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Emergency Department (A and E)

St Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH

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Access Guide

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Getting To The Hospital

Getting Help and Assistance

  • There is a Patient Advice and Liaison Service (PALS) at the hospital.
  • The Patient Advice and Liaison Service (PALS) is located in the main hospital foyer.
  • The telephone number for the Patient Advice and Liaison Service (PALS) is 020 7188 8801.
  • The email address for the Patient Advice and Liaison Service (PALS) is [email protected].
  • There are volunteers available for help and assistance at the hospital.
  • Volunteers can be found at information points around the hospital.
  • There is an assistance dog toilet or toileting area on the hospital site.
  • The assistance dog toilet or toileting area is located outside the main entrance.
  • Water bowls for assistance dogs are available.
  • BSL interpreters can be provided on request.
  • Language interpreters can be provided on request.
  • Mobility aids are available to help patients move around and include; wheelchairs.
  • If you require any additional information or assistance, please speak to a member of staff.
  • Additional hospital services link (new tab) - click here.

Hospital Parking

  • Parking View
    • The hospital does have a dedicated car park.
    • The car park is located in front of the hospital, accessed via Lambeth Palace Road.
    • The car park type is open air/surface.
    • The car park does have a height restriction barrier.
    • The maximum height is 280cm (9ft 2in).
    • The car park does have a barrier control system.
    • The car park surface is tarmac.
    • There is a/are Blue Badge parking bay(s) available.
    • The Blue Badge bay(s) is/are clearly marked.
    • There is/are 10+ designated Blue Badge parking bay(s) within the hospital car park.
    • The dimensions of the designated Blue Badge parking bay(s) surveyed are 422cm x 547cm (13ft 10in x 17ft 11in).
    • There is a 120cm hatched zone around the Blue Badge parking bay(s).
    • The dimensions of other designated Blue Badge parking bay(s) vary in size.
    • Parking spaces for Blue Badge holders do not need to be booked in advance.
  • Drop-off Point View
    • There is a designated drop-off point.
    • The drop-off point is located to the left before reaching the entrance barriers.
    • There is a dropped kerb from the drop-off point.
    • The dropped kerb does not have tactile paving.
  • Paying View
    • There are parking charges for the hospital car park.
    • Payment signs are provided.
    • Payment signs are clearly presented.
    • Payment signs are located at the payment machines in the car park.
    • Payment signs do make it clear if parking charges apply to Blue Badge holders.
    • Parking is free for Blue Badge holders.
    • Payment machines are located outside the North Wing entrance, inside the Lambeth Wing Lower Ground floor entrance, and inside the Main entrance.
    • There is a payment machine at a convenient height for wheelchair users.
    • There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s).
    • To see the hospital parking charges please click here (opens new tab).
  • Access to the Hospital View
    • The route from the car park to the entrance is accessible to a wheelchair user unaided.
    • The hospital entrance is clearly visible from the car park.
    • The nearest designated Blue Badge parking bay is approximately 16m (17yd 1ft) from the North Wing Lower Ground entrance.
  • Comments View
    • There is also sheltered parking available.
    • Parking at Guy's and St Thomas' hospitals and the community services is very limited.
    • Both of the hospitals and many of the services are located in the Congestion Charging zone. Please use public transport whenever possible.
    • Charging exceptions
    • If you're a disabled patient attending an appointment, you'll be given free parking in the main car park upon production of your Blue Badge (registered in your name) along with your appointment card/letter.
    • Please take your Blue Badge (leaving the clock on display if parked in a disabled bay), white entry ticket to the car park and appointment letter/card to the Knowledge and Information Centre (KIC), which is located on the ground floor of St Thomas', North Wing.
    • The KIC is open from 08:00 to 18:00. Outside these hours, please go to the security desk at the main reception.

Opening Times

  • This service is open 24 hours.

Outside Access (Accident and Emergency Main Entrance)

  • Entrance Details View
    • This information is for the entrance located at the side of the hospital.
    • The entrance area/door is clearly signed.
    • There is ramped/sloped or stepped access at this entrance.
    • The entrance door(s) does not/do not contrast visually with its immediate surroundings.
    • The main door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 163cm.
    • There is a small lip on the threshold of the entrance, with a height of 2cm or below.
    • There is a second set of doors.
    • The door(s) open(s) towards you (pull).
    • The door(s) is/are double width.
    • The door(s) is/are heavy.
    • The width of the door opening is 184cm.
  • Ramp/Slope Details View
    • The ramp/slope is located to the left of the entrance.
    • The ramp/slope gradient is moderate.
    • The ramp/slope is permanent.
    • There is a level landing at the top of the ramp/slope.
    • There is a/are handrail(s) at the ramp.
    • The handrail(s) is/are on both sides going up.
    • The ramp/slope does bypass the step(s).
  • Step Details View
    • The step(s) is/are located to the right of the entrance.
    • There is/are 8 step(s).
    • There is tactile paving at the top and bottom of the step(s).
    • The step(s) is/are clearly marked.
    • The step(s) is/are medium height (11cm - 17cm).
    • There is a/are handrail(s) at the step(s).
    • The handrail(s) is/are in the centre going up.

Entrance (Majors)

  • Entrance Details View
    • This information is for the entrance located at the rear of the Accident and Emergency department.
    • The entrance area/door is clearly signed with the name of the service/department.
    • There is step free access at this entrance.
    • The main door(s) open(s) away from you (push).
    • The door(s) is/are double width.
    • The door(s) may be difficult to open.
    • The width of the door opening is 214cm.

Entrance (Resuscitation)

  • Entrance Details View
    • This information is for the entrance located at the rear of the Accident and Emergency department.
    • The entrance area/door is clearly signed with the name of the service/department.
    • There is step free access at this entrance.
    • The main door(s) open(s) away from you (push).
    • The door(s) is/are double width but one door is locked.
    • The door(s) may be difficult to open.
    • The width of the door opening is 117cm.

Reception (Check-in desk and Main Reception Area)

  • Reception View
    • The reception point is located ahead on entering the department.
    • The reception point is approximately 4m (4yd 1ft) from the Emergency Department Entrance.
    • The reception area/desk is clearly visible from the entrance.
    • There is step free access to the reception point.
    • There is a clear unobstructed route to the reception point.
    • There are no windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read.
    • The reception counter is not placed in front of a background which is patterned.
    • The lighting levels at the reception point are good.
    • The height of the reception counter is high (110cm+) .
    • There is sufficient space to write or sign documents on the counter.
    • There is a low section of the counter (76cm or below) available.
    • There is sufficient space to write or sign documents on the low section of the counter.
    • There is not a clear knee recess beneath the low section of the desk with the recommended dimensions of 70cm (height) x 50cm (depth).
    • The counter is staffed.
    • There is a hearing assistance system.
    • The type of system is a portable loop.
    • The hearing system is available only on request.
    • The hearing assistance system is not signed.
    • Staff are trained to use the system.
    • Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are provided in the reception area.
  • Reception Waiting Area View
    • There is a waiting area close to the reception point.
    • Access to the waiting area is unobstructed.
    • The type of flooring is vinyl/laminate.
    • There is sufficient space for a wheelchair user to use the waiting area.
    • There are seats with armrests on both sides.
    • No tables are permanently fixed.
    • The waiting room / area does not have background music playing.
    • There is not a flashing fire alarm beacon within the waiting room / area.
    • There is a television.
    • The vending machine controls are not within 120cm (4ft) from floor level.
    • Subtitles are available.
    • Vending machines are available.
    • A water dispenser is available.
    • There is not a play area or toys/books for a child to play with.
    • There is space for an assistance dog to rest within the seating area.
    • Lighting levels are medium.

Reception (Majors)

  • Reception View
    • The reception point is located ahead on entering the department and then to the left.
    • The reception point is approximately 12m (13yd 4in) from the majors entrance.
    • Clear signage for the reception area/desk is visible from the entrance.
    • There is step free access to the reception point.
    • There is a clear unobstructed route to the reception point.
    • There are no windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read.
    • The reception counter is not placed in front of a background which is patterned.
    • The lighting levels at the reception point are good.
    • The height of the reception counter is high (110cm+) .
    • There is sufficient space to write or sign documents on the counter.
    • There is a low section of the counter (76cm or below) available.
    • There is sufficient space to write or sign documents on the low section of the counter.
    • There is not a clear knee recess beneath the low section of the desk with the recommended dimensions of 70cm (height) x 50cm (depth).
    • The counter is staffed.
    • There is not a hearing assistance system.
  • Reception Waiting Area View
    • There is a waiting area close to the reception point.
    • Access to the waiting area is unobstructed.
    • The type of flooring is vinyl/laminate.
    • There is not sufficient space for a wheelchair user to use the waiting area.
    • There are seats with armrests on both sides.
    • No tables are permanently fixed.
    • The waiting room / area does not have background music playing.
    • There is not a flashing fire alarm beacon within the waiting room / area.
    • There is a television.
    • Subtitles are available.
    • Vending machines are not available.
    • A water dispenser is available.
    • There is not a play area or toys/books for a child to play with.
    • There is not space for an assistance dog to rest within the seating area.
    • Lighting levels are bright.

Reception (Resuscitation)

  • Reception View
    • The reception point is located straight ahead and then to the right.
    • The reception point is approximately 11m (12yd 1in) from the resuscitation entrance.
    • The reception area/desk is clearly visible from the entrance.
    • There is step free access to the reception point.
    • There is a clear unobstructed route to the reception point.
    • There are no windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read.
    • The reception counter is not placed in front of a background which is patterned.
    • The lighting levels at the reception point are good.
    • The height of the reception counter is high (110cm+) .
    • There is sufficient space to write or sign documents on the counter.
    • There is a low section of the counter (76cm or below) available.
    • There is sufficient space to write or sign documents on the low section of the counter.
    • There is not a clear knee recess beneath the low section of the desk with the recommended dimensions of 70cm (height) x 50cm (depth).
    • The counter is staffed.
    • There is not a hearing assistance system.
  • Reception Waiting Area View
    • There is not a waiting area close to the reception point.

Reception (X-Ray)

  • Reception View
    • The reception point is located to the right from the Accident and Emergency Main Entrance.
    • The reception point is approximately 16m (17yd 1ft) from the Accident and Emergency Main Entrance.
    • Clear signage for the reception area/desk is not visible from the entrance.
    • There is step free access to the reception point.
    • There is a clear unobstructed route to the reception point.
    • There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read.
    • The reception counter is not placed in front of a background which is patterned.
    • The lighting levels at the reception point are good.
    • The height of the reception counter is low (76cm or lower) .
    • There is not sufficient space to write or sign documents on the counter.
    • The counter is staffed.
    • There is not a bell to attract attention.
    • There is not a hearing assistance system.
    • Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area.
  • Reception Waiting Area View
    • There is a waiting area close to the reception point.
    • Access to the waiting area is unobstructed.
    • The type of flooring is vinyl/laminate.
    • There is not sufficient space for a wheelchair user to use the waiting area.
    • There is a mixture of seating with and without armrests.
    • The waiting room / area does not have background music playing.
    • There is not a red flashing fire alarm beacon within the waiting room / area.
    • There is not a television.
    • Vending machines are not available.
    • A water dispenser is not available.
    • There is not a play area or toys/books for a child to play with.
    • There is space for an assistance dog to rest within the seating area.
    • Lighting levels are good.

Counter (Registration Counters)

  • The Registration Counters is located to the right on entering the department.
  • The counter is approximately 7m (7yd 1ft) from the Accident and Emergency entrance.
  • The counter is clearly visible from the entrance.
  • There is step free access to the counter.
  • The lighting levels at the counter are medium.
  • There is not a clear knee recess beneath the low section of the counter.
  • The height of the counter is medium height (77cm - 109cm).
  • There is sufficient space to write or sign documents on the counter.
  • There is a low section of the counter (76cm or below) available.
  • There is sufficient space to write or sign documents on the low section of the counter.
  • The counter is staffed.
  • The type of system is a portable loop.
  • There is a hearing assistance system.
  • Staff are trained to use the system.

Inside Access

  • There is level access once inside.
  • There is a hearing assistance system.
  • The hearing assistance system is available only on request.
  • The system is a portable loop.
  • Staff are trained to use the system.
  • This venue does not play background music.
  • Motorised scooters are allowed in public parts of the venue.
  • Wayfinding signage is available.
  • Dementia friendly signage is not provided.
  • The type of flooring in walkways and corridors is vinyl/laminate.
  • There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people.
  • There is flooring in corridors which includes patterns or colours which could be confusing or look like steps or holes to some people.
  • The lighting levels are medium.

Consultation / Treatment Room (Exam)

  • There is / are 10 consultation / treatment room(s) available.
  • The name / number of the room surveyed was; Exam.
  • There is level access to the consultation / treatment room.
  • There is a/are door(s) into the consultation / treatment room.
  • The door(s) open(s) away from you (push).
  • The door(s) is/are single width with a locked extension leaf.
  • The door(s) may be difficult to open.
  • The width of the door opening is 90cm (2ft 11in).
  • The type of flooring is vinyl/laminate.
  • There is room for a wheelchair user to manoeuvre.
  • There is a bed / couch.
  • The bed / couch is adjustable.
  • A hoist is not available.
  • There is not sufficient space next to the bed/couch for a mobile hoist to operate.
  • There is a chair.
  • No chairs are permanently fixed.
  • The chair(s) is not/are not height adjustable.
  • There are no chairs with armrests available.
  • Some tables are permanently fixed.
  • The room does not have background music playing.
  • There is not a red flashing fire alarm beacon within the room.
  • Lighting levels are moderate to good.

Consultation / Treatment Room (X-Ray)

  • There is / are 3 consultation / treatment room(s) available.
  • The name / number of the room surveyed was; Room 1.
  • There is level access to the consultation / treatment room.
  • There is a/are door(s) into the consultation / treatment room.
  • The door(s) open(s) away from you (push).
  • The door(s) is/are single width with a locked extension leaf.
  • The door(s) may be difficult to open.
  • The width of the door opening is 87cm (2ft 10in).
  • The type of flooring is vinyl/laminate.
  • There is room for a wheelchair user to manoeuvre.
  • There is a bed / couch.
  • The bed / couch is adjustable.
  • A hoist can be brought in from another department.
  • There is sufficient space next to the bed/couch for a mobile hoist to operate.
  • There is a chair.
  • No chairs are permanently fixed.
  • The chair(s) is not/are not height adjustable.
  • There are no chairs with armrests available.
  • Some tables are permanently fixed.
  • There is not a hearing assistance system.
  • The room does not have background music playing.
  • There is not a red flashing fire alarm beacon within the room.
  • Lighting levels are moderate to good.

Consultation / Treatment Room (Resuscitation)

  • There is / are 8 consultation / treatment room(s) available.
  • The name / number of the room surveyed was; R8.
  • There is level access to the consultation / treatment room.
  • There is not a/are not door(s) into the consultation / treatment room.
  • The type of flooring is vinyl/laminate.
  • There is room for a wheelchair user to manoeuvre.
  • There is a bed / couch.
  • The bed / couch is adjustable.
  • There is sufficient space next to the bed/couch for a mobile hoist to operate.
  • There is not a chair.
  • The room does not have background music playing.
  • There is a flashing fire alarm beacon within the room.
  • Lighting levels are bright.

Accessible Toilet (Majors)

  • Accessible toilet facilities are available.
  • Location and Access View
    • The toilet is not for the sole use of disabled people.
    • There is pictorial signage on or near the toilet door.
    • This accessible toilet is located to the right after the majors waiting area.
    • This accessible toilet is approximately 35m (38yd 10in) from the main entrance.
    • There is level access to this accessible toilet.
  • Features and Dimensions View
    • This is a shared toilet.
    • A key is not required for the accessible toilet.
    • The door opens inwards.
    • The door is locked by a lever twist.
    • The width of the accessible toilet door is 88cm (2ft 11in).
    • The dimensions of the accessible toilet are 152cm x 210cm (4ft 12in x 6ft 11in).
    • The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm.
    • There is a lateral transfer space.
    • As you face the toilet pan the transfer space is on the left.
    • The lateral transfer space is 140cm (4ft 7in).
    • The lateral transfer space was obstructed at the time of the survey.
    • There is a dropdown rail on the transfer side.
    • There is a flush on the transfer side.
    • There is a spatula type lever flush.
    • The tap type is lever.
    • There is a mixer tap.
    • There is an emergency alarm.
    • The emergency pull cord alarm is not fully functional.
    • The alarm was out of reach (higher than 10cm (4") from floor) when surveyed.
    • Disposal facilities are available in the cubicle.
    • There is a/are female sanitary, general domestic waste and clinical waste disposal units.
    • There is a flashing fire alarm beacon within the cubicle.
    • There is not a/are not coat hook(s).
  • Position of Fixtures View
    • Wall mounted grab rails are available for the toilet.
    • As you face the toilet the wall-mounted grab rails are on both sides.
    • There is not a shelf within the accessible toilet.
    • There is a mirror.
    • Mirrors are placed at a lower level or at an angle for ease of use.
    • The height of the toilet seat above floor level is 48cm (1ft 7in).
    • There is not a hand dryer.
    • There is a towel dispenser.
    • The towel dispenser cannot be reached from seated on the toilet.
    • The towel dispenser is placed higher than 100cm (3ft 3in).
    • The height of the towel dispenser is 116cm (3ft 10in).
    • There is a toilet roll holder.
    • The toilet roll holder can be reached from seated on the toilet.
    • The toilet roll holder is not placed higher than 100cm (3ft 3in).
    • There is a soap dispenser.
    • The soap dispenser cannot be reached from seated on the toilet.
    • The height of the soap dispenser is 116cm.
    • There is a wash basin.
    • The wash basin cannot be reached from seated on the toilet.
    • The wash basin is not placed higher than 74cm (2ft 5in).
  • Colour Contrast and Lighting View
    • There is a high colour contrast between the internal door and wall.
    • The contrast between the external door and wall is good.
    • There is a good colour contrast between the dropdown rail(s) and wall.
    • The contrast between the wall-mounted grab rail(s) and wall is good.
    • The toilet seat colour contrast is good.
    • The contrast between the walls and floor is fair.
    • The lighting levels are good.

Standard Toilet(s)

  • Availability and Location of Standard Toilets View
    • Standard toilet facilities are available.
  • Access to Standard Shared Toilet(s) View
    • The shared toilets that were surveyed are located to the right on the main Accident and Emergency corridor.
    • The shared toilet(s) is/are approximately 14m (15yd 11in) from the Accident and Emergency entrance.
    • Inside the venue, there is level access to the shared toilet(s).
    • An ambulant toilet with wall mounted grab rails is not available.
    • Lighting levels are medium.

Standard Toilet(s) (Majors)

  • Availability and Location of Standard Toilets View
    • Standard toilet facilities are available.
  • Access to Standard Female and Male Toilet(s) View
    • The female and male toilet facilities that were surveyed are located to the right on entering the corridor leading to the majors entrance.
    • The female and male toilets are approximately 18m (19yd 2ft) from the accident and emergency main entrance.
    • Inside the venue, there is level access to the female and male toilets.
    • An ambulant toilet with wall mounted grab rails is not available.
    • Lighting levels are medium.

Standard Toilet(s) (Resuscitation)

  • Availability and Location of Standard Toilets View
    • Standard toilet facilities are available.
  • Access to Standard Shared Toilet(s) View
    • The shared toilets that were surveyed are located straight ahead on entering resuscitation.
    • The shared toilet(s) is/are approximately 18m (19yd 2ft) from the resuscitation entrance.
    • Inside the venue, there is level access to the shared toilet(s).
    • An ambulant toilet with wall mounted grab rails is available.
    • Lighting levels in the shared toilets are moderate to good.

Related Access Guides

Sunflower Lanyard Scheme

  • Guy's and St Thomas' NHS Foundation Trust is part of the Sunflower Lanyard Scheme.
  • The Sunflower Lanyard Scheme helps people with hidden disabilities which aren’t always obvious – such as autism, dementia and visual or hearing impairments.
  • For more information on this scheme please click here.