NHS Foundation


John Harrison House
The Royal London Hospital,
Stepney Way, London  E1 1BB


0300 033 5000 (Single Point of Access)

Opening hours

08.00-18.00 7 days a week

Admission Avoidance and Discharge Service (Tower Hamlets)

Who we are

The Admission Avoidance and Discharge Service are a multidisciplinary team who work in partnership with the In-reach Lead Nurse to prevent unnecessary admission to hospital.

The team to identify, assess, and co-ordinate admission avoidance /discharge for patients in the Emergency Department (ED) at the Royal London Hospital and provide follow up /rapid response in the community.

They provide specialist advice and supervision to other professions outside and within the multidisciplinary teams across organisational boundaries, and take responsibility, using a case management approach, for integrating, co-ordinating and pro-actively assessing patients’ health and social care needs, so that the individual receives the best possible care in the most appropriate place when they are medically stable.

They develop care plans to facilitate safe, timely and effective discharge, optimising patient outcomes and ensuring patients, carers and professionals have the skills and knowledge to implement those plans. And act as a resource for professionals of all disciplines and patients and carers, to problem solve, advise and support appropriate outcomes, contributing to and sometimes challenging the decision making process regarding whether patients are safe to be discharged from the ED to the community.

For community referrals please send to thgpcg.spa@nhs.net; For hospital discharges please send referral to Integrated Discharge Hub: elft.thintegrateddischargehub@nhs.net. The SPA sends the referral forms to the team through EMIS. Click on the links below to download the referral forms: 


Tower Hamlets Community Health Referral Form