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Clinical Immunology referrals

Directly Bookable Service for Clinical Immunology

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

An electronic proforma or appropriate letter needs to be attached to the e-Referral system by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

For further information please visit 'e-Referral':


Additional information


We have a long-standing interest in Primary Immune Deficiency (PID), and an internationally-recognised track record of leadership in phenotypic disease characterisation and management of Common Variable Immunodeficiency Disorders (CVID).

An ongoing programme of research in the genomics of PID is continuing under Dr Smita Patel's leadership. In addition, Professor Cal MacLennan as an Honorary Consultant will further strengthen our research programme in PID with a particular focus on infections, vaccine immunology and immunodeficiency.

We provide expert care for patients with hereditary C1 esterase inhibitor deficiency, adults (Dr Jain) and children (Dr Patel and Dr Kelly), and Acquired Angioedema (Dr Jain).

In keeping with our expertise in immunoglobulin therapy, we have pioneered the use of home immunoglobulin therapy (IVIg and SCIg) for patients with PID, Secondary Antibody Deficiency (SAD) and as an immunomodulator in patients with autoimmune neuropathies. This innovation has been embraced nationally for immunodeficiency and has had major benefits in empowering patients and freeing up hospital day case capacity.

In addition to adult clinical immunology, the needs of children with immune deficiency are looked after by a joint paediatric immunology service (Dr Patel and Dr Kelly) in conjunction with colleagues in paediatric infectious diseases.

Our Immunodeficiency Service was the first in the UK to be accredited by the United Kingdom Primary Immunodeficiency Network (UKPIN) and is accredited under the Quality in Primary Immunodeficiency Services (QPIDS) scheme run by the Royal College of Physicians.

Complex Allergy

We provide a comprehensive allergy service (Dr Jain, Dr Patel and Dr Misbah) encompassing:

  • food allergy
  • inhalant allergy
  • severe urticaria (with Dermatology, Churchill Hospital)
  • drug allergy
  • peri-operative anaphylaxis
  • bee and wasp venom immunotherapy.

The Allergy Service is registered with the Royal College of Physicians' Improving Quality in Allergy Services (IQAS) scheme and is actively working towards accreditation.

Systemic Autoimmune Disease

We see patients with systemic autoimmune disease in a joint Rheumatology-Immunology clinic (Dr Misbah and Dr Clarke) with input from Nephrology and Dermatology

Contact us


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Clinical Immunology

Last reviewed:23 February 2024