Clinical Immunology
The Royal Perth Hospital Department of Clinical Immunology provides a tertiary, 24 hour, 7 day a week, multidisciplinary service for outpatients and inpatients across the East Metropolitan Health Service. The department accepts referrals for:
- Immunodeficiency, including HIV infection and inborn errors of immunity.
- Systemic autoimmune and autoinflammatory diseases, such as vasculitis, sarcoid, Behcet’s, idiopathic inflammatory myopathies, mixed connective tissue disease, and SLE.
- Allergy, including the diagnostic evaluation and management of medication, insect and food allergy.
Our team includes medical specialists, trainee doctors, nursing, pharmacy, dietetics, psychology and social work. The department delivers over 12,000 outpatient appointments annually, in addition to a busy inpatient consultation and admission service. Our specialists contribute to multidisciplinary team meetings with other departments including respiratory, nephrology, infectious diseases and public health.
Dr David Nolan
Dr Mina John
Dr Kevin O’Connor
Dr Matthew Krummenacher
Dr Elina Tan
Dr Dinusha Chandratilleke
Dr Shauna Beech
Dr Craig Shaw
RPH has provided a specialist HIV Service since 1986 and is the largest tertiary HIV service in Australia. It has a caseload of approximately 1700 people, with 10% considered complex and vulnerable.
People Living with HIV (PLHIV) can expect to live a normal, healthy life if they remain on antiretroviral therapy (ART) with near-perfect adherence. This treatment has been in the form of daily oral therapy until the development of long-acting antiretroviral therapy (LAI ART) which was made available in Australia in 2022. This treatment is delivered as two injections administered every two months.
The RPH LAI ART Clinic, often referred to as the JABS clinic, began as a feasibility trial in 2022. RPH is the largest single-site provider of LAI ART in the country, and the team are seen as leaders within the space. Currently, the service provides LAI ART to several hundred patients and is developing partnerships with external providers to ensure accessibility in community-based clinics.
This initiative also demonstrates a commitment to clinical excellence, with the RPH HIV Service’s lead consultants Dr David Nolan and Dr Mina John and HIV Nurse Practitioner Leah Williams, continuing to be recognised as HIV clinical care experts within national and international forums. The team were finalists in the WA Health Excellence Awards and winners of the person-centred care award at the RPBG Nursing and Midwifery Awards.