Clinical Immunology and Allergy

Our Clinical Immunology and Allergy department provides a specialist clinical service for all aspects of adult allergy and immunodeficiency. Our clinics are:

  • Adult general allergy clinics (including difficult urticarial)
  • Adult general immunodeficiency clinics
  • Allergen immunotherapy clinics
  • Drug allergy testing and challenge clinics
  • Food challenge clinics
  • Home training for immunoglobulin infusion therapy

Service details

Adult general allergy clinics (including difficult urticarial)

Patients with allergy symptoms need to be referred by their GP or another hospital team to this clinic.

We offer services for the management and diagnosis of various allergic conditions including anaphylaxis, angioedema and urticaria, drug allergy, food allergy, rhinoconjunctivitis (seasonal and perennial allergic rhinitis) and insect venom allergy.

Adult general immunodeficiency clinics

We provide a regional service for the investigation and management of primary and secondary immunodeficiency.

We offer immunoglobulin replacement therapy, both in hospital and home-based, either via the intravenous or subcutaneous routes.

We also provide a regional service for patients with C1 inhibitor deficiency, and training for self-administered therapies for this condition.

Allergen immunotherapy clinics

Patients with severe allergic rhinitis (not controlled on conventional medication) or venom allergy are treated with immunotherapy (desensitisation) treatment.

Patients are usually assessed in a general allergy clinic first to determine suitability for this form of treatment.

Drug allergy testing and challenge clinics

Patients are assessed for drug allergies to identify the responsible drug and alternatives that are safe to use.

Patients can be referred to this clinic after assessment in a general allergy clinic or are sometimes booked directly in following referral from their GP.

Drug allergy testing involves skin testing and/ or challenge testing, where a patient is exposed to a gradually increasing amount of medication.

Food challenge clinics

Patients are given increasing amount of various foods (following skin testing) to determine what they are allergic to, or whether they have grown out of a previous allergy.

Home training for immunoglobulin infusion therapy

Patients who require immunoglobulin therapy (or other immunological treatments) are provided training by one of the specialist nurses on how to self-administer at home.

This is usually done over a period of several weeks and is tailored to a patient’s individual needs.

Who is eligible for the service?

All adults.

How to access the service?

All referrals are required to come via a GP or other consultant/clinician.

Contact us

We are open Monday to Friday 8.30am-4.15pm (excluding bank holidays)
Telephone: 01483 464 002

We are currently rolling out our online My Care Patient Portal, an easier way to manage and view your appointments.

Or via the Dept:

Tel: 01483 571 122, ext 2323

Email: or

Meet the team

  • Dr Bogusia Kasternow, Consultant Allergist
  • Dr Patrick Yong, Consultant Immunologist
  • Agatha Serapion, Clinical Nurse Specialist
  • Durga Gurung, Clinical Nurse Specialist