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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 /

Disordered Breathing

•Airway Clearance

• Exercise Prescription for patients with

Chronic Respiratory Conditions.

Hyperventilation Syndrome /

Disordered Breathing

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

postural advice.

Airway Clearance

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.

Exercise Prescription

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.

Respiratory Physiotherapy

Outpatient Service

Referrals can be made to:

Physiotherapy Department,

London Bridge Hospital.


020 7234 2500


020 7234 2815


Admissions Service

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


• Pain



•Chest Infections

• Pleural Effusions

• Pneumonia

• Pneumothorax

• Pulmonary


General Medical



• Palliative Care

• Pyrexia of

unknown origin