Casualty First is now open on an appointment only basis, Monday to Friday 8 am to 6 pm. To book an appointment, click here.

We are offering Outpatient appointments. In many cases these can be conducted virtually. To make an appointment, please call: 0207 806 4060.

Do NOT visit the Hospital if you have any flu like symptoms. Please self-isolate and visit NHS 111 online. Click here for the latest information.


A Day in the Life of Nurse Practitioner, Melanie Smyth

Nurse stories

Melanie Smyth, Nurse Practitioner, in our urgent care centre, Casualty First is a vital member of our staff, working to ensure that our patients receive first class care 7 days a week, from 8am-8pm.

At our historic Hospital, where profits fund our on-site St John’s Hospice, you never know what will come through the door next. Melanie recounts a memorable experience, “A couple of years ago a passer-by’s water broke. She was rushed straight to us. The labour was so quick I literally had to catch the baby!”

“A former midwife and I made sure the mother and baby were healthy and well enough to be transferred to St Mary’s Hospital. I have never had to do anything like that before, but your gut instinct kicks in and you just know what to do. That was a day at work I will never forget!”

Best Part Of Being A Nurse

Melanie tells us, “The best part of my job has to be helping the emergency patients. They come in with severe pain, sometimes hardly able to stand. Within 20 minutes of treatment they are smiling again or often peacefully asleep! It’s so satisfying seeing a patient comfortable knowing that you’ve helped them.”

Melanie, originally from Ayrshire in Scotland adds: “We have an elderly patient who comes in twice a week to have his dressing changed. He told me he was going to celebrate Christmas alone as his wife had recently died, so I bought him a card and he was so grateful.”

“The rapport you get to build with patients is incredible; it’s moments like that that make the job so worthwhile. You also realise how unique this Hospital is and how valued we are by our patients and the community.”

Visit Casualty First

Located at the entrance of the world famous Hospital of St John and St Elizabeth in London, we are a self pay service with our services available to all, including children from the age of one year. Our experienced A&E doctors treat all minor accidents, injuries and illnesses.

If you think you are having a heart attack, stroke or serious head injuries please phone 999 or go to A&E.