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Tuberculosis (TB) service

 
The Tuberculosis (TB) service for London North West Healthcare NHS Trust is the largest TB service in the country, with over 500 cases of active TB treated per year. The service is based at three sites including Central Middlesex, Ealing and Northwick Park Hospitals. 

Services for people with TB
We have six clinical nurse specialists specifically trained in treating patients with suspected and confirmed Tuberculosis (TB). Patients with suspected TB can be referred directly to the TB team. 

The TB team also run clinics to review patients' contacts i.e. those people who have been in close proximity with the patient such as relatives (including children), friends and work colleagues. There is also a twice-monthly children's TB clinic. The TB team work both in the hospital and out in the community.

A full list services are outlined below:

  • TB contact screening clinics
  • TB outbreak investigation service (these can take place in schools, nurseries, or work places)
  • Latent TB clinics
  • Home visits for patients on TB medication
  • Dedicated nurse helpline for confirmed TB suffers
  • TB education
  • TB new patient and follow up clinics (adults)
  • TB new patient and follow up clinics (children) by Dr Amanda Williams, Consultant Paediatrician.

 
The following investigations are carried out to confirm whether a patient has been infected with TB:

  • Blood tests
  • Mantoux testing
  • Induced sputums
  • Radiology imaging including chest x-ray, CT scans, MRI scans.

 
Once a patient is diagnosed with TB, the patient is reviewed by one of the infectious disease doctors who prescribes treatment for the patient. All patients receive counselling from one of the clinical team. 

Patients are also allocated a key worker, one of the TB specialist nurses, for the duration of their treatment.