WFH NETWORK

United Kingdom

Country: United Kingdom
City: London

IHTC: 
Katharine Dormandy Haemophilia Centre and Thrombosis Unit
Royal Free Hospital
Pond Street
Hampstead, London, NW3 2QG, UK
Tel.: 44 2078302068
Fax: 44 2074726759
Email: t.yee@ucl.ac.uk
Website: www.royalfree.org.uk/

Director: Prof. Amit Nathwani
Medical Associate: Dr. Thynn Thynn Yee
Fellowship logistics coordinator: Thynn Thynn Yee (t.yee@ucl.ac.uk)
Year of IHTC designation: 1970

Areas of specialty: Adult hematology; Laboratory diagnosis and hemostasis; Nursing; Orthopedic care and surgery; Physiotherapy/Occupational therapy; Molecular genetics; Psychology/Social services

DESCRIPTION OF IHTC FACILITIES

Location: In Hampstead, near shops and other facilities such as Hampstead Heath.

Climate: Summers are usually cool and wet; winters are usually cold and wet. The skies are usually grey. However with global warming this is changing, with long warm dry spells not unusual now.

Accommodation: Wide availability of commercial rental flats in the area.

Language: English and Burmese 

DESCRIPTION OF TRAINING PROGRAM

Clinical activities: The trainee will be involved with all aspects of our clinical work, such as ward rounds (daily), outpatient clinics (at least six per week), case discussions, and special clinics and so on. The centre cares for 1,800 patients registered with inherited bleeding disorders, of whom over 200 are classed as severe. Many patients with rare bleeding disorders are sent for diagnosis and management to the centre. We have large cohorts of patients with factor XI deficiency, von Willebrand disease, and platelet disorders. Our advice is sought for diagnosis and management of acquired bleeding syndromes such as DIC, autoimmune factor deficiency, pregnancy related bleeding, and liver disease in the context of the many specialized services that are provided in this large multi-faculty teaching hospital.

Children under five with bleeding disorders are cared for by our partner institution, the Hospital for Sick Children, Great Ormond Street. A joint appointee between the two centres, Dr. Mary Matthias holds clinics for children with hemophilia aged 5 to 16 at the Royal Free Hospital and facilitates adolescent transfer from GOS to RFH. Arrangements could be made for visitors to attend GOS during their stay in London if desired.

Laboratory activities/research: There are purpose-built designated laboratories which manage the tests required for the treatment of haemophilia, the diangosis of new bleeding disorders and the molecular basis of bleeding disorders with provision for ante-natal diagnosis. The laboratory also provides a routine haemostasis service for the Royal Free Hospital.

Laboratory result meetings are held regularly to discuss the ongoing work up of the complex cases that are sent to this tertiary referral centre. Several research areas are always active. Currently gene therapy, global hemostasis assays, and aspects of inhibitor development are being investigated by full-time research staff. This work is presented and discussed in seminars that the trainee will be encouraged to attend.

Multidisciplinary activities/research: Our orthopedic colleague, Mr. Nick Goddard, is an international authority on joint surgery in hemophilia. We have a part-time physiotherapist attached to the unit. The nursing staff includes a nurse consultant (Chris Harrington), community outreach nurse (Debra Pollard), clinical nurse specialist (Barbara Subel), pediatric lead nurse (Paul Thurlow), plus three more nursing staff. Our psychosocial team comprises Mrs. Riva Miller and Ms. Nicola Dunn. The women’s clinic with Ms. Kadir has an international reputation, with very many publications that are considered authoritative for this relatively new area of attention in the field of clinical hemostasis. We are developing protocols for preclinical trials of gene therapy for hemophilia A.

To see a sample curriculum of the training that will be provided, please click on the following links:

Medicine: PDF
Nursing: PDF


Updated January 2015