Pre-operative Assessment Centre (Queen Square) 

This is the service for the pre-operative assessment for the national hospital only. For all other hospitals, please contact the main switchboard.

We provide a multi-disciplinary pre-operative assessment for patients requiring surgery at the National Hospital for Neurology and Neurosurgery.  This includes a nurse-led assessment, review by a member of the neurosurgical team, necessary investigations and advice for all patients.  Patients with multiple medical conditions or having complex surgery will also be seen by a consultant anaesthetist.

Conditions treated

  • Pre-operative assessment, including full medical history and examination, for all patients requiring neurosurgery or spinal surgery
  • Pre-operative investigations: blood tests, ECG and MRSA screening.  If the medical history indicates, further investigations such as lung function tests, echocardiography or CPEX testing may be requested
  • Perioperative management of regular medications such as Warfarin, and antiplatelet agents such as Aspirin or Clopidogrel
  • Provision of information to prepare for hospital admission and surgery, and for discharge home

Service performance

Our most recent patient experience and satisfaction survey demonstrated that 92.9% of patients were satisfied with the service that they received.  The majority of patients (89.6%) were happy with the choice of appointments or did not need to change the appointment provided.

90.9% of patients were seen with in 30 minutes of arrival with over half seen on time or early.

We provide a wide range of information which we are constantly improving. 91.3% of our patients were satisfied with the information provided and the majority (78.8%) felt that their important questions were answered.

Patient support services

All patients will be able to discuss their concerns regarding hospital admission, anaesthesia and surgery with the pre-operative assessment team.  We also provide a variety of information leaflets on anaesthesia, surgical conditions and pain relief following surgery, as well as website links.

Patient aftercare

If necessary, we will arrange for more extensive pre-operative investigations such as echocardiography, lung function tests or referrals to specialist teams, such as a cardiologist, for further advice.  Where necessary, we will contact the patient’s GP or local hospital for further information on medical conditions.  This may occasionally delay surgery, however the majority of our patients proceed to surgery as planned and will be contacted by the admissions team closer to their date of surgery.

Patient testimonials/feedback

"This is one of the best hospitals for pre-assessment I have ever visited.  Having been an inpatient, the whole hospital is very good, excellent hygiene levels and very professional and friendly staff.  Other hospitals should take a leaf out of your book.  Thank you very much.”

“Very friendly and relaxing.  Informative.”

“Every member of staff was excellent what a wonderful hospital it is.  Thank you for your kindness.”

“Friendliness and calmness of staff.  Being kind goes a long way”


Dr John Orr

Dr John Orr

Dr Michelle Leemans

Dr Michelle Leemans

Dr John Orr Neuroanaesthesia and Neurocritical Care, Pre-operative Assessment Centre (Queen Square)
Dr Michelle Leemans Neuroanaesthesia and Neurocritical Care, Pre-operative Assessment Centre (Queen Square)
Dr Smita Bapat Neuroanaesthesia and Neurocritical Care, Pre-operative Assessment Centre (Queen Square)

 Contact details

Queen Square Pre-operative Assessment Centre
Royal London Hospital for Integrated Medicine

3rd Floor
60 Great Ormond Street,

Patient enquiries
Telephone: 020 3448 3348

General enquiries
Telephone: 020 3448 3348

GP enquiries

Service manager - Dr Michelle Leemans
Telephone: 020 3448 3101

 Useful links