Clinical Immunology - Salford Royal

The Clinical Immunology department at Salford Royal Hospital is one of the four referral centres for Adult Immunodeficiency and Allergy. It is a part of North West Allergy and Clinical Immunology network. Our lead consultant is Dr Archana Herwadkar (Consultant Clinical Immunologist). We hold a number of specialist Immunodeficiency and Allergy clinics and liaise closely with other specialist in local hospitals. We do not see children in our department. 

Immunology laboratory tests are provided by Greater Manchester Immunology services laboratory based at Manchester Foundation Trust (Central site). 

 We are committed to training the next generation of doctors and nurses and regularly have medical and nursing students in clinic and day units. We are also are recognised centre for Specialist Registrar training scheme for Immunology trainees. 

 We are also committed to continually improving our service. We conduct patient satisfaction questionnaires and offer Friends and Family questionnaire. We are always happy to receive constructive feedback.  

Service Accreditation 

We had a successful visit for QPIDS (Quality in Primary Immunodeficiency Service) on 28 March 2019. Comments from the assessment team included “the service is well led and patient centred”.  The assessors congratulated the team on excellent team working as well as effective networking across the region.  Our service will be accredited for five years, subject to an annual renewal assessment. 

We are also preparing for an IQAS (Improving Quality in Allergy Services) inspection also for assessment of our allergy service in early 2020. 

 We achieved UKPIN (UK Primary Immunodeficiency Network) accreditation for our Immunology service in 2014 which transferred over to the QPIDS scheme in 2015. The scheme is hosted by the Royal College of Physicians (London) and services which achieve it undergo a rigorous quality assessment. When the service can demonstrate that the standards are met, they are granted the accreditation.   

Aims of the Service 

The Clinical Immunology service is committed to provide the highest quality service to the patients. 

Our aim is to provide quality assured service of the highest standards and in line with the Trust’s values of “patient and customer focus, accountability, continuous improvement and respect”. 

The Immunology Service provides facilities for the investigations, diagnosis and treatment of primary immunodeficiency diseases including (excluding immunodeficiency secondary to HIV):

  • Antibody deficiency 

  • Combined immune deficiency 

  • Neutrophil defects 

  • Complement deficiency

  • Other primary immunodeficiencies

  • Hereditary angioedema (C1 esterase inhibitor deficiency)   

General Practitioners (GPs) may refer through the Choose and Book system 

The warning signs of possible primary immunodeficiency include any two or more of the following: 

  • Four or more new ear infections within one year 
  • Infections in multiple anatomical sites 
  • Two life threatening infections per lifetime  
  • Two or more serious sinus infections within one year 
  • Two or more months on antibiotics with little effect 
  • Two or more pneumonias within one year
  • Recurrent, deep skin or organ abscesses
  • Persistent thrush in mouth or elsewhere on skin
  • Need for intravenous antibiotics to clear infections
  • Two or more deep-seated infections
  • A family history of primary immune deficiency 


Organisations/Associations and Societies 

 PID UK:  

UK Primary Immunodeficiency Network (UKPIN):  

European Society for Immunodeficiencies (ESID):  

International Patient Organisation for Patients with Primary Immunodeficiencies (IPOPI):  



Allergy UK:  

Anaphylaxis Campaign:    

British society for allergy and clinical immunology: 


Food Standards Agency:  



European Society for Immunodeficiencies (ESID):  

HAE UK:   

International Patient Organisation for Patients with Primary Immunodeficiencies (IPOPI): 


UK Primary Immunodeficiency Network (UKPIN):  


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