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Allergy, Respiratory, Critical Care and Anaesthetics Clinical Academic Group

Organisational unit: Clinical Academic Group

Organisation profile


In allergy, the Clinical Academic Group has consolidated adult allergy clinical services to Guy’s and consolidated paediatric allergy clinical services within the Evelina London Children’s Hospital. In respiratory, the CAG has consolidated specialist outpatient clinics (requiring cross site rationalisation); moved sleep services to Guy’s Hospital freeing space for Lane Fox Unit expansion; and developed cross site appointments in lung cancer, pleural disease and immunology. In critical care, the CAG has redesigned the bedside critical care model to facilitate more effective care; achieved national designation as an Advanced Respiratory Failure Centre; and modernised and expanded critical care facilities at King’s College Hospital and St Thomas’, looking to downgrade critical care at Guy’s. In anaesthesia and theatres, the CAG has established best practice operational models in theatres across sites; delivered the reconfiguration necessary for the Vascular Implementation Project; and achieved best-in-class productivity and value in anaesthesia and theatres. In therapies, the CAG has tendered for Any Qualified Provider for musculoskeletal physiotherapy; delivered joint working on 7/7 therapy services; done cross boundary pathway work with community therapy teams; developed more extended scope roles; developed therapy-led rehabilitation facilities; co-ordinated clinical audit across sites; expanded private out-patients services; and developed rehabilitation assistant training.

Achieving Our Goals

Top ten globally – We have achieved clinical and academic alignment of respiratory medicine and critical care and increased technology, including extracorporeal membrane oxygenation, neutrally adjusted ventilatory assist lung, endobronchial ultrasound, thoracoscopy, and apherisis. We have also developed the MRC Centre for asthma and allergy.

Integrated academic healthcare organisation - Clinical care has improved by having uniform standards and practise across sites with improved data collection and scorecards. We collaborate with other CAGs including Child Health, Medicine, the mental health CAGs and Cancer. We are developing common themes across respiratory, critical and perioperative care. There is integrated clinical training between respiratory, allergy, and critical care specialties and we are improving research opportunities for allied health professionals.

Integration of mental and physical healthcare – Three projects are in development in opiates and breathing, cannabis and respiratory disease, and early respiratory/critical care deaths in people with learning disabilities.

Innovative models of local healthcare – We have an integrated care pathway in chronic obstructive pulmonary disease, and we are piloting ventilation at home and telemedicine.

Population health interventions – There are vitamin D studies in asthma, environmental pollution and asthma, studies in peanut allergy and developing studies to improve smoking cessation.

“World class” specialist services – We have improved technology/treatments in critical care and respiratory medicine and pain. Specialist clinics in interstitial lung disease, sleep, cystic fibrosis, bronchiectasis, lung cancer, chronic obstructive pulmonary disease and asthma.

Education and training for the healthcare workforce – We are the lead provider for Specialist Registrar training in respiratory medicine, and we are developing a new structure for undergraduate medical training with cardiology.

Commercial partnerships - Collaborations with Milltenyl, Phillips in Respiratory Medicine and collaborations in critical care.

Driving the quality of care – Audit and scorecards are benchmarked against best practise, and we are developing projects on respiratory inhaler use, smoking cessation and pulmonary rehabilitation.


Clinical Academic Group Lead:

Richard Beale

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