Mental Health Crisis
If you are already known to the Trust's mental health services, and feel you are becoming unwell, contact the named person who is responsible for your care or call the service responsible for your care. Their contact details will be at the top of letters sent to you, in your care plan or on the service leaflet. You can look up our services here but not all have their own emergency or out of hour numbers.
The word “crisis” can be used to describe many different situations. In mental health, the term “crisis” usually suggests that someone may need urgent help to support them with mental health problems.
Mental Health Crisis/Out of Hours
If you feel your mental health is deteriorating or if you are in distress and you need to contact a health professional out of office hours, you can call one of the numbers below for the borough you live in:
- For Bedfordshire - call 01234 315691
- For Luton - call 01582 538631
- For Newham - call 020 7540 6782
- For Tower Hamlets - call 020 3594 3179
Medical or Physical Health Emergency: Call 999
It is usually obvious if a person is seriously ill and needs immediate emergency care from the ambulance service or the local accident and emergency department.
Some examples would be a person who: has stopped breathing, has difficulty in breathing to the point that they cannot complete a sentence, is unconscious or fitting continuously, has chest pain, is bleeding heavily, has suspected multiple broken bones, has stab wounds, has a suspected stroke (usually affecting one side of the face, one arm and speech), has fallen from a height.
The London Ambulance Service provides a 24-hour accident and emergency service.
When you call 999 a telephone operator will ask you which emergency service you need: police, fire or ambulance.
In a medical emergency you should ask for an ambulance. You will be put through to an emergency medical dispatcher in the emergency operations centre. They will ask you:
Mental Health Emergency: Call 999
A mental health emergency is when there is a risk to self or to others. Eg. A risk of suicide or serious self harm. In this instance, you should call 999 for urgent assistance.
Urgent Medical Help or Advice: Call 111
You can call 111 when you need medical help fast but it's not a 999 emergency. Call 111 when:
- you need medical help fast but it's not a 999 emergency
- you think you need to go to A&E or need another NHS urgent care service
- you don't know who to call or you don't have a GP to call
- you are experiencing a mental health crisis and don't know who to call
For less urgent health needs, contact your GP or local pharmacist
Bedfordshire and Luton - local A&E
Luton and Dunstable University Hospital
Bedford Hospital NHS Trust
East London - local A&E
CITY AND HACKNEY ACCIDENT AND EMERGENCY SERVICES
Homerton University Hospital
Primary Urgent Care Centre (PUCC) or Hackney Walk-in Centre
Open Mon to Fri 7am – midnight; Sat, Sun and Bank holidays 9am - midnight.
Part of Homerton Hospital A&E (see above)
Tel: 020 8510 5342
NEWHAM ACCIDENT AND EMERGENCY SERVICES
Newham University Hospital
Urgent Care Centre
Open Mon - Fri 8am - 11pm, Sat, Sun and Bank holidays 9am - 11pm
Next to Newham General Hospital, see above
Tel: 020 7363 9200
TOWER HAMLETS ACCIDENT AND EMERGENCY SERVICES
The Royal London Hospital Accident and Emergency service (A&E)
London E1 1BB
- 24 hour service including a dedicated children's A&E department
- Located on the ground floor of North Tower, access from Whitechapel Road along East Mount Street
- Tel A&E reception: 020 3594 0004
- Tel Children's A&E reception: 020 3594 0005
Urgent Care Centre / Walk-in Centre
- Open seven days a week, 12noon -10pm
- Part of the Royal London Accident and Emergency Department, see above
- The Tower Hamlets Doctors on Call (THEDOC) or GP hotline GP services also based in the A&E Department◦Emergency admissions and advice tel: 020 3594 0440
- Out of hours GP service tel: 020 7377 7151
Minor Injuries Unit (MIU)
- Open Mon to Fri 8am-4pm. Closed at weekends and on bank holidays
St Bartholomew's Hospital, West Smithfield, London EC1A 7BE
- Tel Reception: 020 3465 6843 or 020 3465 5869