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Sections
Specialty Medicine & Chronic Diseases
Directorate Information
The specialty medicine and chronic disease management directorate manage a wide range of medical specialties many of which deal with outpatient consultations, investigations, emergency and planned hospital admissions.
Many of the specialties within the directorate deal with long- term conditions, which may affect a person throughout their life and require ongoing review by consultant medical staff.
A number of the specialties offer services in outreach clinics working alongside primary care staff in order to make services as accessible as possible.
Services We Provide
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Deals with a range of adult heart disease (not children), chest pain (angina), irregular heart beats, shortness of breath, chronic heart problems, infections of heart valves |
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Deals with a range of disorders affecting the skin in children and adults. Problems may include inflammatory skin diseases, eczema, acne and psoriasis, leg ulceration, skin cancers and pre-cancerous skin changes. |
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Deals with patients who have blood sugar control problems and may have been diagnosed by their GP as being diabetic. |
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Deals with a wide range of problems including calcium, metabolism (how the body builds and maintains itself), osteoporosis (brittle bone disease) and lipid (fats) disorders. This may include problems with the thyroid, adrenal glands and pituitary glands. |
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Deals with sexually transmitted diseases and infections and offers a confidential advice service for sexual health problems. Also holds a joint clinic for HIV infection (and AIDS) with Infectious and Tropical Medicine. |
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Infection and Tropical Medicine |
Deal with a wide range of infectious problems including common community acquired infections such as suspected food-poisoning, gastroenteritis, more serious infections including meningitis, skin and soft tissue infection, respiratory (breathing) infections, acute hepatitis and unusual infections such as those contracted abroad. Other acute illness seen include severe viral infections e.g. chickenpox, infectious mononuclosis (glandular fever). We also treat patients with HIV related illness (in a joint clinic with Genito-Urinary Medicine) and tuberculosis (TB) and investigate patients with pyrexia (fever). |
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Nephrology (Renal) |
Deals with diseases of the kidneys and high blood pressure. This includes patients with failed kidneys requiring dialysis and those with kidney transplants. |
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Deals with problems of the nervous system including multiple sclerosis, epilepsy (fits), early cerebrovascular disease, dementia, motor neurone disease, Parkinson’s disease and common symptoms requiring specialist consultation for example recurrent (regular) headache, dizziness, sensory (senses) disturbance and co-ordination problems. |
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Deals with inflammatory disease – rheumatoid arthritis, connective tissue disease, gout, degenerative (where they get worse) joint problems for example osteoarthritis, back pain/neck, shoulder problems, soft tissue (not bone) injuries such as sports injuries, regional pain, fibromyalgia (extreme tiredness and pain in muscles and tissues), metabolic disease, for example osteoporosis (brittle bone disease) |
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Management Team
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Divisional Clinical Director |
Dr Robin Jeffrey |
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Clinical Lead |
Dr Mark Busby |
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General Manager |
Chris Durkin |
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Operational Service Manager |
Corinne Jeffrey, Operational Service Manager Dermatology Renal Rheumatology |
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Operational Service Manager |
Lindsay Longfield, Operational Service Manager Diabetes, Neurology, Stroke |


