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For Referrers

Note to clinicians

COVID-19 update: We are accepting referrals and laboratory samples as usual. Clinics are being held virtually.  Please send referrals in as normal, or feel free to e-mail us here if you wish to discuss before referring. 


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


Q: How do I 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:

Contact Details

Postal address:

Professor Paul Cullinan

Royal Brompton Hospital

Sydney Street

London SW3 6NP


Telephone (direct dial): 020 7351 8341


  • 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]:

Above video, with subtitles [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 -

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).



Q: With whom can I discuss a case?

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


Q: Where can I find more information, including on peak flow tests?
Q: Where can I find information on blood pressure and spirometry:

A: click this link

Q: What training opportunities do you provide?

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 or Julie Cannon.

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."