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Admission Avoidance and Discharge Service (Tower Hamlets)

The admission avoidance and discharge service work in partnership with the In-reach lead nurse to prevent unnecessary admission to hospital.


John Harrison House
The Royal London Hospital
E1 1BB
United Kingdom

Opening hours
8am-6pm, 7 days a week
Telephone number
0300 033 5000 (Single Point of Access)

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 teams across organisational boundaries, and take responsibility, using a case management approach, for coordinating and 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, ensuring patients, carers and professionals have the skills and knowledge to implement those plans. They act as a resource for professionals of all disciplines and patients and carers, to problem solve, advise and support appropriate outcomes. 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; For hospital discharges please send referral to Integrated Discharge Hub: The SPA sends the referral forms to the team through EMIS. Click on the links below to download the referral forms: 

Integrated Discharge Hub Referral Form

Tower Hamlets Community Health Referral Form