The Royal London haemophilia centre

Haemophilia team
A photo of blood cells

Specialist care for bleeding disorders

Offering treatment, research and lifelong support in one place

We care for children, young people and adults with haemophilia, Von Willebrand’s disease, platelet disorders and other rare clotting conditions.

Our team is based at The Royal London Hospital and includes specialist doctors, nurses and physiotherapists who work closely together to support you at every stage.

We provide tailored treatment plans, regular monitoring and urgent care when needed. From diagnosis to day-to-day management, we’ll help you understand your condition and feel confident managing it.

We also take part in world-leading research into bleeding disorders and are at the forefront of new and emerging treatments, including precision medicine.

clinical care

Member of staff looking at a scan on a computer

Your care, built around you

Dedicated support from our expert team

Our team at The Royal London Hospital includes specialist consultants, nurses, physiotherapists, and biomedical scientists. We work together to deliver personalised care and treatment for children, adults and families.

We offer:

  • 24/7 emergency care and advice
  • Individual treatment plans, including clotting factor replacement
  • Homecare support, including pharmacy and delivery
  • Weekly consultant-led, nurse-led and physio-led clinics
  • Help with elective and emergency surgery
  • Close links with dental, hepatology, orthopaedics and infectious diseases teams
  1. Staff smiling at patient
    Appointments
  2. Two members of staff transporting a patient in a bed
    What should I bring to hospital?
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    Contact us

Living well

staff using sbh wellbeing hub

Living well with a bleeding disorder

Personalised care to help you thrive at every stage of life

We understand that care goes beyond medicines. Our team offers practical, emotional and peer-led support to help you manage life with a bleeding disorder.

We provide:

  • Access to psychology and counselling
  • Support groups and workshops
  • Education for newly diagnosed families
  • Joint clinics with gynaecology and obstetrics
  • Liaison with schools and GPs
  • Vaccination planning and school nurse coordination
  • Specialist dental care for patients with severe bleeding disorders

Infected Blood Psychology Service

Three tubes of blood on a paper request form

Support for people affected by infected blood

Specialist psychological and social care shaped around your needs

The Infected Blood Psychology Service (IBPS) offers support to anyone infected or affected by contaminated blood or blood products. Based at The Royal London Hospital, our team is part of a national NHS service set up in response to the Infected Blood Inquiry.

We understand how deeply lives have been impacted, and our aim is to offer care that’s compassionate, practical and shaped by your experience. Support is available in person, by phone or by video call.

Our small, specialist team includes a social worker — your first point of contact — and a clinical psychologist. Together they’ll help with emotional wellbeing, therapy, and practical matters like housing, benefits, or accessing wider health services.

You can refer yourself directly to the service. Once we receive your referral, we’ll contact you to arrange an appointment. Please note, your appointment may appear under “Clinical Haematology.”

If you need urgent support, please call 999 or 111, visit your nearest A&E, call Samaritans on 116 123 or text SHOUT to 85258.

Further support

Information for clinicians

Computer with keyboard and office chair

Referring patients with easy bruising or bleeding

Guidance for GPs and primary care teams

If your patient presents with unexplained bruising or frequent bleeding in more than one area, please refer them to us for further investigation.

When to refer

Please refer if your patient has one or more of the following:

  • Recurrent or excessive bruising, especially from a young age
  • Prolonged bleeding after minor injuries
  • Excessive bleeding following surgery or dental work
  • Unexplained bleeding without a clear cause
  • Family history of a bleeding disorder

Recommended tests in primary care

Before referral, please carry out the following:

  • Full blood count (FBC)
  • Clotting screen: PT and APTT
  • Fibrinogen levels
  • Liver function tests
  • Iron studies

We also recommend using the ISTH Bleeding Assessment Tool.

If the assessment suggests concern, or test results are abnormal, please contact us via the NHS Advice and Guidance portal.

Prescribing Tranexamic acid

We recommend that patients with bleeding disorders have Tranexamic acid 1g TDS available on repeat prescription for use when bleeding occurs. However it should not be taken if the patient has visible blood in their urine (haematuria).

Contact the team

Smiling nurse on telephone

Contact us

We're here to help

Email us if you want to:

  • Request a travel letter
  • Get a non-urgent call back (we aim to respond within 2–3 working days)
  • Book or change a routine appointment with nursing or physio
  • Request routine blood tests
  • Update your contact details or appointments
  • Arrange treatment collection or home delivery
  • Discuss upcoming surgery or dental work
  • Ask for a new bleeding disorders card

Email us

Call us if:

  • You’ve received a voicemail asking you to call
  • You need urgent support or a same-day response

Please note: our clinical team often manages high and unpredictable demand. If needed, your request may be rescheduled — but we’ll always prioritise urgent care.

Phone us: 020 3594 1869 (Mon-Fri 09.00-17.00)

Out of hours emergency, phone: 020 7377 7000 and ask for the on-call haematology registrar.

Further information

Volunteer Val speaks to a patient at Whipps Cross Hospital

Further information

Learn more and access trusted resources

Our patient information

We work closely with others to support you and your family

Haemostasis consultants

  1. Dr Janine Collins

    Consultant

  2. Dr Laura Aiken

    Consultant

  3. Dr Louise Bowles

    Consultant
    Louise Bowles consultant photo

  4. Professor Paul Telfer

    Consultant

  5. Dr Priyanka Makhija

    Consultant

  6. Dr Suthesh Sivapalaratnam

    Consultant
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