Refer a patient to the Haematology and Oncology department

This page includes information about how to make a referral to the Haematology and Oncology department at Great Ormond Street Hospital (GOSH).

As a tertiary care hospital, all children who attend GOSH must be referred via Paediatric Oncology Shared Care Unit (POSCU) consultants, community paediatricians or, in exceptional circumstances, via a GP.

How to refer a patient for an emergency or urgent inpatient admission 

Emergencies (patients that need life or limb saving treatment at GOSH within a few hours) i.e. patients with raised intra cranial pressure, spinal cord compression, high white blood cell count or superior vena cava syndrome. Please contact the GOSH switchboard on 020 7405 9200 and ask for the haematology or oncology attending consultant (in hours) or on-call consultant (out of hours).

Urgent (patients that need transfer to GOSH but not in emergency category) i.e. patients with suspected malignancy or multisystem histiocytic disorder. Please contact the GOSH switchboard on 020 7405 9200 and ask for the haematology or oncology attending consultant (in hours) or on-call consultant (out of hours).

In the case of a space-occupying lesion in the head - please contact the GOSH switchboard on 020 7405 9200 and ask for the neuro-surgical attending consultant (in hours) or on-call consultant (out of hours).

All inpatient referrals should be faxed to the appropriate ward: 

For haematology and solid tumour referrals - please fax Lion/Elephant/Giraffe ward on 020 7813 8265

Oncology referrals: gos-tr.OncologyReferrals@nhs.net

Haematology referrals: gos-tr.HaematologyReferrals@nhs.net

Please note that these inboxes are for referrals to oncology and haematology only. These are checked during working hours only (09:00-17:00 Monday to Friday). Urgent referrals outside of working hours and at weekends/bank holidays should be faxed to the inpatient wards (fax number 020 7813 8265).

For neuro-surgical referrals - please fax Koala Ward on 020 7813 8432

How to refer a patient for an outpatient appointment or second opinion 

All referrals must be directed in writing to a named consultant or to the attending consultant. These can be sent by post or faxed:

Department of Haematology
Camelia Botnar Laboratories
Great Ormond Street Hospital
Great Ormond Street
London WC1N 3JH
Haematology fax number: 020 7813 8410
Haematology phone number: 020 7829 7918/8831

Department of Oncology
6th Floor Southwood Building
Great Ormond Street Hospital
Great Ormond Street
London WC1N 3JH
Oncology fax number: 020 7813 8588
Oncology phone number: 020 7829 8832/7924

All requests for second opinions should be accompanied by pathology and imaging information and are discussed at the multi-disciplinary team meetings on Tuesdays (neuro-oncology) or Thursdays (haematology and oncology).

Minimum Dataset Form

For pathway management purposes, all trusts referring a patient to the Haematology and Oncology department will be required to submit a minimum dataset form within 2 working days of tertiary referral.

MDS Cancer Referral Form (60.32 KB)

Geographical areas 

Referral catchment area criteria for children with malignancies is detailed below, however referrals may be accepted from other centres as clinically appropriate.

Birth to 12 months

GOSH accepts referrals for all children under 12 months with malignancies, referred from local hospitals linked to GOSH. These can be located both north and south of the River Thames.

Children between 12 months and 13 years

If the child's home address is:

North of River Thames – GOSH accepts from local hospitals linked to GOSH (see list below)

South of River Thames – local hospital should refer to Royal Marsden Hospital (Sutton)

Teenagers 13 years or over

Hospital should refer to University College London Hospital (UCLH) Teenage and Adolescent Oncology Unit.

GOSH can accept referrals for patients outside of the pan-Thames paediatric oncology shared care unit (POSCU) area for treatment of retinoblastoma.

Hospitals north of the River Thames

GOSH accepts referrals from the following hospitals for all children under 13 years with malignancy:

• Barnet
• Basildon
• Broomfield, Chelmsford
• Chase Farm
• Chelsea and Westminster
• Ealing
• Hemel Hempstead
• Hillingdon
• Homerton
• Lister (for patients south of the Lister only)
• Newham General
• North Middlesex
• Northwick Park / Central Middlesex
• Queen’s Hospital, Romford
• Princess Alexandra, Harlow
• Royal Free
• Royal London
• Southend
• St Mary’s, Paddington
• University College London Hospitals
• Watford
• West Middlesex
• Whipps Cross
• Whittington

Hospitals south of the River Thames

GOSH only accepts referrals from the following hospitals for children under 12 months with malignancy:

• Conquest, Hastings
• Crawley
• Croydon University
• East Surrey, Redhill
• Eastbourne
• Epsom General
• Frimley Park, Camberley
• Kent and Canterbury
• King’s College
• Kingston
• Lewisham
• Maidstone
• Medway Maritime, Gillingham
• Tunbridge Wells Hospital at Pembury
• Princess Royal, Farnborough, Kent
• Queen Elizabeth, Woolwich
• Queen Elizabeth The Queen Mother (QEQM Margate)
• Queen Mary’s, Sidcup
• Royal Alexandra, Brighton
• Royal Surrey County, Guildford
• St George’s, Tooting
• St Peter’s, Chertsey
• St Thomas’ - Evelina Children's Hospital
• Worthing and Southlands
• William Harvey, Ashford

Out of area hospitals 

These hospitals should be referred to other tertiary paediatric cancer centres (in brackets):

• Basingstoke and North Hampshire (Southampton)
• Bedford (Addenbrooke's)
• Colchester (Addenbrooke's)
• Ipswich (Addenbrooke's)
• James Paget, Great Yarmouth (Addenbrooke's)
• Luton & Dunstable (Addenbrooke's)
• Lister (Addenbrooke's for patients south of Lister)
• Queen Elizabeth II (Addenbrooke's)
• Royal Berkshire, Reading (Oxford)
• Wexham Park (Oxford)
• Wycombe General (Oxford) 

Referral to a multi-disciplinary team (MDT) meeting

The team involved in the treatment of our patients is called a multi-disciplinary team (MDT) This is a specialist multi-professional team which consists of consultant oncologists and haematologists, surgeons, radiologists, histopathologists, social workers, nurse specialists, psychologists, outreach nurses, pharmacists and MDT coordinators.

The members of the team meet each week in an 'MDT meeting'. The meetings can involve up to 50 professionals discussing a patient’s diagnosis, treatment plan and other needs.  Patients are often discussed on several occasions, at various stages within their treatment. The outcomes of these meetings are discussed with patients, parents and carers before the best course of action is agreed.

Centres treating patients with cancer are obligated to have MDTs, and the workings of the MDT and their meetings are continually reviewed and assessed by the process of peer review.

Neuro-oncology MDT

The neuro-oncology MDT meets on Tuesday mornings. In the meeting, patients with brain tumours are discussed. The deadline for referring a patient to the MDT meeting is 2pm on the preceding Friday.

Any outside referrals to the MDT must be discussed with the attending or on-call consultant for oncology who can be reached through the switchboard on 020 7405 9200. 

The MDT Coordinator can be reached on 020 7829 8766.

Oncology MDT

The oncology MDT meets on Thursday afternoons. In the meeting, patients with solid tumours are discussed. The deadline for referring a patient to the MDT meeting is 12pm on the preceding Wednesday. Any outside referrals to the MDT must be discussed with the attending or on-call consultant for oncology who can be reached through the switchboard on 020 7405 9200.

The MDT Coordinator can be reached on 020 7829 8766.

Haematology MDT

The haematology MDT meets on Thursday afternoons. In the meeting, patients with haematological malignancies are discussed. Any outside referrals to the MDT must be discussed with the attending or on-call consultant, or SpR for haematology who can be reached through the switchboard on 020 7405 9200.

The MDT Coordinator can be reached on 020 7405 9200 ext. 1477.

Long term follow-up MDT

The long term follow-up MDT meets on the last Tuesday of the month. In the meeting, patients who are new to long term follow up and patients transitioning to UCLH or adult services are discussed.

Any outside referrals to the MDT must be discussed with the clinical nurse specialist, Vivienne Bristow on 020 7813 8127 or  ltfu@gosh.nhs.uk 

The MDT Coordinator can be reached on 020 7782 98127. 

Email: gos-tr.cancer.mdt@nhs.net

Management contacts

Ajay Vora
Head of Service for Haematology, Oncology, Haemophilia and Palliative Care
020 7405 9200 ext 6085
ajay.vora@gosh.nhs.uk

Ali Wood
Service Manager, Blood, Cells and Cancer, Haematology, Oncology and Palliative Care
020 7405 9200 ext 6354
ali.wood@gosh.nhs.uk