About our A&E department

We provide a comprehensive, multi-disciplinary accident and emergency (A&E) and urgent treatment centre service in our modern buildings. A&E is open 24 hours a day, 365 days a year and is staffed by experienced doctors and nurses who deliver initial assessment and treatment to all patients who require medical care. 

It is one of the busiest A&E departments in London, seeing about 180,000 adults and children each year. There is a dedicated 24/7 paediatric emergency service. Children are triaged in the A&E department and are seen in either paediatric A&E or the urgent treatment centre. All children are cared for by paediatric nurses.

Is A&E for me?

Conditions we treat

Initial assessment and treatment plan for medical, surgical and psychological conditions:

  • 16 hours of consultant presence, seven days a week
  • a rapid assessment and treatment team which operates 12 hours a day, seven days a week
  • all ambulance patients seen by senior clinicians and have a treatment plan put in place within minutes of arrival
  • a clinical observation unit for patients who require prolonged observation by the emergency department (ED) to support clinical  decisions
  • a fast transfer to specialty assessment units for patients who need to be seen by specialty teams
  • a dedicated radiology department so that diagnostic imaging can be carried out in the department.  The service is co-located with surgery, intensive care and diagnostic imaging
  • emergency eye service, five days a week, accessible through A&E

The GP-led urgent treatment centre operates within our A&E department. It provides treatment of minor illnesses, injuries and non-life-threatening conditions which require urgent or immediate attention. It is open 13 hours a day, every day of the year from 9am to 10pm. The urgent treatment centre is run by GPs and specialist nurses. Approximately 40% of patients who attend the emergency department will be directed to the urgent treatment centre during its opening hours.

Routine HIV testing

HIV is a manageable long-term medical condition with near-normal life expectancy in the UK.

It is important to diagnose HIV as early as possible for the best treatment outcomes.

In line with national guidelines, North Middlesex University Hospital completes an HIV test for all patients attending the Accident and Emergency department who require a blood test and who are over 18 years old.

It can take many years for symptoms of HIV infection to occur and many people do not realise that they have been at risk of HIV.  

Routine testing for HIV allows us to provide the best care to our patients.

Results of your test are confidential and will not be sent to your GP.

What if I do not want to know my HIV status?

It is always better to know your HIV status to check if you need life-saving treatment. 

If you decide you do not want a test, please let the member of staff taking your bloods know.  

Where else can I get an HIV test?

If you would like to be tested for HIV at a later date, please visit www.shl.uk for a home testing kit or speak to your GP for further information.

Will I get my result if the test is negative?

No, we will not contact you, if your test is negative.

What happens if my test is positive?

If your test is positive or needs re-checking, our specialist team will contact you within two weeks. You will be invited to come back to hospital for further testing.

Our dedicated HIV team will be here to support you every step of the way.

What if my contact details change?

It is important that we have up-to-date contact details for you. Please confirm this with a member of staff.

If your contact details change within 2 weeks of having a test, please call 0208 887 2544 so that we can update your details.

Eye care emergencies

You can visit our Emergency Eye Clinic if you have an urgent eye condition or emergency only, such as: 

  • Loss of vision, less than 24-48 hours duration
  • Pain in eye, less than 24-48 hours duration
  • Eye injury/ trauma
  • Chemical injury to eye,
  • Foreign body in eye
  • Floaters getting worse. 

If you do not have one of the above listed conditions, then please contact us by telephone or video for advice before attending. 

Access our eye emergency virtual clinic

Phone numbers:

  • 020 8887 3417
  • 020 8887 2274

For other conditions that are not an emergency, please contact your GP or optometrist (see local optometry services). Please bring your GP or optometrist referral letter with you if you are referred to the Eye Emergency Clinic. 

Opening hours

  • Monday-Thursday: 8.30am – 4pm (break 13:00-13:30)
  • Friday 8.30am-12pm   


  • Clinic 2, main outpatients

For eye emergencies outside these hours please visit our A&E department or  see other nearby eye emergency services.

Refer a patient

GPs can refer at any time through our switchboard. Patients can refer themselves for emergency and life-saving interventions.

Meet our team

  • Dr Andres Martin - clinical director (A&E)
  • Dr Adrienn Fricska Nagy - consultant and service lead (A&E)
  • Dr James Harrison - consultant and associate medical director (A&E)
  • Dr Catherine Pearce - consultant (A&E)
  • Dr Clara Oliver – consultant and trust trauma director (A&E)
  • Dr Arumugam Rajarajan – consultant (A&E)
  • Dr Sathiya Rajaraman - consultant (A&E)
  • Dr Guruswamy Vijayakumar – consultant (A&E)
  • Dr Khaled Soliman - consultant (A&E)
  • Dr Anmar Alkhamesi - consultant (A&E)
  • Dr Ehsan Hassan - consultant (A&E)
  • Dr Turan Huseyin - consultant (A&E)
  • Dr Rajesh Thanasingh - consultant (A&E)
  • Dr Ghasan Jassim – consultant (A&E)
  • Dr Jen Currigan – consultant (A&E)
  • Dr Charlotte Clements - consultant paediatrician and clinicial lead for paediatric A&E) (paediatric A&E)
  • Dr Gayle Hann – consultant paediatrician (paediatric A&E)
  • Dr Katie Knight – consultant paediatrician (paediatric A&E)
  • Dr Poonam Patel – consultant paediatrician (paediatric A&E)
  • Anna May Charles - deputy head of nursing for A&E
  • Vinayak Bhandwalkar - lead emergency nurse practitioner
  • Thomas Heffernan - service manager for emergency medicine

How did we do?

Please contact our Patient Advice and Liaison Service (PALS) to tell us about your experience of our services.

You can do this by calling 0208 887 3172 or via e-mail northmid.pals@nhs.net.

Your views will help us to improve our services so get in touch now!