Respiratory

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

• Phone: 020 8349 7359
• eFax: 0300 008 3159
• Email: BarnetCOPD@nhs.net

Our respiratory team care for you if you have problems or conditions with your:

• upper airway
• lungs
• chest wall
• ventilatory control system.

Who we see:

We care for you if you have obstructive diseases, such as:

• COPD
• emphysema
• asthma
• bronchiectasis

We also care for you if you have restrictive diseases, such as:

• pulmonary fibrosis
• chest wall problems

Location and contact information

• Telephone: 020 8102 3456
• Email address: clcht.brentspa@nhs.net
• Location: Willesden Centre for Health and Care

Referral information

Routine referrals will come through to the Brent SPA. The SPA will be available from 08:00 to 17:00. Outside of the SPA opening times, please use the SPA number and your call will be routed directly to the clinical teams that operate out of these hours. To contact the SPA, telephone 020 8102 3456 or email clcht.brentspa@nhs.net.

Download our referral form.

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

• Phone (patient number): 0333 300 0950
• Email: clcht.wandsworthspa@nhs.net
   

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

• Phone: 0333 300 2350
• Email: clcht.wandsworthspa@nhs.net

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

Asthma

• 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

Bronchiectasis

• 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).

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:

• Patient information leaflet
• Referrer information leaflet
   

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

• Office phone: 01442 287604
• Advice line: 07944 960825
• Email: westherts.resp@nhs.net
   

Referral forms

• Home oxygen referral form
• Obstructive sleep apnoea referral form
• Community respiratory clinic referral form