Hand and wrist clinic

Clinics

Hand and wrist clinic in the main outpatients department

Address

Main outpatients department
First floor
Charing Cross Hospital
Fulham Palace Road 
London W6 8RF

Hours

• Mr Shehan Hettiaratchy’s clinic is held on Monday afternoons
• Mr Jonathan Simmons runs a clinic that is held on alternate Monday mornings 

Hand and wrist clinic in the fracture clinic

Address

Fracture clinic
Charing Cross Hospital
Fulham Palace Road
London W6 8RF

Please note: the entrance to the fracture clinic is next to main entrance (on the left).

Hours

• Mr Abhilash Jain’s clinic is held on alternate Monday afternoons
• Professor Jagdeep Nanchahal’s clinic is held on alternate Monday afternoons

Meet the team

Consultant reconstructive and plastic surgeons

Mr Shehan Hettiaratchy
Mr Abhilash Jain
Mr Arvind Mohan
Mr Jon Simmons
Mr Graham Lawton

Professor of hand and plastic surgery 

Professor Jagdeep Nanchahal

Plastic surgery associate specialist

Miss Lada Lysakova

Hand therapists 

Donna Kennedy
Katharine Carlisle

Patient information

Before your appointment

Please remember to check your appointment letter for anything specific you have been asked to take with you. In addition, it would be helpful if you could bring the following:

• Your full address and telephone number(s)
• Your appointment card and appointment letter
• Your GP’s name and address
• Money to pay for any prescriptions, or an exemption card
• A list of questions you may want to ask your consultant

During your appointment

You will be seen in one of our four hand clinics at Charing Cross Hospital. At your first appointment you will be seen and assessed by one of our surgeons. This will involve taking a detailed history of your problem and examining your hand or wrist. If you think your hand condition might be treated with a steroid injection (carpal tunnel syndrome, trigger finger, or arthritis of the hand) please be aware you cannot drive after these injections. Therefore, you should walk, take public transport, or arrange for someone else to drive you to and from the hospital.

You may have some simple investigations on the day such as an x-ray. If possible, a diagnosis will be made and a treatment plan decided. This could involve being seen by our hand therapy team for treatment or may involve surgery. Certain hand conditions such as carpal tunnel syndrome, trigger finger or osteoarthritis of hand joints may be treated by a local injection of steroid, and you may be offered this on your first visit to the clinic.

After your appointment

Often at the end of the first consultation, further investigations are required to work out what is wrong with your hand and wrist. These can be special scans (MRI, CT scan, ultrasound) or nerve conduction studies.

You may have to wait a few weeks for these specialist investigations. In this case we will organise a further consultation once the tests have been performed. If you do require surgery, all hand and wrist surgery is performed at Charing Cross Hospital and you will be treated as either a day case or an inpatient. 

Refer to this service

GP

Please use NHS e-Referrals to refer a patient to our hand and wrist clinic service. 

Emergency referrals

All emergency referrals should be referred to the on-call plastic surgery specialist registrar, through our switchboard at St Mary’s (020 3312 6666) or Charing Cross Hospital (020 3311 1234).

GP advice

GPs and practice staff can email our medical specialists with non-urgent clinical enquiries and referral support through our GP advice service. Most emails are answered within 24 hours (except on weekends and bank holidays).

Email: ICHC-tr.hand&wrist@nhs.net