We run out-patient clinics in clinic 4 at the Royal Free Hospital most days, Monday through Friday. Referrals must be made by a health-care professional, most often your general practitioner (GP). All the clinics include general respiratory appointments but our staff have the following specialist interests and expertise including:
Mrs Christine Mikelsons
|COPD, sleep and non-invasive ventilation|
Dr James Goldring
|TB and respiratory infection|
General respiratory medicine
General respiratory medicine and pleural disease
||General respiratory medicine|
||Dr James Goldring
||General respiratory medicine and pleural disease|
||Asthma and general respiratory medicine|
If you have any questions about your out-patient appointment, in the first instance please contact the out-patient contact centre on 020 7830 2902.
At the end of each visit a letter summarising your care will be sent to whoever referred you to the clinic. We will always send a copy of this letter to you, should you wish.
We look after patients in 7 South on the 7th floor. We also provide specialist advice on patients throughout the hospital. In particular, we see patients who have been admitted to hospital with respiratory problems by the emergency doctors, as soon as possible after admission, on the Medical Admissions and Assessment Unit (MAAU) on the 2nd floor.
|In-patient contact details|
||020 7794 0500 (x33900)
||Matron Ms Sharon Checkley, charge nurse Neil Ladewig|
Our modern lung function laboratory is located on the ground floor, within clinic 14. The lead physiologist is Tina Adamou. In addition to standard tests of how well your lungs are working we offer a range of more specialised services such as ‘fitness to fly’ assessments and sleep studies. These tests are often crucial in making diagnoses in lung disease, and monitoring your condition. Following referral from a health-care professional you can contact lung function via the hospital switchboard 020 7794 0500 and extension 33081.
More information >>
Bronchoscopy, a telescopic examination of the lungs, is performed as a day-case procedure for out-patients within the endoscopy unit on the lower ground floor. We have two lists each week, on Tuesday and Friday mornings. Bronchoscopy is performed with local anaesthetic to the airways, and often an intravenous sedative. You can find more information on bronchoscopy in the having a bronhcoscopy patient information leaflet.
Lung cancer is a common cancer and may cause many symptoms. If your symptoms might possibly be related to lung cancer, it is likely that you will meet our specialist lung cancer nurse, who has an important role in co-ordinating tests and treatments and providing support. All patients who have been diagnosed with cancer are discussed at a weekly meeting attended by many specialists so that the most appropriate treatments can be recommended.
Some patients require assistance with breathing either because of a problem with their lungs, or perhaps because of the nerves and muscles that control breathing. This involves a technique called ‘non-invasive ventilation’ which is a machine to help you breathe. Sometimes this is required in hospital; some patients need the machines at home. We have particular expertise in non-invasive ventilation at the Royal Free and are one of only a few centres able to provide these machines for home use.
Our specialist respiratory physiotherapy services are involved in both in-patient and out-patient care, with a particular emphasis on patients requiring oxygen therapy, non-invasive ventilation, CPAP, exercise programmes called ‘pulmonary rehabilitation’, sputum clearance and treatment for disordered breathing. More information >>
Problems with the airway during sleep can result in snoring and poor sleep quality. Most patients with this condition, called ‘sleep apnoea’, are currently looked after at the Royal National Throat, Nose and Ear Hospital but more complex patients may be managed by the respiratory medicine services at the Royal Free Hospital.
Tuberculosis (TB) nurses
The TB nurses are involved in the care of patients suspected of having, or who do have TB and some other related diseases. They are part of the North Central London TB service, which is based at the Royal Free Hospital. The TB nurses are the case-managers for all the patients with TB at the Royal Free which includes an important role in screening people who may have been in contact with TB. We provide regional advice for complex cases.
The Academic Department of Respiratory Medicine has an active research programme with Professor Wedzicha and Dr Hurst, performing internationally recognised work on the mechanisms and consequences of exacerbations of COPD and Dr Lipman, investigating the immune mechanisms associated with Tuberculosis. We may ask you to take part in research studies. Be assured that if you do not wish to take part this will in no way affect the quality of the care that you receive. Our recent work is listed on the recent publications page.
Teaching and students
Royal Free is a teaching hospital and the Hampstead Campus of the Royal Free & University College Medical School (part of University College London) is located on the same site. Dr Dilworth is sub-dean of the Medical School at UCL. We view teaching the health-care professionals of the future, as an important part of our role and students may be present at in-patient and out-patient visits. We will always ask you if you mind having a student involved in your care. If you do not wish students to take part, in any aspects of your care, this will not in any way affect the care that you receive.
Stop smoking service
The Royal Free stop smoking service offers a friendly, approachable and professional service for in-patients and out-patients. The programme consists of six one-to-one appointments with a specialist stop smoking advisor. The smoking addiction as well as the habit and triggers will be discussed during the sessions. Nicotine replacement therapy (NRT) is offered and behavioural support and individualised advice and encouragement provided.
You can contact the stop smoking service via the hospital switchboard on 020 7794 0500 and extension 33916 or e-mail rfh-tr.RFHfirstname.lastname@example.org.