the london rectal clinic

THE LONDON RECTAL CLINIC
AT
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
T: + 44 (0)20 7563 1234
F: + 44 (0)20 7563 1212
E: [email protected]
www.108harleystreet.co.uk
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
R ECTA
L
THE
L CLINIC
OTNHDEO N
LONDON
R E C TA L
RCELCI N
TA
I CL
CLINIC
THE LONDON RECTAL CLINIC
THE LONDON RECTAL CLINIC
THE LONDON RECTAL CLINIC
AT
AT
ATT
A
ABOUT US
ABOUT
USRectal Clinic provides the highest professional standards of
The
London
The London
Rectal
Clinic
provides
thereassuring
highest professional
dedicated
care
within
a friendly
and
enviroment.standards of
dedicated care within a friendly and reassuring enviroment.
All treatment programmes are individually tailored to suit your needs with
All treatment
programmes
arespecialist
individually
to suit your
needs
with to
members
of our
experienced
caretailored
team working
closely
together
members
of our peace
experienced
care team
working closely together to
ensure
ultimate
of mindspecialist
and minimum
delays.
ensure ultimate peace of mind and minimum delays.
ABOUT US
The London Rectal Clinic provides the highest professional standards of
dedicated care within a friendly and reassuring enviroment.
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
OUR
APPROACH
All treatment
programmes are individually tailored to suit your needs with
OUR APPROACH
People
visit The London Rectal Clinic, at 108 Harley Street, for a variety of
members
ofThe
ourcommonly,
experienced
team
working
closely
together
People
London
Rectal
Clinic,been
atcare
108
Harley
for apractitioner
variety
of to
reasons;visit
most
theyspecialist
have
referred
byStreet,
a medical
reasons; an
most
commonly,has
they have
been referred
by a medical
because
abnormality
and a surgical
opinionpractitioner
is required.
ensure
peace ofhas
mindbeen
andnoticed
minimum
becauseultimate
an abnormality
been
noticed
anddelays.
a surgical opinion is required.
The clinic is dedicated to minimising patient anxiety. The colorectal
The
clinic is dedicated
to available
minimising
anxiety.
Thehaving
colorectal
anxiety
and
rapid access
consultants
are currently
onpatient
Thursday
and Fridays,
so appointments
consultants
areoffered
currently
available
on Thursday
Fridays, so appointments
to
consultation
and
investigation.
can
usually be
within
a maximum
of 72and
hours.
can usually be offered within a maximum of 72 hours.
The clinics held in our relaxed and friendly premises, are designed to lead to a
The clinics
held in our
relaxed and
friendly
premises,
are designed
to lead to a
rapid,
yet accurate,
diagnosis.
During
an initial
meeting
with the consultant
rapid, yetaaccurate,
an initial
meeting
with physical
the consultant
surgeon,
thoroughdiagnosis.
history willDuring
be taken
followed
by expert
surgeon,
a thorough
history
will be taken
by expert
examination.
Facilities
are available
onsite,followed
at 108 X-Ray
and physical
Imaging, should
examination.
Facilities
are available
onsite, at 108
X-Ray
should
x-ray
or ultrasound
investigation
be required.
Other
testsand
canImaging,
be undertaken
x-ray
or ultrasound
at
partner
facilities. investigation be required. Other tests can be undertaken
at partner facilities.
Once diagnosis has been confirmed, appropriate treatment can be
Once diagnosis has
confirmed,
treatment
beeach
recommended.
Thisbeen
treatment
will beappropriate
discussed and
agreedcan
with
recommended.
This
treatment
be discussed
and agreed
with each
individual
patient,
it may
involvewill
surgical
intervention,
or ongoing
medical
individual
patient,
it
may
involve
surgical
intervention,
or
ongoing
medical
management of the condition.
management of the condition.
OUR APPROACH
People visit The London Rectal Clinic, at 108 Harley Street, for a variety of
reasons; most commonly, they have been referred by a medical practitioner
because an abnormality has been noticed and a surgical opinion is required.
The clinic is dedicated to minimising patient anxiety. The colorectal
consultants are currently available on Thursday and Fridays, so appointments
can usually be offered within a maximum of 72 hours.
The clinics held in our relaxed and friendly premises, are designed to lead to a
rapid, yet accurate, diagnosis. During an initial meeting with the consultant
surgeon, a thorough history will be taken followed by expert physical
examination. Facilities are available onsite, at 108 X-Ray and Imaging, should
x-ray or ultrasound investigation be required. Other tests can be undertaken
at partner facilities.
Once diagnosis has been confirmed, appropriate treatment can be
recommended. This treatment will be discussed and agreed with each
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E:
W: www.108harleystreet.co.uk
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(0)20 7563
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7563
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patient,
surgical
E: [email protected] W: www.108harleystreet.co.uk
management of the condition.
FACILITIES AND SERVICES
FACILITIES AND SERVICES
THE
L OTNHDEO N
LROENC D
O LN
TA
RCELCI N
TA
I CL
CLINIC
AAT
T
AT
The services provided are:
The services provided are:
Out-patient
• Consultation
Out-patient
Proctoscopy
• Consultation
• Rigid
sigmoidoscopy
Proctoscopy
Haemorrhoid
injection
• Rigid
sigmoidoscopy
banding
• Haemorrhoid injection
Rectal biopsy banding
• Haemorrhoid
• Rectal biopsy
Day Surgery: Conditions Investigated & Procedures Undertaken
• Haemorrhoidectomy
Day
Surgery: Conditions Investigated & Procedures Undertaken
Fissure – Creams / Botox / Lateral sphincterotomy / Flaps
• Haemorrhoidectomy
Pilonidal– sinus
– Excision
closure
/ Rotational fl/ aps
• Fissure
Creams
/ Botox and
/ Lateral
sphincterotomy
Flaps
Anal sepsis
and– fiExcision
stula in and
ano closure / Rotational flaps
• Pilonidal
sinus
Rectalsepsis
prolapse
• Anal
and fistula in ano
• Pruritis
ani
/
faecal soiling
Rectal prolapse
Excisionani
of /anal
polyps
/ lesions / warts
• Pruritis
faecal
soiling
Colonoscopy
– diagnostic
and polypectomy
• Excision
of anal
polyps / lesions
/ warts
Flexible sigmoidoscopy
• Colonoscopy
– diagnostic and polypectomy
Endoscopy
• Flexible
sigmoidoscopy
In Patient Colorectal Surgery
Colon and
rectal cancer
resection In •Patient
Colorectal
Surgery
increasingly
laparoscopic
assisted surgery
• Colon
and rectal
cancer resection
• Diverticular
/ Diverticulitis
increasingly Disease
laparoscopic
assisted surgery
Ulcerative Colitis
and/ Diverticulitis
Crohn’s Disease
• Diverticular
Disease
• Ulcerative Colitis and Crohn’s Disease
In Patient General Surgery
Laparoscopic
appendicectomy
In •Patient
General
Surgery
cholecystectomy
• Laparoscopic appendicectomy
Abdominal hernia
repair – increasingly via laparoscope
• Laparoscopic
cholecystectomy
• Abdominal hernia repair – increasingly via laparoscope
• Bariatric (weight loss)
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected]
W:1234
www.108harleystreet.co.uk
T: + 44 (0)20 7563
F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
THE
THE
LONDON
LONDON
R E C TA L
R E C TA L
CLINIC
CLINIC
aspects of colorectal surgery, in particular investigation of
anorectal conditions and fistula-in-ano. He is presently
undertaking collaborative research on laparoscopic
resection of colorectal cancer.
THE
THE TEAM
TEAM II CONSULTANTS
CONSULTANTS
AT
AT
The Consultant team at The London Rectal Clinic offers the
The Consultant team at The London Rectal Clinic offers the
best possible assessment of colorectal and general surgical
best possible assessment of colorectal and general surgical
conditions with the support of radiologists, pathologists,
conditions with the support of radiologists, pathologists,
oncologists, nurses and other experienced health professionals;
oncologists, nurses and other experienced health professionals;
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
CONSULTANT SURGEON
CONSULTANT SURGEON
Mr Gordon Buchanan MD MSc FRCS (Gen)
Mr Gordon Buchanan MD MSc FRCS (Gen)
Gordon Buchanan is Consultant Colorectal and General
Gordon Buchanan is Consultant Colorectal and General
Surgeon at Charing Cross and Hammersmith Hospitals,
Surgeon at Charing Cross and Hammersmith Hospitals,
London. He is experienced in carrying out a wide variety
London. He is experienced in carrying out a wide variety
of Colorectal and General Surgical procedures.
of Colorectal and General Surgical procedures.
He graduated from St. Thomas’ Hospital, London and
He graduated from St. Thomas’ Hospital, London and
undertook colorectal and general surgical training in
colorectal
T: + 44 (0)20 7563 1234 F: undertook
+ 44 (0)20 7563
1212and general surgical training in
South
East England.
He also received advanced colorectal
SouthW:
East
England. He also received advanced colorectal
E: [email protected]
www.108harleystreet.co.uk
training at St. Mark’s Hospital, Harrow, St. Thomas’
training at St. Mark’s Hospital, Harrow, St. Thomas’
Hospital, London and Mount Sinai Hospital, Toronto,
Hospital, London and Mount Sinai Hospital, Toronto,
Canada.
Canada.
During additional laparoscopic colorectal training
During additional laparoscopic colorectal training
fellowships, in Colchester and Yeovil, Gordon Buchanan
fellowships, in Colchester and Yeovil, Gordon Buchanan
undertook laparoscopic appendicectomy and day case
undertook laparoscopic appendicectomy and day case
laparoscopic cholecystectomy, as well as benign and
laparoscopic cholecystectomy, as well as benign and
malignant laparoscopic colorectal resection. He also
malignant laparoscopic colorectal resection. He also
undertook research at St. Mark’s Hospital and Imperial
undertook research at St. Mark’s Hospital and Imperial
College, London. He has published papers on many
College, London. He has published papers on many
aspects of colorectal surgery, in particular investigation of
aspects of colorectal surgery, in particular investigation of
anorectal conditions and fistula-in-ano. He is presently
anorectal conditions and fistula-in-ano. He is presently
undertaking collaborative research on laparoscopic
undertaking collaborative research on laparoscopic
resection of colorectal cancer.
resection of colorectal cancer.
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
E: [email protected] W: www.108harleystreet.co.uk
complex recurrent pilonidal disease and day case surgery for
haemorrhoids.
His special interests are rectal bleed, colonoscopy, colorectal
cancer, management of fissures, haemorrhoids and pilonidal
sinus disease, and he is a specialist in the surgical treatment
of Crohn’s disease and ulcerative colitis.
THE TEAM I CONSULTANTS
CLINIC
AT
TAHTE
LONDON
R E C TA L
CLINIC
AT
CONSULTANT SURGEON
Mr
Emin Carapeti
MBBS MD FRCS (Gen)
CONSULTANT
SURGEON
Emin Carapeti is Consultant General and Colorectal Surgeon
Mr Emin Carapeti MBBS MD FRCS (Gen)
at Guy’s and St. Thomas’ Hospitals. He is a Member of
Emin Carapeti is Consultant General and Colorectal Surgeon
Council of the Section of Coloproctology of the Royal Society
at Guy’s and St. Thomas’ Hospitals. He is a Member of
of Medicine, a member of the Association of Coloproctology
Council of the Section of Coloproctology of the Royal Society
of Great Britain and Ireland and an examiner in surgery at the
of Medicine, a member of the Association of Coloproctology
CONSULTANT
Royal
College ofSURGEON
Surgeons of England.
of Great Britain and Ireland and an examiner in surgery at the
Mrgraduated
Emin
Carapeti
MBBS
FRCS
(Gen)and undertook
He
from
Guy’s
Hospital,
London
Royal
College
of
Surgeons
ofMD
England.
Emin
Carapeti
is Consultant
General
Colorectal
Surgeon
his
training
in London
and South
Eastand
England.
His specialist
He graduated from Guy’s Hospital, London and undertook
at Guy’s was
and at
St.St.
Thomas’
is a Member
of
training
Mark’s Hospitals.
Hospital inHe
London
and Mount
his training in London and South East England. His specialist
Council
of theinSection
of where
Coloproctology
of thehisRoyal
Society
Sinai
Hospital
Toronto,
he developed
interest
and
training was at St. Mark’s Hospital in London and Mount
of Medicine,
a member
of theof
Association
ofammatory
Coloproctology
expertise
in the
management
complex infl
bowel
Sinai Hospital in Toronto, where he developed his interest and
of Greatand
Britain
and Ireland
and an examiner in surgery at the
disease
anorectal
disorders.
expertise in the management of complex inflammatory bowel
Royal
College
of
Surgeons
of
England.
His
thesis
and
main research
was
in the treatment of
disease
and
anorectal
disorders.
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He
graduated
from
Guy’s
Hospital,
and
undertook
haemorrhoids and fissure-in-ano at London
St.
Mark’s
he1212
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and main research was inW:
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www.108harleystreet.co.uk
his training
in the
London
andofSouth
East (MD)
England.
Hisinspecialist
was
awarded
Doctor
Medicine
degree
2000.
haemorrhoids and fissure-in-ano at St. Mark’s Hospital and he
training
was at St.widely
Mark’son
Hospital
in London
and
Mount
He
has published
anorectal
disorders
and
pilonidal
was awarded the Doctor of Medicine (MD) degree in 2000.
Sinai
in Toronto,
where he
developed
his interestinand
sinus Hospital
disease and
has pioneered
new
surgical techniques
He has published widely on anorectal disorders and pilonidal
expertise recurrent
in the management
of complex
inflcase
ammatory
complex
pilonidal disease
and day
surgerybowel
for
sinus disease and has pioneered new surgical techniques in
disease and anorectal disorders.
haemorrhoids.
complex recurrent pilonidal disease and day case surgery for
thesis and
main are
research
in the
treatment colorectal
of
His
special
interests
rectalwas
bleed,
colonoscopy,
haemorrhoids.
haemorrhoids
and fissure-in-ano
at St. Mark’s Hospital
and he
cancer,
management
of fissures, haemorrhoids
and pilonidal
His special interests are rectal bleed, colonoscopy, colorectal
was awarded
Medicine
(MD)
degreetreatment
in 2000.
sinus
disease, the
andDoctor
he is a of
specialist
in the
surgical
cancer, management of fissures, haemorrhoids and pilonidal
HeCrohn’s
has published
on anorectal
disorders and pilonidal
of
diseasewidely
and ulcerative
colitis.
sinus disease, and he is a specialist in the surgical treatment
sinus disease and has pioneered new surgical techniques in
of Crohn’s disease and ulcerative colitis.
complex recurrent pilonidal disease and day case surgery for
haemorrhoids.
His special interests are rectal bleed, colonoscopy, colorectal
cancer, management of fissures, haemorrhoids and pilonidal
sinus disease, and he is a specialist in the surgical treatment
of Crohn’s disease and ulcerative colitis.
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
THE
LONDON
R E C TA L
CLINIC
THE TEAM I CONSULTANTS
AT
CONSULTANT SURGEON
Mr. Ahmed R Ahmed BSc(Hons) FRCS (Gen)
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
Mr Ahmed is a Consultant Surgeon at Charing Cross Hospital,
Imperial College London. He set up and heads the bariatric
and metabolic surgery unit which is now a leading unit in the
UK designated as an NHS preferred provider and provisionally
recognised as an International Bariatric Surgery Centre of
Excellence ASMBS.
He trained at University College London and Middlessex
Hospital School of Medicine. Prior to his Consultant
appointment he undertook extensive training in laparoscopic
(keyhole) surgery in both the UK and USA.
Ahmed’s main areas of interest are;
• Laparoscopic weight loss / bariatric surgery
• Laparoscopic general surgery eg gallbladder / hernias etc
• Emergency surgery eg appendictomy
• Endoscopy
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
THE
ONDON
R E C TA L
CLINIC
THE TEAM I CONSULTANTS
MULTI-DISCIPLINARY
TEAM
& MEDICAL ADVISORY COMMITTEE
AT
THE
LONDON
R E C TA L
CLINIC
AT
anaged and audited by the Consultant Team
s in their field and specially selected for their
ent aspects of disease and cancer care.
MEDICAL
specialist nurses and other support staff in
s, to ensure that each patient receives the
or their own particular
problem.
Every patient’s
case is assessed, managed and audited by the Consultant Team
at 108 Harley Street; all are leaders in their field and specially selected for their
expertise and experience in different aspects of disease and cancer care.
ay team working, there are regular meetings
Theupdates
Consultants and
all work
with our specialist
and educational
reviews,
as nurses and other support staff in
integrated multi-disciplinary teams, to ensure that each patient receives the
best possible treatment required for their own particular problem.
In addition to the routine day to day team working, there are regular meetings
regulates the admitting
rights
the
which cover clinical,
bestand
practice
and educational updates and reviews, as
well as detailed case audit.
s working at 108 Harley Street, as well as
The Medical Advisory Committee regulates the admitting rights and the
clinical governance of Consultants working at 108 Harley Street, as well as
disciplinary matters.
mittee
are:
committee
are:
The current
members
of the
are:
The
current
members
ofcommittee
the committee
are:
hairman)
Mr
O
J
A
Gilmore,
Surgeon
(Chairman)
Mr Simon Marsh, Surgeon (Chairman)
O J Simon
A Gilmore,
Surgeon
(Chairman)
Mr
Marsh,
Surgeon
(Vice-Chairman)
man)
e-Chairman) Mr
Dr Nick Perry,
Radiologist
Dr Nick
Perry,
Radiologist
(Vice-Chairman)
Miss
Miss Fiona
Fiona Macneill,
MacNeill,Surgeon
Surgeon
hairman)
MissMiss
Fiona
Macneill,
Surgeon
Tena
Walters,
Surgeon
Miss Tena Walters,
Surgeon
MissDr
Walters,
Surgeon
Nick
Perry,
Radiologist
DrTena
Felicity
Muncey,
Radiologist
Mr Dr
Simon
Marsh,
Surgeon
Felicity
Muncey,
Radiologist
Dr William Teh, Radiologist
Dr Felicity
Muncey,
Radiologist
Dr
Teh,
Radiologist
Dr William
Carmel
Coulter,
Oncologist
Dr William
Teh,
Radiologist
Dr
Coulter,
Oncologist
Dr Carmel
Alison
Jones,
Oncologist
Dr Carmel
Oncologist
Dr Alison
CliveCoulter,
Wells,
Dr
Jones,Cytologist
Oncologist& Histopathologist
Dr Alison
Jones,
Oncologist
Mr
Emin
Carapeti,
Surgeon
Dr Clive Wells, Cytologist
& Histopathologist
Dr Nick
Plowman,
Oncologist
Dr Clive
Wells,
Cytologist
& Histopathologist
Mr
Emin
Carapeti,
Surgeon
Dr Julia Scarisbrick, Dermatologist
Mr Stuart James, Plastic Surgeon
stopathologist
pathologist
+ 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563T: 1212
E: [email protected]
W: www.108harleystreet.co.uk
E: [email protected]
W: www.108harleystreet.co.uk
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
THE
LONDON
R E C TA L
CLINIC
THE
TEAM
I CONSULTANTS
WHAT
TO EXPECT
I RECEPTION
AT
AT
YOUR FIRST VISIT TO THE LONDON RECTAL CLINIC
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
THE
LONDO
R E C TA L
CLINIC
Reception
On your first visit to the clinic, you will be greeted by a receptionist, who will
collect any referral letters, x-rays, test results or other information that you
have brought with you. These will be passed to the consultant surgeon. It
is helpful if you can arrive at least 15 minutes prior to the time of your first
appointment, so that any outstanding personal information can be obtained
and so the consultant has time to review any information that you have
brought with you.
You can then take a seat in the waiting room, where a medical secretary may
see you, if any personal information is still required.
A nurse will take you to meet the consultant surgeon. A spouse, partner,
relative or friend can accompany you, or the nurse can stay with you during
your consultation and examination.
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563T:1212
+ 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected]
W: www.108harleystreet.co.uk
E: [email protected]
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THE
ONDON
R E C TA L
CLINIC
TAHTE
ONDON
R E C TA L
CLINIC
AT
THE
LONDON
R E C TA L
CLINIC
THE
LONDON
R E C TA L
CLINIC
THE
WHAT TO
WHAT
EXPECT
TO EXPECT
LONDON
R E C TA L
I INITIAL
I CONSULTATION
INITIAL CONSULTATION
THE TEAM
CONSULTANTS
WHAT
TO EXPECT
CLINIC
AT
AT
I INITIAL CONSULTATION
AT
INITIAL CONSULTATION
INITIAL CONSULTATION
Whether you have
Whether
referredyou
yourself,
have referred
or been yourself,
referred by
or been
a GP or
referred
other by a GP or
medical specialist,medical
the consultant
specialist,surgeon
the consultant
will discuss
surgeon
the nature
will discuss
of yourthe natur
INITIAL CONSULTATION
problem
andorany
problem
other
relevant
andbyany
information,
other
relevant
suchinformation,
as your general
suchmedical
as your gener
Whether you have referred
yourself,
been
referred
a GP
or other
history
and
family
history
history.
and
A
family
thorough
history.
examination
A
thorough
will
follow.
examination
The
nurse
will follow.
can
medical specialist, the consultant surgeon will discuss the nature of your
be present
duringbe
this
present
examination.
this examination.
problem and any other relevant
information,
such
as during
your general
medical
history and family history. A thorough examination will follow. The nurse can
The consultant surgeon
The consultant
will discuss
surgeon
your care
will discuss
with you,
your
and
care
may
with
request
you, and may
be present during this examination.
INITIAL CONSULTATION
investigations andinvestigations
tests to assistand
withtests
the to
diagnosis.
assist with the diagnosis.
Whether you have referred yourself, or been referred by a GP or other
The consultant surgeon will discuss your care with you, and may request
medical specialist, the consultant surgeon will discuss the nature of your
Anassist
appointment
will
appointment
be arranged for
willabe
follow
arranged
up consultation,
for a follow to
upM
discuss
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t
investigations and tests to
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diagnosis.
E D I C the
AL
problem and any other relevant information, such as your general medical
outcome of the investigations
outcome of the
andinvestigations
any ongoing and
treatment
any ongoing
plan. CHAMBERS
treatment plan.
history and family history. A thorough examination will follow. The nurse can
108 HARLEY STREET
An appointment will be arranged for a follow up consultation, to discuss the
LONDON WIG 7ET
be present during this examination.
The consultant
surgeon
The consultant
will writesurgeon
to
your will
GP and
writeany
to your
otherGP
referring
and any
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other refe
outcome of the investigations
and any ongoing
treatment
plan.
and relevant specialists,
and relevant
summarising
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yoursummarising
consultationyour
and consultation
the planned and the
The consultant surgeon will discuss your care with you, and may request
investigations.
Copies
investigations.
of any
the other
letter
Copies
can
be
of sent
the
letter
to you,
canif be
requested.
sent to you,
The consultant surgeon will
write to your
GP and
referring
doctor
T Letters
H Eif reques
investigations and tests to assist with the diagnosis.
will also be sent
will
also
all subsequent
be sent
consultations,
all
subsequent
and
consultations,
as the results
and
and relevant specialists, summarising
yourafter
consultation
andafter
the
planned
L O Nof
D OasNthe re
available.
investigations. Copies ofinvestigations
the letter canbecome
beinvestigations
sent available.
to you, ifbecome
requested.
Letters
R E C TA L
An appointment will be arranged for a follow up consultation, to discuss the
will also be sent after all subsequent consultations, and as the results of
CLINIC
outcome of the investigations and any ongoing treatment plan.
investigations become available.
WHAT TO EXPECT
I INITIAL CONSULTATION
WHAT TO EXPECT
ITheFOLLOW
UP APPOINTMENT
consultant surgeon will write to your GP and any other referring doctor
and relevant specialists, summarising your consultation and the planned
investigations. Copies of the letter can be sent to you, if requested. Letters
FOLLOW
APPOINTMENT
will also beUP
sent
after all subsequent consultations, and as the results of
The
consultantbecome
surgeonavailable.
will discuss with you the results of the investigations
investigations
carried out. He will recommend appropriate treatment and you will then
have the opportunity to ask questions and discuss the benefits and any
contra-indications of the treatment proposed.
AT
If surgery is indicated, the proposed operation will be explained. This may be
as a day patient, at 108 Harley Street, or may require admission to hospital.
All patient care is based on informed consent; you will always know exactly
what operation you will be undergoing, before admission and will not be
asked to agree to further or alternative procedures. Surgery can be arranged
for a mutually convenient date and confirmed upon pre-authorisation by
medical insurers, where relevant.
If no surgery is required, you will be discharged back to the care of your GP
and other referring specialists but you may return should the problems recur.
Following surgery all patients are offered follow up appointments, as
required.
T: + 44 (0)20 7563T:1234
+ 44 (0)20
F: + 44
7563
(0)20
1234
7563F:1212
+ 44 (0)20 7563 1212
E: [email protected]
E: [email protected]
W: www.108harleystreet.co.uk
W: www.108harleystreet.co.uk
T: +1212
44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563
E: [email protected]
W: www.108harleystreet.co.uk
E: [email protected]
W: www.108harleystreet.co.uk
THE
LONDON
R E C TA L
CLINIC
WHAT TO EXPECT I SURGERY
AT
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
SURGERY
If an operation is required, it can be arranged immediately, for the first
mutually convenient date for you and your surgeon. Surgery, under general
anaesthetic, takes place at a partner hospital and The London Rectal Clinic
staff will make the booking for you. The partner hospital is recognised by
all medical insurance companies, however it is important that you confirm
with your insurers that the hospital is included among those covered by your
policy. Each patient is given a full estimate of the professional fees for the
surgery, including anaesthesia and an indication of the length of inpatient stay
required.
Patients are usually admitted to hospital on the morning of operation. On
arrival, a hospital administrator will ask for contact information and confirm
your method of payment. Insured patients should bring insurance company
and policy details with them. Once admitted to your room, a nurse will
confirm your personal details and answer any questions concerning hospital
procedures. A bracelet is attached to each patient’s wrist with their name
and hospital number. Any further investigations, such as blood tests or x-rays
requested by your consultant surgeon will be undertaken.
Before the operation, the surgeon will visit, answer any further questions and
ask the patient to sign a consent form for the procedure; he will visit again
post-operatively. The consultant anaesthetist will also make a pre-operative
visit to ask relevant questions and explain the method of anaesthesia, he will
also visit again after surgery.
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
THE
LONDON
R E C TA L
CLINIC
ACCOUNTS
AT
Our objective is to provide
the highest standard of
professional care with
the minimum of delay,
in relaxed and friendly
surroundings.
If you would like to discuss
any aspect of your account,
please don’t hesitate
to contact the Accounts
Department on
020 7563 1234.
Insured Patients
All the consultation, investigations and procedures at 108 Harley Street are
routinely covered as outpatient treatment and are paid by medical insurers
subject to policy terms, benefit limits, conditions, exclusions and excesses.
The Consultants at 108 Harley Street are able to request these investigations
as part of the original claim so a further pre-authorisation is not usually
required but you should check with your insurer if this is their policy.
Patients who have been referred by a Doctor not based at 108 Harley Street
should also be covered under their original claim reference but again it is
better to check with the insurer.
Own Account
If you are paying your own account, you are requested to settle all invoices on
receipt this will usually be at the time of treatment.
An indication of investigation fees can be given in advance of any
appointment based upon standard outcomes but these are for guidance only
and are not binding.
Sponsored Patients
If you are being sponsored by your employer or other third party please bring
a letter of guarantee signed by your sponsor to your first appointment with
a Consultant. The letter should outline the scope of cover being paid for on
your behalf e.g. consultations, investigations, surgery or provide a monetary
limit. If this is not provided you will be regarded as a self paying patient and
asked to settle the account at the time of treatment.
T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212
E: [email protected] W: www.108harleystreet.co.uk
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
• Regents Park - Bakerloo Line
• Oxford Circus - Bakerloo, Central and Victoria Lines
The London Rectal Clinic is a division of The London Breast Clinic Ltd.
CONTACT
US in England and Wales
Reg No 2520520. Registered
• Great Portland Street - Circle, Metropolitan,
Registered Offi
ce:
Hammersmi
th and City Lines
Whitewater Mill, Hook, HANTS RG27 9EH
• Baker Street - Jubilee, Hammersmith and City,
Office Hours
Monday to Thursday, 7am - 6pm
Metropolitan, Bakerloo and Circle Lines
Friday, 7am - 5.30pm
E: [email protected]
THE
LONDON
R E C TA L
CLINIC
AT
The London Rectal Clinic,
108 Harley Street, London W1G 7ET
T: + 44 (0)20 7563 1234
F: + 44 (0)20 7563 1212
E: [email protected]
MEDICAL
CHAMBERS
108 HARLEY STREET
LONDON WIG 7ET
108 London
Medical Breast
Ltd. Reg
No Ltd.
2520520.
The London Rectal Clinic is a division of The
Clinic
Registered
in England
and Wales
Reg
No 2520520.
Registered
in England and Wales
VISITING
USOffice:
Registered
Whitewater Mill, Hook, HANTS RG27 9EH
Parking
Parking
meters are available on Harley Street, however, remember that it is in the
Office Hours
Monday
to Thursday,
7am -telephone:
6pm
congestion
charging zone,
0845 900 1234. Parking meters are also
Friday, 7am - 5.30pm
available near by in Regents Park which are not in congestion charging zone.
Buses
Bus numbers 18, 27, 30 and 205 stop at Marylebone Road at the top of Harley Street.
VISITING US
There
is a car park on Queen Anne Street which is accessed at the end of Harley
Parking
Parking
are available
Harley
Street,
remember Square
that it is in the
Street viameters
Cavendish
Square. on
There
is also
a carhowever,
park at Cavendish
congestion charging zone, telephone: 0845 900 1234. Parking meters are also
available near by in Regents Park which are not in congestion charging zone.
FOR FURTHER INFORMATION PLEASE VISIT:
www.108harleystreet.co.uk
Please note that Harley Street is within a one way traffic system running north south
There is a car park on Queen Anne Street which is accessed at the end of Harley
from
Road
to Cavendish
Square.
StreetMarylebone
via Cavendish
Square.
There is also
a car park at Cavendish Square
Please note that Harley Street is within a one way traffic system running north south
Public
TransportRoad to Cavendish Square.
from Marylebone
Underground
Public Transport
The nearest tube stations are:
Underground
The nearest
stationsPark
are:- Bakerloo Line
• tubeRegents
•
Regents Park - Bakerloo Line
••
Oxford
Oxford Circus
Circus -- Bakerloo,
Bakerloo, Central
Central and
and Victoria
Victoria Lines
Lines
••
Great
Great Portland
Portland Street
Street -- Circle,
Circle, Metropolitan,
Metropolitan,
Hammersmith and City Lines
Hammersmith
and CityHammersmith
Lines
•
Baker Street - Jubilee,
and City,
•
Baker Street - Jubilee,
and City,
Metropolitan,
BakerlooHammersmith
and Circle Lines
Metropolitan, Bakerloo and Circle Lines
Buses
T: + 44 (0)20Director
7563 1234
+ 44 (0)20
Medical
- 108 F:Harley
Street7563 1212
Buses
FURTHERco.INFORMATION
PLEASE
E:Mrinfo@108harleystreet.
uFRCS(ED)
k W: www.F.I1NST08harleystreet.
co.uVISIT:
k
O JFOR
Awww.108harleystreet.co.uk
Gilmore
MS
FRCS
SPORTS
MED
Bus numbers 18, 27, 30 and 205 stop at Marylebone Road at the top of Harley Street.
Bus numbers 18, 27, 30 and 205 stop at Marylebone Road at the top of Harley Street.
FOR FURTHER INFORMATION PLEASE VISIT:
www.108harleystreet.co.uk
T: + 44 (0)20
7563 1234
+ 44 (0)20
7563 1212
Medical
Director
- 108 F:Harley
Street
E:
[email protected]
W:
www.108harleystreet.co.uk
Mr O J A Gilmore MS FRCS FRCS(ED) F.INST SPORTS MED