FeNO and Spirometry Clinic

We are delighted to tell you that the FeNO and Spirometry Clinic at Marvels Lane is now available to all Lewisham practices. This clinic will be help on Friday afternoons, and is bookable externally bookable on EMIS under the slot type “OHL Spirometry / FeNO”.

The clinic will initially be a half a day a week each Friday and, as the demand increases, more appointments will be made available. If you are having any problems finding or booking an appointment, please do not hesitate to contact the Spirometry Team.

How to book a patient into the service

Referral Criteria

Inclusion criteria for Spiro and FeNO

•             Any adult patient with suspected or confirmed asthma / COPD

•             FOR SUSPECTED ASTHMA and for FENO ONLY : child > 5 years old

Exclusion criteria :

•      recent (within 3 months) acute pulmonary disease

•      pregnant

•      Alcohol or drug abuse within the past 6 months

•      Evidence of malignancy within the past 5 years

•      Current active infection or acute illness of any kind

•             < 1 week myocardial infarction, systemic hypotension or severe hypertension, significant atrial/ventricular arrhythmia, non-compensated heart failure , uncontrolled pulmonary hypertension, acute Cor pulmonale, clinically unstable pulmonary embolism, and a history of syncope associated with forced exhalation

Once the procedure is completed, a clinician will explain the results within the same appointment. The room in which the test is carried out will be air filtrated for a minimum of 15minutes between each patient. The clinician will code the patients results in the respective practice’s EMIS and perform a medication review to initiate/amend any inhalers (if needed). Our clinician will also document the findings for the procedure and write and entry to the patient’s on EMIS, so practices are able to see the outcomes of each consultation. Unfortunately , we cannot start any patient on repeat medications due to the server format. However, we will send an email advising of the recommended changes.

Resources

Dietary info for patient prior to having their tests – click here

FAQs

When can I start booking? – Appointments are available to book as of the 21st of July 2020

How are patients assessed? – All appointments will be face-to-face at 37 Marvels Lane, SE12 9PN.

How do I book an appointment? – You can book an appointment by selecting the using the drop-down arrow on the “find slot” option on EMIS. Select “find cross-organisational slot” and select “OHL Spirometry / FeNO”. Please see our how-to video for further guidance.

What are the inclusion criteria?

  • Any adult patient with suspected or confirmed asthma / COPD.
  • FOR SUSPECTED ASTHMA and for FENO ONLY : child > 5 years old

What are the exclusion criteria?

  • recent (within 3 months) acute pulmonary disease
  • pregnant
  • Alcohol or drug abuse within the past 6 months
  • Evidence of malignancy within the past 5 years
  • Current active infection or acute illness of any kind
  • < 1 week myocardial infarction, systemic hypotension or severe hypertension, significant atrial/ventricular arrhythmia, non-compensated heart failure , uncontrolled pulmonary hypertension, acute Cor pulmonale, clinically unstable pulmonary embolism, and a history of syncope associated with forced exhalation.

Contact Information

Chris Nicholls Admin Lead
E: – Christopher.nicholls@onehealthlewisham.co.uk
Dr. Ziva Bergman Clinical Lead
E: – ziva.bergman@onehealthlewisham.co.uk
One Health Lewisham

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