At the Katharine Dormandy haemophilia and thrombosis centre we have a wide range of out-patient clinics, including:
The musculoskeletal clinic provides the regular assessment of joint and muscle function for patients with severe haemophilia, identifying the need for surgery or physiotherapy. Patients with other bleeding disorders requiring orthopaedic assessment and surgery may also be referred to this clinic. Orthopaedic surgeons, physiotherapists and haematologists work together to see patients with haemophilia arthropathy. This clinic also provides services including radioactive synovectomies, arthrodesis and joint replacements.
The liver clinic is a combined clinic, held every two months, that provides care for patients affected by Hepatitis C and haemophilia including assessment, discussion of management options and the initiation of monitoring treatment.
The HIV clinic is a combined clinic, held every two to three months, providing care and management support for haemophilia patients with HIV infection.
Clinics for women
The obstetrics and gynaecology clinic, held every other week, provides antenatal care including planning for the delivery of a child who may be affected by a bleeding disorder. Haematologists, obstetricians and clinical nurse specialists work together to provide a streamlined service across all aspects of obstetric and gynaecological problems including pregnancy and delivery plans, antenatal diagnosis and inheritance counselling. Advice and treatment is also provided for women who experience heavy periods due to bleeding disorders.
Genetic counselling and diagnosis clinic
The genetic counselling and diagnosis clinic, held monthly, provides genetic counselling, testing and diagnosis for those affected by inherited bleeding disorders and their families.
Patients needing psychological support can self-refer to this service.
Inherited and acquired bleeding disorder clinic
Our inherited and acquired bleeding disorders clinics are multidisciplinary comprehensive clinics which see patients with haemophilia, von Willebrand Disorder and rare bleeding disorders. We run clinics for adults and for adolescents (transition clinic).
Underlying bleeding and thrombotic disorder clinic
We run regular clinics for investigation into underlying bleeding and thrombotic disorders.
In addition to the above, we also run:
- walk in physiotherapy services
- nurse-led telephone clinics for patients with mild bleeding disorders
- nurse-led community services for elderly patients and those with difficult mobility.