The rheumatology service is lead by Dr Clare Higgens, consultant rheumatologist. Dr Higgens is based at Northwick Park Hospital, along with:

  • Dr Clare Batten, consultant rheumatologist
  • Dr Henry Penn, consultant rheumatologist
  • Dr Andrew Keat, consultant rheumatologist

The service at Central Middlesex Hospital is provided by Dr Bernie Colaco (consultant rheumatologist).

The consultants are supported by a team of specialist registrars, senior house officers and rheumatology nurses.

Description of service

The rheumatology service has dedicated outpatient areas at both Northwick Park and Central Middlesex Hospitals (at Central Middlesex Hospital this is shared with orthopaedics). The service provides daily clinics to ensure choice is offered to our patients.  Within the general rheumatology clinics, we provide several sub-speciality clinics, these include:

  • Early rheumatoid arthritis
  • Multidisciplinary rheumatoid arthritis - biologics clinic
  • Connective tissue disease - Lupus/SLE
  • Spondyloarthropathies
  • Metabolic bone disease 
  • Gout
  • One stop dedicated soft tissue rheumatoid clinic
  • Urgent clinics

Within the directorate we have five dedicated rheumatology nurses who provide the following services:

  • Helpline 020 8869 2249 NPH  or 020 8453 2422 CMH (response in under 24 hours)
  • Intramuscular vitamin D clinics
  • Intramuscular methotrexate clinics
  • Mantoux testing clinics (rheumatology procedures only)
  • Dedicated rheumatology day care facility (at NPH) providing:- Anti TNF therapy - biologic treatment, IV bisphosphonates, infusions of IVIg and cyclophosphamide

The rheumatology department works closely with physiotherapy, utilising the hydrotherapy, acupuncture, pain management, and hand therapy services. There is also a dedicated rheumatology physiotherapist based at Northwick Park Hospital.

The rheumatology service also provides patient education meetings and works closely with the following organisations:

  • Lupus support group
  • National Osteoporosis Society (NOS)
  • National Ankylosing Spondylitis Society


Northwick Park and St Mark's Hospitals

The Arthritis Centre is based within the therapies block on level 4, specifically for rheumatology outpatients. Within the centre we have a daycare facility dedicated to rheumatology daycase procedures (Tuesday to Thursdays). Rheumatology patients that require inpatient care are admitted to James ward.

Central Middlesex Hospital

Rheumatology outpatients is based within the orthopaedic and rheumatology centre on ground floor of the new hospital. Patients listed for daycare procedures need to report to medical day care based within the haematology centre on level 2. Rheumatology patients that require inpatient care are admitted to Roundwood Suite.


  • Service Manager
    020 8869 2350

Central Middlesex Hospital

  • Appointment line for CMH follow up patients
    020 8453 2230/2771 9.00am - 5.00pm Monday - Friday
  • Team co-ordinator
    020 8453 2145
  • Dr Colaco secretary
    020 8453 2237
  • Nurse helpline
    020 8453 2422

Northwick Park and St Mark's Hospitals

  • Appointments line for NPH patients
    020 8869 2398/2605 8.00am - 5.00pm Monday - Friday
  • Appointments line for CMH new patients
    020 8235 4200 8.00am - 4.00pm Monday to Friday
  • Team co-ordinator
    020 8869 2398
  • Nurse helpline
    020 8869 2249 Including voice mail service
  • Rheumatology daycare
    020 8869 5370
  • Dr Higgens secretary
    020 8869 2917
  • Dr Russell's secretary
    020 8869 2656
  • Secretary to Dr Keat and Dr Penn
    020 8869 2102
  • Secretary to Dr Batten
    020 8869 2606

Consultants and other key staff

View Rheumatology consultants »