A-Z of Services

Diagnostic imaging - Purley War Memorial Hospital

  • Service Manager Lead: Deanna McCready
  • Service Contact: d.mccready@nhs.net
  • Address: Purley War Memorial Hospital 856 Brighton Rd, Purley, CR8 2YL
  • Reception phone number: 020 8401 3240

About the service

Diagnostic imaging, or radiology, is the term used for a variety of routine and specialised procedures.

The Radiology Department uses state of the art technology to provide the following services:

Plain X-rays (including Dental X-rays)

An X-Ray examination involves positioning the area of your body that is going to be examined between a tube that produces X-Rays and a plate which captures the image (like taking a non-digital photo). On occasion a contrast (or dye) injection may be given – for example when examining the kidneys.

Ultrasound Scanning

Ultrasound uses high frequency sound waves, which are emitted by an ultrasound probe and travel harmlessly through the body.  The sound bounces off various layers of tissue producing images.  Ultrasound is routinely used for women during pregnancy.

CT Scan (Computerised Tomography)

CT scan is another x-ray technique, where a machine – in the shape of a large doughnut - takes a series of pictures of the body, allowing review of the images in two or three dimensional form. A contrast injection is commonly used for CT scans.

MRI Scan (Magnetic Resonance Imaging)

This test is similar to a CT scan but uses magnetism and radio waves (instead of x-rays) to build up a series of cross sectional images. The hospital has both the large tunnel scanner and a more open scanner.  A contrast injection is occasionally used.

Interventional Radiology

This includes any procedure that is invasive, involving the insertion of a needle, catheter (tube), or wire into the patient for diagnosis and /or treatment. Procedures include angioplasty (insertion of a balloon into an artery to widen it and improve circulation), stenting (insertion of a tube to keep an artery, vein or other structure open) and biopsies (tissue sampling) of the lung, breast, liver, bone etc.

Fluoroscopy

Short periods of constant x-rays produce pictures in real time. This allows the operator to view a changing image continuously. Procedures include barium enema and barium swallow where barium mixture is administered to outline the bowel, throat or stomach.

Mammography

The technique of using x-rays of the breast to detect irregularities or early signs of cancer.

DEXA Scanning (Bone Densitometry)

Bone densitometry scanning measures the density of bones and is used to check for signs of osteoporosis, a condition where the bones become weak and prone to fracture.

Examinations are requested by your GP, specialist or hospital doctor and will take place in Croydon University Hospital. Services will return to Purley Hospital when refurbishment is complete in the summer of 2013. 

PACS (Picture Archive Communication System) allows doctors to instantly access radiology images 24 hours a day via computers across the hospital group. Pictures can be sent to specialist centres for joint discussion with experts. This can lead to improved diagnosis and better care.

The Radiology Department has particular expertise in many fields and supports cancer services, pelvic floor clinic, paediatric and orthopaedic specialties as well as general medical and surgical departments.

What happens now that my GP has asked me to have an X-ray or Scan?

Your GP will now send a request form electronically to the hospital

PLEASE NOTE THIS IS A WALK-IN SERVICE

You could either choose to go to Croydon University Hospital or Purley Hospital                           

X-ray

Croydon University Hospital – Tel: 020 8401 3494

Opening hours - Mon – Fri 8am – 7.15 pm, Sat & Sun 9am – 12.15pm

Purley Hospital – Tel: 020 8401 3240

Opening hours – Mon – Fri 9am – 12pm, 2pm - 4.45pm.  

Email: ch-tr.xray@nhs.net                                                           

If you fail to contact us within 6 weeks you will be referred back to your GP.

Ultrasound scan

Your GP will now send a request form electronically to the hospital.

The appointments team will send you an appointment letter in the post. This could be up to 4 weeks after you have seen your GP.

Please call or email us after 4 weeks if you have not received an appointment or if you have moved house.

Tel: 020 8401 3035

Email: ch-tr.xray@nhs.net 

Bone Density or Dexa Scan

Your GP will now send a request form electronically to the hospital. The appointments team will send you an appointment letter in the post.  This could be up to 4 weeks after you have seen your GP.

Please call or email us after 4 weeks if you have not received an appointment or if you have moved house

Tel: 020 8401 3000 Ext 4006

Email: ch-tr.xray@nhs.net       

Specialised X-ray procedures e.g Barium Swallow

Your GP will now send a request form electronically to the hospital.

The appointments team will send you an appointment letter in the post.  This could be up to 4 weeks after you have seen your GP. Please call or email us after 4 weeks if you have not received an appointment or if you have moved house

Tel: 020 8401 3917

Email: ch-tr.xray@nhs.net  

Contact Us

The main radiology department is situated in the Woodcroft Wing at Croydon University Hospital.

X-ray

020 8401 3494

Ultrasound

020 8401 3035

CT

020 8401 3049

MRI

020 8401 3696

Bone Density or DEXA Scan

020 8401 3000 x 4006 

For all enquiries including appointment cancellation email ch-tr.xray@nhs.net

How to refer

A comprehensive range of Diagnostic Imaging services are provided at Croydon University Hospital and at Purley War Memorial Hospital.

Service review

The Diagnostic Imaging departments within Croydon Health Services aim to provide a high quality and responsive service for patients who are referred for imaging procedures from GP practices. Referrals are made using the GP electronic referral system Sunquest Ice

Using state of the art imaging equipment and skilled, experienced staff the department prides itself on offering short waiting times for appointments and a caring, safe environment.

Plain film Radiography is provided as a walk in service at Croydon University Hospital and at Purley War Memorial Hospital with an extended service provided during evenings and weekends at Croydon University Hospital.

Non obstetric ultrasound scanning is by appointment only and is provided at Croydon University Hospital and at Purley War Memorial Hospital

CT Scanning is by appointment only and is provided at Croydon University Hospital

MRI Scanning is by appointment only and is provided at Croydon University Hospital in joint partnership with InHealth.

DEXA scanning is by appointment only and is provided at Purley War Memorial hospital

Breast Imaging is by appointment only and is provided at Croydon University Hospital

Interventional and non interventional fluoroscopy is by appointment only and is provided at Croydon University Hospital

We treat

  • CT
  • Indications for direct access CT:
  • Report of a direct access imaging investigation advises a CT scan in
  • order to avoid delays in the patient pathway
  • Headaches according to agreed referral criteria (see below)
  • Indications for referral for direct access head CT:

Red flag features:

  • New headache with known active or potentially active malignant disease or HIV.
  • New headache with persistent vomiting.
  • New headache with significant focal signs or symptoms.
  • New headache with papilloedema
  • New headache with history compatible with raised intracranial pressure such as worse on coughing, sneezing, bending or straining, and woken up by headache in the early hours of the morning.

Non red flag headaches:

  • Failure of conventional treatment for benign headaches (reasonable trial of anti-migraine drugs, tricyclic agents and analgesic withdrawal)
  • Concern that patient cannot be reassured that they do not have a brain tumour without CT scan
  • GP feels that they can manage benign headache without referral to secondary care with normal brain CT

MRI

Patients requiring an urgent suspected cancer referral should follow the 2 week referral pathway

Please refer to referral guidelines for MRI safety criteria.

DEXA Scanning

This service is available at Purley War Memorial Hospital for adults aged 20 years and over, who are not pregnant and who fit the following criteria:

  • Previous fragility/low trauma fracture
  • Radiological evidence of osteopenia and/or vertebral deformity
  • Perimenopausal women for whom HRT may not be appropriate   (including premature menopause age <45 years)
  • Prolonged secondary amenorrhoea (>1 year)
  • Prolonged cortiscosteriod therapy (>7.5mg Prednisolone for 6 months or more) and not on any bone protection therapy (e.g. Calcium and Vit D)
  • Primary hypogonadism 
  • Family history of osteoporosis especially maternal history of hip fracture
  • Loss of height, thoracic kyphosis (after radiological confirmation of vertebral deformity)
  • Low body mass index (<19kg.m2)
  • Chronic disorders associated with osteoporosis (see below)
  • For checking response to existing therapy
  • The following is a list of disorders that are associated with secondary osteoporosis (RCP Guidelines):
  • Anorexia nervosa
  • Malabortion syndromes
  • Primary hyperparthyriodism
  • Post transplantation
  • Chronic renal failure
  • Hyperthyroidism
  • Prolonged immobilisation
  • Cushing's syndrome
  • Non-obstetric ultrasound
  • Ultrasound is generally available to all patients although certain exclusions apply.

Please note transvaginal ultrasound is contra indicated in the Virgo intactus patients, so a transabdominal scan should be requested instead.

Breast ultrasounds

These are only accepted from hospital clinicians

Plain film Radiography

All patients of all ages.

Female patients of child bearing age will be asked to confirm if they may be pregnant.

How to refer

CT   Scanning

Requests should be made via Sunquest ICE.

Or fax completed referral form to 020 8401 3454.

MRI Scanning

Requests should be made via Sunquest ICE – decision support software is available to assist with referrals.

Please ask your patient to confirm their appointment at least 48 hours in advance by contacting the MRI Centre Patient Information on 020 8401 3696

DEXA Scanning

Requests should be made via Sunquest ICE.

Or fax completed referral form to 020 8401 3454.

Non-obstetric ultrasound

Requests should be made via Sunquest ICE.

Or fax completed referral form to 020 8401 3454.

Plain film Radiography

The methods for ordering plain film radiographs are by:

Preferably via Sunquest ICE for those that have access to the system  

Fax x-ray generic referral form to 0208 401 3454 or give to the patient

Contact information

CT -  Tel: 0208 401 3049 Fax: 0208 401 3454

MRI – Tel: 0208 401 3696 Fax: 0208 401 3697

DEXA -  Tel 0208 401 3000 x 4006 Fax: 0208 401 3454

Non-obstetric ultrasound – Tel: 0208 401 3035 Fax: 0208 401 3454

Plain film x-rays – Tel: 0208 401 3494 Fax: 0208 401 3454

 

Operational Manager: Deanna McCready, 0208 401 3465 d.mccready@nhs.net

Clinical Lead: Ketul Patel, 0208 401 3000 ext 4013 ketulpatel@nhs.net

 

Consultants

Dr Ketul Patel

Dr Nelesh Jeyadevan

Dr  Satkurunathan Maheshwaran

Dr Claire Hoskins

Dr John Rendle

Dr Nicola Bees

Dr Christine Flis

Dr Helena Blake

Dr David Sarma

Dr Ian Stanton

Dr Mohammad Daneshi

Dr Robin Evans

Dr Nitin Raitchura

Dr Ola Stankiewicz

Dr Shikha Pandhi

Dr Eleni Marinaki

Dr Dimitrios Kitsos

Dr Sandeep Divekar

Dr Santhosh Sathiarajan

Computerised tomography (CT)

Computerised Tomography (CT) is a test that uses x-radiation and computer technology to produce three dimensional views of the inside of the body, the images are kept in a digital format and viewed on a computer screen.

  • The CT scanner has a large ring shaped aperture and patients pass through the aperture on a moving table, often an injection of x-ray contrast media  is used to highlight the bloods vessels and kidneys. The contrast media is not radioactive and patients are able to carry on as normal after the scan. All patients are asked to complete a checklist on arrival in the department to check for any contraindications. Patients having an injection will need to stay in the department for 15 minutes after the scan.
  • Generally scans take 5 – 10 minutes, specialised procedures such as biopsies and colonography take around 30 minutes, a full explanation of any scan will be given before the procedure is started.
  • The need for a CT scan will be discussed with the patient at their preceding outpatient appointment or GP consultation, any special instructions will be sent with the appointment letter.
  • The results are available from the patient’s GP via Sunquest ICE or Hospital Clinician.  Please note we are not able to give any results at the time of the scan.
  • The service is only available at Croydon University Hospital, the waiting time for routine appointments is 4-6 weeks

Requests and results

Results and reports are sent back to GPs via Sunquest ICE or to the referring clinicians in the hospital if requested by them.

Contact information

Croydon University Hospital

530 London Road

Croydon

CR7 7YE

Tel: 020 8401 3049  Email: ch-tr.xray@nhs.net

Bone density scan service (DEXA)

Dual energy X-ray absortiometry (DEXA) scans are used to measure bone mineral density.  This is a common test for osteoporosis.

This service is only available at Purley War Memorial Hospital by appointment only.

Purley Hospital’s diagnostic services can be used by anyone who has been sent by their GP or other medical professional - you need a referral to use
these services. The hospital offers digital X-Ray, DEXA (bone density) and ultrasound scans mostly done by sonographers and can be used as an alternative to travelling to Croydon University Hospital. You will be given an appointment by your healthcare professional to use these services.

Referral criteria

  • This service is available to adults aged 20 years and over, who are not pregnant and who fit the following criteria:
  • Previous fragility/low trauma fracture
  • Radiological evidence of osteopenia and/or vertebral deformity
  • Perimenopausal women for whom HRT may not be appropriate (including premature menopause age <45 years)
  • Prolonged secondary amenorrhoea (>1 year)
  • Prolonged cortiscosteriod therapy (>7.5mg Prednisolone for 6 months or more) and not on any bone protection therapy (e.g. Calcium and Vit D)
  • Primary hypogonadism 
  • Family history of osteoporosis especially maternal history of hip fracture
  • Loss of height, thoracic kyphosis (after radiological confirmation of vertebral deformity)
  • Low body mass index (<19kg.m2)
  • Chronic disorders associated with osteoporosis (see below)
  • For checking response to existing therapy
  • The following is a list of disorders that are associated with secondary osteoporosis (RCP Guidelines):
  • Anorexia nervosa
  • Malabortion syndromes
  • Primary hyperparthyriodism
  • Post transplantation
  • Chronic renal failure
  • Hyperthyroidism
  • Prolonged immobilisation
  • Cushing's syndrome

 

Requests and results

Requests should  be made via Sunquest ICE

Results are sent back to GPs via Sunquest ICE.

Contact information

DEXA scans

Purley War Memorial Hospital

856 Brighton Road

Purley

Surrey

CR8 2YL

Tel: 020 8401 3240 

Magnetic resonance imaging (MRI)

Magnetic resonance imaging (MRI)

Magnetic resonance imaging (MRI) is well established at Croydon Health services and the MRI unit is provided in partnership with InHealth Group.

MRI scans

MRI scans are available to investigate conditions affecting the hips, knees, lumbar spine and shoulders.  Direct access is currently limited to lumbar spine investigations only.

The MRI unit is provided in partnership with InHealth, offering patients closed  and highfield open scanners ensuring accessibility for bariatric and claustrophobic patients.

The service is available only at Croydon University Hospital and the maximum wait is six weeks for non-urgent referrals.

Referral criteria

Patients requiring an urgent suspected cancer referral should follow the 2 week referral pathway.

Requests and results

Requests should be made via Sunquest ICE.

Or fax completed referral form to 020 8401 3697.

Results and reports are sent back to GPs via Sunquest ICE.

For downtimes procedures click here.

Contact information

MRI Unit

Croydon University Hospital

530 London Road

Croydon

CR7 7YE

Tel: 020 8401 3696

Email: ch-tr.xray@nhs.net  

Fax: 020 8401 3697
 

Additional Information

Please ask your patient to confirm their appointment at least 48 hours in advance by contacting the MRI Centre Patient Information on 020 8401 3696.

 

 

Non-obstetric ultrasound

General ultrasound includes abdominal, renal tract, pelvis, transvaginal, paediatrics, small part (testes/ thyroid/ neck/ soft tissue) and musculoskeletal scans.

The routine wait times are between four to six weeks but urgent referrals will be seen within two weeks. 

General ultrasound is available at Croydon University Hospital and Purley War Memorial Hospital by appointment only. However some patients would be sent to Purley Way Memorial instead of Croydon University Hospital if there is an availablity of Sonographers.

The ultrasound department consists of five suites across two sites equipped with high resolution ultrasound scanners. This is a consultant and sonographer led service with assistants who act as chaperones

Ultrasound is generally available to all patients  although certain exclusions apply.
 
Please note transvaginal ultrasound is not contra indicated in the Virgo intactus patients, so a transabdominal scan should be requested instead.
 
Breast ultrasounds are only accepted from hospital clinicians.

Requests and results

Requests should be made via Sunquest ICE.

Results and reports are sent back to GPs via Sunquest ICE.

Contact information

Croydon Health Services NHS Trust

530 London Road

Croydon

CR7 7YE  

Tel: 020 8401 3035

 

Purley War Memorial Hospital

856 Brighton Road

Purley

CR8  2YL

Tel: 020 8401 3240
 
Email: ch-tr.xray@nhs.net

Service Leads

Operational Manager for Diagnostic Imaging

Deanna McCready

Tel: 020 8401 3465

Email: d.mccready@nhs.net

Clinical Lead and Consultant Radiologist 

Dr Ketul Patel

Tel: 020 8401 3054

 Email: ketulpatel@nhs.net 

 

X-Ray

A walk-in service for all plain film X-rays is available at Croydon University Hospital and Purley War Memorial Hospital.  

Opening times

Walk-in service (excluding bank holidays):

Croydon University Hospital

Monday – Friday                         8.30am – 7.15pm

Saturday & Sunday                     9am – 12:30pm

Purley War Memorial Hospital

Monday – Friday                         9am – 4.45pm

Referral criteria

All patients of all ages.

Female patients of child bearing age will be asked to confirm if they may be pregnant.

Requests and results

The methods for ordering X-rays are by:

Preferably via Sunquest ICE for those that have access to the system.  

Fax an X-ray generic referral form to 020  8401 3454 or given to the patient.

Results and reports are sent back to GPs via Sunquest ICE.

Contact information

Croydon University Hospital

530 London Road

Croydon

CR7 7YE

Tel: 020 8401 3494

 

Purley War Memorial Hospital

856 Brighton Road

Purley

CR8  2YL

Tel: 020 8401 3240

Fax:  020 8401 3454

Email: xray@nhs.net

 

Operational Manager for Diagnostic Imaging

Deanna McCready

Tel: 020 8401 3465

Email: d.mccready@nhs.net 

Consultant Radiologist/Clinical Lead

Dr Ketul Patel

Tel: 020 8401 3000 x4128

Email: ketulpatel@nhs.net

Downtime procedures

"Downtime" refers to a period of time when electronic diagnostic requests cannot be made on Sunquest ICE.

During a period of downtime GPs should make requests using downtime forms.

Contact information

Tel: IT support 020 8401 3838

Email: ch-tr.it@nhs.net