Respiratory Medicine

We welcome patients with around 50 different groups of respiratory diseases to Royal Brompton and Harefield Hospitals each year. We have an international reputation for the diagnosis and management of lung disease (including ground-breaking research programmes) – the result of over 160 years’ experience.


Asthma and allergy

RB&HH consultants have expertise in the treatment of all types of asthma; as well as allergies, rhinitis and other nasal problems. Our respiratory consultants are responsible for the development of several widely used asthma and allergy treatments.

Chronic lung infection

We treat all types of lung infection and have specialist expertise in bronchiectasis, primary cilliary diskinesia, antibody deficiency, allergic bronchopulmonary aspergillus and mycobacterial infections.

Fibrosing lung disease

Our consultants lecture worldwide on the management of diffuse lung disease and host international teaching events at Royal Brompton, which has one of the largest lung disease patient populations in the world (1,700).

We diagnose and manage all forms of this condition, including sarcoidosis, lung problems in rheumatological diseases and vasculitis.

Occupational and environmental lung disease

Royal Brompton and Harefield hospitals have developed a worldwide reputation for their capabilities in treating occupational and environmental lung disease, due to extensive research studies spanning a 30-year period.

Our hospitals run the busiest occupational and environmental lung disease service in Europe, dealing with occupational asthma, asbestos-related disease, extrinsic allergic alveolitis, pneumoconiosis including silicosis and hard metal disease.

Chronic obstructive pulmonary disease (COPD)

We treat COPD through medication, nutritional advice, pulmonary rehabilitation and other methods. Our research helped establish the national guidelines for dealing with COPD and we are currently investigating lung volume reduction treatment.

Respiratory failure

We see patients with difficult-to-manage acute and chronic respiratory failure admitted from hospitals from around the UK, and overseas. Our consultants have particular expertise in treating chronic and acute respiratory failure associated with COPD, neuromuscular conditions and chest wall conditions. We also provide a specialist weaning service to help patients come off prolonged mechanical ventilation.

Ventilation at home

We provide home ventilation support for adults and children with neuromuscular and chest wall conditions such as muscular dystrophy and curvature of the spine. We have over 1,000 patients in this programme, making it the largest in Europe.

Sleep disordered breathing

Treating patients for over 20 years, Royal Brompton Hospital has become one of the largest Sleep Centres in Europe. We offer rapid assessment, diagnosis and tailored therapy for a full range of respiratory and intrinsic sleep disorders – most commonly sleep apnoea.

We help almost 11,000 adults who have breathing problems caused by diseases such as COPD and severe asthma.