Haemophilia Comprehensive Care Centre
The Haemophilia Comprehensive Care Centre (HCCC) at Nottingham University Hospitals offers a comprehensive range of clinical, laboratory, and psychosocial services to patients and families with inherited and acquired bleeding disorders.
The centre offers regular adult and paediatric clinics, physiotherapy services, a telephone helpline during working hours, home treatment training and education including home and school visits and coordinates the medicines home delivery service. We also provide treatment and support for patients presenting with acute bleeding episodes or having dental or invasive/surgical procedures within the hospital.
Our psychosocial team work closely alongside the clinical team to ensure that patients receive fully holistic care.
Staffing
Consultants
Centre Directors*
Consultant Haematologist Dr. J. Hermans*
Specialist Haematologist Dr. E. Millen*
Consultant Haematologist Dr. G. Swallow
Paediatric Consultant Haematologist Dr. S. Stokley
Nursing Team
Haemophilia Clinical Nurse Specialist Helen Seymour
Haemophilia Clinical Nurse Specialist Kathrina Anisco
Haemophilia Clinical Nurse Specialist Linda Trower
Haemophilia Clinical Nurse Specialist Helen Matthews
Admin/Data
Haemophilia Data Manager Lauren Hodgman
Haemophilia Administration Assistant Kinza Walker
Health Allied Professionals
Haemophilia Clinical Psychologist ………………….
Haemophilia Social Worker Sumaiya Munawar
Adult & Paediatric Physiotherapist Ros Teweleit
Bleeding Disorder Clinics
Adult Bleeding Disorder Clinic
Every Monday morning (except bank/public holidays) in the Leengate Building, QMC for:
- New patient GP and consultant referrals
- Follow-up of patients with severe haemophilia (minimum six-monthly) moderate and mild haemophilia, VWD and other bleeding disorders (minimum 12-monthly)
Paediatric Bleeding Disorder Clinic
Thursday mornings and Monday afternoons in Paediatric Outpatients Clinic South & East, B floor, QMC for:
- New patient referrals from GPs/consultants
- Children under 16 with severe haemophilia and other bleeding disorders
Nurse-Led Adult Telephone Clinic
Every Wednesday afternoon (except bank/public holidays) for follow up of stable patients with non-severe bleeding disorders.
Pregnancy Assesment Clinic
Every Tuesday morning in the Antenatal Clinic, B Floor, QMC for:
- Women with bleeding disorders/haemophilia carriers who are pregnant
- Women requiring pre-pregnancy counselling
- Women (and their partners) requiring pre-natal diagnosis
Appointment Information
- To cancel or change your appointment, please contact your booking team
- If you are a Carer or assisting a patient with dementia, please tell reception when you arrive.
- If you require an Interpreter, please contact your booking team.
- To help you prepare for your visit and be safe in our care, please visit: www.nuh.nhs.uk/patients-visitors
Pregnancy Assessment Clinic
Every Tuesday morning in the antenatal clinic, B Floor, QMC for:
- Women with bleeding disorders/haemophilia carriers who are pregnant
- Women requiring pre-pregnancy counselling
- Women (and their partners) requiring pre-natal diagnosis
Contact us and find us
Contact us
Routine enquiries
Tel: 0115 970 9994 or 0115 924 9924 Ext: 81994
If the unit is closed please leave an answerphone message and we will return your call the next working day.
Emergencies
The unit is open from 8.30am to 4.30pm. In an emergency outside these hours call the hospital switchboard.
Tel: 0115 924 9924 and ask the operator to contact the on-call haematology registrar.
Location
Haemophilia Treatment Room, Anticoagulation Clinic
Queen's Medical Centre
East Block
D Floor
Getting to us
You will need to use a lift or scale stairs to access this serivce.
Travelling to our Hospitals
- Please use public transport if possible due to limited parking availability.
- Medilink 'Park and Ride' bus service is available from Queens Drive or Wilkinson Street. This drops off at the QMC and City Hospital.
- There is a tram stop available at QMC. Further information: www.thetram.net.
- A limited number of Blue Badge parking spaces are available at both sites.
- Payment for parking is via the pay & display machines. Card payments are accepted in all locations. However, cash payments are limited.
- If you have a low income or in receipt of certain benefits, you may be entitled to help with the cost of travelling to receive NHS Treatment. Please enquire at QMC’s General Office, City Hospital’s Cashiers Office, or the NHS Treatment Centre Main Reception.
Hospital Transport
If a medical condition prevents you from using public or private transport, please ring Hospital Transport two weeks before your appointment.
If you are registered with a GP in, please contact:
- Nottinghamshire – ERS Medical: 0330 3800 570.
- Derbyshire – EMAS: 0300 300 3434.
- Leicestershire and Rutland - Thames Ambulance Service: 0345 241 3012.
- Lincolnshire – Thames Ambulance Service: 0808 164 4586.
- North and Northeast Lincolnshire – Thames Ambulance Service: 0808 164 3030.
Patient Support
National & Local Support Groups
Haemophilia Society - The Haemophilia Society – Together For Life | The Haemophilia Society
World Federation of Haemophilia - Home – WFH - World Federation of Hemophilia
Global Treatment Centre Directory - Find local support – WFH - World Federation of Hemophilia
Haemophilia Centre Locator - hclocator.org/centrelocator/
United Kingdom Haemophilia Centres Doctors Organisation - Patient Information – UKHCDO
Emotional Wellbeing
The webpage below provides information about what mental health is and what support is available
Protecting and improving your mental wellbeing | Nottinghamshire County Council
If you need urgent crisis support, call the Nottinghamshire Mental Health Crisis Line on 0808 196 3779 (24/7) or the Samaritans on 116 123 (24/7)
Sexual Health
NUH provide a free and confidential Sexual Health Service. For more information visit: Sexual Health Services | NUH
For more information around Sexual Health & Bleeding Disorders:- Sex and bleeding disorders | The Haemophilia Society
Home Therapy
Haemtrack is a secure therapy recording system, connecting patients and clinicians through the Haemtrack web app. Haemtrack enables patients to record all therapies as they occur, and allows clinicians to see up-to-date therapy information to help monitor, optimise and improve patient care.
Haemtrack – Home Therapy Support Service (mdsas.com)
Dental Care
Good dental care is essential for everyone. If you have a bleeding disorder, looking after your teeth, mouth and gum is especially important.
Dental care for adults with a bleeding disorder | The Haemophilia Society
Social Care
Adult: Adult social care | Nottinghamshire County Council
Children: Children's social care | Nottinghamshire County Council
Carers
Support for carers | Nottinghamshire County Council
Adopting a Healthy Lifestyle
Many factors affect our health and wellbeing including finances, feeding our families, heating our homes, mental health worries, physical health worries and community or family support.
Here at NUH we have a Health Improvement team in Urgent and Emergency Care with dedicated Link Workers based in the QMC Emergency Department to help recognise patients needing extra help to live a healthier life aiming to prevent long term illness - we want to embed a culture of health promotion and injury / disease prevention in our pathways.
You can access the resources here to support you to make lifestyle choices which will elp you live longer, happier, healthier and more independent lives. At NUH we want to ensure everyone has access to support available in Nottinghamshire and ensure all the information you need to make the first steps is easily available here in one place
General Health Information | NUH
Travel Advice
Please find the Travel Information Leaflet for patients with Bleeding Disorders in 'Useful Links'.
Also for more Travel Advice:
Travel | The Haemophilia Society
EUHANET hclocator.org/centrelocator/
Find local support – WFH - World Federation of Hemophilia
Vaccination Advice
We usually advise that people with bleeding disorders receive vaccines as an injection under the skin (sub-cutaneous). However, the COVID-19 vaccine must be given as an injection into the muscle (intra-muscular).
Anyone who has had an injection into a muscle could develop a bruise within the muscle (haematoma) afterwards. This risk may be higher in people with bleeding disorders.
Please tell the person giving you the vaccine that you have a bleeding disorder and show them your alert card and this leaflet.
People with the following diagnoses DO NOT need to take any additional precautions before they have the vaccine:
- Haemophilia A and B with factor level above 10%
- Haemophilia A on Emicizumab (Hemlibra)
- Acquired haemophilia with normal factor 8 level.
- Mild bleeding disorders—including mild von Willebrand disease; low von Willebrand factor; mild platelet function disorders; dysfibrinogenaemia; clotting factor deficiencies with factor levels above 10%
People with the following diagnoses WILL need to have treatment before their vaccination:
- People with severe or moderate haemophilia who can give their own factor treatment at home need to have a dose of factor concentrate before their vaccination
- If you are on prophylaxis, please take your usual factor prophylaxis dose on the day of your vaccination.
- If you give treatment on demand at home, please take your mild bleed dose of factor before your vaccination.
- Haemophilia A or B with factor levels less than 10%
- Severe (Type 3) von Willebrand disease
Please call us to discuss what you need.
People with the following diagnoses MAY need to have treatment before their vaccination:
- Von Willebrand disease with factor levels less than 10%
- Other factor deficiencies with factor levels less than 10%
- Bernard Soulier syndrome
- Glanzmann’s thrombasthenia
Please call us to discuss if you need any treatment.
Further Support
Benefits
Benefits - GOV.UK (www.gov.uk)
Benefits | The Haemophilia Society
Immigration Queries & Advice
Every Wednesday afternoon (except bank/public holidays) for follow up of stable patients with non-severe bleeding disorders.