CONSULTANT-LED RESPIRATORY MEDICINE · LONDON & HARROW
Specialist care for cough, breathlessness and lung disease
Consultant assessment, lung function and cardiopulmonary exercise testing, and a written plan — from consultants who lead NHS respiratory services at West Hertfordshire Teaching Hospitals.
What brings you to us?
Start with the symptom that concerns you most. Each guide explains likely causes, the tests we may suggest and when to seek urgent help.
Persistent cough
Lasting more than three weeks, or keeps returning.
Breathlessness
Including when earlier tests were “normal”.
Wheeze or chest tightness
Possible asthma or COPD, confirmed with objective tests.
Snoring and daytime sleepiness
Assessment for obstructive sleep apnoea, including home sleep studies.
Recurrent chest infections
Or a daily productive cough.
An abnormal scan or lung nodule
Please bring previous images and reports.
Urgent symptoms? Call 999 for severe breathing difficulty, blue or grey lips, collapse or sudden heavy chest pain. Do not wait for a private appointment. For other new or worsening symptoms, contact your GP or NHS 111.
Specialist services
Unexplained breathlessness and CPEX
Cardiopulmonary exercise testing to help distinguish heart, lung, fitness and breathing-pattern causes.
Complex and severe asthma
Confirming the diagnosis, assessing airway inflammation and considering suitability for biologic treatment.
Chronic cough
Structured assessment of treatable causes, with specialist speech and language therapy for cough control.
Sleep apnoea
Home sleep studies and a clear report to support onward NHS CPAP care where needed.
Interstitial lung disease
High-resolution CT, full lung function and multidisciplinary review.
Lung nodules, lung cancer and pleural disease
Surveillance or diagnosis, including EBUS, bronchoscopy and thoracic ultrasound, working with thoracic surgery and oncology colleagues.
All conditions and treatments → Investigations and CPEX →
Your first appointment
1. Get in touch
Call or email our team, or book directly with your chosen hospital. Tell us if you are insured — some insurers need a GP referral first.
2. Prepare
Bring a list of your medicines, your inhalers and any previous scans, results or letters.
3. Consultation
A full history and examination. Where available, some tests may be arranged on the same day.
4. A clear plan
We explain the results and next steps, and write to you and your GP.
Our team
Our consultants hold NHS posts at West Hertfordshire Teaching Hospitals NHS Trust and lead specialist services including complex asthma, cardiopulmonary exercise testing, sleep, interstitial lung disease, pleural disease and lung cancer diagnostics. They work alongside our respiratory physiologists and colleagues in thoracic surgery, radiology and oncology.
Where we see patients
Our main locations are The Wellington Hospital (St John’s Wood), The Clementine Churchill Hospital (Harrow) and Spire Bushey Hospital, with other clinics across north London, Hertfordshire and Berkshire; consultants and investigations vary by location.
Call 020 3146 1771 or email enquiries@chest-clinic.co.uk. You can contact us directly or be referred by your GP.