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Specialties
Pathways
Definition/Description
The Community Diagnostic Respiratory Service provided by Hull & East Yorkshire Hospitals NHS Trust aims are:
- To provide diagnostic ARTP standard spirometry with interpretation
- To enable you to manage patients with greater confidence in the community
- To allow a more seamless service for our patients
The service will provide FeNO and spirometry with bronchodilator response, if clinically indicated. All the investigations will be reported by our respiratory physiologists trained (or working towards) ARTP certified standards.
Red Flag Symptoms
All other referrals should be by the normal route for accessing a Respiratory Opinion at Hull & East Yorkshire NHS Trust
Exclude red flags
- Chest pain
- Haemoptysis
- Recurrent infection
- Weightloss
Guidelines on Management
The aim of this service is to provide access to Respiratory Diagnostic Test to enable management of patients in primary care thus avoiding the need to follow traditional referral pathways.
Referral Criteria/Information
- Ages 18+
- To assess the presence of, or rule out, reversible/non-reversible airway disease and/or the indication of restrictive lung impairment.
- Referral to be made using the spirometry +/- BDR and FeNO request via eRS
- Referral will be directly bookable in to ERCH/Hull CDC
Referrals will be made through NHS electronic referrals system (ERS)
DO NOT REFER
If already diagnosed with a respiratory condition
For annual COPD/asthma reviews
Suspected or diagnosis of TB
If you are a non-prescriber
Any Other Information
Clinical indication for testing
Smoking status/history incl. vapes
Current/Previously trialled inhaled therapies
Associated Policies
Places covered by
- East Riding
- Hull
Hospital Trusts
- Hull University Teaching Hospitals