Dr Luigi De Michele is an expert and caring clinician with broad experience in internal medicine, elderly care medicine and emergency medicine, gained over 25 years of work between Italy, the United Kingdom and developing countries. He currently works in a multidisciplinary team focused on diagnosis for patients with suspected cancer and clinical complexity, providing clinical support throughout the diagnostic journey.

His main area of expertise is the management of frailty in elderly patients and of younger patients with comorbidities, with a focus on prevention, holistic and comprehensive assessment, and disease diagnosis.

Training & career

He took his medical degree with laude in 1997 at La Sapienza University of Rome, followed by a specialisation in Internal Medicine in 2002 at the same university. He held a consultant post in the Emergency Department at the University of Tor Vergata, Rome, before relocating to the United Kingdom, where he has worked across several hospitals in elderly care, stroke, emergency and cardiology medicine. In 2016, he set up a new service at Guy's Hospital, London, for the early diagnosis of cancer in patients with non-specific symptoms, and more recently established a similar service at King George Hospital, BHRUT. He has also spent two years on international missions in rural hospitals in Africa, with further international training in internal medicine and elderly care in Catalonia and Sri Lanka. He is a member of the Pan-London RDC group and a dedicated trainer of both GPs and Advanced Nurse Practitioners.

Can be consulted for

  • Diagnosis of non-specific conditions such as weight loss, malaise, fatigue, and non-specific abnormalities in blood tests
  • Management of comorbidities in elderly patients
  • Management of complex medical conditions and comorbidities in younger patients
  • Comprehensive geriatric and holistic assessment in frail patients