We provide a comprehensive service from early diagnosis to advanced treatments for severe COPD. We have a strong multidisciplinary team (MDT) including doctors, specialist nurses, physiotherapists, physiologists and psychologists, which enables us to provide holistic, personalised care to each of our patients.
We work closely with community teams in Islington and Camden to ensure integration of care and reduce the need for hospital visits where possible. The COPD service is supported by the complex lung infection and interventional bronchoscopy services, and works in liaison with the Royal Free Hospital ventilation team and Royal Papworth Hospital transplant team
Other referral information
We have referrals from North Central London for discussion in the hyperinflation MDT.
We treat the full spectrum of COPD, including:
- Asthma-COPD overlap
- COPD-obstructive sleep apnoea (OSA) overlap
- Long-term and ambulatory oxygen therapy assessment
- Hyperinflation assessment (with assessment for endobronchial valves and lung volume reduction surgery)
- Endobronchial valve placement
- Assessment of hypercapnic respiratory failures
Patients are educated to self-manage their condition as well as possible and are referred to integrated respiratory services for support after discharge from hospital or following assessment in the outpatient clinic.
Patients admitted to hospital with exacerbation of COPD are prioritised for specialist respiratory nurse review and discussed in integrated MDT meetings with consultant support and community respiratory services.
We aim to support progression to accurate diagnosis and self-management – this is enabled through a COPD discharge bundle that includes specialist stop-smoking support and referral to pulmonary rehabilitation. In general, need for hospital follow up can be avoided with this pathway, but may be necessary in select cases of very severe disease.