Refer a patient to the Rheumatology department
This page includes information on how to refer a patient to the Rheumatology department at Great Ormond Street Hospital (GOSH).Please see our admission criteria for information about the diagnoses treated by the Rheumatology department at GOSH.
How to refer a patient
For an outpatient appointment
As a tertiary care hospital, all children who attend GOSH must be referred via local hospital consultants or community paediatricians. In exceptional circumstances, children with inflammatory conditions only may be referred via a GP following discussion with one of our consultants.
To make a referral for an inflammatory condition to the Rheumatology department please email firstname.lastname@example.org or fax 020 7813 8310. Please see below for referrals to our non-inflammatory assessment service.
For urgent out-of-hours admissions please contact the GOSH switchboard on 020 7405 9200 and ask for the on-call rheumatology registrar.
Guidelines for making a referral
Referral letters must include:
a clear history of the presenting complaint
physical examination including fever chart where relevant
urinalysis if relevant
bloods done (please liaise first before taking bloods)
other tests (please liaise first to save unnecessary X-rays, bone scans, MRI etc)
other health professionals involved
information given to parents and child
school, including amount missed
We offer an assessment service for children with non-inflammatory musculoskeletal conditions.
Non-inflammatory patients must be referred by a paediatrician and be accompanied by this completed form: Non-inflammatory service referral form (43.62 KB)
Wherever possible, the referral should also include this form completed by the patient's local physiotherapist: Physiotherapy Proforma NIMPS
Further details on this service can be found here.
Paul Brogan, Professor of Vasculitis and Honorary Consultant in Paediatric Rheumatology
Despina Eleftheriou, Senior Lecturer and Honorary Consultant in Paediatric Rheumatology
Clarissa Pilkington, Consultant in Paediatric Rheumatology
Sandrine Lacassagne, Consultant in Paediatric Rheumatology
Lucy Wedderburn, Professor and Honorary Consultant and Reader in Paediatric Rheumatology
Muthana Al Obaidi, Consultant in Paediatric Rheumatology
Charalampia Papadopoulou, Consultant in Paediatric Rheumatology
Elena Moriatis, Consultant in Paediatric Rheumatology
Services and facilities available
The Rheumatology department at GOSH offers diagnosis and management of children with inflammatory rheumatological diseases.
Referrals for non-inflammatory musculoskeletal problems are also accepted for assessment and advice on future local management.
Uniquely, this unit provides a GOSH-wide service for referral and management of vasculitis and recurrent fever syndromes.
The core specialties regularly involved are rheumatology, nephrology, infectious diseases and immunology.
Our medical team also works in the Adolescent Unit at the University College London Hospital (UCLH). Young people aged between 14 and 16 years are transferred to this clinic for treatment in an age-specific environment.
The team also works closely with local teams in secondary centres to ensure that our patients are treated in a way that best suits them. To facilitate this, the team has set up the Rheumatology Shared Care Unit (RheSCU) network.
The Rheumatology department offers inpatient, outpatient, day care and ambulatory services.
The Rheumatology department provides diagnostic tests and therapies, treating patients with the following diseases:
juvenile idiopathic arthritis
juvenile enthesitis-related arthritis (ERA)
arthritis associated with other chronic diseases (eg cystic fibrosis)
chronic infantile neurological cutaneous and articular syndrome
chronic recurrent multifocal osteomyelitis
periodic fever syndromes
mixed connective tissue disease
systemic lupus erythematosus
overlap connective tissue disease
The ward has 16 inpatient beds and also treats patients who come in for ambulatory day care.
Feedback and suggestions
All general feedback and suggestions can be directed to:
Great Ormond Street Hospital
Great Ormond Street
Telephone number: 020 7405 9200 Ext 7887
Fax: 020 7813 8580
Professor Paul Brogan
Specialty Lead for Rheumatology
Telephone number: 020 7405 9200 Ext 7887
Telephone number: 020 7405 9200 Ext 6709
Telephone number: 020 7405 9200 Ext 5096