Consultant Respiratory Paediatrician in Manchester

Tertiary Referrals

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  • Unexplained respiratory symptoms e.g. noisy breathing, cough,
  • breathlessness, chest pain, exercise intolerance.
  • Difficult to treat asthma / severe asthma
  • Severe infant wheezing
  • Cystic fibrosis
  • Recurrent pneumonia
  • Empyema
  • Obstructive sleep apnoea and other sleep disturbances
  • Tuberculosis (TB)
  • Congenital thoracic malformations
  • Ventilator-dependent children

Secondary Referrals

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  • Unexplained respiratory symptoms e.g. noisy breathing, cough,
  • breathlessness, chest pain, exercise intolerance
  • Infant wheezing, Asthma, Chronic cough
  • Recurrent chest infections
  • Few children might need a holistic feeding assessment by our partner multi disciplinary team comprising of dietitians and speech and language therapists. Please find more information available at https://www.kidsfeedingteam.co.uk/

Diagnostic Services

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Simple tests that can be carried out in clinics–


  • Chest x-ray
  • Lung function (children aged 6 and over)
  • Allergy tests

Other Complex Investigations

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More complex investigations are carried out at Royal Manchester Children’s Hospital and may involve an overnight stay.

  • Chest CT scan
  • Lung function testing including exercise tests, bronchodilator responsiveness
  • Sweat test (for Cystic Fibrosis)
  • Flexible bronchoscopy including airway brushings, bronchoalveolar lavage.
  • Sleep studies – level 1 (oximetry), level 2 (polysomnography - includes respiratory movement, nasal airflow, and video)
  • Nasal ciliary brushings and nasal nitric oxide (for primary ciliary dyskinesia)
  • Blood testing for allergy and immune function, CF genotyping.