Respiratory

 

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​Royal Stoke University H​​ospital​

Ward 233 is located on Floor 3 of the Main Building. The department of respiratory medicine has eight consultant physicians and over 14 clinical nurse specialists with a w​ide range of interests. It is one of the largest departments of its kind in the country. It is a centre for sleep medicine, non-invasive ventilation, cystic fibrosis, interstitial lung disease and lung cancer. The respiratory physiology laboratory provides one of the most comprehensive services within the West Midlands. 

County Hospita​​l
Ward 11 is the Respiratory ward. Elderly Care and General Medicine patients are also treated on this ward, which is located on the Second Floor.

Contact Information: 01785 230066 or 230067

Visiting Times & Restrictions: 3pm - 4.30pm and 6pm - 8pm​


The Thoracic service is based on Ward 12, Second Floor​

Contact Information: 01785 230090 or 230091

Visiting Times & Restrictions: 3 - 4.30pm and 6-8pm​


Our services​​​


​​COPD
The COPD service comprises the Supported Early Discharge Service (SED) and a weekly clinical nurse specialist out-patient service. The SED service helps to plan the patient's discharge from hospital and may include home visits to review the patient's progress.

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Rapid Access Respiratory Service

The department is reintroducing a service at the Royal Stoke University Hospital which was previously available and known as the 'Same Day Next Day Service'.  

The service aims to review patients at short notice in order to provide easy access for diagnosis and specialist advice on unwell patients in primary care with a respiratory problem, who otherwise require referral to the emergency department.  This provides an alternative to hospital admission. Following referral from general practitioner to a dedicated telephone line, appropriate patients will be seen in a dedicated clinic where imaging and pulmonary function is available.

There will be 6 clinic appointments available per week and the clinics will take place at Cobridge Community Clinic on Tuesday afternoons and Friday mornings.

 

ILD clini​c

The Interstitial Lung Disease (ILD) service (led by Prof Spiteri and Dr Stone) provides a comprehensive and multi-disciplinary service. The service is open to patients with idiopathic pulmonary fibrosis (IPF), sarcoidosis, hypersensitivity pneumonitis, ILD associated with underlying connective tissue diseases, smoking-related ILD, pulmonary vasculitides and other diffuse infiltrative lung diseases. Care for ILD patients is provided in close collaboration with ILD-trained nurse specialists, chest radiologists and histopathologists.

Services on offer include:

  • Five designated one-stop clinics a week dedicated solely for patients with ILD
  • All clinic appointments arranged and co-ordinated by dedicated ILD admin personnel
  • Patients have pulmonary function tests, blood gas and 6 minute walk assessments (and associated re-titration to meet oxygen needs) on the same day they see their ILD consultant or nurse specialist.
  • Where required, imaging including HRCT scans scheduled within the above same-day itinerary
  • Patients with rheumatoid arthritis /connective tissue disease –related ILD are assessed in the monthly joint ILD-Rheumatology clinics
  • Outpatient-based treatments e.g. pulsed IV therapies
  • Monthly regional video-conferenced MDT meetings in addition to internal MDT meetings
  • In collaboration with our community-based services, we offer pulmonary rehabilitation and specialist palliative care support
  • Monthly patient support group meetings
  • Dedicated ILD phone-lines

We also have a clinical and laboratory-based research programme. This ensures that patients can be offered innovative therapies as they emerge and also allows them to participate in clinical trials to test promising drugs for ILD.

We provide two secure online-accessible tools: 

  • MyIPFcheck has been developed purposefully for our patients to enhance our interaction in real time
  • UHNM ILDconnect platform provides an interactive and collaborative environment for clinical colleagues outside of UHNM, with access to clinical summaries, test results, radiology reviews and MDT outcomes, facilitating an integrated approach to the management of ILD patients.

 All proceeds from website advertising helps to support our developments to improve ILD care. UHNM does not necessarily endorse advertised non-UHNM products and services.​

 

​​Lung cancer
The lung cancer service has up to 350 cases of lung cancer every year. All patients are discussed at the weekly lung cancer multidisciplinary team (MDT), which includes dedicated thoracic nurse specialists, radiologist, histopathologists, oncologists, surgeons and palliative care input. The service is led by Dr Hussain. There are specialist cancer clinics that are run twice a week to fast-track requests from general practitioners who suspect a lung cancer. The majority of patients will have their investigations already arranged at their first visit. We are one of two surgical centres that serve the Greater Midlands Cancer network, of which Dr I Hussain is lead.


Non-invasi​ve ventilation
Non-Invasive Ventilation for inpatients with severe respiratory problems is provided in a specialist six-bedded unit on a respiratory ward. The team also provides ventilatory support for over 400 adult patients at home, including several who receive 24 hour support via mask or tracheostomy. There are two consultant-led and two nurse led clinics each week for patients with neuro muscular disorders and ventilation requirements.


Joyce Dunsadle - Daly is the Sleep Co-Ordinator she can be contacted on 01782 675756. For general queries contact the Helpline on 01782 675470 or 01782 715444 bleep 225. (Monday - Friday 9-5)  For out of hours NIV queries contact 01782 676222

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Oxygen service
Oxygen service The oxygen therapy service provides a wide range of ward based and out-patient advice for patients with stable, unstable, acute or chronic lung disease, including those who are both clinically stable and those with progressive problems and palliative care. The service provides a holistic patient-centred approach through expert nursing advice, education and support to both patients and carers. The service is led by Isabelle Babin-Cooper, clinical nurse specialist, supported by Dr Martin Allen, consultant. 

 

​Respiratory interventional service
The respiratory interventional service comprises bronchoscopy, pleural procedures, nebulised therapy assessment and treatment.  The bronchoscopy service includes bronchial washing, bronchial alveolar lavage, transbronchial and transcarinal biopsy. There are 4 bronchoscopy out-patient lists per week. The procedure is performed at a dedicated suite with a 3 bedded recovery area.  There is a weekly list for pleural biopsy and aspiration in a dedicated suite with provision of ultrasound.  There is a nurse led service on nebulised therapy assessment and treatment.


Respirat​​ory m​edicine research
Under the leadership of Professor Monica Spiteri, the department of respiratory medicine is actively engaged in research. The aims of the lung research programme are:

  • to create cutting edge research that addresses local community needs and builds on local clinical and academic expertise
  • to deliver research projects with a clear patient benefit in the area of respiratory disease diagnosis, intervention and/or general care
  • to maximise intellectual property capability and research revenue within University Hospitals and the wider economy
 

The current rese​​arch projects are:

These include a mix of laboratory-based, translational and clinical projects delivered by multi-disciplinary teams:

  1. Electronic interactive systems for monitoring and supporting patients in real-time, including design and development of Apps e.g. MyIPFcheck; COPD-SPOC and websites e.g. UHNM ILDconnect

  1. Development of biosensor platforms for point-of-care monitoring of biomarkers in saliva for prediction and treatment of COPD exacerbations

 

  1. Regenerative approaches for treatment of Idiopathic Pulmonary Fibrosis (IPF)

 

  1. Clinical trials on new drugs and diagnostics in IPF, COPD, bronchiectasis and lung cancer

Respiratory physiology​
The respiratory physiology laboratory provides a wide range of investigations for airway and lung parenchymal disease. Pulmonary function tests are a group of breathing exercises that measure the function of the lungs, revealing problems in the way a patient breathes.

These investigations can determine the cause of shortness of breath and can help a doctor diagnose a range of respiratory diseases such as asthma, bronchitis, emphysema, etc. The investigations can be used to monitor treatment response, to assess severity and progress of lung disease, to determine suitability for surgery and to predict recovery time from surgery. 

Click here​ to find out about the​ ​Sleep service
Click here to find out about the Cystic Fibrosis​​
Click here​ to find out about the ​​Tuberculosis service​
Click here​ to find out about the Asth​ma