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Hand therapy and plastics services

Specialist care for conditions of the hand and forearm

Coronavirus: hand therapy and plastics services update

Due to increased demand on the hospital due to the coronavirus (COVID-19) pandemic we are having to make significant changes to our services which may require cancellation of appointments.


We are attempting to contact all patients with a future scheduled appointment.

In some cases we are changing appointments to a telephone consultation, and in certain circumstances, a video appointment.

Some appointments may be cancelled without a future date being arranged at this stage. If we cancel your appointment you will remain on our waiting list and we will contact you in due course. Some patients may be discharged back to their GP and we will write to you if this is the case.

If you have not heard from us within three days of your scheduled appointment, please contact us by email

If you are unable to use email or your query is urgent, please call the following number 020 7188 4172. Our phone lines are very busy and there may be a wait for your call to be answered.

Existing patients

If you are an existing patient who has previously been seen in our service and need advice from the clinical team, please choose the most appropriate option.

Contact us by email (please include your full name and date of birth) if: 

  • you have any queries regarding your appointment or the contact details we have for you
  • you need to urgently discuss your clinical condition
  • you have recently had surgery and require a hand therapy follow up.

Please check the website for further information and advice leaflets.

See our frequently asked questions for further information. If your query is not covered, please either email or call us as appropriate.


We are doing everything we can to support GPs and your patients during the COVID-19 pandemic. Therefore, prior to any referral, we would strongly advise that GPs to seek advice and guidance (A&G) via e-RS or Consultant Connect (if it is available in your area). Please note that all of our services available on e-RS are set up for advice requests.

This will enable the clinical team to review your request and provide an interim treatment plan for ongoing management of a patient. They can also advise/ provide clarification regarding a patients test results.

The GP can attach documents to the e-RS advice request, which may include diagnostic results, scanned images (eg ECGs). Providers can also respond with attachments.

  • e-RS referrals

    If you feel that a referral is absolutely necessary, please refer via e-RS and use the 'defer to provider' functionality for urgent/two week wait (2WW) referrals. Please attach the referral letter at the point of referral or within 24 hours. For 2WW referrals, please ensure that the patient meets the criteria ahead of referring.  Please do not refer urgent patients under 2ww as this will overwhelm the service.

    The Trust will vet the referral and either book into a virtual appointment or add the patient to the waiting list if they need a face to face appointment. In some cases the referral may be returned (rejected) back to you with advice.

    Please do not defer to provider routine referrals. Send the appointment request to the patient so they can do this when they are ready to book.

    Please consider this before making any referral as our capacity to see new patients is very limited.

    For any training issues or technical assistance with e-RS/Smartcards, please contact your local commissioning support unit facilitators or registration authority helpdesk.

  • Consultant Connect

    For south-east London GPs, your Clinical Commissioning Group (CCG) has commissioned the Consultant Connect service so you can also use this to seek advice. We are in the process of expanding our Consultant Connect lines – these will be available Monday to Friday, 9am to 5pm and the communication will come via your local CCG bulletins> Please share this information within your practice.

Our frequently asked questions page has answers to common questions we have received from patients.

Related services

Sorry, there are no related services.



Please visit the main Trust coronavirus (COVID-19) page for more information.


St Thomas' Hospital
Third floor, Lambeth Wing
Westminster Bridge Road
London SE1 7EH
Tel: 020 7188 4172/4

Guy's Hosptal
Ground floor, Tower Wing
Great Maze Pond
London SE1 9RT
Tel: 020 7188 4172/4


Opening hours: 8am-5pm, Monday to Friday

Access guide

Accessibility information to support you.

Access guide for the hand therapy service at Guy's Hospital.

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Access guide for the hand therapy service at Thomas' Hospital.

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