Specialty: Neurology

Secretary: Janette Duggan

Telephone: 0117 414 6698

Specialty Lead

Mr Ian Mackie

Assistant General Manager

Joanne Smart

Burns Consultants

Mr Sankhya Sen
Miss Catalina Estela
Mr John Pleat
Mr Ian Mackie
Mr Tom Cobley

Specialist Hand Team

Mr James Henderson
Ms Emily West
Ms Suzannah Hoult (Specialty Doctor)

Specialist Lower Limb Team

Mr Umraz Khan
Mr Tom Chapman
Mr Tom Wright

Specialist Lower Limb and Hand

Mr George Wheble

General Plastic Surgeon

Mr Rob Warr

Breast Reconstruction

Mr Sherif Wilson

Ms Philippa Jackson

Skin Cancer Team

Mr Antonio Orlando
Mr Ewan Wilson
Mr Iraklis Delikonstantinou
Mr Dominic Ayers
Mr Eugene Curtin (Specialty Doctor)

Miss Anastasia Iachkine (Specialty Doctor)

Sarcoma Team

Mr Paul Wilson
Ms Rachel Clancy

Head of Nursing for ASCR

Elizabeth Varian

Matron for Plastic Surgery and Burns

Nicola Mackey

Hand Physiotherapist

James Henney

Caroline Oates – Breast reconstruction
Caroline Lewis – Breast reconstruction

Lynda Knowles –   Clinical Nurse Specialist for Skin Cancer
Joanne Watson  - Clinical Nurse Specialist for Skin Cancer
Claire Lanfear -     Clinical Nurse Specialist for Skin Cancer
Samantha Wells - Clinical Nurse Specialist for Skin Cancer

Christine Millman  - Clinical Nurse Specialist for Sarcoma
Rebecca Peach - Clinical Nurse Specialist for Sarcoma

Emma Fox -    Sister Gate 24

Plastic Surgery Trauma Coordinators

Donna Walsh
Debra Derrick
Louise Callaghan

Plastic Surgery, at North Bristol NHS Trust, is based at Southmead Hospital Bristol, we are a leading tertiary referral centre for all aspects of plastic surgery.

Treatments cover a wide range of congenital and acquired conditions.

The work of the Department also covers:

• Skin cancer
• Hand surgery
• Lower limb trauma
• Breast reconstruction
• Head and neck malignancy
• Soft tissue sarcoma
• Laser therapy

Patients who attend the Department, if required, may also gain support from Outlook, a psychological support service.

We also hold daily plastic surgery trauma and burns clinics, for adults.

The Department works in close liaison with other departments, particularly dermatology, breast surgery, head and neck and neurosurgery, gynaecology oncology, where necessary to ensure patients obtain a comprehensive service.

The Department also holds plastic surgery outpatient clinics at:

• Cossham Hospital
• The Royal United Hospital Bath
• Gloucester Royal Hospitals
• Yeovil Foundation Trust
• University Hospital of Bristol
• Yate Health Centre

Patients are usually refereed to the Plastic Surgery Department via 1 of the routes outlined below:

• Referral from their General Practitioner if they meet the differing criteria.
• As an emergency admission from the Accident & Emergency Department
• A referral to the Plastic Surgery Trauma Clinic.
• A consultant referral from another speciality, this can involve an outpatient referral or a hospital transfer.

The Department is the second largest Plastic Surgery Department in the country and treats a wide range of complex plastic surgery conditions.

The Plastic Surgery consultants, as well as being general plastic surgeons, also have further expertise. This ensures patients have access to a high level of service. This may also result in patients transfer from 1 consultant to another, ensuring access to that expertise.

Adult Outpatient Clinics and Dressing Clinics are held by all Consultant Plastic Surgeons within the Plastic Dressing Clinic.

Specialist adult and congenital hand clinics, pigmented lesion clinics, burns clinics and breast reconstruction clinics are also undertaken.

For further information please download patient information leaflet:

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GMC Number: 3431069

Year of fist qualification: 1991, University of Bristol

Specialty: Acute Medicine & Rheumatology

Clinical interest: Behcet's Disease, Vasculitis

Secretary: Sarah Thomas

Telephone: 0117 414 1140

Dr Samir Patel has been a Consultant Physician at North Bristol NHS Trust (NBT) since 2001, specialising in Acute Medicine and Rheumatology. He has a particular interest in Behcet's Disease and Connective Tissue Disease/Vasculitis. He was the first Consultant in Acute Medicine at North Bristol.

His management roles include Specialty Lead for Acute Medicine (2001 to 2011) and Clinical Director for Medicine (2011 and 2017).

Dr Patel has a significant interest in education and postgraduate training in particular, and has held the following posts:
- Training Programme Director, Acute (Internal) Medicine, Severn School Postgraduate Medicine 2008-12
- Training Programme Director, General (Internal) Medicine, Severn School Postgraduate Medicine 2008-16
- Associate Training Programme Director, General (Internal) Medicine, Severn School Postgraduate Medicine 2017-

He has previously been a member of Specialist Advisory Committee for Medicine, Royal College of Physicians (2008-2016) and is an external assessor (Quality and Training) for General Medicine for Wales (2008-).

GMC number: 3201282

Year of first qualification: 1987, University of Wales

Department: Neurosurgery

Clinical interest: Spinal Conditions

Secretary: Susan Woolf

Telephone: 0117 414 6705

Nitin Patel is a Consultant Neurosurgeon at North Bristol NHS Trust (NBT).

He has a special interest in the management of spinal conditions including spinal tumours and degenerative spinal conditions. 

Mr Patel is the Training Programme Director for the South West Neurosurgical Programme covering the Bristol and Plymouth units.

He is also the Lead Clinician for the Neurosurgical Spinal Service.

Endoscopists

Consultant Gastroenterologists

• Dr Ana Terlevich
• Dr Robert Przemioslo
• Dr Zeino Zeino
• Dr Sam Murray
• Dr James Maurice
• Dr Vipin Gupta
• Dr Leonard Griffiths
• Dr Melanie Lockett
• Dr Ankur Srivastava
• Dr Susanna Meade
• Dr Kathryn Wright

Consultant Colorectal (Lower Gastrointestinal) Surgeons

• Miss Kathryn McCarthy
• Miss Caroline Burt
• Miss Ann Lyons
• Mr Andrew Smith
• Miss Anne Pullyblank
• Miss Philippa Orchard
• Miss Melanie Orchard
• Mr Angus McNair

Consultant Upper Gastrointestinal Surgeons

• Mr Alan Osborne
• Mr Christopher Wong
• Mr James Hewes
• Mr James Hopkins
• Mr Nitin Arvind
• Mr Dimitri Pournaras
• Mr Mark Halls

Clinical/Nurse Endoscopists

• Ms Rebecca Johnson
• Mr Clemence Neelankavil
• Mr Max Rodziewicz
• Ms Farrah Del Rosario
• Mr Fabrizio Castello
• Ms Piret Vainsalu

Endoscopy Management Team

Endoscopy Clinical Lead

• Ana Terlevich

Endoscopy Nurse Manager

• Rachel Allen

Performance and Operations Manager

• Matt Darvill

Deputy Performance and Operations Manager

• Lisa Reed

GMC numner: 4121514

Year of first qualification: 1994, University of London

Specialty: Neurosurgery

Clinicial interests:  Functional Neurosurgery; Trigeminal Neuralgia; Hemifacial, Spasm; Spinal disease;  Chronic pain; Treatment resistant depression and hypertension.

Telephone: 0117 414 6706

Secretary: Kirsty Atwill

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

• Diagnostic and therapeutic Gastroscopy
• Colonoscopy
• Flexible sigmoidoscopy
• ERCP
• Enteroscopy Push and Double Balloon
• Wireless Capsule Endoscopy
• Endoscopy Ultrasound Procedure (EUS)
• Endoscopic Submucosal Dissection (ESD)
• Endoscopic Full Thickness Dissection Procedure(e-FTDR)

Rapid access Gastroscopy is available for high risk patients.

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

GMC Number: 2806909

Year of first qualification: 1983, University of Bristol

Specialty: Diabetes & Endocrinology

Clinical interest: Endocrinology and diabetes mellitus, General medicine (dual

accredited)

Secretary: Yvette Wardle

Telephone: 0117 414 6419

Dr Vernon Parfitt, MbChB, MD, FRCP,  is a senior Consultant physician in endocrinology and diabetes and general medicine. He qualified from Bristol University Medical School in 1983. He has trained in Bristol, South Wales, London, Southampton and Bath.
He practices in general diabetes and endocrinology and general medicine.
Special interests include Insulin pump therapy, diabetes technology, type 1 diabetes, pituitary disease, hypertension, thyroid and parathyroid disease.

Idiopathic Parkinson’s disease
The most common symptoms of Idiopathic Parkinson’s disease (IPD) are tremor, stiffness and slowness of movement. It results from a loss of nerve cells in the brain that produce a chemical called dopamine. The cause of Parkinson’s disease is not fully understood. Currently, it's believed a combination of genetic changes and environmental factors may be responsible for the condition. The symptoms of Parkinson’s disease can vary greatly between individuals. Although there is no cure for Parkinson’s disease, there are a wide variety of medications and therapies that can be used to help with the symptoms.
www.parkinsons.org.uk
www.cureparkinsons.org.uk

Multiple System Atrophy
Multiple system atrophy (MSA) is a progressive neurological disease that causes nerve cells to shrink in different areas of the brain. This results in problems with movement, speech, balance and often difficulties with bladder function and blood pressure control. It can be a difficult condition to diagnose especially in the early stages. There is no cure for MSA but the best treatment usually involves a combination of medication and specialised input from therapists to manage different symptoms.
www.msatrust.org.uk

Progressive Supranuclear Palsy
Progressive supranuclear palsy (PSP) is a disease that occurs when brain cells in certain parts of the brain are damaged as a result of a build-up of a protein called tau. The condition leads to symptoms including loss of balance, slowing of movement, difficulty moving the eyes, and problems with speech and swallow. PSP may be mistaken for other neurodegenerative diseases such as Parkinson’s disease. The cause of the condition is uncertain. There is no cure for PSP but patients can benefit from having medications to manage different symptoms as well as input from therapists which can help improve their quality of life.
www.pspassociation.org.uk

Corticobasal syndrome
Coticobasal syndrome (CBS) is caused by the abnormal accumulation of the protein tau in certain nerve cells in the brain. People affected by CBS may present with cognitive, movement or language symptoms as the first sign. It can be difficult to diagnose, especially in the early stages. Individuals with CBS are easier to diagnose if they are showing limb apraxia, such as no longer being able to use the remote control for the television set, or not being able to retrieve mail from the mailbox. Initial symptoms of CBS often begin around age 60. Patients are sometimes tried on medications used to treat Parkinson’s disease but these are usually not effective. Patients may benefit from occupational therapy, physiotherapy and speech therapy.
www.pspassociation.org.uk

Essential  Tremor
Essential tremor (ET) is the most common neurologic movement disorder, and is 8–10 times more prevalent than Parkinson's disease. In some people, the tremor may be relatively non-progressive and may be mild throughout their life. In other people it may slowly progress over the years and can impair their ability to do certain tasks. It typically affects the hands and arms, though sometimes may also involve the head, voice, trunk and legs. Treatments available include medications and in more severe cases surgery may be an option.
https://tremor.org.uk

Dystonia
In dystonia, faulty signals from the brain cause muscles to spasm and pull on the body incorrectly. This forces the body into twisting, repetitive movements or abnormal postures. Sometimes the symptoms are accompanied by dystonic tremor. Various treatments are available for dystonia, depending on the type and severity a person has. The main options are drugs, physiotherapy, botulinum toxin and surgery.
www.dystonia.org.uk

Tic Disorders
Tic disorders often start in childhood with abrupt involuntary movements and uncontrollable sounds. Many patients will experience co-occurring conditions which might include Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD), and Anxiety.  Tics often seem to run in families, and there is likely to be a genetic component in many cases. If tics are mild they may not need treatment but some patients can benefit from medications or behavioural therapies.
www.tourettes-action.org.uk/

Functional movement disorders
Functional Movement Disorders (FMD) are among the most common reasons for patients to present to a movement disorder specialist. Symptoms include tremor, dystonia, chorea, jerky movements and walking problems. The brain of a patient with functional neurological symptom disorder is structurally normal, but functions incorrectly. Patients with FMD can benefit from graded exercise/physiotherapy, cognitive behavioural therapy  and medication to help pain and sleep.
www.neurosymptoms.org
https://fndhope.org/

Restless Leg Syndrome
Restless legs syndrome (RLS) is a disorder that causes an unpleasant or uncomfortable sensation in the legs resulting in a strong urge to move them. This is often described as aching, tingling, or crawling in the legs. Occasionally the arms may also be affected. The feelings generally happen when at rest and therefore can make it hard to sleep. Due to the disturbance in sleep, people with RLS may have daytime sleepiness, low energy, irritability, and a depressed mood. It can often improve with medication.