GP Referral Guide
Transcription
GP Referral Guide
GP Referral Guide 2015 Welcome to Rivers Hospital Welcome to Rivers Hospital, part of the Ramsay Health Care Group and a leading private hospital, situated in quiet landscaped grounds in Sawbridgeworth, Hertfordshire, just 25 minutes from London Stansted Airport. The hospital opened in 1992 and has received constant investment since then resulting in the latest medical facilities for diagnosis and treatment. Each patient can enjoy complete privacy and comfort during their stay in one of 59 en-suite bedrooms, equipped with satellite television, telephone and Wi Fi. Our highly trained team of nurses and healthcare assistants provide exemplary care throughout each patient’s stay. Private patients benefit from rapid access to this high quality clinical care through our Premium Care service. This is offered to those with private medical insurance and those who self-pay, and is described in more detail on page 5. The hospital is regulated and audited by the Care Quality Commission (CQC). The latest inspection report can be viewed at www.cqc.org.uk We are proud to work in partnership with some of the best qualified and most experienced consultants locally most of whom also have substantive posts within the NHS. A full list of their names and special interests can be found in the second part of this guide. We have also included information on the hospital’s services, referral processes, and how we can support you with education and training. We hope you will find the information useful but please do not hesitate to contact us with any questions or if we can help in any way. Main hospital switchboard: 01279 600 282 For more information on our hospital, please visit: www.rivers-hospital.co.uk Contents Page Update from the Rivers Hospital 1 Clinical Information and Quality Summary 2 Why Refer Privately 3 Why Refer to Ramsay Health Care UK 4 The Premium Care Difference and Accessing Treatment 5 How to Refer 6 GP Liaison 7 Useful Contacts 8 Diagnosing the Problem 9-10 Pathology Services 11 Physiotherapy and Sports Injury 12 Medical Services 13 Cancer Services 14 Ramsay Cardiothoracics 15 Orwell Private Cardiothoracic Unit 16-17 Back Pain and Spinal Care 18 Screening Services 19-20 Cosmetic Surgery 21 Ramsay Weight Loss Service 22 Consultant list 23-34 Update from the Rivers Hospital Rivers Hospital offers a wide range of treatments and services. The four fully equipped theatres with lamina flow (ultra clean air technology) are particularly suitable for orthopaedic procedures offered such as arthroscopy, hip and knee replacement. Continuous investment We are delighted to confirm that planned developments for 2015/16 include: • Fifth theatre • 12 bed day case unit • Two additional consulting rooms • New cancer centre incorporating radiotherapy and chemotherapy delivery • More car parking Partnerships with local charities • Dexa scanning facility for measuring the amount of calcium in bones most commonly used for osteoporosis diagnosis • Helen Rollason Cancer Support Centre Governance and accreditation • JAG 2013 • BUPA approved bowel cancer unit • BUPA approved breast cancer unit • Care Quality Commission (CQC) registration Awards Rivers Hospital was honoured to be awarded The Patients’ Choice 2015 award by Private Healthcare UK for the second year running. Private Healthcare UK is an independent website which compares private hospitals and clinics throughout the UK and allows patients to leave detailed reviews on the positive and negative aspects of their care. The hospital also won gold in the Green Apple Awards for Environmental Best Practice. This was achieved in recognition of the work done to reduce energy consumption, waste to landfill, CO2 emissions and introduction of a Green Travel Plan. 1 Clinical Information and Quality Summary Infection Rates: Rivers Hospital has a very low rate of hospital acquired infection and has had no reported MRSA Bacteraemia MRSA Bacteraemia in over seven years. Outcome Data Quarter 3 2014 MSSA 0% CQC compliance; 100% for all outcomes inspected Unplanned Transfer to ITU 0% C.Diff 0% Unplanned return to theatre for bleeding 0.1% MRSA 0% Nurse to patient average Ratio Nurse to patient ratio is assessed and changed daily to match the acuity of the patients. The average number of qualified staff to adult patient is 1:5 on the ward, HDU 1:2. Children to Paediatric nurse is an average of 1:3, all of our paediatric nurses are dual trained and therefore can care for both children and adults. 100% of Rivers’s patients agreed that they were treated with respect and dignity 97.7% rated River’s quality of care excellent/very good 97% of patients, who responded, received answers from the doctors that they could understand 97.7% 100% of patients, who responded, said they would be likely or very likely to recommend Rivers Hospital to family and friends were satisfied with the overall experience 2 Why Refer Privately Almost £1 billion a year is forfeited by the NHS treating patients with private medical insurance who could fund their own treatment. Not just this but there are a number of reasons why referring privately might be beneficial: • For rapid access to diagnosis and treatment, appointments are guaranteed within 72 hours. • For consultant-led care and if you want to refer to a particular consultant. • If your patient wants to choose a convenient appointment time. • If your patient wants to recuperate in a private ensuite bedroom. • For procedures of limited clinical effectiveness not currently being funded by the NHS. • If your patient has private health insurance. Self-pay Patients Many operations, particularly day case procedures, are more affordable than you may think and at Ramsay Health Care we have noticed an increase in patients choosing to pay for their own treatment. Our Fixed Cost Care scheme is designed to offer a range of all-inclusive package prices to cover all nursing and medical care, the hospital stay and consultants’ fees. This gives patients the peace of mind of knowing everything they need is covered. Insured Patients Rivers Hospital is accepted by and has direct payment agreements with all of the major health insurance companies, including BUPA and AXA-PPP. 3 Why Refer to Ramsay Health Care UK Ramsay Health Care was established in 1964 and has grown to become a global hospital group operating over 200 hospitals and day surgery facilities across Australia, the United Kingdom, Indonesia and France. Within the UK Ramsay Health Care is one of the leading providers of independent hospital services in England, with a network of 36 facilities across the UK. Ramsay Health Care UK is well-respected in the industry for operating quality private hospitals and for its excellent record in hospital management and patient care. These features help to attract leading specialists to work in our facilities. Locally Ramsay Health Care has five facilities in the eastern region including The Orwell Private Cardiothoracic Unit. The unit is located within Basildon University Hospital to provide patients with a wide range of heart and lung conditions access to ‘The Best of Both Worlds’ – the experience of private healthcare with the clinical backup of a large acute NHS facility. North Mids East South Eastern region of Ramsay Hospitals 1. Oaks Hospital, Colchester 2. Orwell Private Cardiothoracic Unit, Basildon 3. Pinehill Hospital, Hitchin 4. Rivers Hospital, Sawbridgeworth 5. Springfield Hospital, Chelmsford 3 4 5 2 6 1 4 The Premium Care Difference and Accessing Treatment Setting the standard for private healthcare When patients choose Rivers Hospital for their treatment they can expect the highest quality patient care modern medicine has to offer. Private patients will receive a package of benefits called ‘Premium Care’ and fast access to healthcare without waiting for weeks. • Guaranteed to see a consultant specialist of your choice • Appointment times that suit you • Outpatient appointment guaranteed within 72 hours • Fast track treatment and diagnostics • Pre-operative individual assessment • Surgery whenever convenient • Private single room with en suite facilities • Priority discharge • Dedicated car parking • A la carte menu • Room benefits including free newspaper, luxury toiletries and TV choice * Where clinically appropriate Choosing a consultant and knowing they will be delivering the care is a key element of Premium Care. Please use the online search on our website to review our consultant profiles: www.rivers-hospital.co.uk 5 How to Refer General Referrals GPs can refer a patient for an outpatient consultation, diagnostic tests or treatment by writing to the appropriate consultant, or through the GP hotline to book the right appointment faster. GP referral hotline: 0800 564 2877 Referral letters may be faxed via our dedicated GP free fax line on: 0800 564 2855 Online referrals for private patients: www.ramsayhealth.co.uk/patientreferral Member ID: Ramsayonline Password: Ramsaygp A 24-hour admission service (including urgent admissions): 0800 212 715 Direct Access Services Patients may be referred directly to the following services: • Open access endoscopy (gastroscopy and flexible sigmoidoscopy) • Sports injury service • Radiology inc. X-ray, ultrasound, MRI, CT, fluoroscopy, contrast studies, bone densitometry dental •X-rays • Pathology services including haematology, histology, cytology, microbiology • Rapid breast diagnostic clinic •Physiotherapy 6 GP Liaison Our aim is to provide a personalised service for you, ensuring you have an individual point of contact at Rivers Hospital and an efficient pathway for your patients at all times. As such our dedicated GP Liaison Officer, Denise Benfield, is always happy to help with a variety of queries from patient referrals to education and training. Through our GP Liaison we offer the following support to help you advise and care for your patients: • A dedicated zone on our website at: www.rivers-hospital.co.uk/professionals • A comprehensive programme of CPD events and training. • Opportunities for Lunch Learn education within your surgery (minimum numbers apply). • Resuscitation training. • Convenient and easy to use online referral system. • Friendly and helpful personal contact for any queries. • Annual directory of services and regular hospital updates. • Referral forms, deskpads, and other free resources for your surgery. • Marketing support such as advertising in your practice brochures or websites. Please contact Denise Benfield, GP Liaison Officer on: 07980 006 104 7 Useful Contacts Appointments Premium Care Inpatient Bookings Premium Care Outpatient Appointments Self-Pay or Premium Care Enquiries Physiotherapy Appointments Radiology Appointments NHS Office 01279 602 636 01279 602 675 01279 602 644 01279 602 632 01279 602 624 01279 602 672 Clinical Departments Meadow Ward 01279 602 670 Orchard Ward 01279 602 662 Outpatient Nurses 01279 602 655 Pharmacy 01279 602 657 Phelbotomy 01279 602 656 Management General Manager 01279 602 648 Matron 01279 602 647 Operations Manager 01279 602 219 Clinical Managers Radiology 01279 602 658 Pharmacy 01279 602 625 Pathology 01279 602 656 Physiotherapy 01279 602 632 Outpatients 01279 602 219 Wards 01279 602 694 Theatres 01279 602 696 GP and Consultant Liaison GP Liaison Officer 07980 006 104 Enquiries email: [email protected] 8 Diagnosing the Problem Imaging Department The Imaging Department is staffed by experienced professionals and is equipped with state-of-the-art equipment, including its own 64 slice CT scanner and Siemens 1.5 Tesla MRI scanner, Ultrasound, Digital Fluoroscopy, Digital Mammography and a Dexa Scanner. The range of services on offer includes: Ultrasound scanning • Early pregnancy (8-12 weeks) • Anomaly scan 20-22 weeks) • Baby sexing scan (24 weeks) • Aortic Aneurysm •Breast • Cardiac (Echo cardiology) • Doppler (Vascular) •Abdominal •Renal •Pelvic DIGITAL Fluoroscopy / Contrast studies • All Barium studies •Herniograms •Hysterosalpingograms •Arthrograms • • Intravenous Urograms (IVU) • Screening (for over 40s) • Musculo skeletal • CT Guided injections for pain management • CT Heartscan™ (CT Calcium Scoring) • CT guided pain management • Musculo skeletal Micturating cystograms (Uro-dynamics) Digital Mammography •Symptomatic Plain films • Dental–Intra Oral OPGs CT • CT Coronary Angiogram • CT Colonography • CT Dental Implantology Planning • CT Urography MRI •Breast •MRCP •MRA Dexa Scanner for osteoporosis 9 •Neurology •Gastroenterology Diagnosing the Problem The department also offers diagnostics for sports and back injuries. For plain films, appointments can be offered as early as the day of referral. For other procedures, depending on the preparation and speciality, an appointment will be offered within the next 72 hours. GPs can now refer directly for MRI, CT and Ultrasound. Appointments are offered within 72 hours with prompt reporting of results back to the GP. Imaging Department opening hours Monday to Friday 8.30am – 8.00pm Saturday 8.30am – 1.00pm Direct Number: 01279 602 624 Endoscopy Rivers offers direct access to Gastroscopy and Flexible Sigmoidoscopy in its specially designed Day Unit and is fully equipped to offer the following procedures: Gastroscopy Examination of the oesophagus, stomach and duodenum Sigmoidoscopy Examination of the lower bowel, biopsy and polyp removal Colonoscopy Large intestine examination for inflamed tissue, abnormal growths, ulcers and bleeding Capsule Endoscopy Examination of the small bowel via an ingestable disposable camera in a pill CT Colonography Visual examination of the bowel using CT Scanning For more information please call: 01279 602 644 10 Pathology Services The Pathology Department’s phlebotomy service is available routinely, although a referral from a clinician is still required for all tests. Pathology specimens are tested by CPA accredited laboratories, based at Rivers Hospital, with fast turnaround times. Most results can be made available in 24-48 hours. The department’s services include: • Histology and Cytology (including smear testing, liquid based cytology and one-stop breast clinics) • Microbiology (including MRSA screening, routine culture/sensitivity) • Haematology (including full blood count, ESR, coagulation) • Biochemistry (including UE, LFT, TFT, tumour markers and G.T.T by appointment) • Serology (including auto antibodies, rheumatoid testing) • Blood transfusion service, (including group and cross matching) Results will be faxed to the referring clinician. 11 Physiotherapy and Sports Injury Physiotherapy uses evidence based treatment methods to restore previous lifestyle and activity levels. Therapies used are dependent on dysfunction and goals and include electrotherapy, shockwave, exercise, manual therapy, sports massage and aquatic therapy. The Physiotherapy department is staffed by professional and experienced clinical Chartered Physiotherapists. They work to Physiotherapy Chartered Society Standards supporting best practice and excellence in patient care. The department contains six spacious treatment rooms and a large fully equipped gym. All physiotherapy patients have a treatment plan established on assessment by their physiotherapist, which is regularly reviewed during the course of physiotherapy treatment. Referrals are accepted from Consultants and GP’s. Self-paying patients may refer themselves for physiotherapy. Discharge reports are sent to the patient and their GP or Consultant when the patient has completed treatment. Packages of care can be provided for patients with long term rehabilitation requirements. Links with a local health club make it possible to provide aquatic therapy sessions when necessary. Physiotherapy opening hours Monday 7.30am – 5.30pm Thursday 7.30am – 8pm Wednesday 7.30am – 8pm Saturday 9am - 1pm Tuesday 7.30am – 8pm Friday 7.30am – 5.30pm Direct line: 01279 602 632 12 Medical Services Premium Care patients benefit from a wide range of medical services. A consultant works closely with the nursing team to ensure the very best care and personally manages patients. These services include: 13 • Respiratory care • Post-operative rehabilitation services • Pulmonary services • Geriatric services • Rheumatology services • Dermatology services Cancer Services Rivers Hospital prides itself in providing excellent services to cancer patients, including diagnostic tests, treatment and support services. Governance and accreditation BUPA approved breast cancer unit BUPA approved bowel cancer unit Care Quality Commission (CQC) registration Links to Multi-Disciplinary Team (MDT) associated with Cancer Network Diagnostic imaging facilities including: Digital mammography Ultrasound X Rays CT (including CT colonography) MRI One Stop Rapid Diagnosis Breast Clinic for symptomatic patients (same day results for most tests) Specialist care and treatment Diagnostic pathology – including tumour marker blood tests Prostate screening including PSA and PCA3 Diagnostic endoscopy Mole screening and mole removal service Specialist chemotherapy nursing Specialist breast care nursing and post mastectomy physiotherapy service Day case/inpatient and home care chemotherapy Brachytherapy for prostate cancer Manual lymphatic drainage Specialist oncology pharmacy including chemotherapy reconstitution facilities Plastic and reconstructive surgery Cancer specialist surgeons Cancer support services Radiotherapy from December 2015 Specialist palliative care nursing Complimentary therapy centre on site Breast cancer support group Links to local hospices and community nursing services, such as Macmillan Helen Rollason Cancer Charity For more information please call the Premium Care enquiries line: 01279 602 644 14 Ramsay Cardiothoracics Ramsay Cardiothoracics gives access to leading cardiothoracic diagnosis and treatments in a seamless and most convenient pathway. Because diagnosis of a cardiothoracic condition can be very stressful, Ramsay Health Care has created a service allowing easy, rapid access to an expert opinion and treatment, should patients need it. Our patients can choose to be seen, by their Consultant specialist, at Rivers Hospital or at the Orwell Private Cardiothoracic Unit, based in the Essex Cardiothoracic Centre, a leading hospital based on the fringes of Greater London. Should any of our patients require an interventional procedure or surgery, they have the reassurance of knowing they will be treated in the state of the art Orwell Private Cardiothoracic Unit where we have specialist theatres, cardiothoracic intensive care units and diagnostic facilities on site. After any treatment at the Orwell Private Cardiothoracic Unit our patients can also choose to have their follow up appointment at Rivers Hospital as well. GPs can have peace of mind, when they refer a patient to Ramsay Cardiothoracics they can be sure our designated ‘pathway to health’ means their patients will be offered a smooth transition with continuity of care, all the way from diagnosis to treatment. 15 Orwell Private Cardiothoracic Unit The Orwell Private Cardiothoracic Unit is a leading private patient facility created to ensure patients with a wide range of heart and lung conditions have rapid access to the best possible care. All private patients have full access to ‘The Best of Both Worlds’ experience of private healthcare in an NHS facility providing the comfort of private care with the clinical backup of a large acute hospital. Cardiology Interventional Cardiology •Angiography • Percutaneous Coronary Intervention (PCI) • Stent Insertion • PFO Closure Electrophysiology • Diagnostic Mapping • Pacemaker Insertion • Internal Cardiac Defibrillator (ICD) Insertion • Cardiac Resynchronisation Therapy (CRT) • Ablation of arrhythmias Cardiothoracic Surgeries (Heart) • Coronary Artery Bypass Grafting (CABG) • Mitral Valve Replacement/Repair • Aortic Valve Replacement/Repair • Sutureless Valve Repair • Keyhole Heart Surgery Keyhole Surgery Some procedures can be performed via the minimally invasive route, this is subject patient suitability. • Thoracic Aneurysm Repair • Pleural Biopsy •Pneumonectomy •Lobectomy •Bullectomy • Minimally Invasive Heart Surgery • Minimal Incision Mitral Valve Repair 16 Orwell Private Cardiothoracic Unit Diagnostic Services •Angiography • Echo Cardiology (Stress Echo, 3D Echo) • Endobronchial Ultrasound (EBUS) •Bronchoscopy • Lung Function Testing • Cardiac CT and MRI Since Orwell Private Cardiothoracic Unit opened in 2008 we have had 0% reported cases of MRSA or c-diff. In a recent survey, (Q2 2014) we are really proud to say 100% of patients who responded would recommend the Orwell Private Cardiothoracic Unit to family and friends. To find out more about the procedures undertaken at the Orwell Private Cardiothoracic Unit please visit the Orwell website at www.orwellppu.co.uk 17 Back Pain and Spinal Care Who can benefit? Treatments are aimed at people suffering from chronic back pain which does not seem to be resolving or who have a diagnosed condition for which surgery or injections are recommended. We offer a wide range of treatments for back problems, from pain management through to complex spinal surgery. We have the specialist consultants and diagnostic equipment to pinpoint the cause of pain and recommend an appropriate intervention. Our care does not end when patients leave hospital after a procedure. In many cases, we will arrange physiotherapy as an important part of rehabilitation and patients may need to return for a follow up appointment. What treatments are available? Injections Injections to relieve pain and allow other therapies a better chance of working are an important weapon in the armoury of our consultants. Injections are carried out as day case procedures while under sedation, and patients are able to leave hospital within a few hours. While they don’t ‘cure’ a bad back, they should help patients to get better. Facet joint injections These are normally carried out in either the cervical (neck) or lumbar (lower back) joints. Facet joints are situated between each vertebra; they help to stabilise the spine while allowing movement, however they can become painful if the joint becomes overloaded. This pain can make it hard to benefit from other treatments, such as physiotherapy. Nerve root blocks Persistent back pain can sometimes be due to irritation of the nerves in the spine. This can be caused by tissue adhesions and may be associated with former trauma or surgery to the spine. Injecting the nerve root with a mixture of local anaesthetic and anti-inflammatory called cortisone can be an effective way of reducing the pain in these cases. Surgery Surgery can sound frightening but it often has very good outcomes and does not involve a lengthy stay in hospital. Our consultants will be able to advise whether surgery is suitable for a condition and expected outcomes. 18 Screening Services Rivers Hospital provides a range of screening services that patients can self-refer for. These services include: Aortic Aneurysm Screening The aorta is the largest artery in the body and delivers blood from the heart to every part of the body in its journey through the chest and abdomen. If an artery becomes abnormally wide or swollen we call this swollen section an aneurysm. A simple ultrasound examination that takes about 10 minutes and will show whether you have an aneurysm or not and determine its size. You should be aware that the examination will be performed by a Radiologist who will undertake no other duty than to give an opinion on the presence and estimated size of an abdominal aortic aneurysm. You will be told immediately whether you have an abdominal aortic aneurysm or not and if you need any follow up. No other diagnosis will be made. Breast Screening Mammography is essential for early detection of potential breast problems when combined with routine self-breast examinations. Screening mammography is an x-ray examination to help detect early signs of breast disease and is available to women over the age of 40 who are asymptomatic (have no breast problems). Our mammograms are double reported (in line with NHS BSP Guidelines) by highly trained Consultant Radiologists who specialize in breast imaging. Results are sent directly to you with a copy sent to your GP. Cervical smears Cervical screening is a test to check the health of the cervix, which is the lower part of the womb. For many women the test results show that everything is fine, however for one in 10 women the test shows changes in the cells that can be caused by many things. Most of these changes will not lead to serious conditions although some changes may need monitoring or treatment. CT Calcium Scoring Rivers Hospital’s CT Heartscan™ uses Calcium Scoring technology to detect and measure calcium in your coronary arteries. If calcium is detected it is likely that coronary artery disease could be present. 19 Screening Services More importantly if no calcium is detected, this suggests you are at low risk of a heart attack. Our scanner can detect calcium at a very early stage of coronary artery disease, even before any significant blockage has developed and potentially years before a standard health screening or exercise ECG would detect disease. CT Calcium Scoring can detect the presence of coronary artery disease even when the coronary arteries are less than 50% narrowed. This makes CT Heartscan™ a vital tool in the fight against Heart Disease, as half of all heart attacks occur with less than 50% narrowing of the Coronary Arteries. Health Screening We service our cars and our household appliances but often pay little attention to our most valuable possession….our own bodies. A full health screening will give you peace of mind – early detection of something that isn’t right means that you can take action. Mole Screening Electronic mole mapping is a new dimension in the early and accurate detection of skin abnormalities. Bodyscan Pro automatically checks whether, and where, new moles have developed and compares clinical photos of the last examination with the new ones – particularly helpful if you have multiple moles or a history of skin abnormalities. For more information on all our services, please call: 01279 602 644/675 Or email [email protected] 20 Cosmetic Surgery Rivers Hospital has established a very positive reputation as a provider of cosmetic and plastic surgery. The hospital meets the highest clinical standards and surgery is carried out within the hospital with full clinical support. All cosmetic surgeons at Rivers Hospital are fully accredited and listed on the General Medical Council (GMC) specialist register and currently hold or have held an NHS post. Many are also members of the British Association of Aesthetic Plastic Surgeons (BAAPS) or British Association of Plastic Surgeons (BAPS). All our Surgeons: Mr G Alvarez- Parra, Mr J Britto, Mr N Carver, Mr B Mathur, Mr D McKiernan (Facial Plastics only), Mr G Mochloulis (Facial Plastics only) and Ms K Tzafetta are held in the highest regard. A no-obligation initial complimentary consultation is offered, with a mandatory 14 day cooling off period before any commitment to surgery. The hospital provides an open access policy, in which patients can talk to our specialist cosmetic advisors and cosmetic nurse specialist for more information whilst making their decision. Surgical procedures are offered on a fixed cost basis, which enables patients to know the exact cost of treatment before they consent for the procedure. Fixed Cost Care packages include all the hospital costs for performing the surgery, the consultant surgeon and consultant anaesthetist fees. To book an appointment or for a quotation on a cosmetic surgery procedure, please call the Premium Care enquiries line: 01279 602 644 Our cosmetic services include: Surgical Procedures Body Contouring Eyelid Reduction Prominent Ear Correction Breast Augmentation Liposuction Skin Lesions Breast Reduction Mole Removal/Mole Screening Tummy Tuck Breast Uplift Burns Reconstruction Nose Surgery Varicose Vein Treatments Non - Surgical Procedures Dermal Fillers Facial Aesthetics Laser Hair Removal 21 Treatment for Excessive Sweating Sclerotherapy Skin Rejuvenation Ramsay Weight Loss Service At Ramsay Weight Loss Service, we understand how important the decision making is when patients are considering weight loss surgery. We are committed to helping patients on every step of their weight loss surgery journey with information, care and that special attention that makes all the difference. Some of our team members have lived the weight loss surgery journey themselves, so we know a little more about the reality of life after surgery. Aftercare is crucial to their success and that’s why Ramsay Weight Loss Service stand out in what can be a confused marketplace. We work hard to provide a ‘gold standard’ patient focused service by giving patients the care, knowledge and skills to work with the surgical procedure they choose to have. Benefits of weight loss There is increasing evidence that losing excess weight can offer long-term health benefits to seriously overweight people. These include: • many overweight patients with diabetes find this improves after surgery and weight loss. • improvements in conditions such as high blood pressure and sleep problems. • the majority of patients with non-alcoholic fatty liver disease who lost weight after surgery saw an improvement in their condition - or in some cases the condition disappeared. • a reduction in chances of dying in the next 10 years from causes such as cancer, heart disease and diabetes. What sort of weight loss procedures are available? • Gastric band • Gastric bypass • Gastric sleeve • Gastric balloon For more information, please call 0800 014 9102 or email [email protected] 22 Speciality Allergy Back Pain and Spinal Care Breast Surgery Consultant Cardiology 23 Clinics Dr Vijay S Chakravarti Paediatric, adults: food allergy testing, skin allergy, eczema and anaphylaxis Mon pm, Wed am, Thurs pm, Sat am Dr Richard Dent Adult allergies, COPD and asthma Sat am Mr Zaher Dannawi Spinal surgery. Specialist interest in adult and paediatric spinal conditions including degenerative conditions of the spine, spinal deformity, trauma, infection and tumours of the spine Mon am/pm, Thurs am Mr Arif Gul Trauma and orthopaedics with special interest in adult and paediatric spinal surgery including degenerative conditions of the spine, spinal deformity, trauma, infection and tumours of the spine Wed pm Mr Ahmed A Hussein Spinal surgery including trauma, degenerative disorders, infection, tumour and adult deformities. Disc arthroplasty both in the lumbar and cervical spine, minimally invasive procedures and kyphoplasty Mon am, Tues am, Wed pm, Fri pm Mr Howard Bradpiece Breast/general surgery, upper GI, laparoscopic cholecystectomy, hernia and vasectomy Tues pm, Wed am, Fri am Miss Harleen Deol Breast disease management (benign lumps, breast pain, breast cancer family history or high risk of breast cancer), plastic surgery techniques in surgery for breast cancer treatment, immediate and delayed breast reconstruction, breast reduction and augmentation for symmetry in cancer patients Tues am Miss Stephanie Jenkins Breast/general surgery, thyroid, hernia, laparoscopic cholecystectomy and minor operations Tues pm Support and counselling to patients diagnosed with breast cancer. Ongoing support and information for patients going through surgery and treatment By arrangement Dr Jonathan Bridgewater Gastro intestinal oncology Fri pm Prof. Neville G P Davidson Breast cancer, malignant melanoma and urological cancers Tues pm Dr Julian Singer Oncology, radiotherapy, breast, lung, bowel and prostate cancers Tues pm, Thurs pm Dr P Szlosarek Oncology By arrangement Dr Hossam El-Gendi General cardiology problems, managing patients with chest pain, heart failure and palpitation. Specialises in cardiac catheters and pacemaker implants Wed pm, alt Sat am Dr Azad Ghuran General cardiology, coronary artery disease and intervention (angioplasty and stenting), pacemakers, valvular heart disease, syncope, hypertension, heart failure, palpitations and arrhythmia management By arrangement Dr Rohan Jagathesan Coronary intervention, angioplasty, angiography pacing, arrhythmia and general cardiology Tues pm, Thurs pm, Fri pm Dr Jeremy W Sayer Chest pain, coronary angiography, coronary angioplasty, stent, palpitations, pacing, breathlessness and general cardiology Mon pm, alt Sat am Clinical Nurse Specialist – Breast Care Cancer Services Special Interest Speciality Care of the Elderly Chest/Respiratory Colorectal Cosmetic Surgery Consultant Special Interest Clinics Dr Manivannan Srinivasan Coronary artery disease, diagnostic coronary angiography, angioplasty and stent insertion, post heart attack care, hypertension, diabetic heart disease, valvular heart disease, heart disease in pregnancy, atrial and ventricular arrhythmias Fri pm Dr Syed Mansoor Stroke/TIA, general medicine in adults, heart disease in the elderly and stroke/TIA in young people Alt Thurs pm Dr Murugh Seevaratnam Geriatric medicine and general medicine Mon am, Fri am Dr Richard G Dent Chest and allergy, COPD and respiratory Sat am Dr Peter Russell Respiratory medicine, general medicine, COPD and pleural disease By arrangement Mr Vivek Gupta General, laparoscopic and colorectal surgery. Open and laparoscopic hernia repair, laparoscopic cholecystectomy, colonoscopy and flexible sigmoidoscopy, open and laparoscopic colorectal resection, proctology (haemorrhoidectomy, fissure, fistula, pilonidal sinus), surgical treatment of colorectal cancer, inflammatory bowel disease and diverticular disease, treatment of groin and incisional hernias, investigation of abdominal pain, rectal bleeding and change in bowel habit Alt Fri pm/eve, alt Sat am Mr Olatunde Lalude Colorectal surgery, general surgery, laparoscopic cholecystectomy and colonoscopy Thurs am, alt Sat am Mr Mrinal Saharay Thyroid surgery, minimally invasive parathyroidectomy, colorectal surgery including procedure for prolapse and haemorrhoids (circular stapled haemorrhoidectomy), colonoscopy, gastroscopy, laparoscopic cholecystectomy, hernia repair and minor ops Fri pm Mr Shanmugam Vivekanandan Endoscopies inc gastroscopy, colonoscopy, hernia surgery, laparoscopic surgery and colorectal surgery Wed pm, Fri pm Mr Gabriel Alvarez-Parra Rhinoplasty, liposuction, abdominoplasty, all aspects of breast and facial cosmetic surgery and skin cancer Mon eve, Wed am/pm Mr Jonathan Britto Non-surgical facial rejuvenation, eyelid reconstruction and aesthetics, facial and nasal aesthetic surgery and surgery of the breast Alt Fri am Mr Nigel Carver Face lift, ear correction, nose reshaping, eyelid surgery, breast enlargement, reduction and uplift, abdominoplasty and liposuction Alt Wed pm/eve Mr Bhagwat Mathur Breast reconstruction, breast aesthetic surgery incl shaping, reduction, augmentation, mastopexy, asymmetry correction, inverted nipples, gynaecomastia and dermal fillers Mon eve, alt Sat am 24 Speciality Special Interest Clinics Mr David McKiernan (ENT and facial plastics only) Cosmetic facial surgery, rhinoplasty and dermal fillers Alt Tues am, alt Fri pm Mr George Mochloulis (ENT and facial plastics only) Rhinoplasty cosmetic and functional, removal of skin tags, moles and skin cancers and facial cosmetic treatments including facial revitalisation Fri am Ms Kalliroi Tzafetta Facial aesthetic surgery, facial paralysis, body contouring, abdominoplasty, microsurgical procedures and all aspects of cosmetic surgery Alt Sat am Non - Surgical Cosmetic Services Mrs Sue Meldrum / Mrs Linda Lavery / Mrs Annette Matthews Laser hair removal and skin rejuvenation Mon, Wed pm, Thurs, Fri and Sat am Dermatology Dr Abdelhady H M Bayoumi General dermatology in adults and children including inflammatory conditions such as psoriasis, eczema and acne. Allergies including specialist allergy patch testing, urticaria and angio-oedema. hair loss and nail disorders. Moles and malignant melanoma, including the latest in ‘mole mapping’ and mole checks. Skin cancers. Dermatological surgery: removal of skin cancers, benign cysts and other skin lesions Tues am/pm, Wed eve Dr Roberto Verdolini General dermatology, skin cancer and dermatology surgery, including complex reconstructions by flaps and grafting. Acne, urticaria, hyperhidrosis (excess sweating), genital dermatology, and hair loss (for which he also performs autologous hair transplantation) Alt Sat am Dr Karen Watson All general dermatology in adults and children, including eczema, psoriasis, acne, urticaria, mole checks, skin cancer, acute dermatitis, hair and nail disorders. Minor surgery including removal of moles, cysts, skin tags, and ‘lumps and bumps’ Mon am/pm Dr Abdul Lakhdar Diabetes, endocrinology, thyroid obesity, erectile dysfunction and lipids Alt Mon pm, alt Sat am Dr Eltayeb Marouf Endocrinology and diabetes mellitus, obesity, parathyroid disease, pituitary disease, thyroid disease, general medicine, diabetic medicine and obesity pituitary disease Alt Sat am Ms Elizabeth Kyriacos Obesity/weight management, cardiovascular disease, children’s diets, coeliac disease, dysphagia, eating disorders, food allergy/ intolerance, healthy eating and general nutrition, healthy weight, hypertension/high blood pressure and IBS By arrangement Ms Julia Marriott Dietician for paediatrics Alt Sat am Mr Mrinal Saharay Thyroid surgery, minimally invasive parathyroidectomy, colorectal surgery including procedure for prolapse and haemorrhoids (circular stapled haemorrhoidectomy), colonoscopy, gastroscopy, laparoscopic cholecystectomy, hernia repair and minor ops Fri pm Diabetology / Endocrinology Dietician/Nutrition Endocrine Surgery 25 Consultant Speciality Consultant Special Interest Clinics Mr Maged Abdelkader All aspects of ear, nose and throat surgery for both children and adults. Voice disorders, sinus surgery, rhinology, hearing loss, snoring surgery and treatment of recurrent nose bleeds Sat am Mr Yogesh Bajaj All ENT conditions in adults and children including ear problems, hearing loss, sinusitis, sleep apnoea, nasal obstruction, glue ear, tonsillitis and neck lumps By arrangement Mr Ha Nguyen Chau All adult and paediatric ENT referrals including hearing, glue ear, grommets, myringoplasty, tympanoplasty, mastoidectomy, pinnaplasty, septoplasty, rhinoplasty, sinusitis/sinus disease, functional endoscopic sinus surgery, adenoidectomy, tonsillectomy, palatoplasty, snoring, obstructive sleep apnoea, voice, and microlaryngoscopy Mon pm, Wed am Mr Nicholas Flower All ENT conditions in both children and adults. Rhinoplasty, snoring and minimally invasive sinus surgery for a range of sinus conditions (FESS) as well as extended applications including treatment of blocked tear ducts (Endoscopic DCR) Alt Tues pm, Wed pm, Thurs pm Mr Darren Gillett All ear, nose and throat complaints in adults and children, specialist interest in middle ear and mastoid surgery, nasal and sinus disease, snoring, paediatric ENT and salivary gland disease Mon am Mr David McKiernan General ENT in both adults and children, rhinology, rhinoplasty and cosmetic facial surgery Alt Tues am, alt Fri pm Mr George Mochloulis Neck lumps, thyroid surgery and general ENT including paediatrics. All head and neck cancers, parotid and submandibular gland surgery (salivary) Fri am Mrs Geni Rogers Children and adults ear, nose and throat disorders. Head and neck disease Thurs pm, alt Tue am Mrs Fiona Bateson Tinnitus retraining therapy, digital hearing aid fitting, rehabilitation, balance assessments and rehabilitation, cochlear implants for severe / profound hearing loss, sound protection and personal communication Fri am Mrs Anchal Prasher Paediatric and adult testing. Adult hearing aids Mon am/pm Foot and Ankle Surgery Mr Alex Watson Lower limb with sub specialist in foot and ankle surgery. Bunions, hammer toes, mallet toes, clawed toes, osteoarthritis of foot and ankle, collapsed arches, sports injuries and ankle arthroscopy. General foot and ankle problems for paediatrics Tues am/pm Gastroenterology Dr Deb Ghosh Gastrointestinal problems including reflux disease, peptic ulcers, irritable bowel syndrome, anaemia, ulcerative colitis, crohn’s disease, rectal bleeding, gastrointestinal (oesophageal, stomach, pancreatic, liver and colorectal) cancers, chronic abdominal pain, chronic constipation and other colorectal diseases Tues pm, Wed pm, Thurs pm ENT Audiology and Hearing Aids 26 Speciality General Medicine General Surgery 27 Consultant Special Interest Clinics Dr Sachin Gupta Gastro-oesophageal reflux disease, gastric and duodenal ulcers, irritable bowel syndrome, anaemia, ulcerative colitis, crohn’s disease, rectal bleeding and upper (oesophageal and gastric) and lower (small bowel, colonic, and anorectal) gastrointestinal cancers. Removal of colonic polyps Tues am, Wed eve, Fri eve Dr Edward Stoner Gastroscopy, colonoscopy, ERCP (endoscopic retrograde cholangiopancreatography) capsule endoscopy, gastro-oesophageal reflux, gastric and duodenal ulcers, irritable bowel syndrome, ulcerative colitis, crohn’s disease, gallstones, rectal bleeding and upper (oesophageal and gastric) and lower (small bowel, colonic and anorectal) gastrointestinal cancers Mon pm, Tues eve, Wed am and alt pm, Thurs pm, Fri pm/eve Dr Syed Mansoor Stroke/TIA. Geriatrics and general medicine Alt Thurs pm Dr Murugah Seevaratnam Geriatric medicine and general medicine Mon am, Fri am Mr Ahmed Abidia Varicose veins, vascular problems, laparoscopic hernia and cholecystectomy Wed eve, alt Thurs am Mr Howard Bradpiece General surgery for adults and children, upper GI, laparoscopic cholecystectomy, hernia, vasectomy and breast surgery Tues pm, Wed am, Fri am Mr Vivek Gupta General, laparoscopic and colorectal surgery. Open and laparoscopic hernia repair, laparoscopic cholecystectomy, colonoscopy and flexible sigmoidoscopy, open and laparoscopic colorectal resection, proctology (haemorrhoidectomy, fissure, fistula, pilonidal sinus), surgical treatment of colorectal cancer, inflammatory bowel disease and diverticular disease, treatment of groin and incisional hernias, investigation of abdominal pain, rectal bleeding and change in bowel habit Alt Fri pm/eve, alt Sat am Miss Stephanie Jenkins Breast/general surgery, thyroid, hernia, laparoscopic cholecystectomy and minor operations Tues pm Mr Olatunde Lalude Colorectal surgery, general surgery, laparoscopic cholecystectomy and colonoscopy Thurs am, alt Sat am Mr Nicholas Law Arterial surgery, varicose veins, venus ulcers and thyroid surgery Alt Tues pm Mr Jonathan Refson Vascular, varicose veins, laparoscopic cholecystectomy and laparoscopic hernia repair, gilmore’s groin hernia (sports), general surgery for adults and children Alt Mon pm, Wed am Mr Mrinal Saharay Thyroid surgery, minimally invasive parathyroidectomy, colorectal surgery including procedure for prolapse and haemorrhoids (circular stapled haemorrhoidectomy), colonoscopy and gastroscopy, laparoscopic cholecystectomy, hernia repair and minor ops Fri pm Speciality Consultant Special Interest Clinics Ms Vardhini Vijay Laparoscopic abdominal surgery including cholecystectomy, adhesiolysis and benign and malignant colonic disease, laparoscopic and open repair of groin and abdominal wall hernias, gastroscopy, colonoscopy and surgery for benign anorectal conditions Alt Tues pm Mr Shanmugam Vivekanandan Endoscopies inc gastroscopy, colonoscopy, hernia surgery, laparoscopic surgery and colorectal surgery Wed eve, Fri pm Mr Mohammed Al Samarrai Minimally invasive surgery, oncology, colposcopy, labioplasty and vaginoplasty Wed pm Mr Henry Annan Fibroids, incontinence and prolapse and vulva disease Fri pm Mr Frank L De Graaf Uro-gynaecology, infertility and menorrhagia Thurs am, alt Thurs pm Mr Philip Donkor Obstetrics and gynaecology with special interests in high risk obstetrics; diabetes and other medical conditions in pregnancy Tues pm Miss Kamilia El Farra Assisted conception, IVF, colposcopy, minimal access surgery and urogynaecology, labioplasty and vaginoplasty Mon am, alt Wed am, Wed eve, Fri pm/eve Mr Deyaa El Sandabesee Ambulatory gynaecology including gynaecological ultrasound, hysteroscopy, colposcopy and minimal access surgery Mon eve, Tues am Mr Ezzat Y Hemaya Menorrhagia, prolapse, urogynaecology, PCOD and ultrasound scan and prenatal diagnosis Fri pm Ms Rahat Khan General gynaecology including pelvic pain, infertility, abnormal uterine bleeding, uterine and vaginal prolapse, recurrent miscarriages, endometriosis, fibroids, endocrine disorders including polycystic ovaries, heavy periods, premenstrual symptoms, cervical smears, hysteroscopy and minimal access surgery Wed pm Ms Saadia Noreldeen General gynaecology, menstrual disorders, endocrine problems including polycystic ovaries and adolescence gynaecology Tues am, Fri pm, Sat am Mr R Varma Day case surgery. Pelvic floor, prolapse and urinary incontinence. Complex pelvic surgery for endometriosis, large fibroids and vaginal hysterectomy for patients who require a hysterectomy in the absence of prolapse By arrangement Fertility Clinic Miss Kamilia El Farra Assisted conception, IVF, colposcopy, minimal access surgery and urogynaecology Mon am, alt Wed am, Wed eve, Fri pm/eve Haematology Dr Faris N Al-Refaie All aspects of haematology including malignant haematology (lymphoma), thrombophilia and anticoagulation Fri am Gynaecology Obstetrics 28 Speciality Special Interest Clinics Mr Simon Wimsey Carpal tunnel and other peripheral nerve entrapment, revision carpal tunnel surgery, dupuytren’s contracture, trigger digits, de quervain’s, arthritis, joint replacements, cysts, ganglia, ligament reconstructions, tennis / golfer’s elbow, wrist / elbow arthroscopy, trauma fracture fixation and correctional osteotomies Mon pm, Thurs pm Mr Rajeev Sharma Upper limb, shoulder replacement, elbow, wrist, hand, knee ligament reconstruction and sports injury Thurs pm Mr Charles H Aldam Total joint replacements including hip and knee replacements, revision hip and knee surgery, shoulder and elbow replacement and ankle and knee surgery, arthroscopic surgery, back problems and sciatica Mon pm, alt Tues am, Wed pm, Fri am Mr Paul Allen Knee and hip replacement, arthroscopic surgery, ligament reconstruction and trauma Mon am/pm, Thurs pm/eve Mr Rashid Khan Hip and knee arthroplasty, knee arthroscopy and ACL reconstruction Wed pm Mr Satish Kutty Hip and knee replacements. Young adults with hip pain, hip and knee arthroscopic surgery and trauma Tues pm, Wed am/pm Mr Jeh Mahaluxmivala Knee and hip replacement and revision surgery Mon am/eve Manual Lymphatic Drainage Miss Nicole de Havilland Lymphoedema drainage Thurs am Nephrology\Renal Medicine Prof Abdelgalil Ali Chronic renal failure, hypertension, protein urea and Stages II, III, IV and V chronic kidney disease Thurs pm Neurology Dr Oliver C Cockerell Headache, epilepsy, whiplash and general neurology Mon pm Prof Chris Hawkes General neurology, multiple sclerosis, parkinsonism, smell and taste disorder Alt Thurs eve Dr Peter Martin Cerebrovascular disorders Wed pm Dr Jacqui Deeb EMG, nerve conduction studies, SFEMG, EEG and evoked potentials Thurs pm Dr Gorondar Kanabar Nerve conduction and EMG Alt Wed am Neurosurgery Mr Habib Ellamushi Spinal surgery including balloon kyphoplasty Fri am Oncology Dr Jonathan Bridgewater Gastro intestinal oncology Fri pm Prof. Neville G P Davidson Breast cancer, malignant melanoma, and urological cancers Tues pm Dr Julian Singer Oncology and radiotherapy, breast, lung, bowel and prostate cancers Tues pm, Thurs pm Dr P Szlosarek Oncology By arrangement Hand, Wrist and Elbow Surgery Hip and Knee Surgery Neurophysiology 29 Consultant Speciality Consultant Special Interest Clinics Mr Stephen H Campbell Small incision cataract surgery with multifocal implants, glaucoma and squint Alt Mon am Mr Raja Das-Bhaumik Ophthalmology, oculoplastic surgery, cosmetic surgery ophthalmic, lacrimal, plastic and reconstructive surgery, blepharitis, conjunctivitis, chalazia, dry eye, watering eyes, periocular and facial tumours Alt Wed pm Mr Ivan M Fawcett New treatments for macular degeneration, vitreo retinal surgery and cataract surgery Mon pm, Tues am, alt Tues pm, Thurs am Mr Praveen Patel For all ophthalmological conditions in adults including age-related macular degeneration, diabetic retinopathy, retinal vein occlusion and cataract Thurs pm Mrs Priya Prakash Medical retina, specifically in the current trends in management of diabetic retinopathy, age related macular degeneration and retinal vein occlusions Alt Wed pm, Thurs pm Mr Venkata M R Vempali Small incision cataract surgery, squint and paediatric eye problems Wed am, Fri am, Sat am Orthoptics Investigation/ Orthoptist Helen Collett Visual fields assessment, squint, ocular motility, children with lazy eye and amblyopia By arrangement Oral Maxillo Facial Surgery Mr Leo Cheng All aspects of oral and maxillofacial surgery for adults and paediatrics, head and neck surgery, including dentoalveolar, facial skin, salivary gland along with facial trauma and pain Thurs pm Mr Brian Littler All aspects of maxillo facial surgery including salivary gland surgery and dental implants Sat am Mr Simon Whitley Dentoalveolar surgery, salivary gland disorders, head and neck cancer, facial surgical dermatology and facial trauma (adults and paediatrics) Alt Tues pm, alt Fri pm Mr Charles H Aldam Total joint replacements including hip and knee replacements, revision hip and knee surgery, shoulder and elbow replacement and ankle and knee surgery, arthroscopic surgery, back problems and sciatica Mon pm, alt Tues am, Wed pm, Fri am Mr Paul Allen Knee and hip replacement, arthroscopic surgery, ligament reconstruction and trauma Mon am/pm, Thurs pm/eve Mr Alexander Amini Paediatrics, upper limb (not wrists) and foot Tues pm Mr Zaher Dannawi Spinal surgery. Specialist interest in adult and paediatric spinal conditions including degenerative conditions of the spine, spinal deformity, trauma, infection and tumours of the spine Mon am/pm, Thurs am Mr Arif Gul Trauma and orthopaedics with special interest in adult and paediatric spinal surgery including degenerative conditions of the spine, spinal deformity, trauma, infection and tumours of the spine Mon pm, Wed pm Ophthalmology Orthopaedics 30 Speciality Special Interest Clinics Mr Ahmed A Hussein Spinal surgery including trauma, degenerative disorders, infection, tumour and adult deformities. Disc arthroplasty both in the lumbar and cervical spine, minimally invasive procedures and kyphoplasty Mon am, Tues am, Wed pm, Fri pm Mr Rashid Khan Hip and knee arthroplasty, knee arthroscopy and ACL reconstruction Wed pm Mr Jonathan L Kitson Spine and general orthopaedics Fri am Mr Satish Kutty Hip and knee replacements. Young adults with hip pain, hip and knee arthroscopic surgery and trauma Tues pm, Wed am/pm Mr Jeh Mahaluxmivala Knee and hip replacement and revision surgery Mon am/eve Mr Nicholas Saw Upper limb disorders, upper limb arthroscopy, upper limb sports injuries, rotator cuff disorders, shoulder and elbow arthritis Thurs pm/eve Mr Rajeev Sharma Upper limb, shoulder replacement, elbow, wrist, hand, knee ligament reconstruction and sports injury Thurs pm Mr Alex Watson Lower limb with sub specialist in foot and ankle surgery. Bunions, hammer toes, mallet toes, clawed toes, osteoarthritis of foot and ankle, collapsed arches, sports injuries and ankle arthroscopy. General foot and ankle problems for paediatrics Tues am/pm Mr Simon Wimsey Carpal tunnel and other peripheral nerve entrapment, revision carpal tunnel surgery, dupuytren’s contracture, trigger digits, de quervain’s, arthritis, joint replacements, cysts, ganglia, ligament reconstructions, tennis / golfer’s elbow, wrist / elbow arthroscopy, trauma fracture fixation and correctional osteotomies Mon pm, Thurs pm Podiatry Ms Joyti Patel Sports injuries, biomechanics, gait analysis, orthotics Alt Fri am Paediatrics Dr Vijay S Chakravarti General paediatrics, asthma recurrent infections, GI problems and allergy testing Mon pm, Wed am, Thurs pm, Sat am Dr Inyang Takon General paediatrics, neuro disability, ADHD and behaviour problems Alt Sat am Dr Ravindras St. E Thambapillai General paediatrics, asthma, nephrology including urinary tract infections and neonatology Sat am Dr Sabri Zeidan Respiratory medicine and general paediatrics By arrangement Dr Than Soe Neonatology, gastroenterology and gastrointestinal food allergy Alt Thurs pm Dr Mark Alexander Williams Pain management, back pain, neck pain, musculoskeletal pain and pelvic pain Thurs am/pm Orthopaedics cont. Pain Medicine 31 Consultant Speciality Consultant Special Interest Clinics Dr Madhusudan Mali Pain management, anaesthetics, lower back and shoulder Tues am/pm Dr Victor Mendis Back and neck pain. Neuropathic management Tues pm Mr Gabriel Alvarez-Parra Rhinoplasty, liposuction, abdominoplasty, all aspects of breast and facial cosmetic surgery and skin cancer Mon eve, Wed am/pm Mr J Britto Non-surgical facial rejuvenation, eyelid reconstruction and aesthetics, facial and nasal aesthetic surgery and surgery of the breast Fri am Mr Nigel Carver Face lift, ear correction, nose reshaping, eyelid surgery, breast enlargement, reduction and uplift, abdominoplasty and liposuction Alt Wed pm/eve Mr Bhagwat Mathur Breast reconstruction, breast aesthetic surgery shaping, reduction, augmentation, mastopexy, asymmetry correction, inverted nipples and gynaecomastia Mon eve, alt Sat am Mr David McKiernan (Facial plastics only) Cosmetic facial surgery, rhinoplasty and dermal fillers Alt Tues am, alt Fri pm Mr George Mochloulis (Facial plastics only) Facial cosmetic surgery, face and neck lifts, rhinoplasty, pinnaplasty blepharoplasty, removal of facial lesions and moles Fri am Ms Kalliroi Tzafetta Facial aesthetic surgery, facial paralysis, body contouring, abdominoplasty, microsurgical procedures and all aspects of cosmetic surgery Alt Sat am Private GP and Screening Services Treatment of acute illnesses, ongoing medical care, general lifestyle advice, referral to hospital consultant, x-ray, physio, etc. Health screening Mon eve, Sat am Nurse Practitioner Ear syringing, cervical smears, hpv vaccines and ongoing medical care By arrangement Dr Salah Abou-el-Fadl Adult psychiatry Wed eve Dr Krishnendu Nandy Special interests in eating disorders, post natal depression, mental health related to neurological conditions and other physical illnesses Sat am Dr Robert Schapira Adult psychiatry, adult attention deficit, hyperactivity disorders, autism spectrum disorders, stress disorders, psychosomatic disorders and clinic hypnosis Tues pm, Thurs am/pm, Fri am Mr James Roast Pain management, eating disorders, child and adolescent mental health, specifically the emotional wellbeing of children and their development Fri pm Plastic Surgery Psychiatry Psychotherapist 32 Speciality Consultant Radiology Clinics General radiology, aortic aneurysm, breast radiology (digital mammography, ultrasound, MRI) cardiac CT, calcium scoring, CT colonography, doppler ultrasound and vascular scans, echo cardiology, gastroenterology, genito-urinary, gynaecology and obstetrics, head and neck, interventional pain management, musculoskeletal, neuroradiology and paediatric imaging Mon to Fri 8.30am – 8.00pm, Sat 8.30am – 1.00pm Renal Medicine/ Nephrology Prof Abdelgalil Ali Chronic renal failure, hypertension, protein urea and Stages II, III, IV and V chronic kidney disease Thurs pm Rheumatology Dr Khalid Ahmed Inflammatory arthritis (including anti-TNF treatment), connective tissue disease (including vacuities), polymyalgia rheumatic, paget’s disease and osteoporosis Mon am, Thurs eve, alt Sat am Dr Jeremy M C Axon Soft tissue injuries, inflammatory arthropathies, osteoporosis, sports injuries, and overuse neck and back including work-related injuries Wed am Dr Sarah J Farrow General rheumatological disorders, inflammatory arthritis and connective tissue disease Wed pm Mr Alexander Amini Paediatrics, upper limb (not wrists) and foot Tues pm Mr Nicholas Saw Upper limb disorders, upper limb arthroscopy, upper limb sports injuries, rotator cuff disorders, shoulder and elbow arthritis Thurs pm/eve Mr Rajeev Sharma Upper limb, shoulder replacement, elbow, wrist, hand, knee ligament reconstruction and sports injury Thurs pm Miss H BrydeAndersen Diagnosis and treatment of the full range of urological problems including female and paediatric urology. Special area of interest includes urinary stones and bladder dysfunction, recurrent urinary tract infections and prostate problems Tues pm, Fri am Mr Stuart Graham All urological conditions in adults and children, including stone disease, urological cancer, prostate disorders, urinary tract infections and incontinence Fri am Mr Bernard Potluri Prostate assessment, prostate cancer, andrology, brachytherapy, haematuria clinic, erectile dysfunction, paediatric urology, vasectomy and reversal, orchidopexy, circumcision and general female urology Mon pm, Wed am, Fri am/pm, Sat am Mr Rateb Samman Laparoscopic nephrectomy and pyeloplasty, urological cancer. female urology, paediatric urology, stone disease and haematuria clinic Mon am, Wed am, Thurs pm/ eve, Fri eve Mr Jaspal S Virdi Prostate cancer, urinary stones, paediatric and female urology and brachytherapy Tues pm, Wed eve, Fri pm Continence Nurse Nora Roberts Treatment of continence and bowel dysfunction Alt Thurs am/ pm Continence Physiotherapy Karen Rattray Bio feed back and pelvic floor muscle strengthening Wed Vascular Mr Ahmed Abidia Varicose veins, vascular problems, laparoscopic hernia and cholecystectomy Wed eve, alt Thurs am Mr Nicholas Law Arterial surgery, varicose veins and venus ulcers Alt Tues pm Shoulder and upper limb Surgery Urology 33 Special Interest Speciality Consultant Special Interest Clinics Mr Jonathan Refson Vascular, varicose veins, laparoscopic cholecystectomy and laparoscopic hernia repair and gilmore’s groin hernia (sports) Alt Mon pm, Wed am Sclerotherapy Carole Rogers Nurse-led non-surgical treatment for thread veins Wed pm, Fri pm Weight Loss Surgery Mr Sanjay Agrawal Weight-loss surgery: laparoscopic gastric band for obesity, laparoscopic cholecystectomy for gallstones, laparoscopic hernia repairs, laparoscopic anti-reflux surgery for gastrooesophageal reflux disease (GORD) / heartburn and advanced laparoscopic surgery Tues pm Mr Yashwant Koak General surgery, weight loss surgery, minimal access surgery, hernia repair, laparoscopic surgery and upper gastrointestinal surgery Alt Tues pm Unless otherwise stated all appointments are made by telephoning Rivers Hospital Outpatients Department on: 01279 602 675 34 Notes 35 Notes 36 Directions By Public Transport The nearest stations are Sawbridgeworth and Harlow Mill, both are within a five minute taxi ride of the hospital. Pedestrian Access From High Wych Road walk through the Orchard Lea cul-de-sac, pass the entrances to The Gardens and Orchard Lea until you see Rivers Hospital on your left. By Road From A414 – At roundabout join A1184 Cambridge Road. Continue onto Harlow Road. Turn left onto High Wych Road (signposted High Wych). Then turn right (Rivers Medical Centre) and follow the road around to Rivers Hospital. For more information call: 01279 600 282 w w w. riv ers - h o s p it al.co .u k High Wych Road, Sawbridgeworth, Hertfordshire, CM21 0HH MK-XXXX-XXX-SIT-502 Issue Date: Mar 2015 Review Date: Mar 2018