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General medicine service

Providing acute medical services 

General medicine provides acute medical services for adults of all ages across a wide range of specialties and is part of the integrated therapies and medicine directorate.

Most of our general medicine patients are admitted through accident and emergency (A&E). Only 2% of our general medicine admissions are planned.

Admissions from A&E generally go the Admissions Ward. Here, patients are reviewed by a team of doctors, nurses and therapists. Some patients may be discharged home the same or following day (often with rapid outpatient follow-up and your appointment may be either at Guy’s Hospital or St Thomas’ Hospital), whereas other patients may need to stay for a few days or longer.  

If you need to stay in hospital you will be transferred to one of our general medical wards at St Thomas' Hospital or to a speciality ward either at St Thomas' or Guy's Hospital.

There are many medical conditions that when you are first admitted to hospital are often looked after by the general medicine team, such as sickle cell disease, HIV/AIDS, infectious diseases, rheumatology and neurology.

If you have a condition usually managed by a different speciality or we diagnose something that should be managed by a speciality team, we will contact the team to discuss taking over your care whilst you are in hospital (or in outpatients when you are discharged).

If the speciality team agrees to take over your care and you need to remain in hospital, we will arrange for you to be transferred to a bed managed by that team. There may be a delay in transferring you if no beds are available. Where there is a delay, we will ask the speciality team to review you whilst you remain in one of our beds to ensure that you get the appropriate care that you need.

For more information about your care under the general medicine team, please see our patient information page.

Wards for general medicine: