Physiotherapy
Physiotherapy is key to the management of cystic fibrosis (CF). Our specialist CF physiotherapists provide support to patients in routine clinics, as outpatients in between clinic visits as required.
Patients see a physiotherapist at each clinic appointment, and twice-daily while in hospital.
The physiotherapy service can help with:
- review of inpatients with Cystic Fibrosis to optimise airway clearance
- outpatient airway clearance support and advice
- non-invasive ventilation
- optimising inhaled therapies (including use of all types of inhaled and nebulised treatments)
- exercise assessment, prescription and advice
- posture advice and assessment of musculoskeletal problems
- pelvic floor exercises
- CFHealthHub adherence support
Physiotherapy team
Other staff
Rotational Band 6 Respiratory Physiotherapist
Useful resources
Physiotherapy Resources - Cystic Fibrosis Trust
Dietetics
Maintaining a healthy body weight is a key part of keeping well with CF. We have a team of specialist dietitians who have a great deal of experience, and patients see a dietitian at each clinic visit and at least twice a week while in hospital.
CF dietitians will help with a range of issues.
- Eating well with CF
- Gut issues including constipation and DIOS
- Advice on vitamin supplements
- Nutritional supplements
- Adjustment of pancreatic enzyme replacement therapy
- Bone health
- Weight management
- Managing CF-related diabetes
Dietitians
Pharmacy
Specialist Pharmacy support is provided by Sarah Poole, Lead Respiratory Pharmacist, and Chun Fai Ng.
The Pharmacy Team is involved involved in the prescription and dispensing of medicines both in clinic and on the ward. A pharmacist will see patients as part of their annual review, and is always available to the team to help with queries regarding medicines.
Home care supply of high-cost medicines
The specialist CF Pharmacy Team co-ordinates the supply of certain high-cost medicines under a home care agreement with BUPA.
Medicines supplied by Lloyds include:
- intravenous Tobramycin
- most nebulised and dry-powder inhaled antibiotics (e.g. TOBI Podhaler, Colobreathe, nebulised tobramycin/colistin/aztreonam)
- Ivacaftor
- Kaftrio
Please make sure someone is at home to take delivery of any home care medicines. We are charged if the company has to make a second delivery!
Clinical Psychology
The CF Clinical Psychologist is able to provide help with the following:
- stress and anxiety
- depression and problems with low mood
- sleep difficulties
- relationship and family issues
- anger management
- confidence and self-esteem.
Clinical Psychologist
Kate Chapman
Kate is a Consultant Clinical Psychologist with extensive experience in CF. She is an integral member of our multidisciplinary team and is available to provide support to patients in clinic, at annual review and during inpatient admissions.
Specialist Nurses
Our knowledgeable and experienced team of CF Specialist Nurses provides:
- an advice line for patient problems and queries
- cannula and mid-line placement
- administration of IV antibiotics
- management of Port-a-cath devices
- training for patients in home antibiotic therapy
- co-ordination of annual CF reviews
- trials of nebulised medicines
- home visits
- inpatient support
- links with the Oxford Paediatric CF team.
Specialist Nurse Team
- Cathie Male - Lead Nurse
- Tina Appiah - Lead Nurse
- Kat Paprot
- Anu Pillai
- Claire Roche
MDT Assistant Practitioner
Ruthuvik Aurokumar
Ru's role is to support the whole multidisciplinary team. He has a particular interest in supporting people with CF to become more active.
Behaviour Change and Quality Improvement leads
Lou and Tracy are both Physiotherapists. Having previously worked as part of the national CFHealthHub study, Lou and Tracy are established within the team to support patients with adherence to any aspect of their CF care. As a specialist CF Physiotherapist, Lou also supports some of the outpatient clinics.
They are both responsible for leading and supporting the team as part of its active quality improvement programme, exploring ways in which to improve patient experience.
Administration
- Subha Ahmed
- Connie Fine
- Callie Whiting