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Outpatient Parenteral Antimicrobial Therapy: RFL

NCL Wide

Referring clinicians should look for the closest available OPAT team.


The Outpatient Parenteral Antimicrobial Therapy (OPAT) service at Royal Free London (RFL) aims to facilitate the early and safe discharge of patients who are clinically stable and require short to long-term intravenous antibiotic therapy.

The OPAT team offers patient or community nurse administration of intravenous therapy via an appropriate access device.

This is inserted by the nurse-led vascular access team. The team routinely uses Peripherally Inserted Central Catheters (PICC) lines (long term and can stay in for 12 months plus) and Midlines (short-term lines and can stay in for 4-6 weeks).

Other services available are:

  • patient assessment
  • patient training to self-administer IV antibiotics 
  • advice on adverse side effects 
  • weekly blood monitoring to drug response with appropriate intervention
  • weekly Vascular Access Device care and maintenance
  • administration of IV antibiotics for daily attenders of the OPAT nurse clinics
  • monitoring patients on long-term oral antibiotics
  • RFL OPAT Hospital@Home.

Contact the teams via the details below:

Royal Free Hospital: Vascular Access & OPAT Service
t: 020 7794 0500 ext. 22563/22561; bleep 1960 or 4020
e: rfh-tr.rfh-opats@nhs.net


Eligibility Criteria

Inclusions

Patient groups include those with acute or chronic infection such as:

  • endocarditis
  • osteomyelitis
  • cellulitis
  • skin or soft tissue infections
  • trauma and orthopaedics
  • bronchiectasis
  • Infections with resistant organisms for which there are no oral antibiotic options.

Exclusions

  • paediatric patients.

How to Refer

EMIS form

Referral methods: Email

Complete the Outpatient Parenteral Antimicrobial Therapy - RFH  form and email to:
Royal Free Hospital: rfh-tr.rfh-opats@nhs.ne

Where to find the form

  • Barnet: BAR Global Documents folder > Referrals Forms (BAR Global)
  • Camden: Camden Global Documents > Infectious Disease
  • Enfield: ENF Global Documents folder > Infectious Disease
  • Haringey: HAR Global Documents > Infectious Disease
  • Islington: ISL Global Documents > Infectious Disease

Locations

Royal Free Hospital


Review date: Wednesday, 04 March 2026