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For Referrers

Note to clinicians

We are sorry to say that due to the current Covid-19 outbreak we cannot, for the immediate future, see new referrals.  When things have become calmer, we will be in touch with an appointment date.  In the meantime, for clinical queries, please e-mail us here.


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

We have made a short film for patients explaining what to expect from their clinic appointment.

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

How to do spirometry - a short film without words:
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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: How do I make a referral?

We need a referral letter from a healthcare professional, addressed to Professor Paul Cullinan, Dr Joanna Szram or Dr Joanna 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).

Please include the patient’s full name, DOB, NHS number, current address, telephone number and GP details in the letter.

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

Contact Details

Postal address:

Department of Occupational and Environmental Medicine
Emmanuel Kaye Building
1b Manresa Road

Telephone (direct dial): 020 7351 8341

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."