Procurement Strategy

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The BWPC Strategy 2022 to 2025 has been produced to present the vision, goals and strategic aims of the Bristol & Weston NHS Purchasing Consortium (BWPC).

Our vision is to provide procurement support to the whole Healthier Together Partnership, improving patient care through effective management of the supply chain whilst leveraging value across all our spend. We will achieve this by delivering excellent procurement, supported by proven methodologies, good technology, and excellent people.

We are Bristol and Weston NHS Purchasing Consortium (BWPC). We have set ourselves the goals of:

  • Attracting, developing & retaining excellent procurement professionals.
  • Sustainably delivering value, while improving our financial, environmental, and social impact.
  • Taking accountability for commercial supplier relationships across our clients.
  • Proactively harnessing innovation within our supply chains to cultivate and share ideas across the system.
  • Creating a culture of good commercial governance across the healthcare system.

Download 

Mr Nicholas Howells - Trauma & Orthopaedics

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GMC Number: 6079818

Year of first qualification: 2003

Specialty: Trauma & Orthopaedics

Clinical interests: Knee & trauma

Secretary: Jane Starr

Telephone: 0117 414 1609

Mr Nick Howells completed his Undergraduate Medical training at Imperial College, London in 2003. His basic surgical training was in London and Oxford and his specialist orthopaedic training was completed in the Severn Deanery, based in Bristol.

Mr Howells has completed fellowship training in knee surgery and trauma surgery in Australia. He spent 10 months at the internationally renowned Australian Institute of Musculoskeletal Surgery in Sydney under the supervision of Professor Leo Pinczewski gaining experience in all aspects of knee surgery.

He then spent 1 year at the Royal Melbourne Hospital, one of the busiest major trauma centres in Australia, gaining experience in orthopaedic trauma surgery and knee surgery.

Mr Howells was awarded an MSc in Surgical Technology by Imperial College, London in 2007 focusing on the use of simulators to train orthopaedic surgeons and awarded an MD in Orthopaedic Surgery by the University of Bristol in 2014 focusing on reasons for ongoing pain after knee replacement. He was also awarded Fellowship of the Higher Education Academy in 2014 in recognition of his training in medical education.

His elective practice focuses on knee surgery including primary and revision knee replacement, cartilage and ligament injuries and management of early and advanced osteoarthritis. 

Howells

Imaging Day Case Unit

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The Imaging Day Case Unit is a nurse led unit, embedded within Interventional Radiology.

It offers 18 day case beds designated to patients who have had or are having procedures performed within the Imaging department.

The unit has been specifically designed to improve pre and post-operative care delivered by specialist trained Imaging Department nurses, as well as improving wait times for the Imaging department as a whole.

Imaging Department Contact Centre

If you are unable to attend your appointment please let us know as soon as possible. You can also contact the Imaging Department Contact Centre if you wish to change or discuss your appointment.

Telephone: 0117 414 8989

Young Carers

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If you are a young person involved in caring for a parent or sibling who has a physical or mental health need, disability or substance misuse problem then you may be a young carer. You might have to take on responsibilities that an adult may usually have including practical tasks or supporting them emotionally.

 

If you want to find out more about being a young carer then lots more information can be found on NHS.

As a young carer you might find this has an impact on your life including school or college, socialising with friends and how you feel emotionally. We know that it is important to make sure that you are supported when you access our services. If you have to come to hospital with the person you care for or as a patient yourself, then you can contact the Carer Liaison Worker. They can provide support, information and be an advocate for you and the person you care for.

Carers Liaison Service

If you would like support while the person you care for is in hospital, please contact:

Telephone: 07731 623636
Email: bnssg.hospitalcarerliaisonservice@nhs.net

Vascular Current Research

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Vascular Current Research

The Vascular Research team conducts research that aims to improve the care of men and women using vascular services department at NBT. This includes arterial surgery, diabetic foot care, leg ulcers, varicose veins, and other vascular diseases.

We have had a successful research team in place for several years delivering complex interventional and observational studies.

The team collaborates widely with other disciplines and professions to develop ground-breaking research and care, for our patients and throughout the NHS.

Please speak to the person treating you to see if there is a research study that may be able to help you.

Current Studies:

CAMELOT

To establish if the use of rectus sheath catheter-delivered local anaesthetic infusion in addition to standard analgesia, is superior to standard analgesia without RSC as defined by the Overall Benefit of Analgesia Score(OBAS)over the first 5 post operative days.

Principal Investigator: Dr Ronelle Mouton / CO-PI Mrs Jane Ashby-Styles

Planned End Date: Recruitment ending 01/05/2026

Local Ref (R&D no): 5126

PLACEMENT

After an amputation, all patients get some pain. Analgesia (pain relieving medicines) help reduce this pain. Managing this pain helps recovery straight after the operation, especially when moving out of the bed with the physiotherapists. The amount of pain felt in the first few days after an amputation may also affect the amount of long-term pain patients get, including “phantom limb” pain. Good pain management is therefore important for every patient. 

We are comparing two different types of pain management after a patient has a leg amputation to find out if one method is better than the other.  

Project Details

PI: Chris Twine

Planned End date: 31/03/2026

Local Ref: 5365

EADC

The purpose of this study is to evaluate the safety and performance of various Custom-Made Stent-graft Devices (CMD) (this is a tube made specific to the patient’s individual specifications) used for endovascular (inside the vessel) treatment of the main artery of the body (aorta) and related diseases by collecting information on the real-world use of the devices. Health data from at least 600 patients treated at up to 20 hospitals in Europe will be collected as part of this clinical study. 

The study results will be used to support the continuation of the CMDs on the market to continue treatment of patients like you. In addition, the study will support the manufacturer’s obligation for post-market product surveillance as well as Cook's technology development.

Project Details

PI: Paul Bevis

Planned End date: 16/09/2030

Local Ref: 5443

EVOCC

Lower limb Peripheral Arterial Disease (PAD) is a form of severe occlusive aorto-iliac disease which affects one in five people over 55 years of age in the UK and is the main cause of leg amputations in the NHS. This is caused by blockages or narrowings in the arteries carrying blood to the leg(s). Some sufferers may develop leg pain when walking whereas others might have leg pain at rest or death of the tissue in the leg(s). This can be leg and life threatening and must be treated with surgery to save the leg or life. The surgery can use one of two common ways of getting more blood to your leg(s): 

  • Open surgery: this involves an operation to bypass the blocked/narrowed arteries 
  • Endovascular surgery: this involves inflating a balloon inside the blocked/narrowed arteries forcing them to open (angioplasty). Sometimes it is necessary to put a small metal tube into the artery to hold it open (stenting). This type of procedure is called endovascular treatment 

Both open and endovascular surgery are currently offered to patients like you in the NHS. 

This trial aims to understand which type of surgery is better for saving the legs and lives of patients with PAD, which type is less likely to lead to more surgery in the future and which is better cost-wise for the NHS. If you decide to take part in this trial, you will receive one of the two previously mentioned surgeries and your recovery will be monitored afterwards. 

Project Details

PI: Peter Mezes

Planned End date: 01/04/2026

Local Ref: 5524

THRIVE

Endovenous interventions are keyhole operations for varicose veins that are carried out from within the vein itself. Varicose veins are enlarged veins close to the surface of the skin. They are connected to the bigger deeper veins in the leg, known as deep veins. Because of this, operations to close the varicose veins can increase the chance of a blood clot forming in the deep veins. A blood clot in the deep veins (also known as a ‘deep vein thrombosis’ [DVT]), happens in around 1 in 59 people after endovenous operations. A clot in the leg can cause swelling, pain and other problems. If a clot in the leg breaks off and travels to the lungs (called a ‘pulmonary embolism’ [PE]), it may be life threatening.

There is a national drive to reduce blood clots by identifying those most at risk and treating them with medicines that reduce the blood’s tendency to form clots. These medicines are generally very safe but can rarely cause bleeding for example in the bowel and brain. In other short duration procedures, where people can go home on the same day, medicines to reduce blood clots are not prescribed, as developing a blood clot is so rare.  

Varicose vein procedures, however, carry a slightly higher risk of blood clot formation, and we are currently unsure if these clot reducing medicines are beneficial in preventing blood clots in patients undergoing these procedures. Elastic stockings or dressings that squeeze the leg and improve the blood flow through the veins are also applied after the varicose vein procedure which helps to reduce the risk of blood clots.  

The purpose of this study is to investigate if it is worthwhile prescribing anticoagulants to reduce blood clots after varicose vein procedures.  People enrolled in the study will undergo an assessment to make sure that they don’t have the most important risk factors for clots. Those at high risk would not be included in the study.  Some participants will receive elastic stockings or dressings alone, while other participants will receive this plus anticoagulation. A computer will decide at random the treatment you will receive.  

Project Details

PI: Jude Day

Planned End date: 31/08/2026

Local Ref: 5468

Take Part in Research

Patient & Doctor viewing an x-ray

Become one of the thousands of people taking part in research every day within the NHS.

About Research & Development

NBT Researcher

Find out more about our research and how we're working to improve patient care.

Contact Research

Research & Development
North Bristol NHS Trust
Level 3, Learning & Research building
Southmead Hospital
Westbury-on-Trym
Bristol, BS10 5NB

Telephone: 0117 4149330
Email: research@nbt.nhs.uk

Vascular
R&I Vascular.png

Committee Terms of Reference

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The Trust Board has overall responsibility for the activity, integrity and strategy of the Trust and is accountable, through its Chairman, to the NHS Trust Development Authority and the Secretary of State for Health.

Its role is largely supervisory and strategic and it has six key functions:

  • to set strategic direction, define objectives and agree plans for the Trust
  • to monitor performance and ensure corrective action
  • to ensure financial stewardship
  • to ensure high standards of corporate and clinical governance and personal behaviour
  • to appoint, appraise and remunerate executives
  • to ensure dialogue with external bodies and the local community.

Download committee terms of reference:

 

Audit and Risk Committee

 

Southmead Hospital Charity Committee

 

Digital Committee

 

Finance and Estates Committee

 

Quality and Outcomes Committee

 

Remuneration and Nomination Committee

 

People Committee

Mr Marcus Brooks - Vascular Surgery

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GMC Number: 4066590

Year of first qualification: 1993, Cambridge University Medical School

Specialty: Vascular Surgery

Clinical interests: Aortic disease, including thoracic aortic aneurysm and dissection.

Secretary: Deborah Grimwoood

Telephone: 0117 414 8800

Mr Brooks is a Fellow of the Royal College of Surgeons of England, an elected council member of Vascular Society of Great Britain and Ireland, a member of the NHS England Clinical Commissioning Group (CCG) for Vascular Surgery. He is a member of the European Society of Vascular Surgery and the Association of Surgeons of Great Britain and Ireland.

Previous posts help include Clinical Director of the Bristol Bath Weston AAA Screening Programme and Clinical Lead for the Bristol Bath Weston Vascular Network.

If you would like to view independent feedback visit www.iwantgreatcare.org/doctors/mr-marcus-brooks

If you would like to leave your own feedback visit http://iwgc.net/eqqf

Brooks

Skin Cancer Plastic Surgery, Dermatology Consultants & Associate Specialists

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Mr Dominic Ayers

Mr Dominic Ayers MB BChir, FRCS

Consultant Plastic Surgeon

Clinical Interest: Skin Cancer and Management of Melanoma

Secretary: Joanne Hawkins, 0117 414 7607

HA

Dr Helen Audrain BSC, MBChB, MRCP (UK) Lead for Dermatology

Consultant Dermatologist

Clinical Interest: General Dermatology, Vulval Dermatology, Dermatology & Skin Cancer Surgery

Secretary: Carole Wathan, 0117 414 7621

APB

Dr Adam Bray MBChB FRCP (UK) Derm (Mohs Service)

Consultant Dermatologist

Clinical Interest: Dermatology surgery, including Mohs micrographic surgery, and reconstruction 

Secretary: Carole Wathan, 0117 414 7621

Mr Eugene Curtin

Mr Eugene Curtin MB, BMedSc, iMRC, MD

Associate Specialist in Plastic Surgery

Clinical Specialist: Skin Cancer, Reconstructive Surgery and Dermoscopy

Secretary: Debbie Undy, 0117 414 7593

Dr Amrit Darvay BSc (Immunol) MB BS (UK) Lead for Skin Cancer Services

Consultant Dermatologist

Clinical Interest: Skin Cancer, Acne, Psoriasis and Eczema

Secretary: Dot Phillips, 0117 414 7596

Mr Iraklis Delikonstantinou

Mr Iraklis Delikonstantinou MD, FEBOPRAS

Consultant Plastic Surgeon

Clinical Interest: Melanoma and Non-melanoma Skin Cancers and Post-Mohs Reconstruction

Secretary: Rachael Jones, 0117 414 7603

GSD

Dr Giles Dunnill MB BS, MD, FRCP

Consultant Dermatologist

Clinical Interest: Dermatology & Skin Cancer, Acne, Psoriasis, Eczema and Skin Lymphoma

Secretary: Roz Mogg, 0117 414 7620

KAF

Dr Katherine Finucane, Associate Specialist in Dermatology MA (Oxon), BM BcH

Consultant Dermatologist

Clinical Interest: Skin Cancer, General Dermatology and Medical Education

Secretary: Roz Mogg, 0117 414 7620

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Dr Daniel Keith BMBCh MA MRCP (Laser Service)

Consultant Dermatologist

Clinical Interest: General Dermatology, Skin Cancer, Laser and Dermatological Surgery

Secretary: Carole Wathan, 0117 414 7621

SYN

Dr Shalini Narayan MBBCh, MRCP

Consultant Dermatology

Clinical Interest: Skin Cancer, Eczema, Dermatitis, Psoriasis and Acne

Secretary: Dot Phillips, 0117 414 7596

Mr Antonio Orlando

Mr Antonio Orlando MD, FRCS, EBOPRAS

Consultant Plastic Surgeon

Clinical Interest: Melanoma, Skin Cancer and Head & Neck Surgery

Secretary: Joanne Hawkins, 0117 414 7607

Mr Ewan Wilson

Mr Ewan Wilson MBBS MSc, FRCS (Plas) SWAG Chair Plastics Lead for Skin Cancer Services

Consultant Plastic Surgeon

Clinical Interest: Skin, Melanoma and Mohs & Reconstructive Surgery

Secretary: Debbie Harris, 0117 414 7607