For Rheumatology patients taking immunosuppressant/biologic drugs please visit the British Society of Rheumatology website for the latest update and further guidance:

The rheumatology service focuses on the diagnosis and management of inflammatory and degenerative joint disorders such as rheumatoid arthritis, osteoporosis and soft tissue rheumatology, for example, frozen shoulder.

  • Investigation and management of inflammatory joint disease and connective tissue disorders
  • Investigation and management of soft tissue rheumatism
  • Investigation and management of back pain
  • In-patient rehabilitation service for patients with ankylosing spondylitis and rheumatoid arthritis
  • In-patient rehabilitation service for patients with hypermobility and chronic pain
  • Multi-disciplinary management of chronic rheumatic disorders in liaison with experienced orthopaedic physiotherapists, occupational therapists and clinical psychologists
  • Telephone hotline advisory service with Rheumatology Nurse Specialist
  • Close collaboration with orthopaedic surgeons
  • Combined clinics/close collaboration with physiotherapists, occupational therapists and podiatrists

Please refer to the documentation below for information on our referral acceptance criteria for Hypermobility, and for a copy of our referral proforma that will need to be included with any referral into the hypermobility service. Please see the documents at the bottom of this page.

From Wednesday 4 May 2022, the RNOH Sport, Exercise and Musculoskeletal Medicine service committed to using ‘PATHPOINT’, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations.

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS)- please see below.

PATHPOINT offers significant benefits to referrers:

  • Secure, streamlined, electronic referral forms
  • Receive updates and notifications in real time
  • Increased visibility of all referrals and triage outcomes

To submit a referral to Rheumatology please access the 'PATHPOINT' link (within your Secure hospital network) and follow the steps below:

  1. Register with your personal NHS email address for a PATHPOINT account to manage your referral/s
  2. Login to your account with your credentials by clicking the 'PATHPOINT' link
  3. Input your referring organisation, and patient PID details
  4. Click the drop down list of referral pathway forms and select "Rheumatology" and click "Go to referral form" to launch the form
  5. Fill in all fields of the Tertiary Rheumatology Unit referral form and click "Save Rheumatology"

NB: You will receive notification emails to your NHS email account from PATHPOINT from the Rheumatology Unit​​​​​​​ with updates about the status of your referral if further information is required. 

To give your feedback, or for any further questions, please email the relevant contact below: 

PATHPOINT Technical Support: 

For further information on the PATHPOINT system, please click here

Referrals are accepted from GPs and consultants. If you are a GP referring to the RNOH please use the NHS e-Referral Service system, e-RS. 


Rheumatology - Secretary and Administration 020 3947 0044
Metabolic Bone Disease Unit - Secretary and Administration 020 3947 0056
Rheumatology Nurse Specialist - Advice Line 020 3947 0184



As well as general rheumatology, our consultants provide specialist opinion in the following areas:

Dr Helen Cohen - Hypermobility, Complex Regional Pain Syndrome, chronic pain and Fibromyalgia

Dr Gayatri Mittal - Ankylosing Spondylitis, early inflammatory arthritis, gout, hypermobility

Dr Sanam Kia - Hypermobility, Complex Regional Pain Syndrome, chronic pain and Fibromyalgia,