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East Kent Hospitals University NHS Foundation Trust
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Respiratory (lungs) services

Department of Respiratory Medicine

East Kent Hospitals University NHS Foundation Trust provides respiratory services at William Harvey Hospital in Ashford, Kent and Canterbury Hospital in Canterbury and Queen Elizabeth The Queen Mother Hospital in Margate, with outreach clinics at Dover, Folkestone, Herne Bay and Deal. The respiratory department consists of seven consultant respiratory physicians, supported by a team of junior doctors and community based respiratory nurses.

Respiratory medicine is concerned with the diagnosis, treatment and continuing care of patients with a considerable range of lung diseases. They include asthma, chronic bronchitis / emphysema (COPD), pulmonary fibrosis, asbestos related conditions including mesothelioma, tuberculosis, sleep disordered breathing, pneumonia and lung cancer.

In addition, most respiratory physicians have a major commitment to the care of patients admitted as medical emergencies and provide ongoing ward-based care for these patients. Almost 40% of patients admitted as emergencies have respiratory problems.

Patients with lung diseases may undergo a number of investigations, which include x-rays, CT scans, bronchoscopy (to look into the lungs with a camera) lung function testing (to assess breathing capacity) and overnight studies of breathing during sleep. Information regarding these tests is available on request from the consultant secretaries.

Most treatments for patients with lung diseases can be undertaken locally. However, thoracic (chest) surgery can only be performed at Guys Hospital, London. For these patients, east Kent is well served by a visiting thoracic surgeon (Miss Juliette King) who assesses patients both before and after their surgery at Canterbury.



Lung function laboratories

We have fully equipped lung function laboratories at the Kent and Canterbury Hospital in Canterbury, William Harvey Hospital in Ashford and Queen Elizabeth The Queen Mother Hospital in Margate.

These laboratories can perform measurements of lung volumes, spirometry, transfer factor, reversibility testing, oxygen measurements at rest and on exercise, inspiratory and expiratory muscle pressures.

In addition to the lung function technician, some of the cardiac technicians have been trained to undertake lung function testing.


Sleep services

The Sleep-Breathing Disorders clinic is part of the Chest Department at the Kent and Canterbury Hospital.  The great majority of patients who attend this clinic are coming for diagnosis of possible obstructive sleep apnoea syndrome and its treatment.  We undertake approximately 7450 sleep studies each year mostly using domiciliary monitoring equipment. 

The clinic also has a dedicated sleep-breathing ‘laboratory’ attached to the Mount McMaster ward in the Kent and Canterbury Hospital with equipment kindly provided by the Canterbury League of Friends where a patient’s breathing can be studied in more detail if required (sleep polygraphy).  The clinic currently has approximately 1000 patients from the Canterbury and Thanet region undergoing long term treatment with Continuous Positive Air Pressure (CPAP) ventilation at night for sleep apnoea syndrome. It issues and maintains their equipment and undertakes routine follow-ups to ensure a patient’s sleep apnoea is well controlled. Patients with confirmed obstructive sleep apnoea syndrome may aslo be treated with mandibular advancement splints custom constructed bt the Maxillo-Facial Department.

The CPAP service is headed by the Associate Sleep practitioner, Amanda Asquith. She is also involved with the service at William Harvey Hospital, Ashford. She is trained to set up patients for their studies as well as analyse and initiate treatment with CPAP. She runs follow-up clinics for sleep patients who are established on CPAP. She is assisted by a sleep co-ordinator at each site (Ashford and Canterbury) and a flexible technician at the Ashford site. 

Sleep-Breathing Disorder Clinics at William Harvey Hospital

Over 500 sleep-breathing studies are conducted each year and treatment for obstructive sleep apnoea with CPAP initiated by Amanda Asquith and her team. THis hospital also conducts combined 'neuro-sleep' clinics in association with the department of neurology where other primary sleep disorders may be investigated.

Respiratory consultants


Respiratory nurses

Community respiratory nurses

The Specialist Respiratory Team is employed by Eastern and Coastal Kent Community Health Trust but works very closely with the respiratory consultants in East Kent Hospitals and also with all members of Primary Care.

The team of over 40 consists of specialist nurses and physiotherapists supported by health care assistants and secretarial staff. There are five bases at Whitstable and Tankerton Hospital, Ashford Community Offices, Hythe Community Clinic, Broadstairs Health Centre and Deal Community Clinic. There is one specialist nurse at the William Harvey Hospital, Ashford.

The community team delivers support and advice to all people affected by any lung disease and also act as a resource to all health professionals in primary and secondary care, and deliver educational support as needed. An early Discharge/Hospital at Home service is given for all patients with COPD across the area.

Throughout  the whole area there is an emphasis on patient participation and involvement in their treatment and care at home rather than in hospital and as many patients as possible are issued with personalised management plans.

Referrals can be accepted from any member of the multidisciplinary team and from patients themselves for advice on management, oxygen or nebuliser assessment, education, end of life issues, TB monitoring and contact tracing, advice and support with non invasive ventilation at home.

Patients are seen either in nurse led clinics at a District General Hospital or Community Hospital and those who are not able to access these services are visited at home. The emphasis is on delivering care as close to the patient as possible. The only thing that cannot be done in the home is a chest X-ray.

The physiotherapists and their assistants run a comprehensive eight week pulmonary rehabilitation programme each at different venues throughout the area in order for the patients to access them easily.

Following on from this, there are two Breathe Easy Groups, one in Thanet and one in the Canterbury area, with one to be initiated soon in the Ashford area. These are primarily patient support groups under the auspices of the British Lung Foundation but they also take part in raising the profile of lung disease and funds to go towards research.

For further information please contact:

  • Specialist Respiratory Nurses
  • Whistable and Tankerton Hospital
  • Phone: 01227 594640

Hospital respiratory nurse

In addition to the team above, William Harvey Hospital, Ashford has a respiratory nurse who works in the acute setting providing respiratory support and advice to all the Respiratory inpatients, including those on surgical wards.

She is a very experienced sister and has innovatively developed systems to ensure early and safe discharge of patients. She liases with the community team and is actively involved in the assessment and management of patients needing Domicilary ventilation for Respiratory failure. In addition to this, she is actively involved in teaching and training both medical students and junior doctors. 

For further information please contact:

  • Emma Sayell - Hospital Respiratory Nurse

  • Phone: 01233 633331

  • Bleep: 8540

Getting to our hospitals

For information of getting to our hospitals by car, public transport or NHS transport, plus details of car parking availability - please see the link below:

Find your way around our hospitals

Click the links below to view and download maps of our hospitals:

Sleep services

Main staff:

Medical Consultants

  • Dr Peter Farrow and Dr Prathiba Bandipalyam

  • Tel: 01227 74355 or Tel: 01233 616266

Technical

  • Mrs Amanda Asquith (K&C Monday am and Thursdays, WHH all other weekdays)

  • Extension: 74857

Respiratory Coordinator 

  • Ms Karen McDermott (K&C weekday mornings)

  • Extension: 74857(with answerphone service)

    • Mrs Teresa McIntyre (Ashford)

Sleep enquiries

  • Ashford - Direct Line (24 hr. answerphone): 01233 616080