Tuberculosis
Contact
- Outpatients appointments
- 020 3312 6025
Visitor Information
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The tuberculosis (TB) service offers a number of clinics for the testing, diagnosis and treatment of TB.
There are integrated adult, paediatric and HIV co-infection services provision across acute, outpatient and community settings.
It is confidential and available on the NHS to all those living in the UK, irrespective of residency or migration status. Our service prescribes treatment and arranges repeat prescriptions all of which are supplied by the hospital free of charge.
We aim to provide the best available diagnostic and therapeutic facilities for TB management. We provide a full range of non-invasive and invasive sampling:
- sputum induction
- bronchoscopy and endobronchial ultrasound (EBUS) for adults and children
- molecular and immunological tests
We are a tertiary referral centre for:
- multi-drug resistant TB
- ophthalmic TB
- paediatric TB
- spinal and neurological TB
TB testing is available at NHS TB clinics for people with suspected TB or those that have been in close contact with an infectious case. BCG (TB) vaccination is recommended on the NHS for babies, children and adults under the age of 35 years considered at risk of catching TB. Please contact the clinic (contact information can be found here) for more information.
Clinics
TB clinics at Charing Cross Hospital
Address
Outpatients department
Fifth floor
North wing
Charing Cross Hospital
Fulham Palace Road
London W6 8RF
Hours
- TB and general infection clinics are held on Wednesday mornings
Contact information
Phone: 020 3312 6025
TB clinics at Hammersmith Hospital
Address
Main outpatients department
Ground floor
A block
Hammersmith Hospital
Du Cane Road
London W12 0HS
Hours
- TB and general infection clinics are held on Monday afternoons
Contact information
Phone: 020 3312 6025
TB clinics at St Mary’s Hospital
Address
Chest and allergy clinic
Ground floor
Mint Wing
St Mary’s Hospital
Praed Street
London W2 1NY
Please note: The chest and allergy clinic can be accessed via entrance E to the Mint Wing, off of South Wharf Road.
Hours
- TB medical clinics are held on Tuesday mornings
- TB nursing pre biological screening clinics are held on Monday mornings
- TB nursing screening clinics are held on Thursday mornings with follow up on a Monday afternoon for patients returning to have skin test reading
- TB nursing clinics are held on Monday and Wednesday afternoons
- TB paediatric clinics are held on a Wednesday mornings
- TB co-infected clinics are held on a Wednesday afternoons
- TB latent clinics are held on a Wednesday afternoons
Meet the team
Charing Cross Hospital
Infectious diseases consultants
Dr Frances Sanderson, clinical director, outpatients
Hammersmith Hospital
Infectious diseases consultants
Dr Christopher Chiu
Professor Shiranee Sriskandan
Professor Carlton Evans
Dr Aula Abbara
Dr Darius Armstrong
Respiratory/TB consultants
Dr Meg Coleman
Professor Onn Min Kon, head of specialty, tuberculosis
Dr Jamilah Meghji
St Mary’s Hospital
Respiratory/TB consultants
Dr Meg Coleman
Professor Onn Min Kon, head of specialty, tuberculosis
Dr Loong Yuan Han
Dr Laura Martin
Dr Jamilah Meghji
Paediatric TB consultants
Lead TB clinical nurse specialists
Ardita Hoxha Drugzani
Helen Durkan
TB clinical nurse specialists
Genesis Canales
Juliet Nwagwu
Javier Sanchez
Clare Campbell
TB nurses
Marilou Delossantos
Panayiota Konstantopoulou
Jack Lindley
Nyama Wellington
TB coordinators
Safiyo Nur
Renee Watson
TB outreach worker
Juanita Hector
Patient information
Before your appointment
You will be seen two weeks from your referral. You are welcome to bring a relative, close friend or carer with you to your appointment. Children and young people should be accompanied by a parent, guardian or carer.
Please wear loose comfortable clothing for your appointment as you will likely have your upper arms examined for vaccination scars and may need to have your lungs and heart examined.
If you have been referred with a productive cough, please ask your GP surgery for a sputum pot and bring a fresh sputum sample with you to your appointment (i.e. phlegm coughed up on the day of your appointment).
In addition, it would be helpful if you could bring the following:
- your full address and telephone number(s)
- your appointment card and appointment letter
- a list of your medications
- your GP’s name and address
- a list of questions you may want to ask
During your appointment
All patients must check in on arrival. We try to stick to the appointment times, but some patients need longer consultations than others and many of our patients have complex illnesses and other testing performed which can cause delays. We will keep you informed of delays.
Some patients need to see a nurse after the appointment with the doctor, they may need to go to another department for tests and to get a prescription. It is advisable to plan to be at the hospital for about three hours.
Please note that we are a teaching hospital, so medical students may be present for some appointments. If you do not wish to have them in the room please let the nurse or doctor know and the students will be asked to step outside.
Patients suspected of having TB will be reviewed by a specialist doctor or nurse and may be asked to wear a face mask at the hospital. This is a precautionary measure and the nurse will explain what you need to do. Please do not be alarmed by this precaution.
When you attend the TB testing clinic you may have a TB skin test, blood test and chest x-ray. Patients attending the doctor's clinic may require more detailed scans of the chest, breathing tests and sometimes we also look into the lungs with a small camera (bronchoscopy) to investigate coughing or bleeding. The doctor will discuss whether these tests are necessary and you will get an appointment to for these at a later date
After your appointment
At the end of your consultation, the clinician will usually let you know if you require a follow up appointment. A letter is usually sent to your GP which summarises your consultation and plan of care. You will receive a copy of this letter. You can expect to hear about most results at your follow-up appointment but sometimes the clinician will arrange to let you know by telephone.
Refer to this service
GP referrals
Please use NHS e-Referrals to refer a patient to our tuberculosis service. Be sure to download and complete the relevant referral form below and attach it to your referral within NHS e-Referrals.
Prior to referral
If you wish to obtain some general advice regarding a potential referral, please call one of the TB nurses.
If you are referring a patient with a productive cough, please send details of any recent sputum microbiology, and/or provide the patient with a sample pot for the morning of their appointment.
Please arrange for the patient to have a chest x-ray at the hospital you intend to refer to. This should take place prior to referral or on the day of referral so images can be accessed at the clinic appointment.
If the patient has had imaging at another hospital, and you are not referring to that hospital, please indicate which hospital clearly on the referral so that this imaging may be retrieved and reviewed.
Please send the results of any relevant blood tests and inform us of any relevant social circumstances that are impacting the patient's health and wellbeing.
Please inform us if the patient does not speak English, and which languages they do speak. Where possible, please advise them to attend with a translator.
GP advice
Phone: 020 3312 6025 (TB office) or call the St Mary’s Hospital switchboard on 020 3312 6666 and ask the operator to bleep 1366
Email: imperial.tb.service@nhs.net
Secondary care
Secondary care organisations should email Professor Kon (onn.kon@nhs.net) and copy IMPERIAL.TB.SERVICE@NHS.NET on the email. There are no specific pre-requisite tests needed.
Self-referrals
Patients can self refer if they have symptoms consistent with TB or they have been in close contact with someone with infectious TB. You do not need to be registered with a GP.
Phone: 020 3312 6025
Email: IMPERIAL.TB.SERVICE@NHS.NET