Patient quote

"This was my first stay in the Freeman Ward 29 - I was taught how to administer the IV and Inhaled antibiotics and was able to return home in 3 days although my IV treatment was for 14 days. The tuition for the treatment was thorough and well explained. I was diagnosed quickly and efficiently and received hospital admission within a week." Mr CA

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cilia

Fine hairlike organs on the surface of some cells, particularly the cells lining the upper respiratory tract (lungs and airway).

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Cardiothoracic Services (Heart and Lung)

Bronchiectasis Service

This specialist service involves the investigation, diagnosis and treatment of the lung condition, Bronchiectasis. 

What is Bronchiectasis?

Bronchiectasis is caused by an abnormal widening of one or more airways in the lungs, and can occur for a number of reasons. Problems are caused when extra mucus develops in the abnormal airways, making them prone to infection.

The diagram below shows the mucus development in a lung with Bronchiectasis (on the right), and a normal lung on the left.

Bronchiectasis in the lungs 


What our service does

The aims of our service are to:

  • Improve each patient’s understanding of their condition
  • Identify any treatable causes of bronchiectasis
  • Minimise daily symptoms and reduce flare-up events
  • Support patient self-management and reduce hospitalisation
  • Support personalised choices of treatment and respect patient choices
  • Improve our understanding and treatment options by offering patients the choice to participate in research into bronchiectasis
  • Treat each patient holistically and avoid focussing only on the lung aspects of bronchiectasis

To avoid the condition becoming debilitating, early diagnosis and treatment of bronchiectasis is extremely important.

Tests we carry out

 We carry out a wide range of tests to allow us to see where and to what extent, your lungs may be affected by the condition. These tests include:

Treatments available

Bronchiectasis can be treated in a range of ways:

  • Inhalers
  • Drug treatment
  • Physiotherapy
  • Active Cycle of Breathing Techniques
  • Antibiotics
  • Vaccinations
  • Exercise
  • Oxygen therapy
  • Patient education and support

You can find out about all these on our Bronchiectasis Treatment and Medication page.

Research

Bronchiectasis is a complex disease and we undertake research for the ultimate benefit of patients. We work closely with the Sir William Leech Centre for Lung Research to develop new treatments for, and understanding of bronchiectasis. Several clinical trials into bronchiectasis have been supported by patients attending our specialist service.

We need to better understand the disease process, patients' preferences and experiences, all of which will lead to better treatments. Recent research projects include:

  • Lungs and ageing: do the lungs of people with Bronchiectasis age differently to other people's lungs?
  • Inhaled antibiotics: what do patients understand and want from their treatments?
  • Inhaled antibiotics: looking at alternative ways of giving inhaled antibiotics in bronchiectasis.
  • Reduction of flare-ups: reducing inflammation in the airways in patients with bronchiectasis and other lung diseases.

Patient participation in research projects helps increase our knowledge, so if you have bronchiectasis and can spare some time to help with research, please get in touch. Projects range from single visits to a number of visits over a few months. For more details, contact the research department at the Sir William Leech Centre for Lung research at the Freeman Hospital:

  • email: swlc@nuth.nhs.uk
  • Jamie Brown on tel: 0191 223 1608 or Karen Martin on tel: 0191 223 1148

Staff you may meet

So we can provide a comprehensive service, our team of experts who support the patient’s journey and care includes:

  • Consultant Respiratory Physician
  • Specialist Nurse
  • Microbiology expert
  • Thoracic Radiologists
  • Immunology Consultants
  • Consultant Respiratory Physician and IV (Intravenous) access expert
  • Physiotherapy expert
  • Bladder and Bowel Care Nurse Consultant Continence Specialist
  • Nebuliser support
  • Pharmacy support
  • Dietician

Referral to our service

You can be referred to any of our consultants who specialise in chest conditions, although Dr De Soyza, Consultant Respiratory Physician has a specialist interest in this area. His bronchiectasis clinic is held weekly on Wednesday afternoon. You can also choose your appointment for the Wednesday clinic through your GP using the e-Referral system.

More information

Contact us

You can get more information about our bronchiectasis service by emailing bronchiectasis@nuth.nhs.uk.

Alternatively, contact:

  • Dr A De Soyza, Consultant Respiratory Physician, tel: 0191 213 7468
  • John Davison, Specialist Nurse - Complex Lung Disease, tel: 0191 213 9114
  • Helen Groves, Advice and Support for nebulised treatments, tel 0191 213 8729
  • Jacqueline Smith, Patient Pharmacy Support, tel: 0191 244 8937

Support groups and useful websites

You can find out about support groups and more information available to help you with bronchiectasis:

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