| Category A Local Expertise | Category B Clinical review, advice and guidance from MMC | Category C Care led by MMC UCLH unless stated otherwise |
|---|---|---|
| Uncomplicated Asthma | Complicated asthma: • Repeated presentations of asthma (≥3) in pregnancy • Asthma receiving biologics • Long-term corticosteroids | Sickle chest crisis (see Haematology pathway) |
| Pneumonia | Restrictive lung disease (e.g., ILD, kyphoscoliosis) with FVC >50% | Restrictive lung disease (e.g., ILD, kyphoscoliosis) with FVC <50% |
| TB | Any respiratory condition receiving immunotherapy / biologics | Neuromuscular disorders with respiratory muscle involvement e.g. myasthenia gravis, Guillain-Barre syndrome |
| Chronic Obstructive Airways Disease | Bronchiectasis | Cystic fibrosis (Royal Brompton Hospital) |
| Pneumothorax | New diagnosis of obstructive sleep apnoea/obesity hypoventilation in pregnancy | Lung transplant |
| Sarcoidosis without restrictive lung disease, no renal involvement | COVID pneumonitis | Pulmonary vasculitis |
| Managed obstructive sleep apnoea/obesity hypoventilation | Lung cancer | |
| Pulmonary embolus without haemodynamic compromise | Pulmonary embolus with haemodynamic Compromise |
