Clinical gerontology

What we do

We diagnose and treat conditions that are common in older, frail people. These include specific problems such as dementia, falls or osteoporosis. At the same time, we also assess and treat a variety of diseases, to improve patients' physical and mental health, independence and quality of life. This is often referred to as a Comprehensive Geriatric Assessment (CGA).

Our outpatient services are based at King’s Older People’s Assessment Unit – Betty Alexander Suite in Suite 2, Golden Jubilee Wing.

We also have dedicated beds for older patients with complex conditions on the Health and Ageing Unit (HAU) at King's. The HAU offers rehabilitation as well as medical treatment.

Our department includes consultant specialist doctors, a nurse consultant, trainee doctors, specialist nurses and therapists. We also work closely with other professionals in Old Age Psychiatry and Social Services as well as the charitable sector.

Many older patients are looked after by other specialists at King's and we support them in a variety of ways. King's Older People’s Assessment and Liaison (KOPAL) service covers Acute Medicine, General Surgery, Trauma and Orthopaedics. This team screens older people for problems associated with frailty and advise and supports those looking after them. It can organise transfer of care to the HAU.

Support for older patients on other wards is provided by our referrals specialist registrar, specialist nurses or from the on-call consultant.

Much of the department’s academic research is carried out by the Clinical Age Research Unit, an internationally recognised centre for studying the process of ageing.

Preparing for your appointment

Please bring an up-to-date list of your medication, including tablets you take that have not been prescribed by your GP, such as over the counter tablets or herbal medicines.

Location

Fourth floor, Hambleden Wing, Denmark Hill, London, SE5 9RS

Contact Details

  • Main Reception: +44 (0)20 3299 6071
  • King's Older People’s Assessment Unit – Betty Alexander Suite, Suite 2, Golden Jubilee Wing: +44 (0)20 3299 9618
  • King's Older People's Assessment and Liaison (KOPAL) team: +44 (0)20 3299 6088

Patient Information Leaflets

Conditions we treat

Our outpatient service sees patients:

  • with dementia, cognitive impairment and memory problems
  • with osteoporosis
  • who have had a fall
  • with hypertension
  • with Parkinson's disease (nurse-led clinic)
  • with incontinence (nurse-led clinic)
  • who have had a stroke.

We also see complex patients with multiple health needs for Comprehensive Geriatric Assessment either in a consultant-led clinic or our Multidisciplinary Team (MDT) Assessment service.

The MDT Assessment service is available Monday-Friday, 9am-5pm, and manages patients with multiple health problems who require intensive treatment and review to prevent a hospital admission. We offer urgent appointments where we aim to see patients within 24-48 hours.

Our team includes dedicated nurses who case manage patients, act as a patient advocate and co-ordinate care working alongside doctors and therapists.

Occupational therapists assess a patient's functional ability with particular reference to independence and safety at home, providing any aids/minor adaptations that may be needed.

Physiotherapists provide screening, assessment and management of patients at risk of falls and for those with mobility or balance problems. We provide group balance classes as well as individualised assessments. We also provide other forms of rehabilitation.

A patient can see the whole team or individual members of the team depending on their needs.

The Betty Alexander Suite also offers an infusion service where patients can have blood transfusions and other intravenous therapies.

Booking a patient at King's

Appointments for this service are made via the national Choose and Book system. Please see the Choose and Book page for more information.

Other ways to refer

Routine Referrals

Who can refer to this service:

  • GPs, other community health and social care professionals
  • Hospital-based health and social care professionals

All routine referrals into KCH are now managed electronically. These referrals can be emailed directly to kch-tr.kchreferrals@nhs.net where they will be forwarded to the relevant Consultant. Or they can be sent via Choose and Book.

If you would like a patient seen within two weeks, fax a referral to 020 3299 6476.

Emergency Referrals

Telephone Advice Liaison Service for GPs - 020 3299 6613
(Out of hours: when this phone line is diverted to switchboard, please ask for the on-call consultant for gerontology)

Call the TALK service and speak directly to a Consultant, Registrar or Senior Nurse to:

  1. Avoid the patient attending King’s Emergency department - discuss alternatives to an emergency attendance at King's via telephone advice or
  2. Arranging a HOT appointment (same day or next working day) or timely access to complex case intervention/specialist gerontology outpatient clinics
  3. Facilitate an appropriate emergency response via the Referrals Registrar (also available on bleep 435) or oncall Consultant. If you think a patient needs an emergency admission, please refer to the hospital site manager.

You may also send urgent referrals with the King's Older Person's Assessment Unit single referral form to kch-tr.kopaubas@nhs.net.

Other Queries

Please contact our referrals SpR on 020 3299 9000, bleep 435, or the on-call consultant for gerontology on 020 3299 6071 or via switchboard on 020 3299 9000.

Referral Forms

Please complete the relevant form and note any pre-consultation investigations required:

Key Clinical Staff

Name Job Title
Dr Dan Bailey Consultant Physician
Dr Catherine Bryant Consultant Physician
Mrs Kim Costar Senior Nurse/Manager, Betty Alexander Suite
Dr Jane Evans Consultant Physician & Clinical Lead for Acute Medicine
Ms Nicky Hayes Consultant Nurse for Older People
Prof Steve Jackson Professor of Clinical Gerontology
Dr Juliet Manyemba Specialty Doctor
Dr Dawn McIntosh Consultant Physician
Miss Emma Louise Ouldred Memory Clinic Sister/Dementia Nurse Specialist
Dr Rohan Pathansali Consultant Physician
Dr Dan Wilson Consultant Physician