Dr Thomas Medveczky and a patient performing a spirometry breathing test

Respiratory medicine

Our Respiratory Department offers inpatient and outpatient care at Epsom and St Helier hospital sites for patients with Respiratory conditions. We provide diagnostic, treatment and management support for many Respiratory conditions such as Asthma, Chronic Obstructive Pulmonary Disease, Interstitial Lung Disease, Lung Cancer, Pleural diseases, and Tuberculosis (TB) and support Long-COVID pathways. We hold excellent links to tertiary centres at The Royal Marsden Hospital, St George’s Hospital, The Royal Brompton, Queen Victoria Hospital and Guys & St Thomas’ Hospital.

We are actively involved in integrated care partnerships with GPs, community-based nurses, physiotherapists, social prescribers and allied health professionals to better support our treatment and management of patients with long-term conditions improving access and care closer to home.

We have a highly skilled team of professionals, including Respiratory Consultant Physicians, Specialty Doctors, Clinical Nurse Specialists, Physiologist, Physician Associates and Clinical Nurse Specialists in Lung Cancer which enable the Service to support sub-speciality areas with focus and supports pathway development in key areas.

Opening hours

Epsom and St Helier hospitals: Monday - Friday, 8am - 5pm

Contact details

For appointment queries, please contact 020 8296 2968

You can also contact the team at St Helier on 020 8296 2401/ esth.respiratoryPODSTH@nhs.net

You can also contact the team at Epsom on 01372 735 293/ esth.respiratoryPODEGH@nhs.net  

For TB advice and queries please contact the TB team on 020 8296 3254

Location

All clinics are held at the locations below. Please check your appointment letter and make a note of which location your appointment is booked for.

Clinics are by appointment only.

St Helier Hospital

Powell, Davis, Springall annexe and Springall units, Ground floor, F block (Ferguson House)

Epsom Hospital

Oaks Suite, Ground floor, A block (Headley Wing)Clinics are held daily.

 

Meet the team

Consultants

Dr Jennifer Martinovic (Consultant respiratory physician, Clinical Lead for Respiratory Medicine and Lead for Interstitial Lung Disease)
Dr Shakil Rahman (Consultant respiratory physician, Sub Dean SGUL )
Dr Jonathan Ratoff (Consultant respiratory physician, Lead for Lung Cancer)
Dr Claire Wells (Consultant respiratory physician, Lead for Rapid Diagnostic Centre)
Dr Praveen Molanguri (Consultant respiratory physician, Lead for Non-invasive ventilation)
Dr Charlie Francis (Consultant respiratory physician, Governance Lead and Lead for Airways)
Dr Kavina Manalan (Consultant respiratory physician, Lead for TB)
Dr Rebecca Lawrence (Consultant respiratory physician, Education Lead)
Dr Helen Hall (Consultant respiratory physician)
Dr Katherine Brady (Consultant respiratory physician, Lead for pleural)
Dr James Kent Bramer (Consultant respiratory physician)
Dr Jian Khoo (Respiratory Medicine Specialty Doctor)

 

Respiratory Clinical Nurse Specialists

We have a team of Clinical Nurse Specialists to support patients referred to the Service. Those colleagues act as a point of contact for patients and staff to support the timely and effective management of patient pathways through to diagnosis and treatment for different specialist conditions.

The team can be contacted via esth.respiratorypodegh@nhs.net/esth.respiratorypodsth@nhs.net & 01372 735 293/ 020 8296 2401

Angela Miers – Lead Nurse for Respiratory Services
Virginia Quirke – Associate Lead Nurse for Respiratory Services

 

Lung Cancer Nurse Specialists

The team can be contacted via esth.lung-oncologycns@nhs.net or 020 8296 2409

Faye Crathern - Lung Cancer Clinical Nurse Specialist
Tollene Riley - Lung Cancer Clinical Nurse Specialist
Charlotte McQuade – Lung Cancer Clinical Nurse Specialist
Louise O'Connor - Macmillan Lead Cancer Nurse

 

Tuberculosis Nurse Specialists

The team can be contacted via esth.tbservice@nhs.net or 0208 296 2401

Preseetha Jidesh
Deborah Caswell

 

Specialist Registrars, Hospital doctors and Medical students

As a teaching hospital, we have doctors who are undergoing their specialist training in Respiratory Medicine or General Medicine, as well as medical students from St George's Medical School, University of London. Sometimes medical students may be present during your appointment. Please tell the doctor or nurse in charge if you do not wish for a student to be present.

Referrals

Referral

Your GP, Practice Nurses or Hospital Consultant can refer you to the service. GPs and other clinicians can read more about referring to our services or can contact the service using the details below.

For our St Helier administration team please contact:

Tel: 020 8296 2401

For our Epsom administration team please contact:

Tel: 01372 735293

 

Lung Cancer Pathway

Lung (respiratory) cancer referral form (two-week rule)[docx] 60KB

 

Secondary Care Post-COVID Specialist Clinic

Secondary care Post-COVID Specialist MDT/Clinic[docx] 78KB

 

Sleep Disorders and Sleep Apnoea 

Please note that Epsom and St Helier University Hospital Trust does not provide a Sleep Apnoea or Sleep disorder service. Please refer any patients for sleep apnoea or sleep disorders to the sleep services that are local to the patient. The two closest services are at St George's University Hospital Trust or at the Queen Victoria Hospital. 

ILD care at St Helier

ILD is a lung disease that is progressive and often severe. Most of our patients have a form of the disease called Idiopathic Pulmonary Fibrosis for which, sadly, the average survival after diagnosis is only 3-3.5 years 

In November 2024, we wrote to our patients following a number of concerns that some had not received appropriate treatment for ILD under the care of a former Consultant Respiratory Physician, between 2019-2024, and to issue a full apology. The Consultant is no longer employed by the Trust. 

A specialist clinical team had reviewed all patients with ILD to ensure they were receiving appropriate and safe care, and to correct their treatment if that was necessary.

We treated this matter with the utmost seriousness and made immediate and important changes to ensure the service is safe. 

We also commissioned the Royal College of Physicians (RCP) to convene an independent panel of experts and undertake a formal harm review of patients treated for ILD by this clinician in 2019-2024. 

The RCP has now completed its review, and has provided its report to us. Its findings confirm that, in many of the cases examined, the care provided fell far below the standards our patients should expect from us.  In a number of cases, this care resulted in significant harm. 

You can read the full report here.

If you are concerned about your care, or the care of a family member, you can contact us and we will reply within 5 working days: 020 8296 3245 or email: esth.enquiriesforILD@nhs.net

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