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Joanne Atkins, Consultant Burns and Plastic Surgery, Burns Service Lead, Junior Doctor Lead ( Plastics)

Jorge Leon-Villapalos, Consultant Burns and Plastic Surgery

Isabel Jones, Consultant Burns and Plastic Surgery, Departmental Lead for Plastic Surgery

Declan Collins, Consultant Burns and Plastic Surgery, Clinical Research Lead

Andy Williams, Consultant Burns and Plastic Surgery, Clinical Governance Lead for Burns

Daniel Markeson, Consultant Burns and Plastic Surgery

Lisa Williams, Clinical Psychology Lead

Kate Attrill, Clinical Therapies Lead

Nicole Lee, Burns Service Matron

Zoe Smith, Ward Manager

Alice Eastland, Outreach Sister

_______________, Practice Development Sister

Anwar Tabali, Ward Manager Paediatric Burns

Annette Maynard, Play Specialist Paediatric Burns

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Assessment of the size of a burns injury is vital for the management of the patient, as fluid requirements are calculated using the % of Total Body Surface Area affected (%TBSA - you may also see this expressed as total burn surface area), but it is notoriously hard to get right. As a result of this a number of tools have been created to assist.

These include:

- Wallace Rule of Nines

- Lund and Browder Chart

- Palmar Surface
- Mersey Burns App

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The chart divides the body into sections that represent 9 percent of the body surface area. It is inaccurate for children, and should be used in adults only.

Child: For every year of age >1yr up to 10yr, decrease head surface area by 1% and increase each leg by 0.5%

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The Lund and Browder Chart is considered the gold standard in burn surface area calculations. Since its first publication in 1944, this formula has established accuracy. Its limitation is in relation to clinical inefficiency.

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Our team is led by Dr Lisa Williams (Clinical Psychologist), who set up the service in 2006 with support from the adult burns charity Dan’s Fund for Burns.

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The burns psychology team provides psychological support to current and historical Chelsea and Westminster Hospital patients of all ages. This may include families (especially parents of burn-injured children) and the social networks who have been, or will be, supporting patients to manage having experienced a burn and the challenges this may bring. We also provide support, training and consultation to other burns and non-burns professionals. Our team is led by Dr Lisa Williams (Clinical Psychologist), who set up the service in 2006 with support from the adult burns charity Dan's Fund for Burns. Since then, the team has grown to include part-time paediatric burns lead Dr Aayesha Mulla, full-time burns psychologist Dr Maddy Jago and full-time assistant psychologist Dominika Iluczyk.

Inpatients

The National Burn Care Standards 2018 outline that all patients who are admitted to a burns service for 24 hours or more are offered a psychosocial screen. We also know that details of the actual burn injury, including the size, cause or location are not helpful predictors of coping. We will attempt to speak to all inpatients as soon as possible and cover a number of important topics which we know will better help us identify who might need support at this early stage:

Social support

Coping strategies

Developmental history (children)

Trauma symptoms (adults and young people/adolescents) and behavioural changes (children)

Historical and current non-burns difficulties

Appearance concerns

If the person, themselves, cannot answer our questions for whatever reason we will identify the next best person to provide that information. We also have access to interpreting services which we prefer to use rather than relatives or friends. If we identify problems, we will try to help, provide information about where to get help and make referrals to other professionals, charities or organisations. In addition, we offer to check back in with everyone three months later by asking similar questions via a choice of email, phone or by post.

Outpatients

The service supports patients after they have been discharged, and those who were never admitted but were treated in our outpatient services or have had their care transferred to Chelsea and Westminster after initial treatment elsewhere. Some of the difficulties we commonly see include:

In adults: Pain, fear and uncertainty, anxiety, depression, loss and grief, adjustment to the new situation, appearance issues and acute stress through to PTSD, social anxiety, avoidance, sleeping difficulties, relationship difficulties, poor social support, and reduced quality of life and functioning.

In children: Behavioural changes (eg reverting to younger behaviour, anger outbursts, challenging boundaries, increased worries about or avoidance of danger or pain), upsets to routine, separation anxiety, disruption of school life (learning, bullying, nightmares and avoidance) and appearance-related concerns.

In parents: We often see more distress in parents than in their burn-injured child. Many parents express feelings of guilt about the injury having happened, feeling judged, anxious, helpless and blame from themselves or others, as well as worries about the future. The main issue that preoccupies many of our parents is whether their child is going to have a scar and what this will mean for their child's future.

Burn injuries myth busters

Myth: The size of the burn matters-the bigger, the more distressing it feels

There is no direct relationship between the size of the burn and distress. Some of the most upset people we see have very small burns and, yet, other people with large burns do not seem that bothered. To know, we have to ask.

Myth: Site matters, especially on the face is the worst, or if it is visible (eg hands)

There is no direct relationship between where the burn is and distress. Some of the most upset people we see have burns that are hidden and nobody else is likely to see and, yet, other people with visible burns do not seem that bothered. Once again, to know, we have to ask.

Myth: As the injury heals the person looks better and therefore should feel better

It does not always follow that people feel better as their injuries heal. In fact, some people become more distressed when they do not feel an expected psychological boost from physical healing.

Myth: People want you to tell them if they are looking better

When there is a mismatch between how a person feels and how they look to others, this can cause distress and unhelpful expectations from others, such as 'but you should feel better'.

Getting support

The good news is that most adults and children who experience a burn injury will recover psychologically without the need for professional support. Indeed, not everyone will want or need professional support for managing burns, and we invite you to visit our burns support page for information, support groups, events, useful websites and other resources.

To access the burns psychology service, you must currently be a registered patient of the Chelsea and Westminster Hospital burns service. We also accept self-referrals and referrals from other members of the burns team. If you are not a registered patient, you would need to be referred to the service by your GP and will need to see one of the burns doctors first.

Contact information

Chelsea and Westminster Hospital

Mon-Fri, 8am-4pm

E: chelwest.burnspsychology@nhs.net
T: 020 3315 2504

The Chelsea and Westminster Burns Psychology Service has good links with our fellow teams within the London and the South East Burns Network (LSEBN), and we meet regularly to discuss issues and share ideas about best practice in burns psychology. Lisa Williams is the current LSEBN lead for psychosocial care and chairs these meetings. A psychosocial work plan is agreed with the network every year and an annual report of psychosocial activity data is produced.

We are also active members of the British Burn Association Psychosocial Special Interest Group and provide advice and consultation to organisations including:

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The burns psychology team provides psychological support to current and historical Chelsea and Westminster Hospital patients of all ages. This may include families (especially parents of burn-injured children) and the social networks who have been, or will be, supporting patients to manage having experienced a burn and the challenges this may bring.

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The Chelsea and Westminster Scar Management team provide holistic and specialist scar therapy to both adults and children following a burn injury, as well as to patients who have undergone surgical plastic procedures and operations. We work in both inpatient and outpatient settings and have outreach service providing burns rehabilitation in patients’ own homes or community setting.

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Scar management service — Chelsea and Westminster Hospital NHS Foundation Trust

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The therapy team is made up of both physiotherapists, occupational therapists, therapy assistants and pressure garment technicians providing rehabilitation and scar therapy across a variety of settings and includes provision of our advanced scar clinic services. Our team is led by Kate Attrill, Clin…

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Katie Piper is a best-selling international author, inspirational speaker, TV presenter and charity founder. She rebuilt her life after surviving an attack in March 2008 at the age of 24. In 2009, while still in the early stages of recovery, Katie set up this charity.

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Katie Piper Foundation - Get to know Katie

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People often ask us if they can meet Katie and hear her talk - Katie's theatre tour "What's In My Head" which started back in March 2018 gave thousands of people across the country the chance to do just that.

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Dan’s Fund For Burns was created by Polly Brooks (Miller) in the aftermath of the 2002 Bali bombings.

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Polly lost her husband in the bombings and, as the sole survivor of a party of ten, is a burns survivor herself. During this time, she saw first-hand just how devastating a burn can be, both physically and emotionally.

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ASTI is a UK registered not-for-profit charity and the only international organisation whose sole purpose is to end acid violence at a global level. ASTI was founded in 2002 and has worked with a network of six local partners in Bangladesh, Cambodia, India, Nepal, Pakistan and Uganda that it has helped to form. ASTI has helped provide medical expertise and training to our partners, conducted valuable evidence based research, raised valuable funds to support survivors of acid attacks and helped change laws.

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Acid violence is a particularly vicious form of premeditated violence, where acid is thrown usually at the face to disfigure, maim and blind. The targets are mostly women and girls.

Acid causes the skin and flesh tissue to melt, often exposing and dissolving the bones below. Survivors face permanent disfigurement and often social isolation - devastating their self-esteem and psychological wellbeing. A survivor needs immediate specialist medical treatment, sanctuary, reconstructive surgery, follow up physiotherapy, counselling and long-term support to rebuild their life. A survivor often requires dozens of surgical procedures. Child victims require extra long-term specialist care from paediatric surgeons (reconstructive and ophthalmic), physiotherapists and counsellors - specialist skills that are often lacking in many countries in which acid violence is prevalent.

Every year thousands of people across the world are subjected to deliberate and pre-meditated attacks with Nitric, Hydrochloric or Sulphuric Acid. Attacks often occur as a result of domestic or land disputes, a violent act of revenge towards a girl or woman rejecting a marriage proposal or spurned sexual advances. During an attack children are often in close proximity to their mother and as a result suffer burns. Sadly children are also deliberate targets of attacks.

Attacks are most common in societies with unequal relations between men and women, and where the rule of law is weak. The easy availability of acid, such as Nitric or Sulphuric Acid used in manufacturing and processing cotton and rubber, contributes to incidents of acid violence in many countries.

Acid attacks are a worldwide phenomenon that are not restricted to a particular race, religion or geographical location. They occur in many countries in South-East Asia, Sub-Saharan Africa, the West Indies and the Middle East, and there is anecdotal evidence of attacks in other regions. In many countries acid attacks constitute a hidden form of violence against women and children that often goes unreported, and the true number of horrific attacks taking place has only come to light after in-depth research by ASTI and its partners.

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Acid violence is a particularly vicious form of premeditated violence, where acid is thrown usually at the face to disfigure, maim and blind. The targets are mostly women and girls. Acid causes the skin and flesh tissue to melt, often exposing and dissolving the bones below.

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Changing Faces is the UK’s leading charity for everyone with a scar, mark or condition on their face or body.

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We are here to help everyone in the UK who has a visible difference - a scar, mark or condition on their face or body that makes them look different.

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- Columns are titled for ease of search

- Click on the website link or photograph link to open the web page/document

- Please scroll right to see all topics

- Please scroll down each column to find additional links/research.

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LSEBN Initial management of SEVERE burns

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This course is based on the principle that timely emergency assessment, resuscitation and transfer provide the best chance of recovery in our patients with burns. Ultimately, the patient that we will be called upon to manage with burns, and perhaps with associated severe injuries, should benefit from this course.

Emergency Management of Severe Burns (EMSB) course provides trauma management guidelines and protocols specific to burns, that are additive in content to EMST. While EMSB is designed to be a “Stand Alone Course”, which provides sufficient information to define the Minimum Standards of Emergency Burn Care (of the Australian and New Zealand Burn Association and the British Burn Association), the course can also be taught in conjunction with the ATLS, providing extra information specific to the management of burns. EMSB covers the principles of the emergency management of severe burns in the British Isles.

The course is appropriate for medical and nursing practitioners who might be required to provide initial management to patients with severe burn injuries eg those working anywhere in the field of burn care, anaesthesia, trauma, pre-hospital and emergency medicine as well as those working in isolated areas.

The information is taught in six separate and complementary sections:

1. Course Manual
2. Formal Lectures
3. Skill Stations
4. Interactive Discussion Groups
5. Simulated Burn Cases
6. Examination and Clinical Test

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DUE TO UNCERTAINTY REGARDING HEALTH AND SAFETY REQUIREMENTS FOR COVID-19, COURSES RUNNING MAY BE CANCELLED AT MINIMAL NOTICE. CANDIDATES ARE ADVISED NOT TO BOOK NON-REFUNDABLE TRAVEL OR ACCOMMODATION AS THE BBA WILL NOT REIMBURSE YOUR LOSS SHOULD THE COURSE BE CANCELLED. EMSB Senate meets regularly to review the national picture with regard to the delivery of face to face EMSB courses in the context of restrictions relating to Covid-19. Covid-aware socially distanced courses are currently being held. All candidates who are booked onto a course will be informed when a place is available for them. The website will be opened for new bookings as soon as further places become available.

Download the Covid Regulations for attendance at an EMSB course .
Candidate courses
This one day course is appropriate for medical and nursing practitioners working anywhere in the field of burn care, from members of the burns unit, to medical and nursing staff in isolated areas. The course commences at 7.30am with the first lecture at 8am and concludes at 6.10pm. Please note that late arriving candidates will not be admitted onto the course. This course has been awarded 7.5 consultant CPD points.

Only candidates who have received a recommendation to be an Instructor following their EMSB Course are eligible to attend an EMSB Instructor course. These are run once a year. This course has been awarded 6 consultant CPD points.
Coordinator Courses
The Coordinator Course is open to Associate Coordinators only and replaces 1 of the 2 EMSB course requirements to become a full Coordinator. A nominal fee of £5 applies and the course is open to invited participants only. PLEASE DO NOT BOOK ONTO THIS COURSE UNLESS YOU HAVE BEEN CONTACTED BY THE BBA MANAGER.
Military EMSB courses
The Military Candidate course is specially designed for Armed Forces personnel (regular and reserve) however, military civil service and MOD employees may also attend. The course is normally held over two days, with the full standard EMSB course provided on the first day. The second day is focussed on team-working and comprises lectures on military aspects of burn management. There will be further exposure to moulage to include a scenario as well as information on the different roles within the Military such as ICU, Emergency Department, Theatre etc. The purpose of the second day is to consolidate learning and there is no assessment element. Overnight stay and messing is provided. Please state your gender in the Special Needs box on the application form to enable appropriate accommodation to be booked. Please note: Military personnel about to be deployed will be given priority on Military Candidate courses. If required, candidates not due for deployment may be removed and offered another course date.

On rare occasions, courses have been cancelled due to unforeseen circumstances. Please do not book your travel and accommodation until at least 4 weeks prior to the date of your course and take travel insurance cover in case of course cancellation.

Further information on the EMSB courses is available at http://www.britishburnassociation.org/emsb
Note for Dyslexic Candidates and those with other Special Needs:
Candidates requiring an adjustment in examination time or receipt of an early manual should indicate their requirement and their Special Need in the "Dietary, access or other requirements (e.g. dyslexia)" box at the bottom of the on-line Registration form. Your registration should be followed by a direct submission of an Assessment Statement sent to emsb@britishburnassociation.org
General Data Protection Regulation (GDPR) / Data Protection Act
Please note: The British Burn Association (BBA) is registered with the Information Commissioner's Office for Data Protection and by booking onto the EMSB course, your details will be held by the BBA in accordance with the Data Protection Act 1998 and GDPR.

By booking onto an EMSB course, I understand that my details will be shared with EMSB Faculty Members and Course Organisers. I understand that at no time will any data be disclosed for commercial purposes and that my details will be kept as a permanent record of my participation, status of certification, CPD and if appropriate, Faculty Membership.
Please note that you have the right to request access to rectify your data, erase it and to object to its processing. Correspondence regarding your data should be addressed to the Data Controller at info@britishburnassociation.org
Please tick here to confirm your agreement to the BBA holding your data in accordance with the conditions above

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DUE TO UNCERTAINTY REGARDING HEALTH AND SAFETY REQUIREMENTS FOR COVID-19, COURSES RUNNING MAY BE CANCELLED AT MINIMAL NOTICE. CANDIDATES ARE ADVISED NOT TO BOOK NON-REFUNDABLE TRAVEL OR ACCOMMODATION AS THE BBA WILL NOT REIMBURSE YOUR LOSS SHOULD THE COURSE BE CANCELLED.

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Founded in 1968, the BBA is a non-profit making charity for people interested in supporting and promoting burn care in the UK and Ireland, for the benefit of the general public. Its core aims are to educate and to encourage research into all aspects of burn injury, its treatment and prevention.

The Association hosts educational events, instructional courses and an annual scientific conference at venues around the country.

It also provides a voice for members working in all areas of burn care.

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The BBA is a non-profit making charity for people interested in supporting and promoting burn care in the UK and Ireland, for the benefit of the general public. Its core aims are to educate and to encourage research into all aspects of burn injury, its treatment and prevention.

The Association hosts educational events, instructional courses and an annual scientific conference at venues around the country.

It also provides a voice for members working in all areas of burn care.

BBA Christmas Cards for Sale: Supporting the BBA's work in Burn Prevention, Education, Research and Standards.
CONFLICT IN THE UKRAINE: What the BBA is Doing to Help ***STOP PRESS*** WARNING: NITROUS OXIDE USE INCREASES DEEP COLD BURNS
Please click here to donate to the BBA in support of the relief of those suffering from burn injuries.

Support the BBA by Shopping through EasyFundraising: Register here and over 6,000 shops and sites will donate to the BBA FOR FREE each time you use #easyfundraising to shop with them.

Support the BBA by Shopping at Amazon via AmazonSmile: The BBA can now benefit from donations when you shop at Amazon via AmazonSmile. Please search for BBA and link your account. https://smile.amazon.co.uk/ch/1187794-0
Your support will help the BBA achieve its objects of relieving those suffering from burn injuries through its four core activities:Prevention, Education, Research and Standards.
Join the British Burn Association
Stay Safe this Autumn: Download the BBA Staying Safe in Autumn Poster Download the BBA Newsletter 2021

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The BBA is a non-profit making charity for people interested in supporting and promoting burn care in the UK and Ireland, for the benefit of the general public. Its core aims are to educate and to encourage research into all aspects of burn injury, its treatment and prevention.

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The LSEBN publishes burn care guidance and guidelines for health care professionals. The documents have been developed by senior clinical members of the burns multi-disciplinary team and approved by the ODN Board.

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The LSEBN have downloadable information guidelines & leaflets, including;

- Initial Management of Burns
- Initial Management of Resuscitation Burns
- Burns Referral Criteria
- Burn Dept Assessment
- First Aid & Prevention Education
- Face Care Information Leaflet

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The LSEBN publishes burn care guidance and guidelines for health care professionals. The documents have been developed by senior clinical members of the burns multi-disciplinary team, and approved by the ODN Board.

LSEBN Guidelines - All documents are Adobe PDF and will open in a new window.

LSEBN Initial management of burns (2018) LSEBN Guideline on Initial Management of Cold Burns (Frost Bite) LSEBN Guideline on initial management of ocular burns (Opthalmic) LSEBN Initial management of SEVERE burns (revised 2020) LSEBN Burns Depth Assessment LSEBN Burns Referral Criteria LSEBN How to Refer LSEBN Burns Transfer Form

LSEBN Burns First Aid Guideline (2018) LSEBN Oedema Management LSEBN Post Burn Care Face Care Leaflet (2020) Face Care Flowchart (2020)

Blister Guidelines:
LSEBN Burn Blister Deroofing Guideline
LSEBN Burns Blister Management / Burn Blister Guideline References

First Aid and Minor Injury Guidelines:
LSEBN Burns First Aid and Prevention LSEBN Minor Burn Adult LSEBN Minor Burn Paediatric

Dressings and Treatments:
LSEBN Hydrogel Position Statement Aquacel® Ag Hydrofiber® Dressing in Burn Wound Care Enzymatic Debridement of Burns with NexoBrid Flammacerium Cream in Burn Wound Care booklet Flamazine® 1% Cream in Burn Wound Care LSEBN Assessment with the Laser Doppler Imager LSEBN Having a tissue expander (Adult)

Burn Care Advisor Leaflets:
LSEBN Burn Care Advisor Leaflet June 2018

Caring for your burn at home:
Chelsea & Westminster Hospital patients Queen Victoria Hospital patients

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london and south east england burn network

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London and South East England Burn Network - Healthcare Professionals

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The LSEBN publishes burn care guidance and guidelines for health care professionals. The documents have been developed by senior clinical members of the burns multi-disciplinary team, and approved by the ODN Board. LSEBN Guidelines - All documents are Adobe PDF and will open in a new window.

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We are one of four, Operational Delivery Networks for specialised burns. The LSEBN serves a population of around 21 million people, living in London, the East of England, Kent Surrey and Sussex, Thames Valley and Wessex.

The network consists of five hospitals providing specialised care for people with burn injuries, including those with complex burn injuries (requiring care in a burn centre or burn unit). We are making plans to develop new facilities, providing specialist care for patients with less severe injuries, closer to where they live.

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Welcome to London and South East England Burn Network

We are one of four, Operational Delivery Networks for specialised burns. The LSEBN serves a population of around 21 million people, living in London, the East of England, Kent Surrey and Sussex, Thames Valley and Wessex.

The network consists of five hospitals providing specialised care for people with burn injuries, including those with complex burn injuries (requiring care in a burn centre or burn unit). We are making plans to develop new facilities, providing specialist care for patients with less severe injuries, closer to where they live.

our hospitals

Burn Centre

St Andrews Burn Centre, Broomfield Hospital, Chelmsford

Centre for adults and children ( link to St Andrews burns website)
Burn Centre
Chelsea & Westminster Hospital, London

Centre for adults / Unit for children ( link to Chelsea & Westminster burns website)
Burn Unit
Queen Victoria Hospital, East Grinstead

Unit for adults and children ( link to QVH burns website)
Burn Unit
Stoke Mandeville Hospital, Aylesbury

Unit for adults and children ( link to Stoke Mandeville burns website)
Burn Facility
John Radcliffe Hospital, Oxford

Facility for adults and children ( link to the Oxford John Radcliffe burns and plastics website)

the burn network

Specialised burn care services include all burn care delivered by Burns centres, Burn units and Burn facilities delivered as part of a provider network, including the whole pathway of specialist assessments, admission to a Centre, Unit or Facility and rehabilitation and surgical reconstruction. In England and Wales, specialist burn care services are organised on a tiered model of care (centre, unit and facility);

Burn Centre: This level of in-patient burn care is for the highest level of injury complexity and offers a separately staffed, geographically discrete ward. The facilities are up to highest level of critical care and have immediate operating theatre access.

Burn Unit: This level of in-patient burn care is for the moderate level of injury complexity and offers a separately staffed, discrete ward.

Burn Facility: This level of in-patient burn care equates to a standard plastic surgical ward for the care of non-complex burn injuries.

We are developing plans to bring other hospitals into the network, providing specialist burn care closer to where people live, and reducing the need for patients and families to travel long distances for specialist care for less severe injuries. We will publish the details when the clinical and organisational arrangements are approved.

using the website

This website provides information and links for patients, members of the public and healthcare professionals. Use the sidebar to navigate to the following pages:

Useful links and information for patients and their families, including support groups and charities for burn survivors and helpful first aid advice;

NHS Organisations involved in specialised burn care, including other burn networks and NHS England commissioners.

Healthcare professionals, with information and downloads in four areas:
- Download resources;
- Nursing, including protocols and policies for safeguarding;
- Psychology and psychosocial care, including training resources and guidelines;
- Therapies, including Occupational Therapy, Physiotherapy and other allied professionals.

Operational Delivery Network Board, including Organisational Governance documentation and meetings.

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london and south east england burn network

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London and South East England Burn Network - Information about the doctors surgery opening hours, appointments, online prescriptions, health information and much more

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We are one of four, Operational Delivery Networks for specialised burns. The LSEBN serves a population of around 21 million people, living in London, the East of England, Kent Surrey and Sussex, Thames Valley and Wessex.

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Burn Centre

- St Andrews Burn Centre, Broomfield Hospital, Chelmsford Centre for Adults & Children

Burn Centre

- Chelsea & Westminster Hospital, London
Centre for Adults & Unit for Children

Burn Unit

- Queen Victoria Hospital, East Grinstead
Unit for Adults & Children

Burn Unit

- Stoke Mandeville Hospital, Aylesbury
Unit for Adults & Children

Burn Facility

- John Radcliffe Hospital, Oxford

Facility for Adults & Children

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Every patient referred to our burns service, must be referred from clinician to clinician. This can be done by using an online telemedicine referral system known as TRIPS.
This allows photographs of injuries to be reviewed by qualified and experienced clinicians at any time of day or night, regardless of where in the region the patient is located.

Referrals Must Include;
- Clear photos of affected burn wounds/areas, including areas that are suspected to have circumferential burn injuries
- Ensure all wounds have been cleaned & adequately deroofed
- Patient details; name, date of birth, NHS number etc
- Date & time of burn injury
- Referrer details; name, job role, referring hospital/GP practice

Once the referral has been sent, the referrer MUST follow up with a phone call to the allocated burns service.
If the referral does not have adequate photos and/or the referral isn't satisfactory, the referrer may be asked to re-upload photos and/or the referral.

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Clinicians needing to make a referral will need access to a computer linked to the NHS net and with the ability to upload the images from a digital camera or memory card. In order to comply with information governance rules and regulations, images should never be taken on a mobile phone or other mobile device unless it is owned by the NHS. Images can be uploaded to the secure TRIPS website at https://www.trips.nhs.uk.

Instructions on how to use the site can be found on the TRIPS website by following the ‘Help and Information’ link located at the bottom right of each page.

Once the images have been uploaded referrals can be discussed with the appropriate hub.
All contact numbers are available on the TRIPS website just click the Hub Contacts hyperlink found at the bottom of each page.

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Location

Chelsea and Westminster Hospital
369 Fulham Road
London SW10 9NH

The adult Burns Unit is based on the 5th Floor, Lift Bank B

Mars Ward (children) is based on the 1st Floor at the front of the hospital, accessible from Lift Bank B or the escalators

Contact

T: 020 3315 2500 (adult)
T: 020 3315 3706/3707 (children)

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What We Do

Our burns service includes our Adult Burns Centre and Paediatric Burns Unit.

The burns multidisciplinary team includes dedicated burns consultants, intensivists, anaesthetists, specialist nurses, occupational and physical therapists, psychologists, pharmacists, dietitians and a social support team.

The team also call upon the acute services within the Trust, as the need arises, such as pain, acute medicine, surgery and elderly medicine. There is also a burns outreach service.

Unfortunately, we cannot accept walk-in patients without an appointment. All patients should see their GP or attend their closest A&E or minor injuries unit if they sustain a burn that requires medical treatment.

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Our burns service includes our Adult Burns Centre and Paediatric Burns Unit.

The burns multidisciplinary team includes dedicated burns consultants, intensivists, anaesthetists, specialist nurses, occupational and physical therapists, psychologists, pharmacists, dietitians and a social support team. The team also call upon the acute services within the Trust, as the need arises, such as pain, acute medicine, surgery and elderly medicine. There is also a burns outreach service.

The adult service is on the 5th Floor, Lift Bank B. There are two intensive care beds, two high dependency beds, nine ward beds and three day-case beds. Patients requiring access to assessment and/or treatment by the burns service must obtain a referral from a healthcare professional (such as a GP, local A&E or minor injuries unit). They will call us to arrange an appointment. Unfortunately we cannot accept walk-in patients without an appointment. All patients should see their GP or attend their closest A&E or minor injuries unit if they sustain a burn that requires medical treatment.

The paediatric burns service at Chelsea and Westminster Hospital is located on the 1st Floor at the front of the hospital. The six inpatient beds and dressing clinic are co-located on Mars Ward. The service offers HDU (high dependency unit) burns care but any children requiring ICU (intensive care unit) support are treated at the St Andrew's regional centre in Chelmsford, Essex.

Visiting hours are 2-8pm every day with a maximum of two visitors at the bedside. Children under the age of 12 are not allowed to visit the burns wards at any time. Unfortunately, fresh flowers and plants are not permitted as an infection control measure. These rules are in place to protect our patients and those who wish to visit them.

Our team

Joanne Atkins, Consultant Burns and Plastic Surgery, Burns Service Lead, Junior Doctor Lead ( Plastics)

Jorge Leon-Villapalos, Consultant Burns and Plastic Surgery

Isabel Jones, Consultant Burns and Plastic Surgery, Departmental Lead for Plastic Surgery

Declan Collins, Consultant Burns and Plastic Surgery, Clinical Research Lead

Andy Williams, Consultant Burns and Plastic Surgery, Clinical Governance Lead for Burns

Daniel Markeson, Consultant Burns and Plastic Surgery

Lisa Williams, Clinical Psychology Lead

Kate Attrill, Clinical Therapies Lead

Nicole Lee, Matron

Alex Dudbridge, Ward Manager

Annette Kempster, Outreach Sister

Daniel Antunes, Practice Development Charge Nurse

Julie Baker, Ward Manager Paediatric Burns

Sara Boylin, Practice Development Sister

Charlotte Tomlinson, Ward Manager Paediatric Burns

Annette Maynard, Play Specialist Paediatric Burns

Location

Chelsea and Westminster Hospital

The adult Burns Unit is based on the 5th Floor, Lift Bank B

Mars Ward (children) is based on the 1st Floor at the front of the hospital, accessible from Lift Bank B or the escalators

Contact

T: 020 3315 2500 (adult)
T: 020 3315 3706/3707 (children)

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Our burns service includes our Adult Burns Centre and Paediatric Burns Unit. The burns multidisciplinary team includes dedicated burns consultants, intensivists, anaesthetists, specialist nurses, occupational and physical therapists, psychologists, pharmacists, dietitians and a social support team. The team also call upon the acute services within the Trust, as the need arises, such as pain, acute medicine, surgery and elderly medicine.

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The adult burns service is on the 5th Floor, Lift Bank B. There are two intensive care beds, two high-dependency beds, nine ward beds and three day-case beds.

Patients requiring access to assessment and/or treatment by the burns service must obtain a referral from a healthcare professional (such as a GP, local A&E or minor injuries unit). They will call us to arrange an appointment.

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The paediatric burns service at Chelsea and Westminster Hospital is located on the 1st Floor at the front of the hospital. The six inpatient beds and dressing clinic are co-located on Mars Ward.

The service offers HDU (high dependency unit) burns care but any children requiring ICU (intensive care unit) support are treated at the St Andrew’s regional centre in Chelmsford, Essex.

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Burns Family Group

The Burns Family Group offers support and information for families with a child who has experienced a burn or scald injury. We provide an environment where families with similar experiences can meet and support each other to help promote positive thinking. Over the past two years it has been a challenging time through the COVID-19 pandemic to run the Family Group at Chelsea and Westminster Hospital—however, in 2021 we are pleased to say we did organise for families to attend trips and provided support for them.

Residential family weekend

This took place in September 2021 at Littlehampton's Fire Service Rehabilitation Centre and was funded by the Children's Burns Trust. Several families from our group and from other burns units in the south east of England attended a weekend of therapeutic workshops, activities for the children, support from professionals and shared experiences from parent to parents.

Two families attended a family weekend in October at Grafham Water in Cambridgeshire. This replaced the annual jamboree that unfortunately could not take place last year. The weekend involved therapeutic sessions for the parents, activities for the children such as archery, climbing, bike riding and swimming. We also had a visit from the animal park nearby where children were able to interact with meerkats and snakes. The weekends are amazing for families to support each other, gain information and for children to have fun and make friends.

Online events

In 2021 the family group and other burns groups provided two online family days where professionals provided therapeutic sessions via Zoom and the play specialists provided activities for the children to do in their own homes.

Summer camp

In August, a group of 8–13 year olds attended the residential summer camp at Grafham Water, enjoying a range of physical activities and making shared memories.

Each year there is usually a National Burns Camp for children and young people between the ages of 8–18. The camp provides a place for children to meet who have experienced a burn injury and to help to develop their sense of independence and confidence along with often making lifelong friends.

Fundraising

The Burns Family Group needs to raise money to give children the opportunity to attend camp each year. If you are willing to raise funds or have any fundraising ideas, please contact Annette Maynard (Health Play Specialist) on 020 3315 3707 or annette.maynard1@nhs.net. Your support would be very much appreciated.

Support website for families of children who have had a burn injury

Supportingchildrenwithburns.co.uk contains information to help support parents or carers of children and young people who have experienced a burn injury of any kind or size. When a burn injury happens to someone you care about it can be as distressing for you as it is for them. This website is not just for parents whose child has had a major burn, as we know that it can be a difficult experience regardless of how big the burn was, or whether or not a hospital stay or surgery was required. Other adults, such as grandparents, might also find this resource helpful.

Previous events

We are now able to have in-person events and to plan activities for the year ahead. So far in 2022 we have had:

Activity day at Knebworth House on 7 May

National Burns camp from 7–13 August

Trip to Alton Towers for teenagers in September

Annual Family weekend at Littlehampton Fire Service Rehabilitation Centre in September

National Jamboree at Grafham Water from 22–25 October

For more details please call Annette on Mars Ward on 020 3315 3706 or email caw-tr.burnsfamilygroup@nhs.net.

London Area Burns Adult Support Group

The group continues to meet roughly four times a year and is open to adults (16+) who have experienced a burn of any sort, at any age, and have been treated at any hospital. Although based in London, we have members from all over the country. We alternate between meeting to listen to speakers, have group discussions, and take part in social events. We are happy for people to bring family and friends with them.

This group offers a unique opportunity to not only get support from but also to give support to other burns survivors. People tell us that it can be really valuable to meet others with experiences of burns.

Latest news for 2023

After a couple of years of not being able to meet in person we were very happy to actually be together again twice in 2022 at our summer event, which was a private guided tour of Mayfair, and for a Christmas hot chocolate and stroll along the lights of the Southbank. Right now the plan will be to continue to alternate in person (summer and winter) and virtual (spring and autumn) meetings but always within whatever the government guidance is at the time.

Upcoming events

The plan at present is to keep the same schedule of meeting every three months alternating between Zoom and in person. We will aim to meet in person for the end of year gathering in December and at an outdoor summer event in June/July. The two virtual events will be in March and September.

Tue 14 Mar 2023 (TBC), 6:30–7:30pm on MSTeams: We are delighted that we have managed to reschedule our invited speaker from September last year, PhD student Christia Huntington. Christia will talk about her work on the burns module of the HealthTalk website and her experience of listening to patient stories during the process of her research.

Sat 17 Jun, 11am–1pm: Summer event TBA

Wed 13 Sep, 6:30–7:30pm on MS Teams: Speaker and topic TBA

Thu 7 Dec, 6:30–8pm: Christmas/end of year gathering TBA

For more information or to join our database please contact:

Lisa Williams
T: 020 3315 2504
E: lmwilliams@nhs.net

Dan’s Fund for Burns website and weekly live chat forum for burn-injured adults

adultburnsupportuk.org brings together all of the most helpful resources and information on the aftercare help/support available to burn-injured adults in the UK and putting it on one site for easy access. A weekly moderated Live Online Chat occurs every Wednesday from 7:30–9pm (UK time) and has grown from strength to strength. The ABSUK Live Chat has been developed to provide the opportunity for those affected by a burn injury to share their story and give and receive mutual support in a real-time, safe and private forum. Chat is now fully moderated by people with lived experience of burns.

To participate in the Live Chat, users must be registered and logged in. If you would like to share your experiences or discuss any issues you may be having in relation to burns, please register ahead of time and then login on the night.

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The palmar method is the simplest way to calculate the total body surface area of a burn. To simplify calculations, the palmar method is often described as representing 1% of the patient's total body surface area.

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Adapted from;
- Chelsea & Westminster Hospital Homepage; chelwest.nhs.uk

- Telemedicine Referral Image Portal System (TRIPS) Website; trips.nhs.uk

- London South East Burns Network Website; lsebn.nhs.uk

- British Burns Association Website; britishburnassociation.org

- Emergency Management of Severe Burns Website; emsb.org.uk

- University of East Anglia University Website; uea.ac.uk

Version 1.0 @2022

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STOP the burning process:
- Remove person/s from the source of the burn, once safe to do so
- ‘Stop, Drop and Roll’ method
- Isolate electrical power sources, if safe to do so before attempting rescue
- Avoid chemical cross-contamination

REMOVE clothing and jewellery:
- Remove any burned/contaminated/damp/constricting clothing
- Remove any nappies or jewellery

COOL the burn with cool running water:
- Using cool or lukewarm running water for 20 minutes & within 3 hours of injury, or apply a cool water compress using any clean wetted lint free cloth, changing frequently over 20-minute period

WARM the patient
- Keep the patient, especially children, as warm as possible during cooling: ‘cool the burn but warm the patient’.

COVER the wound:
- Cover the cooled burn with strips of cling film or non-adherent dressing
- Cover irrigated & fully decontaminated chemical injuries with a wet compress