Respiratory and Sleep Thoracic Medicine Outpatient Service at CALHN
The Central Adelaide Local Health Network (CALHN) Respiratory and sleep (thoracic) medicine service delivers a multi-disciplinary inpatient, ambulatory and outreach specialist respiratory and sleep service for standard and complex disorders.
Referrals to the department are triaged by a senior consultant. Appointments will be allocated based on urgency, complexity and need for specialist input, and will depend on the detailed written and faxed information provided in the referral.
Skip to the relevant sections of information using the corresponding links below:
- Services and clinics
- Contact details
- Appointment locations
- RAH consultants
- QEH consultants
- Respiratory and sleep outpatients
- Referral process:
- Thoracic medicine priorities
- Respiratory and sleep clinical information sheets
- SA tuberculosis program (at RAH only)
- SA adult cystic fibrosis program (at RAH only)
- SA lung transplantation program (at RAH only)
- SA specialised interventional pulmonology programs (at RAH only)
General respiratory and sleep programs – at RAH and TQEH
- Respiratory failure, upper airway and other sleep disorders
- Lung cancer and other malignancies
- Pleural disorders
- Interstitial lung disorders
- Occupational lung disorders
- Pulmonary vascular disease/pulmonary hypertension
- Complex lung disease related to other organ transplantation
- Rare lung disorders
- Ambulatory and community clinics for diagnosis and management
- Inpatient admission and consultation
- Lung function laboratory
- Sleep disorders and ventilatory failure Investigation and treatment Service (VFITS)
- Thoracic procedures
- Pulmonary rehabilitation
- Home oxygen
Rural outpatient clinics
Services are also provided to patients referred from rural and remote areas in SA/NT. Off-site clinics are located in:
- Port Augusta
- Alice Springs
- Coober Pedy
- Riverland (Berri and Barmera)
- Port Lincoln
Indigenous clinics are held in:
- Pika Wiya
- APY Lands
- Oak Valley
Children are usually managed by paediatricians with referral to the Women’s and Children’s Hospital or a paediatric respiratory and sleep physician as required.
Royal Adelaide Hospital (RAH)
Fax (for referrals): (08) 7074 6247
Appointment enquiries, new cases and review or change of appointments:
Chest Clinic - Telephone (08) 8222 5307 or (08) 8222 5690
The Queen Elizabeth Hospital (TQEH)
Fax (for referrals): Outpatients (08) 8222 7244
Appointment enquiries and new case appointments:
Outpatients - Telephone (08) 8222 6998 or (08) 8222 6374
Review or change of appointments:
Outpatients - Telephone (08) 8222 7020
4a Respiratory Unit Outpatients - Telephone (08) 222 6670
Royal Adelaide Hospital (RAH) Chest Clinic (on North Terrace)
275 North Terrace,
Adelaide SA 5000
Telephone: (08) 8222 5307 or (08) 8222 5690
Fax: (08) 7074 6247
The Queen Elizabeth Hospital (TQEH)
Ground Floor, Outpatient Department
28 Woodville Road,
Woodville South SA 5011
Telephone: (08) 8222 6670 or (08) 8222 7966
Fax: (08) 8222 6041
Although many respiratory and sleep conditions require supervision from a physician long term, wherever possible, the objective of a respiratory or sleep outpatient appointment is to provide an assessment of the patient, an opinion regarding the key clinical issues and advice to the patient and the referring practitioner over one to two visits followed by formal discharge from the clinic.
This particularly applies to lesser priority conditions which may have a longer waiting time for an appointment and for which specialised drug therapies and/or disease monitoring are not indicated.
- Dr Ral Antic (Director, Thoracic Medicine)
- Dr Simon Cameron (TB only – no charge)
- Dr Sally Chapman
- Dr Dien Dang
- Dr Hugh Greville
- Dr Chien-Li Holmes-Liew
- Professor Mark Holmes
- A/Prof Hubertus Jersmann
- Dr Judith Morton
- Dr Phan Nguyen
- Professor Paul Reynolds
- Dr Peter Robinson
- Dr Richard Stapledon (TB only – no charge)
- Dr Aeneas Yeo
- Professor Brian Smith
- Dr. Sanaz Lehman
- Dr. Zafar Usmani
- Dr Anil Roy
- Dr. Dion Grosser
- Dr. Antony Veale
- Dr. Igor Nikitins (attends public clinic only)
All referrals including those urgently requiring consultation must be in writing.
Where consultation is same day urgent, the thoracic registrar or the on call medical registrar if after hours should be contacted via the RAH switchboard on (08) 7074 0000 or TQEH switchboard on (08) 8222 6000 to discuss the patient.
A written referral marked urgent should then be faxed to the RAH on (08) 7074 6247 or the TQEH on (08) 82227244 or sent with the patient if urgent assessment arranged.If the condition is life-threatening, the patient should be sent to the nearest emergency department immediately.
Cases will be triaged by a senior consultant and appointments will be allocated based on urgency, complexity and need for specialist input, and will depend on the detailed information provided in the referral. Non-urgent referrals will be allocated to the next available appointment, and may incur a wait. The waiting time for appointment will vary and be dependent on the demand for this service and the medical urgency of the patient’s condition. Respiratory and sleep problems which are not considered high priority (see eligibility and referral criteria) may wait a longer time for an appointment.
Should changes occur to a patient’s medical condition during the waiting time for an appointment, referrers should send updated clinical information to the fax number above, and where appropriate, contact the thoracic registrar via the RAH switchboard (08) 7074 0000 or TQEH switchboard: (08) 8222 6000.
Alternate care options and health information for low priority conditions while waiting for an appointment
Please consider other options – advice concerning alternative respiratory or sleep physician input can be provided upon request (please note that patients may not be bulk billed) – please fax a written request for information on alternative referral sources to (08) 8222 5398 (RAH) or (08) 8222 6041 (TQEH) if required.
If multiple referrals/ appointments regarding the same presenting complaint are made, please cancel those which are not required, to enable the remaining appointment slots to be utilised efficiently.
- Severe or rapidly progressive shortness of breath
- Suspected tuberculosis or tuberculosis exposure
- Radiology finding of: lung mass/ lung opacity/ suspected malignancy
- Sleepiness at risk of endangering self or others
Referrals for outpatient appointments from the emergency department will be accepted:
- If related to the primary reason for presenting to the emergency department
- If not related to the primary reason for presenting, referrals must be discussed with and accepted by the thoracic registrar – name of registrar must be written on referral.
For further information on eligibility and referral processes see the outpatient referral process page.
Patients whose medical condition has stabilised or resolved and for whom no further appointment has been made will be formally discharged. If assessment is required again, a new referral should be faxed to the RAH Chest Clinic on (08) 8222 5398 or TQEH respiratory outpatients on (08) 8222 7244.
Thoracic Medicine priorities are based on clinical urgency as displayed below:
Immediate priority Respiratory emergencies with threat to major organs.
Acute respiratory disease where admission is required.
Direct to an Emergency Department.
If life-threatening, the patient should be sent to the nearest emergency department.
Otherwise, must be discussed with the thoracic registrar or the on call medical registrar if after hours, via switchboard on (08) 7074 0000 (RAH) or via (08) 8222 6000 (TQEH). Then fax a referral marked URGENT to (08) 8222 5398 (RAH) or (08) 8222 7244 (TQEH) or send with the patient if urgent assessment arranged.
RAH cystic fibrosis service - Telephone (08) 1300 153 853 between 8.00 am to 5.00 pm or the thoracic registrar/on call medical registrar if after hours, via RAH switchboard on (08) 7074 0000.
Condition has the potential to require more complex or emergency care if assessment is delayed.
Condition has the potential to have significant impact on quality of life if care is delayed.
For Cystic Fibrosis (CF) (RAH only): potential new diagnosis
Monday to Friday, 9.00am to 5.00 pm: Fax referral marked URGENT to (08) 8222 5398 (RAH) or (08) 8222 7244 (TQEH).
After hours: Thoracic registrar or medical registrar on call via switchboard (08) 7074 0000 (RAH) or (08) 8222 6000 (TQEH).
For Cystic fibrosis: 8.00am to 5.00 pm: contact Cystic Fibrosis Service on (08) 1300 153 853 to make an urgent appointment. After hours: call CF registrar or consultant on call via RAH switchboard on (08) 7074 0000
Requires specialist management but unlikely to deteriorate rapidly.
Fax referral to the RAH on (08) 8222 5398 or TQEH on (08) 82227244. Early assessment may be facilitated by addressing the referral to a respiratory or sleep consultant by name as this provides additional assessment opportunities.
Condition is unlikely to deteriorate quickly.
Condition is unlikely to require more complex care if assessment is delayed.
Fax referral to the RAH on (08) 8222 5398 or TQEH on (08) 82227244.
For CF: Non urgent issues
Fax referral to the RAH on (08) 8222 5398 or TQEH on (08) 82227244.
Low priority for appointment
Patient may not be seen for a considerable period. Alternative specialist options may be obtained by phoning (08) 8222 5690.
For CF: Phone (08) 1300 153 853 between 8.00 am to 5.00 pm.
The following information sheets about presentations commonly seen in respiratory and sleep outpatients provide the minimum information required for assessing a referral and advice about pre-referral management strategies.
If you wish to refer a patient who does not meet criteria, or you wish to discuss a patient prior to referral, please phone the thoracic registrar through the RAH switchboard on (08) 7074 0000 or TQEH on (08) 8222 6000.
- Chronic cough (PDF 134KB)
- Haemoptysis (PDF 134KB)
- Pleural disease (PDF 138KB)
- Suspected lung malignancy/new lung mass (PDF 135KB)
- Complex Asthma (PDF 231KB)
- Severe or Complex Chronic Obstructive Pulmonary Disease (COPD) (PDF 230KB)
- Bronchiectasis (Non-Cystic fibrosis) (PDF 136KB)
- Suspected or proven interstitial lung disease (PDF 119KB)
- Sleep Medicine/Sleep Medicine and Ventilatory Failure Investigation and Treatment Service (VFITS) (PDF 131KB)
- Suspected tuberculosis (PDF 138KB)
If active TB suspected or diagnosed, contact Chest Clinic immediately on (08) 8222 4867
- Suspected TB exposure or Immune suppressive risk in asymptomatic patients (PDF 132KB)
- Pulmonary Vascular Disease (PDF 133KB)
- Assessment for thoracic procedure by Interventional pulmonology service (referrals only from specialists) (PDF 129KB)
- Consideration of lung transplantation (referrals only from respiratory physicians) (PDF 133KB)