Respiratory Medicine

The respiratory team at the Norfolk and Norwich University Hospital includes Consultant Respiratory Physicians Dr Crichton Ramsay, Dr Ajay Kamath , Dr Orion Twentyman, Dr Mark Pasteur, Dr Philippe Grunstein, Dr Prina Ruparelia, Dr Russell Phillips and Dr Andrew Wilson. The department has strong links with the UEA's Norwich Medical School.

Sister Chris Parfitt is the Senior Nurse for the department and leads a team of respiratory nurses who provide both inpatient and outpatient services for patients with a wide range of respiratory conditions.

The respiratory team is supported by a large team of administrative staff.

Within the department are a number of sub-specialties with dedicated staff with a particular interest in specific conditions or therapies.

- Chronic Obstructive Pulmonary Disease
- Asthma
- Lung Cancer
- Cystic Fibrosis
- Sleep Medicine, Domiciliary CPAP
- Bronchiectasis
- Interstitial Lung Disease (pulmonary fibrosis)
- Pulmonary Rehabilitation
- Domiciliary Oxygen Therapy
- Immunoglobulin Therapy
- Tuberculosis

Out-patient Services:

The out-patients department has a lung function laboratory which has trained staff led by Andrew Wilkes. They are able to provide full tests for diagnosis and ongoing monitoring of respiratory conditions. The department also has access to radiological facilities for X-ray and CT scanning when required and provides two bronchoscopy sessions a week for more detailed investigations.

Over 9,000 outpatients are seen in the respiratory department each year, of which approximately 1,700 are new patients and approximately 7,500 are follow-up appointments.

In-patient Services

Patients requiring admission to hospital are accommodated on the respiratory ward (Hethel Ward) situated on level 3, in the East block. Sister Karen Loades leads a team of respiratory ward nurses who provide 24 hour care to patients acutely unwell with their respiratory condition.

In the last year the number of respiratory admissions totalled approximately 2,500.

The ward has a dedicated NIV (non-invasive ventilation) bay which has 6 beds and experienced nursing staff managing patients with respiratory failure.

For further information about respiratory conditions:

www.asthma.org.uk - AsthmaUK - contains the latest independent advice and news on asthma
www.brit-thoracic.org.uk - British Thoracic Society - clinical information and guidelines
www.lunguk.org - British Lung Foundation - information and downloadable leaflets about lung conditions and patients support network (Breathe Easy Groups)
www.patient.co.uk – information and leaflets for patients; more detailed information on patientplus section for health care professionals.
www.cignificant.co.uk - Norfolk Stop Smoking Service
www.pcc.nhs.uk/118.php - Primary care contracting website
www.bocvitalair.co.uk - BOC website
www.roycastle.org - Roy Castle Foundation – Information about lung cancer and treatments
www.cancerbackup.org.uk - Cancerbackup – Information about lung cancer and coping with cancer
www.mesothelioma.uk.com - Mesothelioma UK
www.nice.org.uk/CG024 NICE guideline for lung cancer
www.big-ccentre.co.uk - Big 'C' Centre
www.sleep-apnoea-trust.org - The Sleep Apnoea Trust Association

Opening Times

Monday	08:00 - 18:00
Tuesday	08:00 - 18:00
Wednesday	08:00 - 18:00
Thursday	08:30 - 18:00
Friday	08:00 - 18:00
Saturday	Closed
Sunday	Closed

Contact Details

Main Telephone Number: 01603 289620
Fax Number: 01603 289846

Based at the Norfolk and Norwich University Hospital, Norwich

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