life Care Strategy DH 2008. The team facilitate this in a variety of ways. • Facilitating conversations to support advance care planning – PPC, DNACPR. • Providing a discharge facilitation pathway between secondary and primary care. • Providing education and support for health and social care staff both in the Care Home environment and the wider community. • Supporting and maintaining the coordinated care register. • Acting as the mechanism to support a change in practice in relation to end of life care e.g. Initial facilitation of GSF meeting and providing education and support around the advance care planning including DNACPR process.

Exclusion Criteria Patients needing on-going nursing support.

Accessing service

Referral form should be faxed to 01375 373136 South West Essex Locality Monday – Friday 9am – 5pm (appointments outside of these times can be made by prior arrangement) Telephone: 01375 – 364435/49/19

BBCCG - Version1 - Dec. 2013 - Viv Clements 11 ENDOSCOPY

The Eastwood Community Endoscopy Centre was opened in 2009, and provides the local population with access to gastroenterological and urological services. They provide sigmoidoscopy, colonoscopy and gastroscopy.

Accessing service

Complete a referral form and fax to: Eastwood Community Endoscopy Centre – Direct Access Endoscopy 348 Rayleigh Road Eastwood Essex SS9 5PU Tel: 01702 524984 Fax: 01702 529375

BBCCG - Version1 - Dec. 2013 - Viv Clements 12 EPILEPSY SPECIALIST SERVICE

Inclusion Criteria

• Registered with a GP in South West Essex • Adults over the age of 18 or those attending Paediatric Epilepsy Nurse and transitioning to the adult service • Confirmed diagnosis of epilepsy • Those under investigation by neurologist following a ‘first fit’

Assessment and treatment will involve support from diagnosis for service user and/or carers. Long term medication management with monitoring of the individual’s epilepsy. Self-management advice including living with epilepsy e.g. education, employment and driving, working towards the best quality of life through a Personalised Care Plan. Monitoring of changes in treatment relating to altered circumstances e.g. pre-conception and pregnancy. Training and education for carers and staff caring for those with epilepsy.

Accessing service

By referral form faxed to 01277 695263 or posted to the address below.

• Domicilliary visits for those who cannot attend a clinic Epilepsy Specialist Nursing team, 1st Floor, Brentwood • Clinics across South West Essex Community Hospital, Crescent Drive, Brentwood Essex • Telephone clinics for those who have difficulty CM15 8DR attending clinics due to work, carers commitments‘. • Rapid access ‘first fit ‘clinic for those awaiting Telephone: 01277 695243/695245/695237 diagnosis following a first seizure. Fax: 01277 695263

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BBCCG - Version1 - Dec. 2013 - Viv Clements 15 Rapid Advice Service for HAEMATOLOGY (RASH) GP identifies a patient with a haematological abnormality Inclusion Criteria Exclusion Criteria • Anaemia (Hb >8). Refer to RASH Suspected: • Polycythaemia (Hct >47% F; >50% M). • Leukaemias.* • Isolated macrocytosis (MCV >100) • Lymphomas. Referral assessed by Consultant Haematologist • Leucocytosis & lymphocytosis. • Myeloma. • Eosinophilia. • Severe or multiple cytopenias. • Leucopenia, neutropenia & lymphopenia. Electronic reply within two working • Thrombocytosis & thrombocytopenia. Refer direct to secondary care days with advice on: • Haematinic abnormalities. either urgently or via 2WW (if • Likely diagnosis (es). • Raised globulins. cancer suspected). • Further investigation and • Low concentration paraproteins *Could refer early chronic management in the community. • Anticoagulation & thrombosis problems. lymphocytic leukaemia to RASH. • Whether a formal secondary care • Easy bruising. haematology referral is necessary. • Re-referral for further advice on any subsequent investigation interpretation available.

Accessing the RASH Service

For Basildon & Brentwood CCG Practices • Right click on communications. • Click on communications wizard. • Click SystmOne user. • Select Brentwood Day Hospital. • Click on + sign, scroll down and select Dr. Andy Hughes. • Select “send electronic message”. • Type in referral question. Click send. • Make sure there is shared care granted (Go to administration; R. click shared care; select new share).

BBCCG - Version1 - Dec. 2013 - Viv Clements 16 MDT CO-ORDINATOR

• Multi-disciplinary Team (MDT) meetings aim to support patient centred clinical decision making and integration of care. This is essential in improving the delivery of care to patients on the unplanned care or frail elderly care pathway.

• The MDT Co-ordinator role helps to deliver MDT meetings seamlessly within the CCG and making the best use of clinicians’ time through chasing information and organising meetings. The MDT co-ordinator identifies patients for discussion prior to the meeting, liaising with primary care colleagues; organising and schedule of MDT meetings; collating information and recording outcomes of case discussion and informing the treating clinician and/or the patient’s general practitioner of meeting outcomes.

Booking an MDT Meeting

For Basildon, Brentwood, Billericay & Wickford Localities Remy Williams - [email protected] MDT Locality Co-ordinator, Unplanned Care, NELFT, Brentwood Community Hospital, Crescent Drive, Brentwood CM15 8ND Mobile: 07860 757747

BBCCG - Version1 - Dec. 2013 - Viv Clements 17 MSK / Tier II

Inclusion Criteria All Trauma and Orthopaedics, Pain Management and Rheumatology referrals that do not fit into the below exclusions should be referred to Tier II.

Exclusion Criteria Direct referral to secondary care by GP is appropriate for: • Red Flags – Urgent • Suspicion of systematic inflammatory disease requiring medical management, e.g. morning stiffness present for > 30 minutes or more than 6/52. Refer directly to rheumatology • Suspicion of serious pathology (malignancy, infection), i.e. general malaise, weight loss, night sweats, loss of appetite Refer directly to secondary care. • Signs of cord compression/cauda equina syndrome, i.e. bilateral leg pain, bladder/bowel frequency or retention, saddle anaesthesia, gait disturbance, pins & needles, numbness, or worsening neurological symptoms. Refer directly to neurosurgery/orthopaedics • Suspicion of recent fracture requiring intervention. Refer directly to orthopaedics

• Post-Surgical Problems • Acute Trauma • Previously assessed patient requests surgery • Children (Any under 16 years of age should be referred to secondary care (paediatrics)

Accessing MSK/ Tier 2

For Basildon, Brentwood, Billericay & Wickford Localities Complete a referral form and send to Tier II with or without a referral letter by fax to 01268 394876 You can also send a referral via Choose & Book. Queries – 01268 531 227

BBCCG - Version1 - Dec. 2013 - Viv Clements 18 MSK PHYSIOTHERAPY

The purpose of the musculoskeletal (MSK) physiotherapy service is to assess, treat and enable patients to manage their MSK conditions. MSK conditions may include: • Orthopaedic injuries • Musculoskeletal injuries • Sports injuries Treatments may include: • Exercise prescription • Manual therapy, including manipulation • Electrotherapy • Lifestyle advice • Acupuncture

Referral Criteria • Aged 14 years or over • Routine musculoskeletal conditions needing expert assessment and treatment

Exclusion Criteria • Housebound patients • Patients already under secondary care with on-going follow up • Patient under 14 years • Patients residing out of area may be seen with prior agreement from their GP

Accessing MSK Physiotherapy

By referral form faxed or posted to the relevant address or fax number below: Brentwood Community Hospital, Crescent Drive, Brentwood, Essex CM15 8DR Tel: 01277 695155 Fax: 01277 695165 Basildon Hospital, Nethermayne, Basildon, Essex SS16 5NL Tel: 01268 593815 Fax: 01268 394876 Orsett Hospital, Rowley Road, Orsett, Essex RM16 3EU Tel: 01268 592203 Fax: 01268 592266 St Andrews Centre, Stock Road, Billericay, Essex CM12 0BH Tel: 01277 626153 Fax: 01277 626199 Thurrock Community Hospital, Long Lane, Grays, Essex RM16 2PX Tel: 01375 364438 Fax: 01375 364445

BBCCG - Version1 - Dec. 2013 - Viv Clements 19 NUTRITION & DIETETIC SERVICE

Inclusion Criteria • Obesity if BMI is over 30kg/m² with co-morbidities. • Impaired fasting glucose or impaired glucose tolerance. • Diabetes – newly diagnosed, Type 2 with poor control, Type 1 with poor control (NICE guidelines definitions). • Gastroenterological problems – IBS, active Cohn's disease, ulcerative colitis, intestinal failure, liver disease, pancreatitis. • Coeliac disease. • Confirmed food allergies and food intolerances. • Dietary deficiencies e.g. iron deficiency anaemia. • Those requiring nutrition support for long term conditions with MUST score of 3 or more, or BMI ≤ 18kg/m² with unplanned weight loss of 5% or more over 3-6 months. • Those requiring texture modification after assessment from a Speech & Language Therapist (SALT). • Those with nutritional problems following a confirmed diagnosis of an acquired or progressive neurological disorder • Those requiring artificial nutrition

Exclusion Criteria Simple overweight/obesity – BMI below 35kg/m², or BMI over 30kg/m² with no co-morbidities. Simple constipation Gout Hyperlipidaemia Indigestion and reflux Migraine Poor appetite where BMI is > or =18kg/m²or more and there has not been unplanned weight loss, or with MUST score of 2 or less

Accessing service

By referral form faxed to: 01277 314584 or by post to: Community Nutrition & Dietetics, Billericay Health Centre, Stock Road, Billericay, CM12 0BJ TEL: 01277 314579 FAX: 01277 314584.

BBCCG - Version1 - Dec. 2013 - Viv Clements 20 OPTOMETRIST

Please note: Patient presents at GP Practice or

• If you are aware of who to refer to, select this as Optometrist/Optician a choice on referral to Evolutio • If Evolutio e-refer pathway management identify the referral as inappropriate it will be returned to referrer Suspected Emergency – see emergency Or • Any GPwSI or ESO patients that require onward cancer guidance over page referral to secondary care will be made via the referral being re-directed by Evolutio e-refer • All monitoring of pathway data will be provided by Evolutio Yes No

Evolutio e-refer Pathway Management

Secondary Care ESO Community Care Back to referrer

Criteria List for GPwSI: • Persistent/chronic or unexplained red eyes Criteria List for ESO (Enhanced Service Optometrist): • Asymptomatic incidental eye lesions (usually noted by opticians). • Referral refinement and/or assessment especially to eliminate • Iritis -acute/recurrent. false positive • Blepharitis glaucoma suspects • Eyelid lesions- cysts/papilloma/chalazia. • Cataract monitoring – pre and post extraction • Epiphora(watery eyes). • Low vision services including low vision aids • Dry eyes. • Stable glaucoma monitoring • Floaters. • Red eye/acute anterior segment • Macular degeneration • Children’s eye care services, e.g. screening at school entry.

BBCCG - Version1 - Dec. 2013 - Viv Clements 21 College of Optometrists Guideline of Emergency referral Classification.

. Chemical injuries; . CRAO<12 hours old; . Acute dacrocystitis, if severe or in children; . Acute glaucoma; . Hyphaema; . Hypopyon; . IOP ≥ 45mmHg (independent of cause); . Sight threatening keratitis; . Orbital cellulitis; . Papilloedema; . Penetrating injuries; . Unexplained pre-retinal haemorrhage (in a diabetic patient with known proliferative retinopathy who is already being actively treated in the HES this would not need an emergency referral); . Symptomatic retinal breaks and tears; . Retinal detachment unless this is longstanding and asymptomatic; sleritis; . Sudden severe ocular pain; . Suspected temporal arteritis; . Unexplained sudden loss of vision; . Uveitis; . Vitreous detachment symptoms with pigment in the vitreous.

All other referral reasons are URGENT or ROUTINE through e-refer system www.evolutio-uk.com or fax to 0207 692 4746 only. Clinician support can be accessed on 0203 142 7770 Office Hours 9am to 5.30pm Monday to Friday

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PALLIATIVE CARE TEAM

Inclusion Criteria • People needing specialist palliative care with specific problems such as pain and symptom management or needing psychological, emotional and spiritual support. • People requiring specialist palliative care advice and support through episodes of treatment • People needing specialist Occupational Therapy assessment and support • Specialist palliative care advice needed for patients and carers about medication or information about the disease process • Emotional support required by bereaved carers and relatives of patients know to the Service • People must be over the age of 18, although for people between 16-18 years the service will be accessible if following multi-disciplinary discussion it is deemed the most appropriate service to support them through transition • People residing in the South West Essex locality excluding Brentwood – people residing in Brentwood will be able to access services via St Francis Hospice.

Exclusion Criteria • Children up to the age of 16 years • People without complex palliative care needs

Accessing Service

South West Essex locality excluding Brentwood All referrals must be made using the South Monday – Friday 9 am to 5 pm Essex Specialist Palliative care referral form Contact Telephone: 01375 364449/19

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PARKINSON’S DISEASE

The Community Parkinson’s service works with anyone who has a confirmed diagnosis of Parkinson’s disease and offers coordinated care across the pathway, providing and facilitating care and support for both patients and their carers.

The service provides: • Long term medication management with monitoring of the individuals condition • Direct liaison with GPs, neurologists and the wider Multidisciplinary team • Support and advice for care home staff, residents and their families • Self-management advice including living with Parkinson's e.g. education, employment and driving, working towards the best quality of life through a Personalised Care Plan. • Telephone support • Named specialist key worker for all clients

Inclusion criteria: • Adults over the age of 18 • Confirmed diagnosis of Parkinson's or associated condition e.g. PSP • Registered with a GP in South West Essex • Carers of those diagnosed with Parkinson's or associated condition

Accessing Service

• Domicilliary visits for those who cannot attend a clinic By referral form to: • Clinics across South West Essex, including Walk in Clinics Parkinson's Specialist Nursing team (no appointment needed) for clients and carers. 1st floor, Brentwood Community Hospital • Telephone clinics for those who have difficulty attending Crescent Drive, Brentwood, Essex CM15 8DR clinics due to work, carers commitments Tel: 01277 695241 Fax: 01277 695263

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SPEECH & LANGUAGE THERAPY

Adult speech and language therapy service is provided to people with acquired disorders of speech, language, communication and/or swallowing, and available to all people aged 16 and over.

Referral criteria: • Any patient with an acquired disorder of speech, language, voice or communication and/or swallowing • Registered with a South West Essex GP or under the care of a BTUH consultant where their local GP will accept referral to the service

Exclusion criteria • Patients with dysfluency or for patients with communication disorders arising from dementia • Children under 16 years

Referral method: • Referral form faxed or posted to the address or fax number below NB Referral form must be completed by a qualified professional who is a member of the MDT involved with the patient.

Speech and Language Department Orsett Hospital, Rowley Road, Orsett, Essex RM16 2EU Telephone: 01268 592399 Fax: 01268 592386 Opening times: Monday to Friday - 8.30am – 5pm

BBCCG - Version1 - Dec. 2013 - Viv Clements 25 STROKE SPECIALIST SERVICE Service (Stroke Hub)

The Stroke Specialist team are a multi disciplinary team of stroke specialists who coordinate and manage the stroke pathway from admission to the acute setting and facilitate transitions into community or long term care as appropriate. They facilitate the early Supported Discharge service able to carry out rehabilitation programmes to an acute level in the clients own home whilst also supporting those clients requiring more complex rehabilitation as an inpatient in Brentwood Stroke Unit. They maintain appropriate levels of contact with every patient within the first year of stroke, including a specialist review at 6 weeks, 6 months and one year.

Inclusion Criteria • Adults over the age of 18 • Confirmed diagnosis of Stroke within the first year of onset and requiring specialist input from a Multi disciplinary team – Physiotherapists, Occupational Therapists, Dietician, Speech and language therapy, Nursing input, Social Workers (Essex and Thurrock) and Clinical Psychology. • Registered with a GP in South West Essex

Accessing Service

Send referral form by post or fax to: • Domiciliary visits for those who cannot attend a clinic Stroke Specialist Hub team, 1st Floor, Brentwood • Review clinics across South West Essex Community Hospital, Crescent Drive,

Brentwood Essex CM15 8DR Tel: 01277 695133 Fax: 01277 695220

BBCCG - Version1 - Dec. 2013 - Viv Clements 26 TISSUE VIABILITY SPECIALIST SERVICE

The Tissue Viability Specialist Service provide: • Assessment and treatment which will involve diagnostic assessment and a care management plan that is evidence based. • Self-management advice working towards the best quality of life. • Monitoring of changes in treatment according to changes in situation. • Training and education for clients, carers and staff caring for those at risk of developing a wound e.g. pressure ulcer prevention or those already with a wound.

Inclusion Criteria

• Adults over the age of 18. Although the specialist service is not provided to children, the service will provide specialist advice and support to community paediatric services. • Mental capacity to receive care outside hospital • Registered with a GP in South West Essex In addition one of the following: • No obvious improvement in wound condition or response to treatment after 1 month of treatment • Sudden deterioration of wound • Complex wounds such as fungating , malignant or requiring larval or TNP therapy • Significant risk of Pressure Ulcers developing that cannot be managed by generic primary and community services

Exclusion Criteria • Children ( please see above)

Accessing service

Fax or post referral forms to: • Complex wound clinics across South West Essex localities Tissue Viability Specialist team, 1st Floor, Brentwood Community • Domiciliary visits for those who cannot attend a clinic Hospital, Crescent Drive, Brentwood, Essex CM15 8DR

Tel : 01277 695214 Fax: 01277 695019

BBCCG - Version1 - Dec. 2013 - Viv Clements 27 ULTRASOUND SW Essex GPs can refer direct to ultrasound providers.

Exclusion criteria: • Non SW Essex patients • All obstetric scanning • Breast scans • Vascular • Under the age of 16 • Patients who require fast-track referral where cancer is suspected • Patients who require specialist help with mobility including hoists PROVIDER Address of Service

Beehive Ultrasound DIPPLE MEDICAL CENTRE KINGSWOOD MEDICAL CENTRE BEECHWOOD SURGERY Wickford Avenue Clayhill Road Basildon Pastoral Way Brentwood Basildon CM13 2HQ SS16 5AD CM14 5WF

01268 555782 01268 663140 01277 245515 Essex Ultrasound ROSEVILLA SURGERY DIPPLE MEDICAL CENTRE SOUTHVIEW PARK SURGERY 6 Rectory Park Drive Wickford Avenue London Road Pitsea Basildon Vange Basildon Essex SS13 3HQ Essex Essex SS13 3DW 01268 552999 01268 556669 01268 553292 Lakeside Ultrasound NIGHTINGALE SURGERY MAYFLOWER HOSPITAL Langdon Hills Medical Centre Blunts Wall Road Unit 2 Billericay Great Berry Neighbourhood Centre Essex Nightingales CM12 9SA Langdon Hills Basildon 01268 418200 01277 621130 BBCCG - Version1 - Dec. 2013 - Viv Clements 28