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Founded in 1856, St John & St Elizabeth Hospital is one of the UK’s largest independent charitable hospitals. Our commitment to our patients is in the quality of our care, the range of our services and the quality of our consultants and staff.
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St John & St Elizabeth Hospital is renowned for its highly specialised clinics that provide exemplary care for patients. Our expert Consultants cover the full range of specialties and are able to treat almost any medical condition.
We’re proud to be the chosen Hospital for some of the world’s leading Consultants. Our specialist Consultants cover a wide range of specialisms and are committed to our values as a Hospital.
COVID-19 update: Our hospital is still fully open for appointments and admissions, however visitors are not permitted.
The Autonomic & Neurovascular Medicine Unit at St John & St Elizabeth Hopsital provides a highly specialised diagnostic service for a wide variety of autonomic disorders: postural tachycardia syndrome, syncope, orthostatic intolerance, postural hypotension, hyperhidrosis and much more.
Autonomic investigations play a key role in aiding the doctors in the diagnosis of autonomic disorders and are also important in tailoring an individual treatment and management plan.
The autonomic nervous system (ANS) is comprised of the sympathetic (fight or flight response) and parasympathetic (rest and digestion) nervous systems. The ANS innervates every end organ in the body: such as skin, heart, bladder and bowels; and is very important in the control of bodily functions, such as regulation of sweating, blood pressure, heart rate, digestion and sexual function. Individuals with autonomic disorders may have many disabling symptoms, such as lightheadedness or fainting, constipation, bladder control problems, and sexual dysfunction.
The Autonomic & Neurovascular Medicine Unit provides a highly specialised diagnostic service for a wide variety of autonomic disorders. We have two state of the art laboratories incorporating the latest advances in non-invasive technology. Autonomic investigations play a key role in aiding the doctors in the diagnosis of autonomic disorders and are also important in tailoring an individual treatment and management plan. The team aim to help people with autonomic symptoms, some of which are multiple and complex, to successfully manage their daily lives.
Autonomic dysfunction is usually a multi-system disorder and we work closely with other departments within St John & St Elizabeth Hospital and other leading consultants: including Hypermobility Unit, Cardiology, Imaging, Physiotherapy, Gastroenterology, Urology, Gynaecology and Immunology.
Mr Michael Peche – Lead Clinical Autonomic Scientist & Deputy Service Manager
Miss Kiran Sheri – Senior Clinical Autonomic Scientist
Miss Britney Powell – Clinical Autonomic Scientist
Miss Seema Maru – Bank Clinical Autonomic Scientist
Miss Vanessa Ponnusamy – Bank Clinical Autonomic Scientist
If you have any questions before attending your autonomic testing appointments you can download our patient guide.
For more information on our autonomic function tests please click on the tests below.
Plasma catecholamine / metanephrine blood samples
Any patients that have been requested for a 24 hour Blood pressure and heart rate monitoring can download our patient guide to find out more information.
Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, ENT, as well as a private GP practice and our urgent care centre, Casualty First, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.
If you have any questions relating to treatment options or pricing information then get in touch with us by filling out one of our contact boxes or giving us a call on +44 207 806 4060.
Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.
If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.
If you have medical insurance (e.g. Bupa, Axa PPP, Aviva), you will need to contact your insurer to get authorisation for any treatment and, in most cases, you will require a referral letter from your GP.
If you do not have a GP, then we have an in-house private GP practice that you can use. Alternatively we can suggest the most appropriate course of action for you to take, given your location and individual circumstance.
*Please note – for investigations such as X-rays and MRI’s a referral will be required. However, we may be able to arrange this for you through our on-site private GP.
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