Critical care follow-up

Unfortunately, as you will be aware, Covid-19 / Coronavirus has meant that we are stopping our ward’s face to face outpatient meetings for everyone, to reduce the risk of transmission. We will therefore not hold our Adult Critical Care Follow Up Clinic for the foreseeable future.

If you have any questions about your time on the ward or have worries about your rehabilitation, please let us know via the contact details below and we will get in touch and arrange a telephone screening.

You can email us on bartshealth.accufollowup@nhs.net or contact Polly Fitch on 07779 345 651.

The critical care follow-up service aims to support patients and their relatives following critical illness. While many patients make a good recovery following critical illness, some experience on-going health problems.

These can include physical symptoms such as:

  • weakness and joint problems
  • breathlessness
  • pain
  • sexual dysfunction
  • scar problems
  • sleep difficulties

Some patients experience psychological complications such as:

  • anxiety
  • depression
  • post-traumatic stress
  • impaired memory, concentration and multi-tasking

These can impact on:

  • employment and return to work, school or study
  • finances and income
  • personal relationships
  • social interactions

Patients seen in the critical care follow-up clinic are offered a range of support to help with these problems, in conjunction with services available locally to the patient.

St Bartholomew's Hospital

Clinics

Clinics are held on Tuesday mornings in the main outpatients Department in KGV building. Patients being seen in other specialist clinics may still benefit from attending the critical care follow-up clinic if they are experiencing difficulties specific to their time in intensive care.

Follow-up telephone call: For patients who cannot or do not wish to attend in person, it is usually possible to schedule a telephone discussion with one of the team.

"Knowledgeable and helpful. Thank you for following me up and having the time and patience to hear my story!"
- patient feedback for St Bartholomew's critical care service

Self-referral

If you would like more information or feel that you would benefit from coming to the clinic, please ask a member of the inpatient team caring for you, or feel free to contact us using the details below.

St Bartholomew's critical care follow-up service
St Bartholomew’s Hospital
Email: bartshealth.icuclinic.sbh@nhs.net 
Tel: 07899 995 159
 

The Royal London Hospital

The Adult Critical Care Unit (ACCU) Follow-Up Clinic is for patients who stayed for longer than 3 days on wards 4E & 4F at The Royal London Hospital. These wards are also known as the High Dependency Unit and Intensive Care.

The Follow-Up Clinic gives physical and psychological support for patients and family who are recovering after serious illness.

 

For patients

Many patients experience on-going problems following critical illness. These can be physical problems, such as pain and weakness or psychological problems, such as anxiety and depression. On-going support after discharge from hospital is sometimes required.

Patients who have been in critical care for 3 days or more will receive a letter inviting them to attend the clinic. You can also invite yourself by contacting us. The clinic aims to see patients within 6 months of discharge from critical care.

The clinic runs in the morning of the 1st Thursday of the month in the outpatient department.

The clinic is staffed by a Critical Care Consultant, Clinical Psychologist & Senior Nurses.

You’ll have the opportunity to discuss your critical illness, the treatment we gave you and we can review your progress.

You can ask us questions about your time in critical care or advice on how to keep your progress going.

We may be able to show you some of the images from medical scans of your body. If you want to, you can also visit the ward.

You’ll also be given the opportunity to tell us how you feel about your critical care stay.

If we feel that you need further support, we will either refer you to those services or give you contact details of the services which you can contact yourself.

For further information, to attend the follow-up clinic or to book an appointment please email bartshealth.accufollowup@nhs.net or call 020 359 40346.

Why choose us

St Bartholomew's Hospital

Support

We offer support from healthcare professionals who understand what patients and their families have been through and provide a point of contact during recovery, which may take many months or, sometimes, even years.

Multidisciplinary team

Patients and their relatives will be seen by a critical care consultant and/or therapist or nurse, and may also be seen by a psychologist depending on their needs. 

Visit back to the critical care unit

We also offer patients and their relatives a structured return visit to the critical care unit, which often helps them “come to terms” with what happened while they were critically ill. Further visits to the intensive care unit can be scheduled as required.

The Royal London Hospital

In 2019, 97% of patients told us they were satisfied or very satisfied with the care on our critical care ward*.

In the same year, 97% of patients told us that the Follow Up Clinic was beneficial or very beneficial to them and their family*.

(Source: Follow-Up Clinic Feedback Questionnaire, December 2018 to November 2019)

For clinicians

St Bartholomew's Hospital

Follow-up is indicated for adults who were in a critical care unit for more than 5 days and are considered at risk of developing PICS (post-intensive care syndrome) because of pre-existing health condition (in the physical, cognitive, psychological or physiological domain) or because of a lengthy and complicated critical care stay.

Many of the complications mentioned above might manifest at a later stage after the patient has returned home. Two to three months after discharge from critical care, a review to reassess health and social care needs ensures that any new physical or non-physical problems are identified and further support is arranged as needed.

The St Bartholomew's critical care follow-up service is offered to patients, and their families, who have received critical care in one of the designated critical care units (wards 1C, 1D, 1E and 6A) at St Bartholomew’s Hospital. This includes both inpatients and patients after discharge from hospital to the community.

If you would like any further information about our service, or to refer a patient, please don’t hesitate to contact us.

St Bartholomew’s Hospital
ICUclinicSBH@bartshealth.nhs.uk
Tel: 020 3765 8052

Anthony Bastin
Consultant in critical care
Lead for critical care follow-up
Anthony.bastin@bartshealth.nhs.uk

Tom Trevarthen
Critical care outreach physiotherapist
Lead for critical care follow-up
tom.trevarthen@bartshealth.nhs.uk

The Royal London Hospital

Prolonged critical care stay can be associated with physical, psychological and cognitive complications.

At The Royal London hospital we offer an outpatient follow up clinic which allows us to identify signs and symptoms of PICS (post intensive care syndrome) , Post-Traumatic Stress Disorder (PTSD) and provide or signpost to support as needed.

Clinicians may refer patients using the email or telephone number.

Resources

For a guide on what to expect in a critical care ward, as well as stories about other patients and relatives who have been in critical care and details about support groups, click here: https://icusteps.org/patients

For information about Delirium while on a critical care ward, click here:

https://icusteps.org/assets/files/booklet/delirium.pdf

For information about Post Intensive Care Syndrome, click here:  https://www.sccm.org/MyICUCare/THRIVE/Post-intensive-Care-Syndrome