Asthma is a common lung condition that causes occasional breathing difficulties. There is no cure for asthma but in most sufferers, available treatments keep their symptoms under control.

But around 17 per cent of people with asthma suffer from either difficult-to-treat or severe asthma.

Difficult-to-treat asthma

This type of asthma means you have difficulty breathing, which can't be controlled by normal asthma treatments.

You may also have very severe asthma attacks.

Severe asthma

If you have this type of asthma, you find that normal asthma treatment don't work for you. You have also had other causes and triggers such as smoking and other long-term conditions ruled out.

At our asthma clinic, many patients have refractory asthma, where they have severe symptoms which are difficult to explain or control.

We ask some patients to stay with us for a few days so we can do a detailed assessment. This helps us to understand what is causing someone's symptoms and how we can treat them.

Admission to the hospital

During your time in hospital you will stay on Lind ward, which is in the Fulham Road wing of Royal Brompton Hospital. 

What you should bring

During your stay, you can wear your normal everyday clothes. You will need to bring:

  • loose, lightweight clothes
  • comfortable shoes such as trainers in case you need to have an exercise test
  • toiletries (we will provide you with towels)
  • nightwear (pyjamas/nightdress, slippers, dressing gown)
  • all your current medication in their original containers. Also if you have an up-to-date list of your prescription medication, bring that as well.
  • books, magazines, laptops, mobile phone and chargers, if necessary.    

We have free wifi that you can access at the hospital.

Remember that it is your responsibility to keep your belongings safe. We can't accept liability for any loss or damage to your items during your stay.

Click on the 'Information' tab to find out more about what happens during your stay. 

Skin prick testing

Skin prick testing is a universal allergy test and often used to find out what is causing an allergy. 

Echocardiogram (echo) for asthma

An echocardiogram looks at the structure and function of your heart, and helps doctors to see if your symptoms are partly caused by your heart, or if there are any side effects from your ...

CT scan for asthma

This is a scan of your lungs and chest. It gives us more detail than a chest X-ray. The pictures can help understand more about what might be causing your symptoms.

Sleep study for asthma

This test is an overnight sleep study, which provides information about how much your oxygen levels vary while you are asleep. 

DEXA scan/bone densitometry scan

A DEXA scan is a special type of X-ray that measures bone mineral density and is more effective than normal X-rays in identifying low bone mineral density. 

Blood tests for asthma

During our investigation about your asthma, we may have to do some blood tests to see how well your immune system is working and if your medications are being absorbed properly. 

Lung function tests

We have a number of tests that we use to look at lung function, and how your lungs are functioning in aspects of your breathing and exercise. 

Physiotherapy

We offer a comprehensive physiotherapy service, covering outpatient, inpatient and community services for children and adults. 

Bronchial thermoplasty

Bronchial thermoplasty is a new way of treating severe and persistent asthma without the need for drugs.

Medications

You should try and avoid taking the medications below, as they can affect test results or make them difficult to understand:

  • inhalers – do not use these the day of admission unless absolutely necessary:
    • Symbicort
    • Seretide
    • Flutiform
    • Fostair
    • Qvar       
    • Oxis
    • Relvar
    • Spiriva
  • theophylline tablets – do not take these the evening before your admission or the morning of your admission:
    • Phyllocontin
    • Uniphyllin
    • Slophyllin
  • antihistamines – do not take for three days before admission:
    • oloratidine (Clarityn)
    • odesloratidine (Neoclarityn)
    • ofexofenadine (Telfast)
    • ochlorphenaramine (Piriton). 

If you find it difficult to manage without your inhaler, you can use your bronchodilator (Ventolin, salbutamol, Bricanyl). When you arrive for your tests, tell us if you have used it and at what time.

Continue taking all your other medication as usual. If you are taking prednisolone (steroid tablets) as a regular medication, you must keep taking them.

Tests

We will do a range of tests during your stay with us, but only repeat any previous tests from another hospital if we need to. We may do some of the tests featured on the 'Test' tab but not everyone will need all every test done.

We will let you know your test results and any changes to your treatment before you go home. If you need any extra tests after you go home, we will discuss this with you.

Who you will see

Asthma specialist nurse

They will go through your symptoms with you in details and talk to you about treatment.

Ear, nose and throat (ENT) review

People often have some inflammation in their nose without noticing any symptoms. Treating this inflammation can help improve asthma symptoms, so you may see a nose specialist during your assessment.

Physiotherapy review

All patients see a physiotherapist. They can help with a variety of problems, including:

  • breathlessness
  • issues with physical activity and exercise
  • difficulty with clearance of sputum (mucus, phlegm).

Speech and language therapist

If your upper airways (throat) is contributing to your symptoms, we may get a speech and language therapist to see you. They specialise in voice and throat symptoms.

Psychology review

If you need to, you can speak to our psychologist during your stay. Addressing your psychological wellbeing if you have chronic respiratory symptoms is important.

At the end of your stay

When you are ready to leave, your consultant will create a management plan for your asthma. They will also arrange any follow-up appointments you need.

Your follow-up is normally as an outpatient, but another inpatient stay can be arranged if you need it.

Meet the team

Consultants

Professor Andrew Menzies-Gow
Professor Paul Cullinan
Dr James Hull
Dr Alexandra Nanzer-Kelly
Dr Jo Szram
Dr Johanna Feary 

Specialist nurses

Rachel Stead
Donna Ell
Rachael Graham

Clinical psychology service

Dr Anne-Marie Doyle
Dr Jo Ashcroft

Physiotherapists

Lizzie Grillo
Sarah Todd
Sarah Akers

Speech and language therapist

Dr Julia Selby

Learn more about the asthma and allergy team.

Contact

If you have any other questions or if you need to change or cancel the admission, please contact:  

Kelly Fairclough 
Bed coordinator 
Telephone: 020 7351 8092 (direct line) 
Switchboard: 020 7352 8121, and ask for bleep 7703 
Email: k.fairclough@rbht.nhs.uk

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