Refer a patient to the Endocrinology department
Endocrinology services at Great Ormond Street Hospital (GOSH) are provided under the umbrella of the London Centre for Paediatric Endocrinology and Diabetes (LCPED). This page includes information on how to refer a patient to GOSH.Please see our admission criteria for information about the diagnoses treated by the Endocrinology department at GOSH.
How to refer a patient
For an outpatient appointment
Referrals should be sent to the Endocrinology Department at GOSH and must be from secondary or tertiary care. Direct GP referrals are only accepted if they request a second opinion or if they are of a sibling of a patient that is already being seen at GOSH.
Inter hospital transfer
Any acute referral of a patient with an endocrine emergency should be made via the Specialist Registrar on-call for endocrinology (Bleep 0281) or the clinicians assistant between 09:00 to 17:00 (see below for contact details). A referral letter with full and detailed information is required.
Rapid Assessment Unit
Urgent referrals can now been seen on our ‘Rapid Assessment Unit’ which allows a multi-disciplinary assessment to be undertaken as a day case, with the agreement that the child returns back to the referring hospital on the same day. Please discuss this arrangement with the Specialist Registrar on-call. In the event of the above pathways being unavailable, the on call endocrinology consultant should be contacted via switchboard.
GOSH Centre for Endocrine and Metabolic Diagnostics
Please note that this is a diagnostic service only available to our agreed list of referrers.. Results will be returned to the referrer for interpretation without any input from the GOSH team.
To refer a patient please see above.
Prof Mehul Dattani
|Septo-optic dysplasia, Pituitary development||
0207 813 8252
0207 813 8252Magda Wisniewska - firstname.lastname@example.org
|Dr Rakesh Amin||Rare forms of diabetes, endocrine tumours and late effects|
|Prof Peter Hindmarsh||Adrenal disorders and diabetes||
0207 813 8252
0207 813 8252Allen Armstrong - email@example.com
|Dr Catherine Peters||Thyroid and Cystic Fibrosis related and other forms of diabetes|
|Dr Caroline Brain||Turners syndrome, Calcium disorders||
0207 813 8252
0207 813 8252Chelsey Burl - firstname.lastname@example.org
|Dr Helen Spoudeas||Late neuroendocrine effects of brain tumours and cancer therapies|
|Dr Pratik Shah||Congenital Hyperinsulinism||0207 813 8252|
For Disorders of Sexual Development please contact Specialist Registrar or consultant on-call or Professor John Achermann (John.Achermann@ich.ac.uk).
- Dr Jeremy Allgrove; Calcium and bone clinics
- Dr Vaseem Hakeem and Dr Joseph Raine; Thyroid clinic
- Dr Heather Mitchell; Adrenal Disorders
- Mr Tom Kurzawinski; Endocrine surgery
Clinical nurse specialists (available 09:00-17:00 Monday to Friday)
email@example.com or 020 7813 8214
- Shirley Langham
- Abigail Atterbury
- Sally Tollerfield
- Samantha Wade
020 7405 9200
- Claire Gilbert (Claire.Gilbert@gosh.nhs.uk)
- Kate Morgan (Kate.Morgan@gosh.nhs.uk)
- Louise Doodson (Louise.firstname.lastname@example.org
Diabetes@gosh.nhs.uk or 020 7405 9200 (ext 1643)
- Samantha Drew (Samantha.Drew@gosh.nhs.uk)
Services and facilities
The LCPED, in conjunction with adult endocrine services, provides the largest endocrine service for children in Europe, covering all aspects of paediatric endocrine disorders in a multidisciplinary setting and promoting the concept of endocrine care from cradle to grave.
The LCPED serves both Thames regions and receives national and international referrals. The Thames population totals 18 million. The aims of the department are to provide efficient, high quality, multi disciplinary care to children with endocrine disorders.
The department offers sub specialist expertise in the areas of disorders of sexual differentiation and determination, calcium homeostasis, neuro-oncology, pituitary development including septo-optic dysplasia, congenital hyperinsulinism, adrenal disorders including congenital adrenal hyperplasia and complex diabetes mellitus.
The department provides ongoing care for the National Screening Programme for congenital hypothyroidism.
Seven to 12 outpatient clinics per week are run on each site with monthly/fortnightly speciality clinics in haematology, brain tumours, pituitary disorders including septo-optic dysplasia, calcium & bone, complex diabetes, intersex disorders, congenital adrenal hyperplasia, Turner syndrome and eating disorders as well as three to four monthly clinics in pancreatic disorders, paediatric gynaecology and skeletal dysplasias.
The consultants also provide an outreach service to 22 District General Hospitals in the Thames regions.
The LCPED also provides a full liaison service to all teams within the Hospitals. Endocrinology serves as a tertiary referral unit providing emergency and elective management for North Thames in particular but referrals are received from all over the South of England.
The department also provides a national and international resource for the management of rare or complex paediatric endocrine conditions. There are approximately 50 inpatient, 863 programmed investigation cases and 2756 outpatient events per annum.
A National and International service for patients with hyperinsulinism is provided by GOSH, funded by the National Commissioning Group. Practice represents joint working with radiology, chemical pathology, gastroenterology, surgery, histopathology and nuclear medicine. Clinical exposure includes daily work in a high dependency area.
Septo-optic dysplasia/combined pituitary hormone deficiency
This regional service provides a multidisciplinary approach and the endocrine department work closely with the Ophthalmology and Neurodevelopmental Paediatric Services. The clinical service is linked to research at the ICH into the neurodevelopment and molecular genetics of this disorder.
The centre provides a follow-on service for the North Thames screening programme for congenital hypothyroidism. Current diagnostic rates average 80 new cases per annum and an integrated service is provided between chemical pathology, nuclear medicine, audiology and endocrinology for the initial assessment of these individuals.
Patterns of care are then established with either local paediatricians with a special interest in endocrinology or further care provided at the Great Ormond Street site. Patients are reviewed in a dedicated thyroid clinic with same day turn around of thyroid function tests.
Adolescents with thyroid disorders are reviewed at UCLH in a joint clinic with adult thyroid specialist input.
Disorders of sexual differentiation and determination
Specialist clinic services are provided for disorders of sexual differentiation and determination. There is a monthly multidisciplinary clinic held jointly with urology, psychology, chemical pathology, gynaecology, genetics and diagnostic molecular biology.
Cases seen on each occasion total five maximum with further discussions and these patients represent follow-on clinic consultations from referrals to the endocrine or urology services.
Calcium metabolism and bone disorders
A special clinic for disorders of calcium metabolism is provided in a once monthly clinic at the GOSH site. Joint working relationships and clinics have been established with neurodisability with respect to the management of osteogenesis imperfect, with the recent award of funding by AGNSS.
Late effects of oncology therapy
The provision for the endocrine follow-up of children who received oncology therapy is divided into two sections. Craniopharyngiomas and solid brain tumours are handled in the neuro-endocrine service
Cases are discussed at a weekly multi-disciplinary meeting held at GOSH. A similar service largely located on the GOSH site is provided for patients with Langerhans cell histiocytosis and the leukaemias. Inpatient peri-operative endocrine care is provided for children who have neurosurgical procedures at GOSH.
Children with adrenal disorders are seen by all endocrinologists but increasingly within dedicated clinic space. The clinic provides a joint meeting of families with clinician and nurse specialist to allow for information exchange and in particular to negotiate the interface between child, family and educational institutions.
Children and adolescents with type 1 and 2 diabetes are managed at UCLH which provides secondary care to the local area and specialised tertiary care to the region. The service is one of the largest diabetes services in the country with over 300 patients with diabetes. Over half of these patients are managed using insulin pump therapy.
This interdisciplinary diabetes service includes specialist consultants, clinical nurse specialists, a paediatric dietitian, psychologists, a podiatrist and ophthamologists. Standard clinics are held twice weekly along with nurse led clinics and special one-to-one education and training sessions.
Pump therapy is delivered using a care pathway approach culminating in therapy commencing within the setting of a two day pump school. A parallel service for complex diabetes mellitus is being established at GOSH, with specialist services to patients with Bardet-Biedl syndrome and patients with cystic fibrosis.
Many of the patients with Turners syndrome seen at GOSH and UCLH are reviewed in dedicated clinics.
A specialist service for adolescents with obesity has been set up at UCLH with the emphasis on dietary and lifestyle adjustments.
This service is funded by the National Commissioning Group and is one of two centres for the paediatric management of this condition in the UK. This multidisciplinary service involves assessment by genetics, renal, ophthalmology, psychology, dietetic and endocrine services.
Feedback and suggestions
Please do feel free to pass on any feedback or suggestions regarding the Endocrinology referral process via the following members of staff:
- Professor Mehul T Dattani, Clinical Lead (Mehul.Dattani@gosh.nhs.uk)
- Temporary Secretary: 02078138252