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Referral Process

Referrals can be made via Choose & Book or by letter directly addressed to:

Out Patients Booking Dept Luton & Dunstable Hospital NHS Foundation Trust, Lewsey Road, Luton LU4 0DZ

Referrals can also be made via MSK (Bedfordshire).

Patient Information Leaflets

The Rheumatology Department at the Luton and Dunstable University Hospital sees adults and children with all forms of inflammatory and degenerative arthritis, soft tissue rheumatism and connective tissue disease. In addition, most consultants have a sub-specialist interest and run dedicated clinics (listed below). The Department has 6 specialist nurses to assist in providing patients with the very best care and to assist in our research projects.


There are consultant lead clinics every day of the week, supported by Nurse clinics and two Specialist Registrars in Rheumatology and general medicine.

All six consultants undertake general rheumatology clinics (for adults) and there is a dedicated Rheumatology outpatient area, with 4 consulting rooms, each with an ultrasound machine, where joint and soft tissue injections can be administered during the clinic. 

In addition, the following sub-specialist services are undertaken:

Metabolic bone diseases clinic – aim to see adult metabolic bone disorders including osteoporosis 
Alternate Tuesday morning Dr Nisar (Dr Balaji also has an interest in Osteoporosis and between the two of them they report on all the bone density scans done in the Trust).

Giant Cell Arteritis/PMR – dedicated OPD times are available in Dr Quick’s clinics to see urgent new cases of GCA to have temporal artery ultrasound. 
By appointment via Dr Quick – faxed/telephone urgent referrals are welcome.

Psoriatic Arthritis
Dr Tanya Baqai has a specialist interest in this and related conditions and sees patients in her general clinic, by arrangement with her – direct referrals are welcome.

Acute/Early Arthritis
All consultants work in the Early Inflammatory Arthritis clinics, run weekly, to provide rapid diagnosis and early aggressive management of acute inflammatory arthritis.
Referrals via Choose and Book, Early Arthritis 

Paediatric Rheumatology 
Dr Fishman runs the paediatric rheumatology service, based in the paediatric OPD, with 3 clinics per month, for children and young people with all forms of inflammatory and non-inflammatory rheumatic disease/chronic pain.

Ambulatory Care
Dr Marian Chan also works in Ambulatory Care as an acute general physician, seeing all types of acute medical problems, but acts as the interface for acute rheumatology between A&E, EAU and Rheumatology. She also has an interest in PMR/GCA, Early Arthritis and bone disease.

Links to tertiary centres:
Rare bone diseases network Cambridge; Great Ormond Street Hospital for Children, University College London Dept. of Rheumatology.

Procedures Provided

Procedures undertaken in our Unit include the following:

  • Ultrasound of joints for disease diagnosis confirmation
  • Joint and soft tissue injections (in clinic for adults, in theatres under anaesthesia for children – Dr Fishman). 

Clinicians - Consultants/Specialist Nurses

Dr Fishman.jpg
  • Dr Daniel Fishman
    General Medicine and Rheumatology/Clinical Director of Rheumatology
  • 01582 718741
Dr Nisar Cons Rheumatology Feb 16.JPG
Dr Baqai Feb 16.JPG
Dr Chan Cons Rheumatology Feb 16.JPG
Dr Quick Cons Rheumatology Feb 16.JPG
Dr Balaji Cons Rheumatology Feb 16.JPG

Useful numbers/contacts - All staff can be contacted via switchboard

Business Manager: 
Nicola Wood

Specialist nurses advice line:
01582 718305

General Manager:
Jenny Cadman

Outpatients booking department:
01582 561385

Clinical Director:
Dr Daniel Fishman

01582 491166