Our respiratory teams assess, treat and monitor patients with respiratory illnesses such as chronic obstructive pulmonary disease (COPD), asthma and bronchiectasis.

By helping patients self-manage their respiratory disease, we can help prevent unnecessary hospital admissions.

We provide respiratory services in Barnet, Brent, Harrow, Merton, Wandsworth and West Hertfordshire. You can read more about the services we provide in those areas below. 

Our respiratory teams offer:

  • Pulmonary rehabilitation
  • Disease education for self-management
  • Support with managing 'flare-ups' of COPD
  • Chest clearance
  • Medication reviews and advice on medication use
  • Assessment / review of home oxygen therapy

The team also offer:

  • Hospital at home admission avoidance
  • Spirometry (basic lung function) testing - results returned to referring GP for discussion with patients

Patients can be referred by their GP, hospital doctor and other healthcare professional. Patients who have previously used the service can self-refer.

Barnet referral information for GPs

Who are we? 

We are a dedicated multidisciplinary team specialising in assessment, treatment, and education for people with respiratory conditions such as Chronic Obstructive Pulmonary Disease (COPD), Bronchiectasis, Pulmonary Fibrosis and Asthma. 

What do we offer?

  • Pulmonary Rehabilitation 
  • Supported Discharge (Secondary care referrals only)
  • COPD Case Management
  • Home Oxygen Assessment & Review
  • Post Covid (ERS GP / HCP referrals only) 

Where are we?

Our assessment clinics are based at Willesden Centre for Health and Care, Robson Avenue NW10 3RY. 

Telephone 0208 102 3456 (select option 2 then option 6)

Pulmonary Rehabilitation

Pulmonary Rehabilitation is a tailored exercise and education programme designed for people with lung disease who experience symptoms of breathlessness.

We currently offer face-to-face group programmes twice a week for 6 weeks. We also have a home-based programme with telephone support.

What are the benefits of attending pulmonary rehabilitation?

We aim to help you better understand your condition and its management to get stronger, breathe better and do more.

Supported Discharge

The supported discharge service provides specialist respiratory support for patients discharged home from the hospital following an admission due to their chronic lung condition. Clinicians will carry out home visits and provide a combination of face-to-face and telephone support.

COPD Case Management

The COPD case management service aims to optimise long-term COPD management. We provide disease education, supported self-management and techniques to help recognise and manage symptoms.

Patient-Initiated Follow-Up:

As part of COPD case management and our commitment to providing ongoing support, within 12 months of discharge from the service patients can self-refer via our dedicated self-referral line provided to patients on discharge. 

Home Oxygen Assessment and Review Service

We provide both Long Term Oxygen Therapy and Ambulatory Oxygen Therapy assessment. 

This service is for patients with long-term conditions that have been identified as requiring home oxygen by their healthcare professionals. We will also see patients who currently have a home oxygen prescription and need support with ongoing reviews and management. 

Post Covid Service 

This service provides support for patients experiencing Long COVID symptoms, providing access to specialist support, treatment, and rehabilitation.

Resources for self-management post covid syndrome:

How do I refer?

Please email all respiratory referrals to the Brent SPA at: clcht.brentspa@nhs.net
The SPA will be available from 08:00 to 17:00.
For more information contact the Brent Community Respiratory Team:

For Post Covid: All referrals must go through ERS. 
For more information visit North West London ICS

The team also offer hospital at home admission avoidance.

Harrow referral information for GPs

The Merton team work together with you to manage your lung condition.

We are a multidisciplinary team, specialising in assessment, treatment and education of people with respiratory conditions and their families and carers.

Our team consists of specialist nurses, physiotherapists, occupational therapist and rehabilitation assistants.

What we offer:

  • Assessment to provide your individually tailored management plan
  • Pulmonary Rehabilitation (exercise & education)
  • Home exercise programmes
  • Specialist oxygen support
  • Help to manage your respiratory condition for example:
    • Advice on breathing techniques and how to manage feelings of breathlessness
    • Advice on how to manage your activities of daily living
    • Advice on relaxation to reduce anxiety related to breathlessness

Referral information:

Merton referral information for GPs

Our respiratory teams offer:

  • Disease education for self-management
  • Support with managing 'flare-ups' of COPD
  • Medication reviews and advice on medication use
  • Support for patients after discharge from hospital
  • Assessment / review of home oxygen therapy
  • Spirometry (basic lung function) testing - results returned to referring GP for discussion with patients
  • The Wandsworth service offers no pulmonary rehabilitation

Contact details

Inclusion and exclusion criteria

This service is for patients:

  • Who are aged 18 and over
  • Who are registered with a GP within the NHS Wandsworth CCG area
  • Who have a diagnosed respiratory long-term condition – including COPD, Pulmonary Fibrosis and Bronchiectasis

We do not deal with the following conditions:

  • Non-respiratory oxygen assessment and review
  • Breathless patients without confirmed appropriate respiratory diagnosis

Who can refer

  • GP/Practice Nurse
  • Any other Healthcare Professional
  • Self-referral (If known to the service within the last 3 months)

Wandsworth referral information for GPs.

Contact details

The West Hertfordshire community respiratory service provides care for patients with a wide spectrum of respiratory conditions, including COPD, asthma, bronchiectasis, interstitial lung disease, tuberculosis and also obstructive sleep apnoea and domiciliary non-invasive ventilation services.

Our respiratory service is located in Hemel Hempstead, Watford, St Albans, Borehamwood and Potters Bar.

The service works in partnership with consultant respiratory physicians at local acute hospitals to provide consultant clinics across five locations in West Hertfordshire. The team of specialist respiratory nurses and physiotherapist provide hospital at home, home visits, management, home oxygen assessments and review, pulmonary rehabilitation and specialist clinics. Patients are also supported to self-manage their conditions through a seven day a week advice line operating 9am-5pm.

Our services include


  • Adults diagnosed with moderate to severe asthma with uncontrolled asthma
  • Adult asthmatics admitted to hospital (reviewed within four weeks)
  • Diagnosed asthmatics suffering from hyperventilation / disordered breathing


  • Confirmed diagnosis of bronchiectasis and condition unstable
  • Frequent exacerbations / admissions (> two per year)
  • Patients on nebulised antibiotics
  • Patients requiring chest physiotherapy

Chronic Obstructive Pulmonary Disease (COPD)

  • Confirmed diagnosis of COPD and condition unstable
  • Frequent exacerbations / hospital admissions (>two per year)
  • Clinical symptoms disproportionate to lung function tests or clinical decline
  • Problematic withdrawal of steroids
  • Complex patients requiring specialist MDT review

Obstructive Sleep Apnoea (OSA)

  • Patients suspected of OSA requiring sleep study and CPAP
  • Epworth score greater than 11
  • Loud and continuous snoring and excessive sleepiness affecting work & social activities
  • Existing CPAP patients to be transferred to local community CPAP service

Pulmonary rehabilitation 

  • Respiratory patient functionally limited by breathless with MRC 2 or above. For more information about inclusion criteria please open referral leaflet.

Home oxygen therapy 

  • All Adults requiring home oxygen assessment
  • SpO2 less than 92%

Tuberculosis nursing

  • Contact tracing
  • Treatment supervision including Directly Observed Therapy
  • Advice on TB management

Interstitial lung disease (ILD)

  • Confirmed diagnosis and shared care with specialist commissioned centres

Non-invasive ventilation 

  • Respiratory conditions but not neurological conditions

Pulmonary rehabilitation in West Hertfordshire

Pulmonary rehabilitation is a programme of education and personalised physical activity training for people who experience breathlessness that affects their day to day activities, as a result of a long term respiratory condition.

The pulmonary rehabilitation team has recently achieved accreditation through the Royal College of Physicians’ Pulmonary Rehabilitation Services Accreditation Scheme (PRSAS).

Accredited mark-PRSAS-col (002).png

What are the benefits of attending pulmonary rehabilitation? 

  • Improved walking distance and general strength
  • Improved ability to reduce and manage breathlessness
  • Increased feeling of wellbeing and health related quality of life
  • Increased self confidence, knowledge and ability to manage your condition
  • Reduced likely hood of frequent hospital admission and infection episodes

You can find more information on the programme in our factsheets below:

Examples of what people thought after completing our Pulmonary Rehabilitation Programme include:

  • Efficient, professional and compassionate service
  • My ability to cope with the programme was taken into account. 
  • The benefits are enormous and worthwhile.
  • Just to listen and understand was enough.
  • I can't think of anything that could have been better.
  • I've come away with a better understanding and how to manage my health.
  • Great sessions. 
  • Staff very friendly and helpful.
  • I feel more motivated.
  • The staff is always caring and helpful

Online excercise videos

These videos are intended to be used by patients who have completed a Pulmonary Rehabilitation course with CLCH NHS Trust, to assist with ongoing exercise as a part of their lifestyle. Patients who have concerns about new symptoms or who are unable to perform the exercises due to new problems should seek advice from a healthcare professional first. These videos are not considered a replacement or a form of pulmonary rehabilitation. If you wish to be part of the programme please request to be referred.

Referral information 

We accept referrals from GPs, hospital consultants and community healthcare professionals, and once patients are known to the service they can self-refer back to the service during exacerbations or when they require advice and support.

Patients being referred must be living, or registered with a GP, in West Hertfordshire (Dacorum, Hertsmere, St Albans and Harpenden and Watford and Three Rivers localities).

Patients can be referred to the West Herts Community Respiratory Service using Choose and Book or by completing and submitting a referral form by email: westherts.resp@nhs.net or via eFax: 0300 008 3133.

Contact details

Referral forms

Home visits are available for this service but please check in your specific area first.

Cricket Green Polyclinics

  • Address: Birches Close, Mitcham, CR4 4LQ
  • Phone: 020 8407 3973

Edgware Community Hospital

  • Address: Burnt Oak Broadway, Edgware, HA8 0AD
  • Phone: 020 8952 2381

Morden Road

  • Address: 256 Morden Road, London, SW19 3DA
  • Phone: 020 8254 8484

Honeypot Lane Health Centre

  • Address: 839 Honeypot Lane, Stanmore HA7 1AT
  • Phone: 0300 555 8889

Hemel Hempstead General Hospital

  • Address: Hillfield Road, Hemel Hempstead, Herts., HP2 4AD
  • Phone: 01442 287604

Battersea Studios

  • Address: Silverthorne Road, SW8 3HE
  • Phone: 0333 300 0950

Bridge Lane Group Practice

  • Address: 20 Bridge Ln, London SW11 3AD
  • Opening times: Monday to Friday, 9am to 5pm

Greyswood Practice

  • Address: 66 Eastwood St, London SW16 6PX
  • Opening times: Monday to Friday, 9am to 5pm

Tudor Lodge Health Centre

  • Address: 8C Victoria Dr, London SW19 6AE
  • Opening times: Monday to Friday, 9am to 5pm