Dr Gauhar Malik - Stroke Medicine

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GMC Number: 7015012

Year & location of first qualification: 2008 Cardiff Medical School

Speciality: Neurology

Clinical interests: Stroke, headache, epilepsy, Parkinson’s disease, Multiple Sclerosis.

Secretary: Jan Duggan

Telephone number: 0117 414 6698

Dr Gauhar Malik is a Consultant Neurologist with specialist interest in Stroke Medicine. He is a member of the Association of British Neurologists (ABN) and Bristish Association
of Stroke Physicians (BASP).

Malik

Miss Jessica Preshaw - Gynaecology

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GMC Number: 6145658

Year of first qualification: 2006

Speciality: Gynaecology

Clinical interests: Benign gynaecology, endometriosis, laparoscopic surgery

Secretary: Alison Hodges

Telephone: 01174 146748

Miss Jessica Preshaw qualified in 2006 from the University of Bristol  and has been working in Gynaecology since 2010. She was appointed consultant at North Bristol NHS Trust 2018.

Jessica's areas of interest include benign gynaecology, advanced laparoscopic (key hole) and hysteroscopic (womb cavity) surgery, gynaecological ultrasound and endometriosis. She was awarded one of only five posts nationally in advanced laparoscopic surgery, which she completed at Southmead Hospital. This equipped her with expertise to manage all benign gynaecological conditions through laparoscopic surgery and she continues to work within the Southmead Endometriosis Centre. Jessica has published and presented (nationally and internationally) on many topics related to ultrasound and laparoscopic education. She is keenly involved in research and teaching (both at undergraduate and post graduate level) and is active within the British Society for Gynaecological Endoscopy.

Personally Jessica is committed to collaborating at the highest level with both patients and colleagues to provide excellent patient-centred care and promote women's health.

Preshaw

Dr Georgina Russell - Diabetes & Endocrinology

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GMC Number: 4714790

Year of first qualification: 2000

Specialty: Diabetes and Endocrinology

Clinical interests: General diabetes and endocrinology, subspecialty interest in thyroid, parathyroid, pituitary and adrenal disease 

Secretary: Karen Webley

Telephone: 0117 414 6421

Senior Clinical Research Fellow, University of Bristol, research interest in glucocorticoid replacement therapy and endocrine hormone dynamics.

Russell

Acne scarring

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Fractionated CO2 laser for acne scarring 

Fractionated laser treatment has become the most popular treatment for acne scarring. The aim is to improve the skin texture and appearance of acne scarring.

How does fractionated CO2 laser work?

The laser beam from a CO2 laser is divided up (fractionated) into thousands of very narrow shafts of light which make tiny holes in the surface of the skin.

As the skin heals, new healthy collagen forms which tightens the skin and smooths the acne scars.

How much improvement can I expect?

Studies have show 30-50% improvement in acne scarring from a single treatment, but results vary between individuals.

This treatment is not suitable for thick keloid scars and may not make much difference to deep ice-pick scars.

How many treatments will I need?

One to three treatment sessions may be required, with six months between sessions.

In the first session a small area will be treated to make sure it is safe and effective for you.

What does the procedure involve?

You will be asked to attend an hour before your treatment. 

The laser nurse will put a numbing cream on which will take about an hour to work. 

During treatment the laser feels uncomfortable, and some people describe it as painful. The numbing cream will help reduce the discomfort and a stream of cold air may be blown across the skin which also helps.

You may find it helpful to take paracetamol or ibuprofen before you leave home.

The procedure itself will take about half an hour.

You will be provided with laser proof goggles or patches to protect your eyes.

What happens after treatment?

Your skin will look and feel like moderate sunburn. It may be swollen and slightly oozy for 24 hours. After this the skin surface will peel for three to seven days.

The skin will heal in about seven days and may look pink for another three to six weeks. You can use makeup to cover it as soon as the skin has healed.

You should be prepared to take a week off work, contact sports, and swimming.

You will be given a detailed leaflet about how to look after your skin after the laser treatment.

When will I see improvement?

Improvement in scars can be seen from a week after treatment, but the skin texture can continue to improve for three to six months. 

What are the possible side-effects?

Lightening or darkening of skin pigmentation can happen after CO2 laser treatment. This is usually temporary but can be permanent. Darkening of the skin is more common in darker skin types and can sometimes be treated with topical bleaching creams.

Scarring can happen after CO2 laser treatment but this is uncommon.

A flare-up of acne spots or white bumps (milia) can happen on the skin surface.

Infection after CO2 laser treatment is possible but uncommon. If you have a history of cold sores you may be prescribed anti-viral medication to take before treatment to prevent a flare-up of the cold sore virus.

Who is not suitable for treatment?

You may not be suitable for this treatment if:

  • You are on warfarin.
  • You are on Roaccutane (isotretinon) or have taken it within the past 12 months.
  • You are on oral steroids.
  • You have an active facial or skin infection, including cold sores.
  • You are pregnant or breastfeeding.
  • You are sun-tanned or have a fake tan.
  • You have very dark skin.
  • You have active acne spots.

How do I book in? 

A consultation with our specialist doctor or consultant dermatologist is always required before treatment and costs £120.

Fractionated CO2 laser treatment will cost £350 for a test area and £950 per session for facial treatment.

If you have any questions or would like to arrange a consultation, please phone us on 0117 414 1212.

Or fill in our online form: Contact Bristol Laser Centre

© North Bristol NHS Trust. This edition published March 2025. Review due March 2028. NBT003197

Contact Bristol Laser Centre

If you are already attending the Laser Centre, please phone 0117 414 1212.

If you are a new patient, would like to get on our waiting list, or have any queries please use our Contact form or phone us on 0117 414 1212.

 

Trust Board Meetings 2020/2021

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Due to the impact of Coronavirus COVID-19, the Trust Board will meet “virtually”.

Trust Board papers will still be published on this website, and interested members of the public are invited to submit questions to trust.secretary@nbt.nhs.uk in line with the Trust’s normal processes. Public meetings will be recorded and uploaded to this page ASAP after the meeting and will be available for viewing for two months following the meeting, when the next meeting’s recording will be uploaded.

The Trust Board meets in public at 10am.

  •  Thursday 28 May 2020, Virtual
  • Thursday 30 July 2020, Virtual
  • Thursday 24 September 2020, Virtual
  • Thursday 26 November 2020, Virtual
  • Thursday 28 January 2021, Virtual
  • Thursday 25 March 2021, Virtual

 

Download Integrated Performance Reports (IPR):

 

 

 

 

 

 

 

 

 

 

 

 

Download Meeting Papers:

 

 

 

 

 

 

 

 

 

Download Final Minutes:

 

 

 
 

 

ReMemBr Group for Researchers & Clinicians

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Our research

Our main branches of research concern:

  • predicting who will develop memory problems such as Mild Cognitive Impairment and Alzheimer's Disease;
  • treating memory problems and neurodegenerative diseases;
  • understanding how different types of memories are stored, and which brain regions underlie this.


We use several techniques for this including:

  • clinical trials and drug studies
  • sleep studies, including polysomnography
  • Magnetic Resonance Imaging (MRI)
  • studies with patients with diseases
  • computational modelling.

For more information on the University of Bristol Dementia Research Group visit www.bristol.ac.uk/translational-health-sciences/research/neurosciences/research/dementia

Cellular Immunology / Immunophenotyping Laboratory

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Leukaemia and Non-Hodgkin Lymphoma Diagnosis and Monitoring
The laboratory provides a comprehensive service in the investigation of Leukaemia and Non-Hodgkin Lymphoma. Immunophenotyping provides additional information to morphology and cytogenetics in the diagnosis, classification and monitoring of these disorders.

 

HIV Monitoring
Immunophenotyping is used serially to monitor CD4 levels.

 

Investigation of Cellular Immunodeficiency Disease
Wrong choice of tests, especially in the paediatric setting, can mean rare cases of immunodeficiency are missed. Vital information includes type and site of infections, family history, other pathology results, X-rays and clinical features. Please refer to the Clinical Immunologists; ward or clinic referral is the ideal.

  • Immunophenotyping

Identifies numerical defects in lymphocyte subsets, inherited or acquired, and are indicated in cases with recurrent viral, fungal or mycobacterial infection.

  • PNH Testing

PNH testing performed on peripheral blood samples looking for the absence of GPI-linked proteins on neutrophils, monocytes and red blood cells.

  • Functional Leucocyte Assays

These assays are technically complex and require prior discussion with the laboratory. Abnormalities are rare, most commonly due to poor sample quality, testing during drug therapy or intercurrent infection.  Abnormal findings should always be confirmed on a second sample.  True abnormalities may need further, more specialised tests to specify the disorder.

Lymphocyte function studies are indicated in cases of recurrent viral, fungal and mycobacterial infections in whom no numerical lymphocyte defect has been defined. The investigation provides a measure of lymphocyte activation. Lymphocytes are cultured for 5 days with mitogens which mimic antigen activation.

Neutrophil function studies screen for defects in the metabolic burst and adhesion molecules and are indicated in cases with recurrent fungal or bacterial infection with a normal neutrophil count (>1x109/1).A normal result excludes major defects in neutrophil function.

 

Quantiferon Assay
The Quantiferon TB test is an interferon gamma release assay (IFGRA) for TB. The assay requires special blood tubes and sample handling requirements. The laboratory can issue guidance and sample tubes to requestors. Interpretation of the result needs to be in the context of clinical history and other laboratory and clinical investigations.  The antigens used in the test are absent from all BCG strains used and from most known non-tuberculous mycobacteria, it is possible to have a reactions to M Kansasii, M Szulgai and M. Marinarum.  If such infections are suspected, alternative test should be sought. The Quantiferon test (and other TB IFGRA) may give false negative results in immunosuppressed patients. The laboratory provides a positive control tube for all tests to ensure the validity of results. Where the positive control fails (indeterminate result) the laboratory may suggest alternative testing.
Guide to interpretation

  • A negative test does exclude the possibility of M tuberculis infection.  False negative tests can occur.
  • A positive test result should not be the only definitive  basis for making the diagnosis.
  • A positive test result should be followed by a full history and examination for suspected TB

Last updated 20/08/2014

Test Information

Sample vials for testing

Includes details of sample types, volumes, special precautions, turnaround times & reference ranges.

Cellular Immunology/Immunophenotyping Laboratory

Postnatal Mental Health and Wellbeing

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Family Nurse Partnership

Family Nurse Partnership (FNP) is a home visiting programme for first-time young mums and families. It will help you to:

  • Have a healthy pregnancy
  • Improve your child's health and development
  • Plan your own futures & achieve your aspirations

For more information visit:

fnp.nhs.uk

www.swift.nhs.uk

vimeo.com

Information for Dads

Feeling unwell yourself and/or supporting a partner who is unwell can be really challenging. Becoming a parent is a time of huge adjustment and can be very stressful for all concerned.

For more information visit mwww.mothersformothers.co.uk

Mothers for Mothers Support Group

Mothers for Mothers is a registered charity who offer support to mothers and families affected by perinatal mental illness (PMI) across Bristol, South Gloucestershire and North Somerset.

They offer support to women during pregnancy and until their youngest child attends school. Their services are delivered by women with lived experience of PNI. Their helpline 0117 9359366 offers phone, text and online support seven days a week, including weekly support calls at a pre-arranged time. They offer Home Visits for women who are too unwell to access services and activities outside of their home. Their Counselling Service offers mothers and fathers a safe place to talk about their feelings with a non-judgemental and empathic listener and find ways to cope with difficulties. They also run four weekly Support Groups in Staple Hill, Barton Hill, Hartcliffe and Bedminster.

For more information visit www.mothersformothers.co.uk

Antenatal Mental Health & Wellbeing

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Read information about mental health in pregnancy on NHS.uk

Mental health in pregnancy

NHS.uk white logo on blue background

Being pregnant is a big life event and it is natural to feel a lot of different emotions. But if you’re feeling sad and it’s starting to affect your life, there are things you can try that may help.

Find care for your mental health before, during and after pregnancy

NHS.uk white logo on blue background

Find out how to get help for your mental health before, during and after pregnancy.

Or for information about things you can do yourself, and symptoms to look out for, find out more about mental health during pregnancy.

Life at NBT

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Choosing North Bristol NHS Trust is not just about choosing an employer.

We offer exceptional training and developmental opportunities to support our nurses to become the best that they can be. Alongside this, you will also be able to explore all the incredible experiences that Bristol has to offer. This page provides a brief overview of key information about North Bristol NHS Trust.

If you would like further information or have any queries, please contact the Talent Acquisition team.

Please note that all links on this page do not constitute endorsement by North Bristol NHS Trust but are for use as a reference point only.

Careers at North Bristol NHS Trust

Please explore the below information for an overview of the career opportunities available at North Bristol NHS Trust.

Our Careers and Opportunities leaflet

 

Explore how our trust, our city, our clinical teams and our support and benefits can help you to acheive your career goals.

Medicine Division

 

The referenced media source is missing and needs to be re-embedded.

All our Medicine Division's gate profiles in one document.

Anaesthesia, Surgery, Critical Care and Renal Division

 

The referenced media source is missing and needs to be re-embedded.

All our ASCR division's gate profiles in one document.

Neurosciences and Musculoskeletal Division

 

The referenced media source is missing and needs to be re-embedded.

All our NMSK division's gate profiles in one document.

Neonatal Intensive Care Unit

Our NICU gate profile in one document.

Bristol

Bristol has been consistently voted as one of the best places to live in the UK.

  • A rich historical past
  • A thriving arts and theatre scene
  • An international live music venues
  • Gastronomic and independent retail scenes
  • Excellent transport links to London
  • Excellent links to spectacular countryside and coastlines.

North Bristol NHS Trust is also easily commutable from a range of attractive locations in North Somerset, South Gloucestershire and South Wales (e.g. Portishead, Chepstow, Clevedon, Nailsea, Frome, Thornbury, Weston-Super-Mare).

*By National Geographic Traveller (UK). 

Please note that all links on this page do not constitute endorsement by North Bristol NHS Trust but are for use as a reference point only.

Relocation

Unsure of where you would live in Bristol? Check out the handy guides below.

North Bristol NHS Trust can offer relocation support for eligible candidates.

Criteria for eligibility are detailed in the Trust Relocation policy and would need to be confirmed at offer. The maximum authorised for band 5 nurses is £4,000.

Please find our relocation policy below, and get in touch with our talent acquisition team to discuss if you'd be eligible. 

 

The referenced media source is missing and needs to be re-embedded.

Schools in Bristol

In the United Kingdom, the education is divided into four main parts-

  • Primary Education – between age 5 until 11
  • Secondary Education- between age 11 to 16
  • Further Education- between 16-18 usually, although can be taken later
  • High Education- university level

The guides below provide a useful introduction to the different types of school in the UK, along with a detailed guide of the different schools within Bristol and the application process for these.

Primary Education- A guide for parents and carers on applying for a primary school place for the school year 2019-2020

https://www.bristol.gov.uk/documents/20182/33091/Primary+School+Admissions+booklet+2019-20.pdf/535cc2da-7095-45f9-478b-4fdceee8900d

Secondary Education- A guide for parents and carers on applying for a secondary school place for the school year 2019-2020

https://www.bristol.gov.uk/documents/20182/33091/Secondary+School+Admissions+booklet+2019-20.pdf/6b088560-ff91-702b-fab5-85e2008e1bbc

For more information about childcare options in Bristol, please refer to the 1 big database website.

Travelling to NBT

North Bristol NHS Trust can provided a personalised travel plan on your journey to the hospital

Please find below some additional information regarding journeys to work. 

Travelling to Bristol

Bristol is seen as the hub of the South West with excellent transport links and journey times to a range of fantastic locations. It is the perfect base for exploration in the UK and beyond.

Airports

Bristol Airport

Where can I fly?    

How do I get to the airport?

London Heathrow

Travel time from Bristol (Averages) 

  • Car: 1 hour 45 min
  • Bus: 1 hour 55 min
  • Train: 2 hours 30 min

Where can I fly?

How do I get to the airport?

London Gatwick

Travel time from Bristol 

  • Car: 2 hours 30 mins
  • Bus: 3 hours 25 mins
  • Train:  2 hours 45 mins

Where can I fly?

How can I get to the airport?

Train Stations

Bristol Temple Meads Station

Bristol Temple Meads railway station runs trains to most of Britain, including Birmingham, Cardiff, Leeds, London, Manchester and Scotland. And the local area doesn’t miss out either, with regional services to Weston-super-Mare, Taunton and Gloucester.

Average Journey Times:

London: 1 hour 55 minutes
Birmingham: 1 hour 30 minutes
Cardiff:  1 hour 15 minutes

Bristol Parkway

Bristol Parkway railway station is located in the northern suburb of Bristol and is the closest train station from North Bristol NHS Trust.

Average Journey Times:

London: 1 hour 25 minutes
Birmingham: 1 hr 15 minutes
Cardiff:  45 minutes