Historically, this sector of
Physiotherapy has been associated
with ManualTreatment, i.e.
percussing and shaking patients’
chests.Whilst there are some cases
where this is appropriate, evidence
based practice now emphasises
treatment involving breathing
retraining, positioning and exercise.
At London Bridge Hospital there is now a
comprehensive Respiratory Physiotherapy
Outpatients service accepting referrals for:
•Hyperventilation Syndrome /
• Exercise Prescription for patients with
Chronic Respiratory Conditions.
Hyperventilation Syndrome /
Hyperventilation Syndrome, also known
as Disordered or Disproportionate
Breathing, is an often undetected and
untreated condition. It is thought that a high
percentage of asthma sufferers develop
Disordered Breathing and treatment may
help improve their management.We treat
this with a combination of education,
breathing retraining, pacing, exercise and
This group of patients have previously
undergone the manual techniques
mentioned above and for some patients it
is clinically effective. However, the majority
of evidence now suggests that breathing
clearance techniques such as the Active
Cycle of Breathing Techniques, Autogenic
Drainage (training patients to use different
lung volumes to gradually move sputum
proximally) and the forced expiratory
technique in collaboration with exercise
are just as, if not more, effective. Adjuncts
such as the Acapella, which is a mouthpiece
providing an oscillatory effect, are also used
and exercise advice and prescription is
always an important part of our treatment
for these patients.
As the public become more aware of
the importance of exercise in maintaining
a healthy lifestyle, enhancing recovery,
slowing disease progression and improving
quality of life, Physiotherapists can play
an important role in the prescription of
exercise to patients with Respiratory
Disease. Low risk patients in these
categories can be assessed and given
individually tailored exercise programmes.
In addition, they can be taught methods to
self-monitor safe levels of intensity.
All patients referred to this service will
be seen by Physiotherapists of a highly
specialist level in Respiratory care.
Referrals can be made to:
London Bridge Hospital.
020 7234 2500
020 7234 2815
The service excludes conditions such as obvious A&E cases including acute bleeding
and crushing chest pains etc. Chronic Renal Failure, Dialysis, Gynaecology, Obstetrics,
Orthopaedics, Paediatrics and Surgical Referrals are also not included.
A deposit from the patient is required on admission.This service is not suitable for
patients travelling from abroad on holiday.
The Medical Admissions Service is part of a wider HCA International project.There
are similar systems in place at TheWellington Hospital and The Harley Street Clinic.
To access the service, call
020 7407 3100
and ask for the Medical Admissions
Service.You will be given the number of the consulting physician to discuss your
patient’s needs, who will assess and, if necessary, admit the patient. Alternatively, you
can call the GP Liaison Department, Monday to Friday, 8.30am – 5.30pm, on
020 7234 2009
for further details about the service.
London Bridge Hospital has added
another service to its wide range of
medical, interventional and diagnostic
services.The Medical Admissions
Service is an instant, expert referral
system for patients who require an
urgent, general medical consultant
The service is available 24 hours a day, 7
days a week, with access to six consulting
physicians working on an on call basis. In
urgent cases, patients will be admitted
immediately, following assessment.A private
ambulance can be accessed for transport to
the hospital and the service also offers self-
pay packages for non-insured patients.
Conditions treated include:
• Bowel Related
• Pleural Effusions
• Palliative Care
• Pyrexia of