Clinical Immunology

Welcome to Manchester Royal Infirmary Immunology service. We offer a comprehensive service for the diagnosis and management of patients with primary immunodeficiencies. In order to be seen in our clinic a referral from a General Practitioner or Specialist is required. For information on how to refer please see the contact details section below.

In order to be seen in our clinic a referral from a General Practitioner or Specialist is required. For information on how to refer please see the contact details section below.

The warning signs of possible primary immunodeficiency include any 2 or more of the following:

  • Four or more new ear infections within 1 year
  • Two or more serious sinus infections within 1 year
  • Two or more months on antibiotics with little effect
  • Two or more pneumonias within 1 year
  • Failure of an infant to gain weight or grow normally
  • Recurrent, deep skin or organ abscesses
  • Persistent thrush in mouth or elsewhere on skin
  • Need for intravenous antibiotics to clear infections
  • Two or more deep-seated infections
  • A family history of primary immune deficiency

The immunology services provided includes:

  • Diagnosis and assessment of patients with suspected immunodeficiency
  • Home training for immunoglobulin replacement therapy
  • Diagnosis and management of patients with hereditary and acquired angioedema including home therapy training (C1 inhibitor and icatibant therapy)
  • Close links with colleagues from respiratory medicine, ENT, rheumatology, haematology/oncology, nephrology, dermatology and anaesthesia
  • We work closely with our paediatric colleagues to provide a safe and effective transition service.

Outpatient Service

Day Clinic Location
Monday am

Allergy (new and follow up)

Immunodeficiency (new and follow up)

Main OPD Suite D

 

Tuesday am Anaesthetic anaphylaxis (new and follow up)

Elective Treatment Centre

 

Tuesday all day Infusion day case

Specialist Medicine Day Unit

 

Challenge Day Case

Specialist Medicine Day Unit

 

Wednesday pm

Allergy (new and follow up)

Immunodeficiency (new and follow up)

Main OPD Suite A

 

Thursday am Allergy (new and follow up)

Main OPD Suite D

 

Immunotherapy

Main OPD Suite D

 

Thursday pm Allergy (new and follow up)

Main OPD Suite D

 

Friday am Allergy and Immunodeficiency (new and follow up)

Kellgren Centre for Rheumatology

 

Friday all day Challenge Day Case

Specialist Medicine Day Unit

 

Home Care

Most patients requiring immunoglobulin replacement therapy are on treatment subcutaneously delivered at home, either as self infusion or as assisted home care with a trained nurse. The Immunology nursing team run the home care programme, training and monitoring these patients. They also conduct biennial and as required assessments to resolve any technical difficulties that may arise. They also train patients for self-treatment with C1 esterase inhibitor and icatibant.

Research

The Department has an active research profile.

The department contributes to the UK Primary Immunodeficiency registry and the European Society of Immunodeficiencies patient registry.

The department also participates in surveillance studies of patients with hereditary angioedema. There are often active observational studies and clinical trials within the department and we strive to offer all our patients the opportunity to participate in clinical research, although you are of course free to decline at any point. Please feel free to ask your consultant for details on potential research studies.

Education and Training

The Department is actively involved in the delivery of educational sessions for Primary and Secondary care providers. If you are interested in learning more about Immunology/Allergy please contact us.

The Department actively trains junior doctors, medical students and registered and student nurses in Immunology.

Location

Department of Allergy and Immunology Manchester Royal Infirmary Oxford Road Manchester M13 9WL

Contact Details

Administration: 0161 276 6468 Fax: 0161 276 6439 Specialist Nurses: 0161 276 6186

Primary care referrals can only be accepted if sent by the NHS e-Referral system.

Secondary care referrals can be sent by post, email (from primary care and other trusts using nhs.net to send: cmm-tr.Immunology-referrals@nhs.net or from internal MFT staff using mft.nhs.uk to send: Clinical.Immunology@mft.nhs.uk) or fax.

Clinical enquiries and queries can be sent by email also (the above addresses) from health care professionals. Please remember not to use patient identifiable information unless sending via nhs.net to nhs.net or mft.nhs.uk to mft.nhs.uk.

Patients can contact us by email but need to read the disclaimer by following the email link first.

Additional Support

The specialist nurses provide support and telephone advice to patients once they have been accepted for care in the department

Staff

Consultants

Tomaz Garcez – Consultant Clinical Immunologist and Clinical Head of Service

Sara Drinkwater – Consultant Clinical Immunologist (Part time)

Specialist Nurses

Jill Edmonds

Jennifer Osborne

Peter Pimblett

Trainee and other doctors

Speciality trainee doctor (Immunology)
Foundation Year 2 Doctor in Training

Administrative Staff

Angela Bedford
Josephine Hopkinson
Julie Redshaw

Arrow

Consultants