We can all help control the virus if we all stay alert.

This means you must:
  • work from home if you can
  • take regular lateral flow tests
  • limit contact with other people
  • keep your distance if you go out (2 metres apart where possible)
  • wash your hands regularly
  • patients attending appointments must wear face coverings on site
  • all staff to wear surgical masks
  • do not leave home if you or anyone in your household has symptoms.

If you need medical help for any reason, do not go to places like a GP surgery, pharmacy or hospital.

If you have symptoms of coronavirus (a high temperature or a new, continuous cough, a loss of, or change to, your sense of smell or tastel), use the 111 coronavirus service.

If you need help or advice not related to coronavirus:

  • for health information and advice, use the NHS website or your GP surgery website
  • for urgent medical help, use the NHS 111 online service – only call 111 if you're unable to get help online
  • for life-threatening emergencies, call 999 for an ambulance

We wanted to make you aware of the testing requirements that we apply for any patients coming to the RNOH for a procedure. If you are coming in, you will be required to have a COVID-19 Polymerase Chain Reaction (PCR) test three days prior to your procedure. The team will book you an appointment to attend for a COVID-19 test. This will be on the RNOH Stanmore site in a dedicated separate area, carried out by a specially trained team to keep you safe. The test is a simple swab of the back of the throat & nose. If you are unable to make your test appointment or not willing to undertake this test –your surgery may, unfortunately, be delayed. If you have any questions or queries please discuss these with your pre-operative assessment team who will be happy to help or provide you with more information.

  • Patients and accompanying parents/carers are required to be re-tested for Covid-19 on admission, day 3, and day 7, and weekly thereafter where applicable
  • All inpatients require a PCR test (Polymerase Chain Reaction test, the nasal and throat swabs)
  • Day cases requiring admission to a bed and / or a General Anaesthetic or sedation require a PCR test
  • Outpatient appointment – no PCR test required
  • X-ray, imaging – no PCR test – except if a General Anaesthetic or sedation is required
  • Plaster theatre – no PC test unless the patient is admitted as inpatient

Patients who have received the Covid-19 vaccination are still required to take a PCR test if they fall into any of the relevant groups above. Vaccination will not guarantee that a person will not get infected and/or carry the Covid-19 virus.  An individual’s response to the vaccine varies and depends on a lot of factors including the patient’s immune system response to the Covid vaccine, and they may still be at risk of being infected and/or carry the virus but with potentially less complications or life-threatening effects.  The vaccination also does not guarantee that it covers all of the current Covid-19 strains that are circulating in the wider community.

These tests are a priority for the hospital to ensure you get the procedure or surgery you need. They also help keep you, other patients and our staff, safe. PCR tests are processed under authorised strict laboratory conditions and are the only viable option for pre-surgery testing; no other tests are currently available as an alternative (for example Lateral flow). The PCR tests are simple, safe, and low risk of any harm.

Information Regarding Face Coverings

In line with the Trust’s infection control guidance, the Royal National Orthopaedic Hospital cannot allow patients or visitors to enter the Trust buildings without a face mask or visor.  The reason for this is to ensure the safety of all patients and staff during the ongoing pandemic.  One positive patient can mean that we have to close whole departments.

It is important that patients who are exempt from wearing a face covering according to current government advice contact us beforehand in order to make alternative arrangements to avoid being refused entrance to the Outpatient Department.

If you are unable wear a face mask or visor for any reason please contact the team you are coming to see prior to attending the site.  A virtual appointment may be offered as an alternative to ensure that our staff and patients are not exposed to risk. 

However, if a face to face appointment is clinically necessary, this will be considered on a case by case basis by our clinicians.  You will be asked to provide the reason for not being able to wear a face covering and this will be risk assessed by your clinical team and agreed with the department you are visiting.  Face to face appointments are likely to be arranged for the beginning or end of the day to ensure the safety of all involved.

If you have any concerns the PALS team can be contacted on 0208 909 5439

Information for patients attending an Outpatient area

Due to the ongoing corona virus pandemic, we have procedures for patients attending our outpatient departments.

Due to limitations on the number of people that we are able to accommodate in waiting areas, you will not be able to bring anyone with you to accompany you into the building. If there is a clinical or urgent need for you to have an escort or carer accompany you inside the building, you may bring one person only. Only the following groups of patients will be granted permission to have one carer attend their appointment:

  • Patients with a cognitive impairment, where a carer not being present would cause the patient to be distressed.
  • Patients with a learning disability where a carer not being present would cause the patient to be distressed.
  • Patients with a physical disability, where patients needs assistance from carer to manage daily living tasks such as personal care, toileting and assisting with mobility
  •  Parent  or guardian of a child up to the age of 17 years

Please ensure that you and your carer wear a mask or face covering on attending the hospital site. If you do not have one or do not arrive wearing one, you will be provided with a mask on entering the building.

Please be aware that if you arrive with a carer who does not meet the above criteria then they will be not allowed access into the building. Staff at the trust have the right to deny access to a carer.

Please do not attend the site if you have any of the below symptoms:

  • A new continuous cough or fever
  • Loss of taste or smell
  • Anyone in your household has symptoms of cough, fever or loss of sense of taste or smell

Please do not arrive more than 15 minutes before your appointment.

On arriving at the department or building you are attending, you will be required to answer some brief questions related to your health and COVID-19 symptoms before you enter the building. If you are displaying any of the above symptoms on attending the site, you may not be allowed to access the building.

If you are accessing the site via hospital transport services, the driver of the vehicle will undertake the temperature testing and screening questions ahead of bringing you to the hospital.

In order to ensure that the appropriate people are accessing the hospital site, there is checkpoint set up and the main hospital entrance. Please ensure you have an appointment letter, email or text message to hand to evidence that you need to attend the hospital site.

The government have announced that COVID-19 Plan B regulations are being relaxed in England from 26 January 2022.
Please note that the Infection Prevention and Control Guidance in Health and Social Care, last updated 17 January 2022, continues to advise for social distancing measures and face mask use in all healthcare settings.  We therefore ask all staff, patients and visitors to maintain face mask wearing while at RNOH. This will continue until further notice.

If you have any questions regarding carers please contact the PALS team on 020 8909 5439