Established in 2010, the allergy service provides specialist diagnosis and care to people not responding to treatment in primary care and with complex allergies e.g. food allergy, anaphylaxis and rhinitis.
Most people who suffer from recurrent infections have a completely normal immune system. Infections due to a defect in the immune system are rare and most patients are referred by other hospital consultants to the immunodeficiency clinic. In this clinic we also look after patients with a condition called hereditary angioedema. This is a rare disorder of the immune system that usually runs in families and results in unpredictable and occasionally serious skin or abdominal swellings.
Our service - during COVID-19 outbreak
The clinical immunology and allergy service has been impacted by the COVID-19 outbreak like all other areas of the NHS. This will mean significant changes for our patients and the services we can provide. We are following national advice on management of services like ours and prioritising care. We are doing our best to balance the interests of our patients and the interests of the wider community and hospital facing this challenge. We appreciate your patience and understanding during this time.
Our priorities are to:
- Provide care to patients to prevent hospital admission.
- Maintain the high quality of care we are proud to deliver as far as we can.
- Prevent spread of Coronavirus by following government advice
- Support our hospital’s challenge in managing the COVID-19 patients.
- Look after staff health and well-being
Some of our immunodeficiency patients are at increased risk of more severe disease from Covid-19. It is difficult to make an accurate assessment of each persons risk. However we understand that it is useful to have some guidance in this regard and we have therefore written to all patients under our care with immunodeficiency who we feel are in the vulnerable or high risk categories. We have not written to patients with primarily respiratory or haematological problems, who may receive advice from other services. However all patients with secondary antibody deficiency should take precautions recommended for vulnerable adults, unless informed otherwise..
There is good information available on the government website:
For vulnerable patients:https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults
We are aware that it is difficult to get information at this time.and we are doing our best to make sure that there is always a way that our patients can contact the service for urgent help even with reduced staffing levels. There may not be someone available to answer your call, but please leave a message and someone will get back to you;or alternatively email us on the below address.
Urgent queries about your condition or treatment
Angela Cooper & Deborah Hughes
Follow -up appointments: All our clinics have now been converted to telephone consultations and we will run clinics for as long as possible.
New patient appointments: All these appointments have been cancelled, but as far as possible we will try and contact patients and do a telephone assessment.
In patient treatment: We are only continuing essential treatment such as immunoglobulin infusions. All hospital based care for allergy patients is cancelled except a small number of low risk patients on long term venom allergy treatment.
By reducing our service to the minimum during the outbreak members of the team have been made available to support other areas of the hospital under pressure. At the current time members of the team are working in infectious diseases, the respiratory ward, haematology wards and pharmacy procurement.
|Queries about your condition or treatment||Immunology/Allergy Nurse||Angela Cooper & Deborah Hughes||01782 672504|
|Louise Barrow||01782 672594|
|Queries about appointments at Royal Stoke and Bradwell Hospitals||Appointments call centre - Royal Stoke||01782 676676|
|Queries about appointments at County Hospital||Appointments call centre - County Hospital||01785 2|
We achieved QPIDS (Quality in Primary Immunodeficiency Services) and IQAS (Improving quality in allergy services) accreditation in 2018. The schemes are hosted by the Royal College of Physicians of London and services which achieve accreditation undergo a rigorous assessment. When they demonstrate that they meet the standards, they are granted the accreditation.
To maintain high standards of service delivery and provide allergy and immunology services which are committed to upholding and promoting standards of best practice
To put patients at the centre of the service by involving them in their own care and in the running of the service
To provide safe care for patients, staff and others who come into contact with the service
|Type of Clinic||Location||Day||Times|
|General Allergy clinic||County Hospital Outpatients||Monday||9am -1pm|
|||Royal Stoke Outpatients Clinic 3||Tuesday||9am -1pm|
|||Royal Stoke Outpatients Clinic 3||Thursday||9am -1pm|
|||Bradwell Hospital Outpatients||Friday||8.30am-12.30pm|
|Allergy challenge clinic and immunotherapy clinic||Royal Stoke ward 202||Tuesday||9am -1pm|
|Severe urticaria clinic||Royal Stoke Outpatients Clinic 3||Tuesday||1.30pm -5pm|
|Allergy phone clinic||Friday||9am -1pm|
|Immunodeficiency clinic||Royal Stoke Cancer Centre||Wednesday||8.30am-12.30pm|
|Joint respiratory and immunology clinic||Royal Stoke outpatients||Wednesday||2pm-5|
Dr Sarah Goddard
Dr Lavanya Diwakar
Dr Roofa Mushtaq (Anaesthetic allergy service)
Nursing and pharmacy staff
Mrs Angela Cooper (Allergy and Asthma Advanced Nurse Practitioner)
Mrs Deborah Hughes (Allergy and Immunology Advanced Nurse Practitioner)
Mrs Amanda Dudley (Senior staff nurse)
Mr Daniel Clarke (Specialist pharmacist prescriber)
Clinics at Royal Stoke University Hospital (RSUH) are supported by the respiratory physiology team, who carry out skin prick testing and lung function testing during the clinic.
The department maintains a secure record of all patients undergoing the following treatments and investigations: allergy challenges, immunotherapy, omalizumab for urticaria, immunoglobulin replacement and hereditary angioedema patients, to monitor the efficacy of the treatment.
We offer patients the opportunity to take part in:
- The national database for immunodeficiency
- Other projects e.g. GATA 2 study in Newcastle
Education and training
The department is actively involved in the delivery of edu cational sessions for GPs and specialists, medical students and the public. (https://www.keele.ac.uk/istm/staff/sarahgoddard/ ).