Endovascular clot retrieval referral centres in NSW

The following table provides contact details for the six NSW endovascular clot retrieval (ECR) services. All districts and networks should follow their established referral pathways, including referral to interstate services where appropriate.

ECR service

Hours of operation

Contact number

Prince of Wales

24/7

1800 4 STROKE (1800 478 7653)

Liverpool

24/7

1800 4 STROKE (1800 478 7653)

Royal Prince Alfred

24/7

1300 ECRNOW (1300 327 669)

John Hunter

24/7

1300 JHH ECR (1300 544 327)

Royal North Shore

24/7

1300 251 284

Westmead

In-hours only*

1300 251 284

* Districts and networks that refer to Westmead in hours should contact any 24/7 service for after-hours services.


For John Hunter Hospital ECR service

Clinicians within Hunter New England, Central Coast and Mid North Coast local health districts seeking assistance or referring into the service at John Hunter Hospital should follow the pathway of contacting the 24/7 acute stroke service neurologist. The on-call acute stroke service neurologist will triage the patient, if deemed appropriate, to the John Hunter Hospital Interventional Neurology Service.


For Sydney metropolitan ECR services

Clinicians seeking assistance or referring into one of the metropolitan Sydney services should note the following:

  • If district or network clinicians referring into one of the metropolitan Sydney services experience any difficulties or delays in transferring a patient deemed clinically appropriate for ECR procedures, this should be escalated to the relevant ECR facility executive coordinator.
  • The ECR facility Executive Coordinators are outlined in the table below.
Sydney metropolitan ECR service Contact number
Prince of Wales 0478 172 278 or 0402 891 838
Royal Prince Alfred 0438 206 911 or 0403 337 442
Royal North Shore 0412 582 256
Liverpool 0452 626 953
Westmead 0417 251 506

Note: Stroke patients not suitable for ECR should follow existing patient retrieval pathways as per PD2018_11 Adult Critical and Specialist Care Inter-Hospital Transfer

Clinicians experiencing any difficulties or delays in contacting NSW Ambulance should follow their local escalation pathways.

ECR referral pathways for districts and networks

ECR site

In-hours referrals

After-hours referrals
Initial contact

Prince of Wales
Call - 1800 4 STROKE

Illawarra Shoalhaven
South Eastern Sydney
St Vincent’s Hospitals Network

Illawarra Shoalhaven
South Eastern Sydney
St Vincent’s Hospitals Network

Liverpool
Call - 1800 4 STROKE

South Western Sydney
Nepean Blue Mountains
Southern NSW*
*(when onsite service is unavailable at Canberra)

South Western Sydney
Nepean Blue Mountains
Southern NSW*
*(when onsite service is unavailable at Canberra)

Royal Prince Alfred
Call - 1300 327 669

Sydney
Western NSW

Sydney
Western NSW

Royal North Shore
Call - 1300 251 284

Northern Sydney
Western Sydney*
*(when onsite service is unavailable at Westmead)

Northern Sydney
Western Sydney

Westmead
Call - 1300 251 284 
Western Sydney No after-hours service currently provided
John Hunter Hospital
Call - 1300 544 327
Central Coast
Hunter New England
Mid North Coast
Central Coast
Hunter New England
Mid North Coast
Gold Coast Northern NSW Northern NSW
ACT Murrumbidgee
Southern NSW
Murrumbidgee
Southern NSW
Victoria Murrumbidgee Murrumbidgee

Note: The pathways identify the initial point of contact, other services may then be contacted to support local decision making and timely access to treatment.

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