The Endoscopy service at North Bristol NHS Trust provides a full range of endoscopic techniques including:

• Diagnostic and therapeutic Gastroscopy
• Colonoscopy
• Flexible sigmoidoscopy
• ERC
• Enteroscopy Push and Double Balloon
• Capsule enteroscopy.

Rapid access Gastroscopy is available for high risk patients.

Colorectal patients are allocated to a suitable test or clinic via the Colorectal Pathway System.

The Prosthetics Service, at Bristol Centre for Enablement, sees patients who have had an amputation or who have been born with a limb deficiency. We assess the suitability of every patient for an artificial limb and then make and fit it within our clinic. We also provide on-going support and advice with any issues related to your amputation or use of the prosthesis.

We cover the areas of Bristol, Gloucestershire, North Somerset and western parts of Wiltshire.

You will normally be referred into our service by your surgeon, GP or other member of your clinical team.

Your Initial Appointment (Primary Assessment)

The aim of your initial appointment is for the team to assess your potential for using an artificial limb. This may take up to 2-3 hours. If the assessment is for a child it is very helpful if both parents/carers attend, fo at least, the first appointment. You will be given lots of information and advice about how your child will be treated and managed over the coming years.

During your appointment please ask any questions you may have.

To help with your assessment please bring with you:

• A list of medication you are currently taking.
• Any medication you need to take whilst at the centre.
• Your wheelchair and its attachments (if applicable).
• Appropriate shoe.
• Snacks / change for refreshments.

If your assessment suggests you will benefit from an artificial limb then you will receive a series of futher appointments, at which you will be cast and fitted for your artificial limb by a prosthetist.

Matthew Kaye
Director Of Pharmacy
Matthew.Kaye@nbt.nhs.uk
0117 414 2276

Alison Staples
Associate Director of Pharmacy (Clinical Services)
alison.staples@nbt.nhs.uk
0117 414 2279

Maggie Pugh
Associate Director of Pharmacy (Business Planning)
maggie.pugh@nbt.nhs.uk
0117 414 2283

Deborah Brenton
Pharmacy Operations Director
deborah.brenton@nbt.nhs.uk
0117 414 2277

For general enquiries, please email contactnbtpharmacy@nbt.nhs.uk

The dispensary service prepares medication for in-patients, some out-patients and patients being discharged from hospital.

Pharmacists provide a check on all medicines, often liaising with the doctor or nurse, to ensure the safe and effective use of medicines.

Prescriptions are checked for their appropriateness in both therapeutic terms and in dose, frequency and duration (especially for antibiotics).

Drug charts for inpatients are amended to increase therapeutic benefit and endorsed with any relevant additional information such as how medicines should best be taken.

We are currently introducing “one-stop” dispensing across the hospital. Patients are encouraged to bring all their medication from home to ensure that there is no break in treatment on admission. These will be stored in a secure bedside locker, to optimise the use of Patients Own Medicines. Medication needed for discharge will be dispensed in advance to improve efficiency.

Only prescriptions from specific out-patient clinics and certain previously agreed prescriptions will be dispensed by the hospital pharmacy department. All others should be dispensed in the community. Prescription tax is applicable for all hospital out-patient prescriptions. Out-patients are normally supplied with 1 month’s medication, unless a specific course states otherwise or if the medicine is unavailable in the community. 

Diabetes & Endocrinology Referrals

Diabetes Rapid Access Clinic (DRAC)

The indications for referral to DRAC are:

• Newly diagnosed type 1 diabetes
• Newly pregnant with type 1 or type 2 diabetes
• Recent hyperglycaemia secondary to acute inter-current illness
• Recent severe and/or frequent hypoglycaemia

DRAC referrals will only be accepted following discussion with the Diabetes Specialist Nurses first. Please contact us via the DRAC phone: 07500 027385 (DRAC Service available Monday – Friday, 8am – 4pm).  

Once the referral is accepted, please send written details to; diabetesspecialistnurse@nbt.nhs.uk

Planning Pregnancy / Pregnancy in Diabetes

Diabetes in pregnancy is associated with a higher risk of complications to mother and foetus. It is vital that pregnancies are well planned, as the diabetes control around the time of conception can affect the risk of these complications.

Please refer any patients thinking about pregnancy to the pre-pregnancy counselling clinic via the e-referral system. In the meantime, please counsel patients to use contraception until HbA1c <48mmol/mol if safely achieved, start folic acid 5mg and review other medications to ensure they are safe during pregnancy.

Please refer patients already pregnant to the diabetes antenatal clinic as soon as pregnancy is confirmed. Please refer via the Diabetes Rapid Access phone: 07500 027385 and then send written details to diabetesspecialistnurse@nbt.nhs.uk

Diabetes Foot Clinic

A Consultant-led diabetes foot service is delivered at Southmead Hospital.

Please refer via the e-referral system.

Other Diabetes & Endocrinology Referrals

Please send an e-referral to the appropriate service for all other non-DRAC services, for example;

• Multi-Professional Diabetes Clinics
• Endocrine Clinic

A service for the diagnosis and management of possible squamous cell carcinoma (SCC) and possible melanoma (MM).

Patients are to be referred via NHS eReferrals. 

The Trust operates the booking system on NHS eReferrals which allows patients to book their appointment without having to contact the hospital. 

Management Team

Dr Fong Chau: Clinical Lead

Graham Bartlett: General Manager 

Paul Cousins: Specialty Manager

Kelly Thompson: Support Manager

Consultant Team

Dr Fong Chau, Clinical Lead and Consultant in Diabetes and Endocrinology
Secretary: Karen Webley

Dr Kathryn Lonnen, Consultant in Diabetes and Endocrinology
Secretary: Karen Webley

Dr Elizabeth Cheyne, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel

Dr Vernon Parfitt,, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel & Karen Webley

Dr Danijela Tatovic, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel & Karen Webley

Dr Georgina Russell, Consultant in Diabetes and Endocrinology
Secretary: Karen Webley

Dr Hassan Kahal, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel

Dr Fleur Talbot, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel & Karen Webley

Dr Faisal Hassan, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel

Dr Georgina Wordsworth, Consultant in Diabetes and Endocrinology
Secretary: Christa Stengel

Diabetes Specialist Nurse Team

Nikki Davies - Lead DSN

Julie Emsley

Ruth Godwin

Elisabeth Jones

Sarah Reynolds

Karen Jacobs

Julie Inker

Megan Powell

Kim Bees

Jonathan Baldwin

Tracey Hughes

Esme Kerton

Specialist Dietitians: Faye Cochrane

Endocrine Clinical Nurse Specialist: Beena Jose

Admin Team: Angie Cliffe and Ellis Barry

GMC Number: 4022426

Year of first qualification: 1993, University College and Middlesex Hospital, London

Specialty: Anaesthetics

Clinical interest: Bariatrics, Orthopaedics, CPEX

Secretary: Helen Pearce

Telephone: 0117 414 5114

Dr Mark Pyke trained for 11 years to become a consultant anaesthetist; beginning in the London area before moving to Bristol for 6 years. He passed his Fellowship examinations for the Royal College of Anaesthetists in 1999 and enjoyed a couple of years in the sun whilst working and learning in Australia and New Zealand. Dr Mark Pyke has been a consultant anaesthetist at Southmead Hospital since 1994.

Dr Mark Pyke is also the Lead Bariatric Anaesthetist,  looking after patients requiring weight reduction surgery at North Bristol NHS Trust (NBT), and has successfully anaesthetised over 600 patients for this type of surgery. He also specialises in ultrasound guided nerve blocks for pain relief after surgery.

Dr Mark Pyke is heavily involved in anaesthetic assessment clinics and runs clinics to assess patients’ fitness for major surgery by means of a cardiopulmonary exercise testing (CPEX) machine.

GMC Number: 3487163

Year of first qualification: 1990, University of London

Specialty: General Surgery

Clinical interest: Coloproctology, cancer, colorectal stenting, patient safety

Secretary: Yvonne James

Telephone: 0117 414 0828

Miss Anne Pullyblank is a Consultant Colorectal surgeon appointed to North Bristol NHS Trust in 2003 and was Clinical Director for Surgery from 2010 to 2015. Anne has been involved in medical education as a Clinical Tutor and has an interest in patient safety.  She was chair of the Trust Clinical Risk Committee for 2 years.  Anne was part of the Safer Patient’s Initiative, working in the peri-operative work stream.  She then became faculty for the peri- operative workstream for the South West Safety collaborative.  Anne is now Clinical Director for Patient Safety Collaborative at West of England Academic Health Science Network. Anne was shortlisted for a Health and Social Care Award in 2009 for work on the surgical safety checklist, winner of a National Patient Safety Award in 2011 for work on nasogastric  tube safety, shortlisted for a NHS leadership award in 2012 and shortlisted in 2 categories for a national patient safety award in 2014 for work on reducing surgical site infection.

Anne is currently lead for lower gastrointestinal surgery and emergency surgery at North Bristol NHS Trust and is lead for the West of England Emergency Laparotomy collaborative.   In 2016, the Enhanced Recovery team won hospital team of the year at the Bristol Evening Post Awards. This year In 2017 Anne was shortlisted with a team for Cancer Team of the Year at the BMJ Awards for developing an electronic cancer referral system.
Anne performs open and laparoscopic bowel (keyhole) surgery and has an interest in bowel cancer, surgical infections, vacuum dressing for the open abdomen and emergency surgery.  She is involved in research and is principle investigator for surgical trials on stenting for colorectal cancer and clinical lead for a research study on surgical site infection

GMC Number: 3194704

Year of first qualification: 1988, University of London

Specialty: Gastroenterology

Clinical interest: Hepatology, ERCP, functional and inflammatory bowel disease

Secretary: Joanne Hartry

Telephone: 0117 414 6349

Dr Robert Przemioslo is a senior gastroenterologist with 20 years experience as a consultant. He is part of a liver group that runs a large diagnostic and therapeutic service with close links to the liver transplant services at Kings College Hospital and the Hepato-biliary group at UHB.

At Cossham Hospital, Dr Przemioslo runs a multidisciplinary gastroenterology clinic with interest in functional and inflammatory gastrointestinal disease supported by dieticians, psychology and clinical nurse specialists.

He is a pluripotent endoscopist with therapeutic interests in upper and lower GI scopes. He runs a tertiary hepatobiliary endoscopy service with particular interest in functional biliary pain and liaise closely with a specialist pain clinic for these patients.

Dr Przemioslo is also the research lead for gastroenterology.