The Respiratory Medicine service at Nottingham Road Clinic provides specialist-led assessment, diagnosis and management of conditions affecting the lungs and respiratory system. Respiratory symptoms are common and may range from intermittent breathlessness or cough to chronic, progressive or potentially serious disease. Accurate assessment is essential, as respiratory conditions often overlap with cardiac, infectious, inflammatory and systemic disorders, and symptoms may be non-specific in early stages.
The service is delivered by consultant respiratory physicians with expertise in evaluating both acute and long-term respiratory conditions. Care is supported by access to diagnostic investigations including imaging, pulmonary function testing and laboratory analysis. Where necessary, findings are integrated with pathology, radiology and multidisciplinary input to ensure comprehensive and accurate diagnosis.
Nottingham Road Clinic adopts a structured, evidence-based approach to respiratory care. Assessment focuses on identifying underlying pathology, determining disease severity, excluding serious causes and developing tailored management plans aligned with national clinical guidance. Respiratory disease frequently has a significant impact on physical function, exercise tolerance, sleep quality and mental wellbeing, and care pathways reflect the need for holistic and multidisciplinary management where appropriate.
The Respiratory Medicine service at Nottingham Road Clinic provides specialist-led assessment, diagnosis and management of conditions affecting the lungs and respiratory system. Respiratory symptoms are common and may range from intermittent breathlessness or cough to chronic, progressive or potentially serious disease. Accurate assessment is essential, as respiratory conditions often overlap with cardiac, infectious, inflammatory and systemic disorders, and symptoms may be non-specific in early stages.
The service is delivered by consultant respiratory physicians with expertise in evaluating both acute and long-term respiratory conditions. Care is supported by access to diagnostic investigations including imaging, pulmonary function testing and laboratory analysis. Where necessary, findings are integrated with pathology, radiology and multidisciplinary input to ensure comprehensive and accurate diagnosis.
Nottingham Road Clinic adopts a structured, evidence-based approach to respiratory care. Assessment focuses on identifying underlying pathology, determining disease severity, excluding serious causes and developing tailored management plans aligned with national clinical guidance. Respiratory disease frequently has a significant impact on physical function, exercise tolerance, sleep quality and mental wellbeing, and care pathways reflect the need for holistic and multidisciplinary management where appropriate.
Respiratory Medicine services are suitable for adults presenting with new, persistent or progressive respiratory symptoms that require specialist assessment beyond primary care.
This includes patients with:
Specialist input is particularly important where symptoms are persistent, unexplained, worsening, associated with systemic features, or where initial treatment in primary care has not resulted in improvement. The service supports both self-pay and privately insured patients and provides clear guidance for GP and referrer audiences regarding investigation, diagnosis, management and onward referral.
The Respiratory Medicine service assesses and manages a wide range of respiratory conditions, from common airway disease to complex or multisystem disorders.
Breathlessness and cough
These are among the most frequent presentations and may result from asthma, chronic obstructive pulmonary disease, infection, interstitial lung disease, cardiac disease or functional causes. Careful evaluation is required to identify the underlying cause and guide appropriate management.
Asthma and airway disease
Assessment includes diagnosis and optimisation of asthma, cough-variant asthma and other airway disorders. Symptoms may include wheeze, chest tightness, nocturnal symptoms and exercise limitation. Risk factors include atopy, smoking and environmental exposure.
Chronic obstructive pulmonary disease
Patients with suspected or established COPD may present with breathlessness, chronic cough or sputum production. Specialist assessment supports accurate diagnosis, staging, management optimisation and exclusion of alternative or co-existing pathology.
Recurrent or persistent chest infection
Repeated infections, prolonged cough or abnormal imaging following infection warrant assessment to exclude structural lung disease, immune dysfunction or underlying inflammatory conditions.
Abnormal chest imaging
Incidental or symptomatic findings on chest X-ray or CT require specialist interpretation to determine significance, need for further investigation and follow-up.
Interstitial and inflammatory lung disease
Breathlessness, cough and abnormal imaging may indicate interstitial lung disease or systemic inflammatory conditions requiring timely specialist input.
Sleep-related breathing disorders
Symptoms such as snoring, daytime sleepiness or nocturnal breathlessness may suggest sleep disordered breathing and require further assessment.
Red-flag respiratory symptoms
Urgent assessment is required for haemoptysis, unexplained weight loss, persistent unexplained breathlessness, rapidly progressive symptoms or suspected malignancy.
Assessment begins with a detailed respiratory history focusing on symptom onset, progression, triggers, occupational or environmental exposure, smoking history, infection history and impact on daily function. Past medical history, medication use and relevant family history are carefully reviewed.
Physical examination may include:
Diagnostic pathways are guided by clinical findings and may include:
Investigations are used judiciously to support diagnosis, disease stratification and management planning.
Management is individualised and evidence-based, reflecting diagnosis, disease severity, comorbidities and patient preference.
Treatment pathways may include:
Conservative management is prioritised where appropriate, with escalation to interventional or specialist pathways guided by response and clinical need. Follow-up arrangements ensure monitoring of symptoms, treatment effectiveness and safety.
Respiratory care often involves collaboration across specialties. The service works closely with:
This collaborative approach ensures coordinated care and timely escalation when needed.
Appointments are consultant-led and structured to allow comprehensive assessment.
Patients can expect:
Clear written communication is provided to patients and referrers to ensure continuity of care.
Do all respiratory symptoms require specialist assessment?
Many respiratory symptoms can be managed in primary care, but specialist assessment is important when symptoms persist, worsen or diagnosis is unclear.
Will I need imaging or lung function tests?
Investigations are used when clinically indicated to support accurate diagnosis and management.
Can chronic breathlessness be improved?
In many cases, breathlessness can be significantly improved once the underlying cause is identified and treated.
Is smoking history important?
Yes. Smoking history is a key factor in assessing respiratory risk and guiding management.
Can this service support NHS care?
Yes. Findings can be used to support NHS referrals and shared care pathways where appropriate.
Will my GP be informed of the outcome?
With patient consent, clear correspondence is shared with primary care.
To book an appointment or discuss which clinician you should see first:
Phone: 01623 624137
Location: Nottingham Road Clinic, 195 Nottingham Road Mansfield NG18 4AA
