Respiratory Diagnostic Hublets

NCL Wide
Add to Bookmarks Add to CPD

Provided By

Camden Health Partners

Local Respiratory Diagnostic Hublets offer essential respiratory tests, including spirometry and FeNO, to enhance diagnostic processes in primary care. Local referral routes, requirements and wait times will apply, so check with your hublet or PCN lead.

Eligibility Criteria

Inclusions

Before referral, refer to the appropriate age diagnostic algorithm (see  Downloads) to ensure appropriate case management. 

Referrals to the RDH will be accepted for patients registered at an NCL GP, or not currently registered with a GP but signposted by services such as homeless teams as follows:

  • FeNO available age 6+
  • Spirometry available: 
    • 12+ universally
    • 6-11 only where paediatric-accredited staff are available (subject to local training completion) 

Plus any of the following:

  • symptoms and clinical presentation consistent with Asthma or COPD and diagnostic testing required
  • historic diagnosis of suspected asthma or COPD and diagnostic confirmation needed. Such individuals will be prioritised according to clinical need. Some patients will already be on treatment for asthma or COPD which may need review prior to diagnostic testing
  • confirmed diagnosis of COPD or asthma but is experiencing unexpected deterioration in symptoms or change in exacerbation rate requiring diagnostic confirmation.

Exclusions

  • Routine spirometry or FeNO for case-management (this service is, at present, for diagnostic spirometry)

How to Refer

Local referral processes apply. If you are unable to access your local form via EMIS or have further queries, contact your PCN lead or operational lead noted below.

Letter

Referral methods: Email

MDTs are available or being stood up in each borough to support with the diagnostic algorithm and uncertainty or complex cases. Contact your federation lead to be given access to MDTs.
Please note: clinicians attending MDTs should be ready to present traces and case history for discussion. 

If you have queries about the overall (system-wide) hublet services, contact lauren.gillings1@nhs.net
Please note: for CYP, a peak flow diary excel template with support for PEF calculations is available on request, email Lauren for this. 

Enfield Unity

Referral to Respiratory Diagnostic Hublet and CYP asthma referral form (for CYP) 
Email for queries: r.fatah@nhs.net

Enfield Care Network

Spirometry and FeNO Referral Form v2.0
nclicb.eswpcnspirometry@nhs.net
Email for queries: renata.chavda@nhs.net

Enfield SW

ESW PCN SPIROMETRY REFERRAL FORM
Ncl.icb.ecnpharmacy@nhs.net
Email for queries: renata.chavda@nhs.net

North Islington

Adult: Adult Respiratory Diagnostic Hublet Referral - N1 & N2 PCN 
nclicb.rgp.referrals@nhs.net
Email for queries: bianca.goncalves@nhs.net

for children aged 6-17 with GPs in Islington N1 and N2 PCNs: Complete the Children Respiratory Diagnostic Hublet Referral - N1 & N2 PCN form and email to nclicb.amc.referrals@nhs.net

Where to find the form

  • ISL Global Documents > Paediatric

South Islington

South PCN Respiratory Diagnostic Hublet Referral Form
Igpf.southspiroadmin@nhs.net
Email for queries: edel.moallin@nhs.net

Islington C1

Practice based
Email for queries: edel.moallin@nhs.net

Islington C2

C2 PCN Respiratory Diagnostic Hublet Referral Form
Igpf.c2respiratoryhub@nhs.net
Email for queries: edel.moallin@nhs.net

Haringey East Hub

Respiratory Diagnostic Hublet Referral Form Spirometry, FeNO v2.2
morrishouse@nhs.net
Email for queries: charlotte.defries@nhs.net

Haringey North Central Hub

Respiratory Diagnostic Hublet Referral Form Spirometry, FeNO v2.2
Complete this referral form and book patients directly into North Central PCN slots
Email for queries: charlotte.defries@nhs.net

Haringey East Central

Respiratory Diagnostic Hublet Referral Form Spirometry, FeNO v2.2
Book patient directly into East Central PCN slots
Email for queries: charlotte.defries@nhs.net

Haringey West Hub

Respiratory Diagnostic Hublet Referral Form Spirometry, FeNO v2.2
Complete this referral form and either book directly into West slots or send to nclicb.respmdt@nhs.net
Email for queries: charlotte.defries@nhs.net

Camden CHP 

Refer via EMIS
Email for queries: j.papaeliopoulos@nhs.net

Camden CHE PCN ONLY (all other PCNs must use CHP services)

PCN MDT Asthma Clinic Referral Form
nclicb.ccpcn.mdt-asthma@nhs.net

Barnet PCN2

PCN SPIROMETRY REFERRAL
Complete via EMIS
Email for queries: ross.arnold1@nhs.net, michael.whitworth@nhs.net

Barnet Other

To be updated
Email for queries: ross.arnold1@nhs.net, michael.whitworth@nhs.net

Downloads

Review date: Friday, 11 June 2027