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Respiratory

The Respiratory department offers a full inpatient and outpatient medical service, to treat adults with conditions affecting the respiratory tract, including asthma, chronic obstructive pulmonary disease (COPD), lung cancer, respiratory infections and bronchiectasis, tuberculosis (TB), interstitial lung disease and sarcoidosis, pleural disease and sleep disorder.

Diagnostic facilities are also provided for the majority of respiratory conditions.

Bedford Hospital

The Chest Clinic treats and cares for patients with any respiratory disease or suspected respiratory problems. On average the Clinic sees 4500 patients per year. The clinic has facilities for investigations such as spirometry, oximetry, skin allergy tests, chest x-ray, sleep studies, CT scans, and fibreoptic bronchoscopy. We also have a modern pulmonary function laboratory.

Outpatients are seen at Bedford Hospital Chest Clinic, which is located in Ombersley House at the South Wing site. Dr Azher and Dr Thomas read all referral letters and, taking into account both the clinical details and the GPs request, will specify the priority of the appointment.

Staff

Dr Sunil Krishnankutty Consultant in Acute Medicine and Respiratory Medicine
Dr Amer Saleem Chest Physician
Luton and Dunstable University Hospital

The Respiratory department is supported by 6 full-time consultants, an associate specialist, 4 full-time respiratory physiologists, 6 full-time respiratory nurse specialists and 2 full-time lung cancer nurse specialists with additional support from 2 TB nurse specialists. There is a fully equipped lung function, diagnostic sleep service and CPAP service as well as excellent radiology services. There are 3 bronchoscopy and EBUS lists per week which ensure patients can have procedures without delay. There is also a visiting Cardio-Thoracic Surgeon who comes across from Harefield Hospital every week.

The department also has close links with the community based respiratory nurse specialists, Macmillan palliative care nurses and community matrons. The department is currently expanding with the imminent appointment of additional consultants in order to further improve and expand the services available.

The Luton and Dunstable University Hospital has excellent tertiary links with Mount Vernon, Harefield, Addenbrookes, Papworth and the Royal Free and Royal Brompton hospitals in addition to St Marys Hospital London.

The department offers a full physiological assessment including:
• Full lung function
• Provocation testing
• Sleep studies
• Flight assessments
• Oxygen assessment
• Exhaled nitric oxide
• Manometry studies
• Bronchoscopy with Lavage Endobronchial biopsies, transbronchial biopsies and transbronchial needle aspiration
• Pleural aspiration and biopsy
• Endobronchial ultrasound transbronchial needle aspiration (EBUS)
• Exercise induced asthma
• Skin prick testing allergy profiles

Psychological Support for Respiratory Difficulties in Bedfordshire

We are here to help and support people to manage the symptoms of their respiratory illness and gain a better quality of life.

This leaflet explains the psychological support available to you within the Respiratory Medicine Services at Bedford and Luton & Dunstable Hospitals.

Who we are
We are set up as part of the integrated COPD service and the Respiratory Medicine clinics of the Luton & Dunstable and Bedford Hospitals. We have a counselling psychologist who offers individual and group interventions as well as support to other professionals.

How can I benefit from meeting with a psychologist?
Each person with respiratory problems will have a different set of challenges, although many of the issues may be similar. You may develop negative feelings such as stress, worry, anxiety and/or low mood as well as unhelpful thoughts. This, in turn, may lead to poor health management and an exacerbation of respiratory conditions. During therapeutic sessions we can talk about your own experience in a non-judgemental space. We can explore how your physical health impacts upon your life and then look at how you would like your life to improve alongside your respiratory condition. Psychological therapy can help you identify what changes are achievable and meaningful to you. Therapy may then help you to develop new skills and/or expand your existing skills to help you work towards your desired changes. For further details, please click here.

Staff

Beverley Gardner Admin Lead and Secretary to Dr Ramsay
Dr Timothy Chapman Respiratory Consultant
Lizan Drummond Respiratory Nurse Specialist
Louise Fitzpatrick Secretary to Dr Chapman
Julia Graves Respiratory Nurse Specialist
Julie Milburn Secretary to Dr Southern, Dr Ramsundar and Dr Joshi
Jillian Muwezwa Respiratory Nurse Specialist
Eunice Ogundimu Secretary to the Respiratory Nurse Specialists
Farida Parkar Respiratory CNS
Dr Parthipan Pillai Respiratory Consultant
Shadiqur Rahman Secretary to Dr Pillai, Dr Tariq, Dr Gnanapragasam and Mr Finch
Dr James Ramsay Respiratory Consultant
Dr Iain Southern MDT Lead - Respiratory
Dr Syed Tariq Respiratory Consultant
Claire Tipping Respiratory Nurse Specialist