Our service is the largest of three dedicated HIV services offered by NHS hospital trusts in north east London and it also provides a referral service for patients who may have more complicated health problems. Patients are referred to us by sexual health clinics, other hospital departments or GPs once they are diagnosed with HIV infection. Patients can also make contact with us directly without a referral from any other medical service or those newly diagnosed. We provide a free and confidential treatment for people living with HIV.
From Monday 15th April, all adults attending the Emergency Department at the Royal London Hospital, will be offered routine opt-out tests for HIV and Hepatitis C (HCV) if they are already having bloods done.
We are doing this because HIV and Hepatitis C are preventable diseases which are now easily treatable. People living with HIV who are diagnosed and treated early can expect to live a normal life with a near normal life expectancy. Once on treatment, they also cannot pass the virus on to others. Directly-acting antiviral treatments for HCV are short, oral treatments with few side effects which successfully cure more than 95% of patients. Deaths due to HIV have decreased, and HCV related deaths and liver cancers are falling due to better treatments. However nearly 40% of people with HIV and 50% with HCV are diagnosed late, which can result in significant ill health and mortality.
If you have had a test in ED you will be contacted within 2 weeks if there is a positive result. If you would like to talk to someone further, please contact us on 07715812663.
If you feel you are at risk of HIV infection please visits your local sexual health centre and ask for a test.
The Greenway Centre (Upper)
London, E13 8SL
Main tel: 020 7363 8939
Direct dial to nurses station: 020 7363 8474
Direct dial to secretariat: 020 7363 8400
Fax: 020 7363 8316
Grahame Hayton unit, Ambrose King Centre
The Royal London Hospital, Whitechapel
London, E1 1BB
Main tel: 020 7377 7039
Direct dial to secretariat: 020 7377 7308
Fax: 020 7377 7065
Telephone outside clinic hours: 020 3416 5000 and ask for ward 13F
Grahame Hayton unit pharmacy
The Grahame Hayton unit provides a comprehensive range of HIV services and treatment:
Our inpatient service is located on ward 13F of The Royal London Hospital.
Ward 13F, thirteenth floor, Main Building
The Royal London Hospital, Whitechapel Road
Whitechapel, London, E1 1BB
Reception tel: 020 3594 2906
Ward tel: 020 3594 2901
Fax: 020 3594 2914
Directions: once you have entered the building, follow the signs to lift core 5 and take a lift to the thirteenth floor. You will then see signs for ward 13F.
2nd Floor, 40 Liberty Bridge Road
Stratford, E20 1AS
Main tel: 020 8496 7237
We are currently experiencing some issues with answering all our call. We are working to put new processes in place to rectify this. Sincere apologise for any inconvenience caused. Alternatively, you can email us on BHNT.SLG-Reception@nhs.net with your request and our reception team will reply to you as soon as possible
We may find that you have a problem that is unrelated to HIV such as asthma or high cholesterol. In these situations, it is better that your GP manages that part of your health as they are likely to be more experienced in these particular aspects of health care. Your GP may also need to prescribe medication for you. It is important that whenever someone prescribes medication they are aware of what you are already taking. This is to avoid giving you something that may interact with your existing medication and potentially make you feel worse, or even cause your HIV medications to stop working.
Clinical psychology is part of the multidisciplinary team which offers services to patients, partners and their carers. We provide a range of psychological therapies to help people cope with a range of health and emotional problems, such as adjustment to a diagnosis, co-morbid mood problems, disclosure and issues regarding sexual wellbeing or risk.
Clinical psychologists work with people in a variety of settings, most commonly in health centres, clinics and hospitals. They have academic and specialist professional training in the application of principles of psychology to health and emotional problems. They are not medical doctors and therefore do not prescribe drugs. Clinical psychologists use their psychological knowledge and understanding of behaviour, emotions, thoughts and experiences to help people with health-related problems, relationship and emotional difficulties.
Clinical psychologists see individuals and their partners or families with many difficulties related to health problems. These may include problems such as:
If you are interested in meeting with a clinical psychologist, please speak to any member of the service about being referred.
After you and the clinical psychologist have assessed your current situation and problems you may decide to have a series of appointments with a member of the clinical psychology team to examine ways of addressing your difficulties. Clinical psychologists offer a range of psychological therapies and work with individuals, couples and groups. The length and frequency of therapy is negotiated to suit individual needs.
Clinical psychology aims to provide a service to a client that is respectful of individual lifestyles, and sensitive to family, social and cultural issues.
If you are interested in finding out more about the clinical psychology service please feel free to talk to any member of the GHU staff.
The clinical research unit within the Grahame Hayton unit undertakes, leads and manages clinical trials within the rapidly changing areas of HIV, sexual health and all liver diseases. Our dedicated team of research health care providers offer a very high standard of care to patients from all backgrounds and ethnicities. These studies enable our patients to access cutting edge treatments through clinical trials that are not yet available through the NHS. Within a clinical drug trial, patients are monitored and investigated more rigorously than in a general clinic. We also manage smaller academic studies which help us to understand how the various diseases manifest and how we can then treat or prevent them.
The clinical trials unit within the GHU is among the top five recruiting centres within Barts Health NHS Trust and is a leading research and clinical trials unit for HIV and liver disease therapies.
All clinical trials undergo a rigorous approvals process and are all approved by independent ethics committees.
If you would be interested in a research study in the areas of HIV, sexual health or liver disease, please contact our team on 020 7377 7457 and we would be happy to discuss which study would be suitable for you and also discuss which studies are currently recruiting.
The HIV clinics at Newham University hospital, the Royal London hospital and Whipps Cross hospital are providing care for over 4,000 HIV patients.
The department employs two HIV community clinical nurse specialists who are able to visit patients at home if they live in Newham, Tower Hamlets or Waltham Forest. Patients who live further afield can be referred to a local HIV community CNS.
A home visit, or regular home visits, might be necessary if a patient is unable to attend their regular clinic for physical or psychological reasons. Our CNSs are able to assess patients at home, take bloods, prescribe medications and arrange home delivery of medications.
The community HIV nurses do not replace district nurse or GP services but add to the existing community ones. They are able to help communicate between specialist and generic healthcare providers.
If a patient requires rehabilitation, either from an acute centre or home, the HIV community nurses are able to arrange or instigate admission to Mildmay hospital UK, and oversee the admission and discharge back into the community.
Referrals are accepted from patients, health, or social care professionals, or non-profit organisations.
The women’s health service in the Grahame Hayton unit is run by a clinical nurse specialist who has experience in women’s health and HIV nursing.
The service offers cervical cytology tests, contraception, sexual health screening and advice on related health issues. This includes advice on fertility and planning a pregnancy. We can also provide advice to women whose partners attend the unit.
We also run a HIV antenatal clinic with dedicated specialist midwife and doctor.
Health advisers are more common within sexual health clinics where the role is often about avoiding exposure to or reducing the risks of getting a sexually transmitted infection, it also involves supporting those who do get diagnosed with an infection and helping with partner notification.
At the Grahame Hayton unit, our health advisors provide help and support around disclosure and assisting with getting partners and children tested for HIV. This specialist role was created in recognition of the difficulties disclosure can still cause for many people living with HIV.
Despite advances in both testing and treatment, we have still encountered cases where young adults have been diagnosed with late HIV infection where it is believed that the transmission has been vertical i.e. from mother to child. This may have happened for a number of reasons:
Talking to our children and young people about testing and sexual health matters is never easy, whether we are living with HIV or not. Sometimes parents are comfortable with talking to their children and sometimes young people find it easier to talk to someone who is not their parents because it is less embarrassing.
If you have any issues relating to your diagnosis; disclosing to partners, thinking about having a family, wanting to test your existing children or wanting to have safer sex with new partners, please make an appointment to meet with me. You can contact our health advisors via reception - they are available in the Grahame Hayton unit on Mondays, Tuesdays and Fridays.