Dr Amit Goswami - Anaesthetics
GMC Number: 6050872
Year of first qualification: 2002, University of Bristol
Specialty: Anaesthetics
Clinical interest: Neuroanaesthesia, Medical Education
Telephone: 0117 414 2641
GMC Number: 6050872
Year of first qualification: 2002, University of Bristol
Specialty: Anaesthetics
Clinical interest: Neuroanaesthesia, Medical Education
Telephone: 0117 414 2641
GMC Number: 4476362
Year of first qualification: 1997, University of Cambridge
Specialty: Renal Medicine
Clinical interest: Haemodialysis, Acute Kidney Injury
Secretary: Lynsey Dorney
Dr Albert Power is Specialty Lead for Renal & Transplant Services and Strategic Director for Vascular, Renal, Transplant & Urology Networks, ASCR Division. He is also lead for Haemodialysis with a specialist interest in acute & maintenance dialysis therapies.
He graduated from Gonville & Caius College, Cambridge and completed his MD at Imperial College London.
He is also Lead for Clinical Research in the Directorate with portfolios examining stroke & vascular pathology in dialysis patients, vascular access function and coagulation. He is a member of the RA, ASN, ERA-EDTA, ISPD & ISHD.
Telephone Numbers - Operations Centre/Hot Clinic/Urgent Referrals
Operations centre (Medicine, Surgery & Ambulatory Emergency Care Centre)
Telephone: 0117 4140700
Respiratory Hot Clinic
Fax: 0117 4145111
Radiology – Imaging Paper Requests
Fax: 0117 4149466
Radiology – appointment queries
Telephone: 0300 3000089
TIA Office
Neurology – urgent referrals
Telephone: 0117 4146600
Fax: 0117 4149489
Fax: 0117 4149479
Fax: 0117 4149475
Neurosurgery – urgent referrals
Fax: 0117 4149479
Vascular Hot Clinic
Telephone: 0117 4140798
Fax: 0117 4149421
Email: nbn-tr.bbwvascularnetwork@nhs.net
Tepid Clinic referrals
Telephone: 0117 4146443
Fax: 0117 4149457
Warfarin Monitoring – Pathology
Telephone: 0117 4148405 (Helpdesk)
Outpatient Physiotherapy referrals
Telephone: 0117 4144413
Fax: 0117 4149483
ED Main Reception
Telephone: 0117 4145100 or 0117 41445101
Outpatient Appointments Office
Office 3, Level 2, Gate 4
Brunel building
Southmead Hospital
Bristol
BS10 5NB
Telephone: 0300 5550103
Fax: 0117 4149400
For all other clinical correspondence, please use the specialty specific fax numbers as follows:
Outpatient Appointments: 0117 4149400
Cardiac Cath Labs and Diagnostic Queries: 0117 4149416
Cardiology: 0117 4149377
Care of the Elderly: 0117 4149431
Diabetes and Endocrinology: 0117 4149402
Gastroenterology and Hepatology: 0117 4149435
Immunology and Allergy: 0117 4149386
Infectious Diseases: 0117 4149443
Medical Virology (HIV): 0117 4149442
Respiratory: 0117 4149496
Within the Bristol Breast Care Centre at Southmead Hosptial, Bristol, you will find two separate waiting areas, one for Breast Screening and one for the Breast Clinics. There is a vending machine with snacks, tea and coffee available and a cold water machine.
There are 8 surgeons and clinicians and 6 radiologists running new patient and follow-up clinics, the radiologists in addition reading all the breast screening mammograms for the Avon area and running assessment clinics for this.
There are 5 Clinical Nurse Specialists (CNS) within the Bristol Breast Care Centre who perform much of the nurse led work.
The Bristol Breast Care Centre, the first of its kind in the South West, opened in 1995 as a self-contained, dedicated unit where patients are seen by various specialists who are experts in diverse aspects of the management of breast disease.
There were originally two breast units in Bristol, one at Frenchay and the other at the Bristol Royal Infirmary. The two units merged into the old Southmead Hospital in 2013 making it one of the biggest breast departments in the country. In July 2014 they moved into a new unit, purpose built in Beaufort House on the Southmead Site. Beaufort House is the oldest building at Southmead, originally the workhouse, but it has been transformed into a state of the art breast unit, whilst keeping a lot of the old features. In August 2014 they were joined by Avon Breast Screening so that now all breast services in Bristol are under one roof. This is something which not many cities in the UK can boast, and it has allowed much better working practices and improved patient pathways.
It was one of the first centres in the country to launch one-stop clinics, has twice been awarded the prestigious Charter Mark as a centre of excellence and received a Gold Star on the Peer Review.
Bristol Breast Care Centre
Beaufort House
Southmead Hospital
Westbury-on-Trym
Bristol
BS10 5NB
Telephone*: 0117 4147000 or email familyhistorybreastcare@nbt.nhs.uk.
* 9am - 5pm Monday to Thursday, Friday 9am - 4pm
The Bristol Interstitial Lung Disease Service at North Bristol NHS Trust cares for catchment area of around 550,000 people (plus additional referrals from other centres), with a variety of interstitial lung diseases including:
Our team includes:
We offer access to specialist medications whilst providing holistic management of our patients.
Asthma and Lung UK: www.blf.org.uk
Action for pulmonary fibrosis: www.actionpf.org
Sarcoidosis UK charity: www.sarcoidosisuk.org
Visiting times do not apply as patients do not stay overnight at this centre.
Telephone: 0117 4144900
The Disablement Services Centre, Wheelchair & Special Seating and Bristol Communication Aids Service has moved to the new Bristol Centre for Enablement at specially adapted premises at Cribbs Causeway. The centre includes Prosthetics, orthotics services , Electronic Assistive Technology & AAC West.
For information on travelling by Bus to Bristol Centre for Enablement visit:
There are regular bus services from the City Centre to the Mall at Cribbs Causeway.
National Rail Enquiries, 03457 484950 The nearest stations are Bristol Parkway and Filton Abbeywood.
For information on cycling visit Better by Bike.
There is parking for visitors and staff, including access for disabled visitors.
Bristol Centre for Enablement
Highwood Pavilions
Jupiter Road
Patchway
BS34 5BW
United Kingdom
Main Reception telephone: 0117 9505050
Audiology telephone: 0117 3425854
Birth Centre telephone: 0117 4145150
CFS/ME telephone: 0117 4145192
Community Midwives telephone: 0117 4145160
CoTE (care of the elderly) telephone: 0117 4146443
Imaging telephone: 0117 4145178
LEEP telephone: 0117 4142010
Lymphoedema telephone: 0117 3408403
Outpatients telephone: 0117 4140411
Physiotherapy telephone: 0300 125 6550
Podiatry telephone: 0117 3408404
Renal Dialysis telephone: 0117 4145230
Speech & Language Therapy telephone: 01174145130
For Out of Hours GP (via NHS111) telephone: 111
GMC Number: 6074563
Specialty: Anaesthetics
Clinical interests: Regional Anaesthesia, TIVA, Difficult Airways, Royal College Accreditation, Intranet Lead for Anaesthesia
Secretary: Anaesthetic Secretaries
Telephone: 0117 414 1589
Dr Nick Preston is a member of the Difficult Airway Society and the AAGBI.
Year of first qualification: 1995, UCL Medical School MBBS, London
Specialty: Anaesthetics
Clinical interests: Trauma, Medical Education especially Medical Simulation
Telephone: 0117 414 5441
Dr Curtis Whittle is the Simulation Education Lead for the Anaesthetic and Critical Care Department, North Bristol NHS Trust.
Dr Whittle is a Member of North Bristol's Simulation and Human factor working group as well as the South West Simulation Network.
He is also the Foundation Programme Director for FY1 trainee doctors at North Bristol NHS Trust.
The team also work closely with colleagues across the Trust and beyond to develop new and innovative research ideas that test new treatments especially in the fields of major trauma and emergency medicine.
Please speak to the person treating you to find out if there is a research study that may be able to help you.
Dexacell s the addition of oral dexamethasone to usual care in patients who present to urgent and emergency care with cellulitis effective and cost-effective in terms of reducing pain, improving quality of life, and reducing further antibiotic usage and healthcare use?
Why is this an important question to answer?
Cellulitis is a common bacterial skin infection and has a major impact on patients and healthcare utilisation. Hospital treatment costs in England and Wales alone are estimated at £220 million per year (1). When patients with cellulitis attend hospital they are usually treated with antibiotics and painkillers (2). However, even with this treatment around 1 in 5 patients will later seek further treatment due to ongoing symptoms – most often this is due to pain. This can lead to additional doctors appointments, A&E visits and additional antibiotics (3). It is therefore important to look for other ways to reduce early symptoms in patients with cellulitis, particularly pain.
There is a type of anti-inflammatory medicine called ‘corticosteroids’ that are often given to reduce inflammation and pain, improving short-term symptoms in patients with other types of infection and many other conditions. They are not currently used for the treatment of cellulitis but small research studies suggest that the addition of oral corticosteroids to antibiotics reduces pain and other symptoms, without adverse effects (4-6). Because of this, some guideline bodies recommend corticosteroids in patients with cellulitis, while others suggest further trial data is needed. A definitive clinical trial is needed to establish the costs and benefits of giving corticosteroids to patients with cellulitis by assessing outcomes that matter to patients and the health service.
We are therefore running this large trial across multiple hospitals across England and Wales. We are aiming to recruit 450 patients to participate in the trial so that we can find out whether giving people with cellulitis a ‘corticosteroid’ called dexamethasone can:
PI: Dr Edd Carlton
Planned end date: 31st January 2026
Local ref: 5411
Our aim is to understand how best to investigate acute severe headaches, which are suggestive of a condition called subarachnoid haemorrhage (SAH). SAH is a potentially severe cause of headache in the UK and requires urgent identification and treatment. It is defined as the presence of blood within one of the layers of the brain. At its most serious, it can cause death and severe disability.
We want to understand the accuracy of CT brain scanning in the Emergency Department (ED) and how this accuracy changes with time.
We will collect data on patients presenting to the Emergency department that have headaches reaching peak intensity within one hour. These are the classic headache patterns that raise concern with clinicians about the possibility of SAH. We will use this data to try and validate recently proposed clinical rules, and CT brain strategies, which suggest they can exclude the possibility of SAH with a high degree of precision.
With this information, we will be able to inform clinicians how accurate CT brain scans are safely excluding SAH. Further to this, we will highlight how this accuracy changes depending on the timing of the scan, using hourly intervals from onset of the headache. We will also evaluate the accuracy of clinical decision rules (without any brain scans) to exclude the condition of SAH.
Project Details
Principal Investigator: TBC
Planned End Date: TBC
Local Ref: 4761
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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