Clinical Immunology
Clinical Immunology provides a comprehensive service for patients with immune-mediated disease.
Our service encompasses:
- immune deficiency
- C1 inhibitor deficiency
- complex allergy
- systemic autoimmune disease
- autoimmune neuropathies
Clinical Immunology Day Unit
Level 2, John Radcliffe Hospital (main corridor, opposite Pharmacy).
Outpatient clinics
Immunology Day Clinic
The dedicated Immunology Day Clinic consists of a treatment room and consulting rooms of various sizes.
Primary Immune Deficiency (PID) Clinic
Primary Immune Deficiency (PID) clinics run two/three days per week.
Immunoglobulin Treatment Clinic
A nurse-led Immunoglobulin Treatment Clinic runs two days per week.
Patients with antibody deficiencies receive immunoglobulin either intravenously or subcutaneously on a regular basis. Suitable patients are trained to perform their infusions at home helping them to be independent in managing their long-term condition.
Ig-responsive autoimmune disease patients who are receiving immunoglobulin following approval from the Thames Valley Immunoglobulin Assessment Panel (SIRAP) for long-term treatment, if suitable, are offered the facility to train for home therapy either intravenously or subcutaneously. All these patients are reviewed medically at regular intervals.
Other training covered in the department is the treatment of C1 esterase inhibitor patients. Patients are carefully selected and attend for a training period to learn how to self-administer Icatibant, Lanadelumab or C1 esterase inhibitor product.
Depending on the need of the patient, this could be as a regular maintenance dose or use for treatment of an acute attack. The patient's venepuncture skills are reviewed as part of regular home therapy reviews undertaken by our nurses.
Allergy Clinic Day
Dr Misbah, Dr Jain, Dr Patel and Junior Medical Team.
An Allergy Clinic Day with a Bee and Wasp Desensitisation Clinic run on Monday mornings with a Drug Allergy Clinic in the afternoons.
Drug Challenges
These are carried out as a day cases on Thursdays following clinical assessment in the Outpatient Clinic.
General Allergy Clinic
Dr Jain and Dr Patel
A General Allergy Clinic runs in the Dermatology Department, Churchill Hospital.
Children's clinics
Dr Patel
These run in a multi-specialist clinic in Oxford Children's Hospital, with a Consultant Immunologist in attendance.
A speically-trained Immunology Specialist Nurse Practitioner attends as needed.
Our team
Consultants
Dr Rashmi Jain
Consultant Immunologist
Specialty: Clinical Immunology and Allergy
Special interests: immunodeficiency, hereditary and acquired angioedema and allergy including food, aeroallergen, chronic urticaria, venom, and drug allergy, bee and wasp venom desensitisation.
Memberships
- British Society of Allergy and Clinical Immunology (BSACI)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
- European Society for Immune Deficiency (ESID)
Dr Joanne Miller
Consultant Immunologist
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: immunodeficiency, hereditary and acquired angioedema, bee/wasp venom and aeroallergen immunotherapy, chronic urticaria, food and drug allergy
Memberships
- British Society for Immunology (BSI)
- European Society for Immune Deficiency (ESID)
- European Academy of Allergy and Clinical Immunology (EAACI)
Dr Siraj Misbah
Consultant Immunologist
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: immunodeficiency, systemic autoimmune disease, drug allergy and therapeutic immunology
Memberships
- British Society for Immunology (BSI)
- British Society of Allergy and Clinical Immunology (BSACI)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
- European Society for Immune Deficiency (ESID)
- American Academy for Allergy, Asthma and Immunology (AAAAI)
Dr Smita Patel
Consultant Immunologist
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: inborn errors of immunity, genomics and HSCT
Memberships
- British Society of Allergy and Clinical Immunology (BSACI)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
- European Society for Immune Deficiency (ESID)
Professor Cal MacLennan
Consultant Immunologist
Principal hospital: John Radcliffe
Specialty: Clinical Immunology
Special interests: immunity to infection, vaccine development and global health
Memberships
- British Society of Allergy and Clinical Immunology (BSACI)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
- British Society for Immunology (BSI)
Nursing team
Jeanette Brooks
Lead Nurse in Immunology and Allergy
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: Allergy especially Chronic Spontaneous Urticaria and angioedema
Memberships
- Immunology and Allergy Nurses Group (IANG) Secretary
- International Nursing Group for Immunodeficiencies (INGID)
- British Society of Allergy and Clinical Immunology (BSACI)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
Karen Abrams
Specialist Nurse Practitioner
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: home therapy training and neurology
Memberships
- Immunology and Allergy Nurses Group (IANG)
- International Nursing Group for Immunodeficiencies (INGID)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
Rosalind Fisher
Specialist Nurse Practitioner
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: Allergy and HAE
Memberships
- International Nursing Group for Immunodeficiencies (INGID) Board
- British Society of Allergy and Clinical Immunology (BSACI)
- Immunology and Allergy Nurses Group (IANG)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
- European Society for Immune Deficiency (ESID)
Holly Hurst
Specialist Nurse Practitioner
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests: HAE and psychological support
Memberships
- Immunology and Allergy Nurses Group (IANG)
- International Nursing Group for Immunodeficiencies (INGID)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
Bindu Parvelikudy
Specialist Nurse Practitioner
Principal hospital: John Radcliffe
Specialty: Clinical Immunology and Allergy
Special interests
I have a specialised interest in the diagnosis and management of allergies, with a particular focus on venom desensitisation, drug allergy testing and drug challenges. My clinical expertise extends to the treatment of Chronic Spontaneous Urticaria (CSU) and angioedema, where I employ advanced diagnostic and therapeutic approaches to improve patient outcomes.
I am committed to providing personalised care for individuals with complex allergic conditions, ensuring a comprehensive and evidence-based approach to treatment.
I also provide support through the administration of immunoglobulin infusions, both intravenously and subcutaneously, to help manage a range of immune deficiencies.
I also provide specialised prophylactic treatment for Hereditary Angioedema (HAE), ensuring tailored care for long-term symptom control and prevention.
Memberships
- International Nursing Group for Immunodeficiencies (INGID) Board
- British Society of Allergy and Clinical Immunology (BSACI)
- Immunology and Allergy Nurses Group (IANG)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
- British Society for Immunology (BSI)
Elizabeth Davis
Paediatric Specialist Nurse Practitioner
Principal hospital: Oxford Children's Hospital
Specialty: Paediatric Immunology under the care of the Paediatric Infectious Diseases Team
Special interests: Paediatric home therapy training, HAE and Transitioning Patients from Paediatric to Adult Services
Memberships
- Immunology and Allergy Nurses Group (IANG)
- International Nursing Group for Immunodeficiencies (INGID)
- United Kingdom - Primary Immunodeficiency Network (UK-PIN)
Links
Patient involvement
Find us and contact us
Clinical Immunology Department
Level 4 Academic Centre
John Radcliffe Hospital
Headley Way
Headington
Oxford OX3 9DU
How to find the John Radcliffe Hospital
Tel: 01865 743164
Monday to Thursday 9.00am - 5.00pm
Friday 9.00am - 4.30pm
Email
General enquiries: immunologysecretaries@ouh.nhs.uk
Nursing Team: ouh.immunologynurses@nhs.net
Appointments
If you cannot attend your clinic appointment, please call/email us in advance so we can offer the appointment to another patient.
Medical emergency out of hours
Patients
For medical assistance: call 111 / 999 or your GP practice.
Medical professionals
Out of hours, weekends / public holidays: 0300 304 7777 [Switchboard]
Ask to speak to the Consultant Immunologist on call.
Please also visit:
Clinical Immunology referrals
Last reviewed:12 November 2024