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Services available at: Lister Hospital, New QEII Hospital, Hertford County Hospital
Our department has a multidisciplinary team of staff who all work together to get the best outcomes for our patients.
Our consultants
- Dr Spencer Ellis
- Dr Jeremy Axon
- Dr Jananath Wijeyekoon
- Dr Thirau Marianayagam
- Dr Joy
- Dr Brown
The nursing team
Lead Rheumatology Clinical Nurse Specialist:
Alexandra Eden
Rheumatology Clinical Nurse Specialists:
Sharon Pearson
Jija Purathekkudy
Rheumatology Specialist Support Nurses:
Claire Hickey
Dawn Elms
Rebekah Ulbing
The rheumatology nurse specialist uses a patient-centred approach and are involved in patient education, running of the telephone helpline, monitoring of disease modifying drugs and the newer anti-TNF treatments.
There are a number of clinics where you would see a nurse rather than a doctor, these clinic are particularly designed to educate patients regarding:
- The disease process and treatment options
- Specific disease modifying drugs and the monitoring requirements
- How to manage a disease flare
- On how to cope with an unpredictable disease
- Pain management
The rheumatology nurse specialist has special experience in looking after the physical, emotional, and social needs of people with arthritis.
There are a number of outpatient staff nurses who assist in the management, treatment and smooth pathway through outpatients for patients with a rheumatological condition.
Contact details
You can get in touch via the nurse-led rheumatology advice line on 01438 285624.
The secretaries and clinic clerks
Patient pathway co-ordinator
Hayley Lucas
Biologic pathway co-ordinator:
Steven Moody (01438 284672 or rheumbiologics.enh-tr@nhs.net)
Medical secretaries
Natalie Turner – Dr Axon and the nurse specialist secretary (01992 823157)
Anita Hulley – Dr Joy’s secretary (01438 286120)
Marie Hughes – Dr Marianayagam’s secretary and specialist registrar’s secretary (01438 284128)
Toni Croucher – Dr Wijeyekoon and Dr Ellis’ secretary (01438 284473)
Sandra Willets – Dr Brown’s secretary (01438 285629)
If you cannot get through or leave a message, please email rheumsecretariesenh-tr@nhs.net
Clinic clerks
The clinic clerks manage the appointment aspect of the rheumatology clinics. To contact them please phone 01438 284444.
The therapists
The role of physiotherapists
- Examination of joints and muscle strength.
- To assess how patients are managing functionally, for example balance, walking, opening jars
- To advise on an individualised home exercise program.
- Balance and co-ordination training (if lower limbs affected) and assessment, supply of walking aids as needed.
- Pain relief techniques such as heat, ice and tens.
- To advise on joint protection and lifestyle modifications.
- To assess and refer on to hydrotherapy as appropriate.
- To advise on pacing activities.
- To advise on relaxation techniques to help relieve fatigue, lower anxiety levels and relieve pain.
The role of the occupational therapist
The role of an occupational therapist or OT is to help people carry out everyday activities and lead fulfilling lives. The occupational therapist will work with you to examine what activities are important to you and highlight particular problems and explore possible solutions with you. The occupational therapists where necessary can assist with the provision of splints or advise on other home aids.
The role of the podiatrist
Podiatry plays an important role in the treatment of rheumatoid arthritis. Rheumatoid arthritis affects the smaller joints such as fingers and toes first so feet are often one of the first places to be affected. The Podiatrist will check your feet and together decide on a treatment plan. As part of this plan the podiatrist may decide that you need further tests or investigations by other more specialist podiatrists.
The role of the orthotist
The orthotist is a trained specialist who prescribes and fits special shoes and orthoses.
The management team
The role of the rheumatology management team includes supporting the department with service development and redesign. Our aim is to ensure that patient experience and clinical care is of the highest quality. The team undertakes day today operational support to enable the department to achieve performance targets such as the delivery of treatment for outpatients within 18 weeks. We also oversee long term planning and help to manage complaints.
The senior management team within rheumatology at the Trust consists of:
- Deputy general manager – Carol Smith
- Service manager – Tom Shaughnessy
- Clinical director/consultant rheumatologist – Dr Marianayagam
Other team members
- A specialist registrar
- GPs with a special interest in rheumatology
- A musculoskeletal radiologist
Further information
See below for links to other websites with helpful information
- National Rheumatoid Arthritis Society
- Versus Arthritis
- National Axial Spondyloarthritis Society
- The Psoriasis and Psoriatic Arthritis Alliance (PAPAA)
- Lupus UK
Rheumatology Patient Video for COVID-19
This video is aimed at helping rheumatology patients to stay safe from COVID-19. The video explains how to use our questionnaire to assess your risk from COVID 19 and what to do next.
