GMC Number: 4455460

Year of first qualification: 1990, Washington University, St. Louis

Specialty: Urology

Clinical interest: Kidney stones, kidney cancer, laparoscopy

Secretary: Charlie Quick

Telephone: 0117 4145007

Mr Francis Keeley was educated and trained in Philadelphia and Edinburgh before starting as a consultant at North Bristol NHS Trust (NBT) in 1998.

Mr Keeley has clinical and research interests in kidney stones, kidney cancer, PUJ obstruction, and upper urinary tract cancer.

His surgical focus is on minimally invasive techniques, including laparoscopic partial nephrectomy and cryoablation for kidney tumours.

Department: Trauma & Orthopaedics (Spine)

Secretary: Linda Eyles

Telephone: 0117 414 1620

GMC Number: 3129573

Year of first qualification: 1986, University of Birmingham

Specialty: Neurophysiology

Clinical interest: Intraoperative monitoring and epilepsy surgery

Dr Nick Kane MBChB, MSc, MD (Hons), FRCS, FRCP (by election) trained in Neurophysiology at Burden Neurological Institute, the National Hospital for Neurology and Neurosurgery and Great Ormond Street Hospital for Children.

He is a full time NHS Consultant Clinical Neurophysiologist and Honorary Senior Clinical Lecturer at Bristol University.

GMC Number: 4082521

Year of first qualification: 1994, MB ChB

Specialty: Immunology & HIV Medicine

Clinical interests: Primary immune deficiency, drug allergy, HIV/HCV co-infection

Secretary: 
Michelle Miller (Immunology & Allergy) telephone: 0117 414 8393
Danielle Coombs (HIV) telephone: 0117 414 6394
Sharon Hemming (HIV) telephone: 0117 414 6395

Dr Johnston gained dual CCT in Immunology and General Internal Medicine in 2003 and was appointed as Consultant in Immunology and HIV Medicine at North Bristol NHS Trust (NBT), with pathology sessions at the RUH, Bath, in 2004.

Dr Johnston has established the Immunoglobulin Assessment Panels at NBT and the RUH. In addition to clinical immunology and allergy, Dr Johnston runs a dedicated drug allergy service for the investigation of adverse drug reactions, including anaesthetic anaphylaxis, accepting regional referrals.

Dr Johnston has set up the co-infection service at NBT for patients with HIV and Hepatitis C co-infection and has set up the outreach HIV and Immunology clinics in Weston Super Mare and Bath respectively.

Dr Johnston has 22 peer reviewed publications.

GMC Number: 3461194

Year of first qualification: 1990, Nottingham University

Specialty: Anaesthetics

Clinical interest: Regional anaesthesia, obstetrics, orthopaedics, urology & plastic surgery

Secretary: Helen Pearce

Telephone: 0117 414 5114

Dr Kathryn Jenkins undertook specialty training in anaesthetics in South West England and spent 2 years working abroad in Toronto, Canada and Sydney, Australia before her appointment as a Consultant Anaesthetist at Southmead Hospital Bristol in 2003.

Dr Kathryn Jenkins has research interests in safety, risk and consent in anaesthesia and peri-operative care.

She is also an educational supervisor for postgraduate trainees in anaesthesia.

GMC number: 325514

Year of first qualification: 1987, Belfast

Specialty: Trauma & Orthopaedics

Clinical interests: Paediatric and Adult spine Orthopaedics. Cervical, thoracic and lumbar. Tumour, deformity, trauma and degenerative pathologies.

Secretary: Mary Burns

Telephone: 0117 414 1620

Mr Mervyn John Hutchinson is a member of most of the major spine societies.  He has lectured in 16 countries in the last 5 years; was the Education Officer for the British Scoliosis Society; is the Clinical Senator for the SW of England and an Examiner to the four British and Irish Surgical Colleges.

Since September 2014 he is only able to accept complex or tertiary Spine referrals.

GMC Number: 3465899

Year of first qualification: 1990, Cambridge University and Guys Hospital

Specialty: Anaesthetics

Clinical interest: Bariatric anaesthesia, obstetric anaesthesia, Robotic urological anaesthesia

Telephone: 0117 414 5114

Dr Jill Homewood initially trained in general medicine and gained by membership examination before entering anaesthesia.

She was appointed to North Bristol NHS Trust (NBT) in October 2007.

Dr Homewood has regular commitments in urological and upper GI anaesthesia. She is the lead for bariatric anaesthesia at NBT and is an obstetric anaesthetist. 

Her role includes arranging the departmental rota and job planning. 

Year of first qualification: 1987, London

Specialty: Anaesthetics

Clinical interest: Obstetric Anaesthesia

Secretary: Jill Payton

Telephone: 0117 414 5114

After training at St. Mary's, London and Reading, Dr Kathryn Holder joined Southmead Anaesthetics Department in 1997 as Consultant Anaesthetist with an interest in Acute Pain.

Dr Holder is the Trust Guardian for safe junior doctor hours.

GMC Number: 6027037

Year of first qualification: 2001, St Georges Hospital Medical School

Specialty: Medicine

Secretary: Lisa Williams

Telephone: 0117 414 1141

Dr John Ho trained in General and Acute Medicine in the South West, before being appointed to a consultant post at North Bristol NHS Trust in 2009.

Dr John Ho is an acute physician based on the acute medical unit at Southmead hospital. His special interest is venous thromboembolism (VTE) and is the directorate lead for thrombosis and member of the Trust thrombosis committee. He also follows up VTE patients in his weekly clinic.

He was the specialty lead for acute medicine between 2011 and 2015 and now focusing on leading the directorates clinical governance activities

The Hyper Acute Stroke Unit (HASU) is an acute stroke ward providing specialist services for people who have had a new suspected stroke.

On the HASU we provide:

• Thrombolysis treatment - treatment is started in the Emergency Department and you will have the rest of your treatment and monitoring on the HASU. 
• Acute monitoring up to the first 72 hours, as required. We may need to monitor your blood pressure, pulse, breathing rate, oxygen levels, conscious level, cardiac monitoring and temperature. 
• Investigations to identify the type of stroke you have had, and possible reasons for your stroke. We have close links with neuroradiology and neurosurgery departments to ensure prompt diagnosis and treatment. 
• Early assessment and rehabilitation by therapists. We set some early goals for therapy which are usually related to feeding, sitting balance and mobility. 
• High risk Transient Ischaemic Attack(TIA ) patients may need to be admitted to the ward for monitoring. 

Some people come to North Bristol NHS Trust from other areas for their early treatment. If we are not your local hospital, you will be transferred to your own hospital as soon as you are ready for transfer. We will continue your care in the meantime. If your diagnosis is not a stroke or TIA you may need to be transferred to another more appropriate ward. On the HASU we will identify the most appropriate treatment plan ('pathway') for you.

• If you have had a small stroke without any resulting problems you might be able to be discharged from hospital quickly. You will need new medications. 
• If you have mild difficulties after a small stroke you might be able to be discharged quickly with support from the Integrated Community Stroke Service (ICSS), who can provide some rehabilitation at home. 
• If you need to stay in hospital for your treatment, you will transfer to the Acute Stroke Unit (ASU) for your continued care. You will be able to transfer from HASU to ASU when you become medically well enough.
• If you need ongoing rehabilitation and assessment in a hospital setting but no longer need the level of medical and nursing care provided on the HASU and ASU you will be transferred to the Stroke Sub Acute Rehabilitation Units (SSARUs) located at Weston General Hospital and South Bristol Community Hospital.

Unfortunately some strokes are devastating and we will ensure appropriate palliative end of life care on the ward if this is necessary.