The Fatigue Clinic London Logo

About Gerald Coakley

Gerald Coakley

Dr Gerald Coakley graduated from the Royal London Hospital Medical School in 1989. After training in Nottinghamshire and London, he was awarded an Arthritis Research Campaign Fellowship, allowing him to carry out research in immunology and immunogenetics relating to Rheumatoid Arthritis and Felty's syndrome at Guy's Hospital, part of King's College School of Medicine. This led to his PhD in 2000.

He worked as a Consultant at Queen Elizabeth Hospital, Woolwich, from 2000 to 2023, when he left his NHS practice. He was Director of Medical Education from 2003 to 2013, and Clinical Director for Dermatology, Neurology and Rheumatology at Lewisham & Greenwich from 2013 to 2018. He was Chair of the Education & Training Committee at the British Society for Rheumatology from 2019-2022.

Since 2001, he has been involved in the private sector care of people with Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS), and ran a weekly private Fatigue Clinic in London Bridge for nearly 20 years until he moved the practice online.

He runs an inter-disciplinary service for patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and related syndromes including Long Covid, via video consultation.

He sees clients for medicolegal reports either at The Harley Street Clinic or remotely or by home visit.

In addition to these interests, he also has an interest in the evidence-based management of septic arthritis, in which capacity he chaired a national guideline group and published numerous papers, including in the BMJ, The Lancet and The Lancet Infectious Diseases. He was a member of the British Society for Rheumatology’s Education and Training Committee from 2016-2022.

Please note that after 34 years of NHS practice, Dr Coakley is no longer seeing rheumatology patients in the NHS or privately. If you need a rheumatology opinion, he recommends his successor Dr Catherine Mathews at Blackheath Hospital.


Toxic epidermal necrolysis, pancytopenia and adult respiratory distress syndrome.

G Coakley, DA Isenberg

British Journal of Rheumatology 1995;34:798.

Inflammatory muscle diseases: Theoretical aspects.

G Coakley, DA Isenberg.

Rheumatology in Europe 1996;25/2:60-63.

MHC encoded TAP genes in rheumatic diseases.

G Coakley, JS Lanchbury.

Editorial. British Journal of Rheumatology 1996;35:501-503.

Perspectives on HLA and disease.

G Coakley, MA Hall, JS Lanchbury.

Chapter in 'Autoimmunity and the Eye', M Zierhut, M Raizman, H Thiel (Eds), 1997.

Acolus Press BV. IL-10 promoter polymorphisms in rheumatoid arthritis and Felty’s syndrome.

G Coakley, CC Mok, AH Hajeer, WER Ollier, D Turner, PJ Sinnott, IV Hutchinson, GS Panayi, JS Lanchbury.

British Journal of Rheumatology 1998;37:988-991.

Felty’s syndrome.

G Coakley, JS Lanchbury.

Review. Current Medical Literature - Rheumatology. Royal Society of Medicine. 1998;17/2:35-39.

Fas ligand and neutrophil apoptosis in Felty's and large granular lymphocyte syndromes.

G Coakley, M Iqbal, GS Panayi, JS Lanchbury.

Arthritis & Rheumatism 1998 Abstract 661, 41(9) (Supplement).

A Fas promoter polymorphism at position –670 in the enhancer region does not confer susceptibility to Felty’s and large granular lymphocyte syndromes.

G Coakley, N Manolios, TP Loughran Jr, GS Panayi, JS Lanchbury.

Rheumatology. 1999;38:883-886.

Current perspectives on the genetics of rheumatoid arthritis.

M Fife, G Coakley, JS Lanchbury.

Chapter in 'Rheumatoid arthritis: new frontiers in pathogenesis and treatment.' GS Firestein, GS Panayi and FA Wollheim (Eds.) 2000. Oxford University Press.

Genetic polymorphism of IL-12 p40 gene in immune-mediated disease.

MA Hall, E McGlinn, G Coakley, K Boki, A Young, D Middleton, E Kaklamani, H Moutsopoulos, TP Loughran Jr, WER Ollier, GS Panayi, JS Lanchbury.

Genes and Immunity 2000;1:219-224.

MHC haplotypic associations in Felty’s and large granular lymphocyte syndromes are secondary to allelic association with HLA-DRB1*0401.

G Coakley, D Brooks, M Iqbal, E Kondeatis, R Vaughan, TP Loughran Jr, GS Panayi, JS Lanchbury.

Rheumatology 2000;39:393-398.

CD8+CD57+ T cells from the healthy elderly suppress neutrophil development in vitro: implications for the neutropenia of Felty’s and large granular lymphocyte syndromes.

G Coakley, M Iqbal, D Brooks, GS Panayi, JS Lanchbury.

Arthritis & Rheumatism 2000;43(4):834-843.

Sjogren's syndrome associated T cell large granular lymphocyte leukemia: a possible common etiopathogenesis.

J Rheumatol

2002 Aug;29(8):1803

Autoantibodies against granulocyte-macrophage colony stimulating factor and interleukin-3 are rare in patients with Felty's syndrome.

Hellmich B, Ciaglo A, Schatz H, Coakley G.

Ann Rheum Dis. 2004;63(7):862-6

Analysis of predictors of success in the MRCP (UK) PACES examination in candidates attending a revision course.

Bessant R, Bessant D, Chesser A, Coakley G.

Postgrad Med J.2006;82(964):145-9.

Acute hot joint.

Mathews CJ, Coakley G.

British Journal of Hospital Medicine (Lond). 2006;67(5):232-4.

BSR & BHPR, BOA, RCGP and BSAC guidelines for management of the hot swollen joint in adults.

Coakley G, Mathews C, Field M et al.

Rheumatology (Oxford). 2006;45(8):1039-41

Guideline for the management of the hot swollen joint in adults with a particular focus on septic arthritis.

Weston V, Coakley G.

Journal of Antimicrobial Chemotherapy. 2006;58(3):492-3.

Polyarticular septic arthritis.

Christodoulou C, Gordon P, Coakley G.

British Medical Journal. 2006;25;333(7578):1107-8

Guidelines causing iatrogenic diseases?: reply.

Coakley G, Mathews C, Field M et al.

Rheumatology (Oxford). 2007;46(4):723-4

Management Of Septic Arthritis – A Systematic Review.

Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, Walker D, Coakley G.

Annals of Rheumatic Disease. 2007;66(4):440-5.

Future Management of Septic Arthritis.

Mathews CJ, Weston VC, Kingsley G, Coakley G.

Future Rheumatology. 2008:3(1);43-50.

Management of septic arthritis: a systematic review.

Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, Walker D, Coakley G .

Postgraduate Medical Journal. 2008; 84: 265-270.

Septic arthritis: current diagnostic and therapeutic algorithm.

Mathews CJ, Coakley G

Current Opinion in Rheumatology. 2008:20;457-462.

Septic Arthritis

Coakley G, Mathews CJ.

BMJ Point-of-Care 2008

The treatment and care of hot swollen joints.

Al-Sharkachi I, Coakley G.

Rheumatology in Practice. 2009;7(2);7-9.

Felty’s syndrome.

Coakley G, Hull D.

BMJ Point-of-Care 2009;

Seminar: Bacterial septic arthritis in Adults.

Mathews CJ, Field M, Jones A, Weston VC, Coakley G. Lancet.


Let off the leash: kala-azar following the use of tumour necrosis factor antibodies.

BMJ Case Reports 2010;10.1136/bcr.04.2010.2878

What’s new in the management of bacterial septic arthritis?

Chander S, Coakley G.

Current Infectious Disease Reports. 2011:13;478-484.

Synovial fluid tests.

Al-Shakarchi, I., Coakley, G.

Medicine 2014:42(4);202-204

Surgery is not always best for lumbar spinal stenosis.

Coakley G.

BMJ. 2016 Aug 23;354

Septic arthritis: time to rethink service delivery?

Arumalla N, Coakley G.

Lancet Infect Dis. 2020 Mar;20(3):266-267

Read Less

Recommended Reading Lists

These books provide useful information about ME/CFS, and are useful to guide self-help strategies.

Overcoming Chronic Fatigue

Mary Burgess and Trudie Chalder, 2005

Robinson, paperback

ISBN: 1841199427

This is a useful guide to the management of ME/CFS. It includes sections on how to improve sleep patterns, practical strategies for balancing activity and rest, dealing with blocks to recovery and offers advice for partners, relatives and friends.

Chronic Fatigue Syndrome (CFS/ME): The Facts

Frankie Campling and Michael Sharpe, 2005

Oxford University Press, paperback

ISBN: 0192630490

This book offers practical advice and a self-help guide based on scientific evidence. It is written jointly by a person with ME/CFS and a physician, both of whom have had extensive experience talking to, and helping patients. It deals with issues such as how to choose therapies and therapists.

Coping with Chronic Fatigue (Overcoming Common Problems)

Trudie Chalder, 1995

Sheldon Press, paperback

ISBN: 0859696855

This classic paperback has helpful and practical ways of coping with and breaking the cycle of fatigue. There are chapters on understanding fatigue, diet, drugs, improving sleeping patterns and how to plan exercise and resting routines.

Contact Us

For all general enquiries contact Secretary Anne Hillman;
Tel: 07460 719269

For invoice and billing queries please contact Hythe Hopes;
Tel: 01702 382362
Fax: 01702 384037

The Harley Street Clinic

16 Devonshire Street
London W1G 7AF

By appointment agreed with your solicitor.

© Copyright 2024 Gerald Coakley, RheumatologistWeb Design By Toolkit Websites