The Complex Bronchiectasis Service is here to help with Advice and Guidance and accept referrals for patients with Bronchiectasis who have 3 or more exacerbations requiring oral or IV antibiotics a year.
The Complex Bronchiectasis service is based at City Hospital, Nottingham.
Bronchiectasis is a long-term condition that affects the airways in your lungs.
When you breathe, air is carried into your lungs through your airways, also called bronchi. The bronchi divide again and again into thousands of smaller airways called bronchioles. Your airways contain tiny glands that produce a small amount of mucus. Mucus helps to keep your airways moist, and traps the dust and germs that you breathe in. The mucus is moved away by tiny hairs, called cilia, which line your airways.
If you have bronchiectasis, your airways become widened and cannot clear themselves properly. This means mucus builds up and your airways can become infected by bacteria.
What are the symptoms?
The most common symptom of bronchiectasis is coughing up sputum. Frequent chest infections are also a common feature of bronchiectasis.
Other symptoms you might have are:
Less common symptoms include:
Sometimes, if the number of bacteria multiply, you will get a chest infection or a flare-up of your symptoms. It is important to recognise and treat chest infections. If you do not get treatment, your airways may be damaged further. Most people with bronchiectasis have a normal life expectancy with treatment tailored to their needs.
At Nottingham, we have a team of healthcare professionals who provide care for people with bronchiectasis both as an inpatient and outpatient. This includes doctors, specialist nurses, and respiratory physiotherapists. In addition, we work closely with colleagues in Primary Care, including GPs, community nurses and colleagues from other medical specialities in Secondary Care.
The Bronchiectasis Service Lead is:
Dr Vadsala Baskaran, Consultant in Respiratory Medicine.
GPs and other medical staff can refer complex Bronchiectasis patients to the service using either the GP referral system or internal referral letter directly to Dr Baskaran.
Specialist Nursing Team
Lindsey Hemingway – Lead Bronchiectasis Clinical Nurse Specialist
Catriona Turner – Bronchiectasis Clinical Nurse Specialist
The Specialist Nurses can provide patients and GPs with advice and guidance on managing infections, monitoring sputum results and early education around the importance of chest clearance and reducing infections which can cause further damage to the lungs.
We run Nurse-Led Clinics to see patients regularly and as required to ensure that their chest health is optimised.
Referrals can be made to the Specialist Nurses on Nervecentre for inpatients.
We hope to set up an outpatient referral system soon, but if you need some help and advice please ask your GP/Consultant to write to us:
Bronchiectasis Nurse Specialists
Nottingham University Hospitals NHS Trust
Wolfson CF Unit
Administration Office
Hucknall Road
Nottingham
NG5 1PB