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For Referrers

COVID-19 update for referrers

We are accepting referrals and laboratory samples as usual.  Clinics are being held virtually.  

Please send referrals in as normal (details below), or feel free to e-mail us here if you wish to discuss before referring. 

You can access our surveillance questionnaire via this page.


Thank you for visiting our website – this section is designed for healthcare professionals

Information on how to make a referral

We need a referral letter from a healthcare professional, addressed to Professor Paul CullinanDr Joanna Szram or Dr Johanna Feary, Occupational Lung Disease Clinic (please see address below).

Our clinics are available on 'Choose and Book' for appointments at the Royal Brompton Hospital (Monday afternoons every week).

To enable us to identify the patient and get him/her onto our system quickly, please include the following details (if sent by letter, please use NHS Trust/company headed notepaper, as appropriate):

- patient’s full name


- NHS number

- current address

- telephone number

- GP details 

Feel free to send a referral, make enquiries or ask for advice using the following contact details:


Postal address:

Occupational Lung Disease Service

Royal Brompton Hospital

Sydney Street

London SW3 6NP


Telephone (direct dial): 020 7351 8341


We accept referrals from any healthcare professional including:

  • occupational health advisors, nurses and physicians
  • primary care nurses and general practitioners
  • secondary care physicians, nurse specialists/consultants, physiotherapists and occupational therapists
  • private physicians

We aim to see referred patients within a month of receiving a referral.

We will try to see more urgent cases as soon as possible (on request).


You can contact any of the following clinical staff for advice on clinical issues, diagnostic tests or specific cases:


Click here for information on peak flow tests.

Click here for information on blood pressure and spirometry.


Videos for patients and referrers 

  • We have made a short film for patients explaining what to expect from their clinic appointment [click on Vimeo [v] logo, bottom right of frame, to expand]:

If you have any feedback or suggestions, please let us know here.


  • How to do spirometry - a short film without words:

without birthday hold screen -

  • with birthday hold screen -


Training opportunities 

We are proud of our department’s reputation as a centre for training and education in Occupational and Environmental Lung Diseases.

If you would like to discuss these with us, or arrange to visit us, please contact Dr Joanna Szram

We particularly welcome:

  • Occupational health nurses and advisors
  • Trainee doctors in allergy, occupational and respiratory medicine

We run courses and workshops to support health professionals involved in the care of individuals and workforces at risk of occupational lung disease.


Comments from referrers

"Clear opinion based on detailed assessment."

"Excellent, professional and unique service."

"I am very impressed with the service, and think your team are doing a fantastic job.  Our clients whom we refer are also impressed."

"I have used the service regularly for a few years, and it has always been excellent."

"We are very happy with the service level we receive, and enjoy working with you all. Thank you."