At the end of your first six months you will be reassessed by the Consultant. At this time we will discuss with you your options, which may include:

• Being offered a further 6 months of lower level support from us.
• Referral to the Bristol Bariatric Service for weight loss surgery. Referral for surgery can only be made if all the team are in agreement regarding your readiness for surgery, which includes having made the relevant behavioural changes.
• Discharged from the service.

If there are medical, nutritional or psychological reasons which mean you are not ready for weight loss surgery or not able to engage with the service, this will be discussed with you and the information sent to your GP.

The details and outcome of your reviews will be sent to your GP and/or the Bristol Bariatric Service if we agree to refer you there.

Once you have completed the full 12months in the service, you may receive a further Consultant review. At this time, you will either:

• Be referred on to the Bristol Bariatric Service if the team are in agreement for your readiness for surgery.
• Discharged back to your GP if you are not ready for weight loss surgery or this is not something that you wish to consider.  Please note that you can be re-referred back to BWMBS in the future.

Common causes of urinary retention in men

• Urological
  • benign prostatic enlargement
  • prostate malignancy
  • urethral stricture
  • haematuria
  • prostatic abscess
• Non-urological
  • recent surgery (anaesthetic/mobility related)
  • constipation
  • drugs - antidepressants, nasal decongestants, anaesthetic

Male TWOC Referral Form. 

Common causes of urinary retention in women

• pelvic prolapse

• post surgery

• pelvic masses

• constipation

• neurological

• drugs - antidepressants, nasal decongestants, anaesthetic

Female TWOC Referral Form 

Mrs Jennifer Short, BSc (Hons) Speech Sciences

Specialist Speech and Language Therapist

I qualified as a speech and language therapist from UCL, London in 2002 and after a stint in the Outer Hebrides in a broad generalist post I specialised with adults with acquired and progressive neurological conditions. I have worked most of the rest of my career in Bristol and have also developed a specialism in working with  adults who stammer, currently co-chairing the South West Disorders of Fluency CEN. Although my first love in my clinical career was in acquired aphasia, in recent years I have seen an increasing number of clients referred with ‘psychogenic’ or ‘functional’ dysphagia or communication problems, and have become aware of the lack of research and evidence-based practice guidelines for this client group.

Current research

Exploring consensus in terminology used in treatment and diagnosis of medically unexplained dysphagia.

https://www.researchgate.net/profile/Jennifer_Short2

GMC Number: 6145722

Year of first qualification: 2006, Bristol 

Speciality: Paedaitrics and Neonatal Medicine 

Clinical interest: Neonatology

Telephone: 0117 414 6817

GMC Number: 6168481

Year of first qualification: 2008, St George's, University of London

Speciality: Acute Internal Medicine 

Secretary: Lisa Williams

Telephone: 0117 414 1141

Royal College of Physicians (London)
Faculty of Intensive Care Medicine
Society for Acute Medicine
Intensive Care Society

GMC Number: 6130246

Year of first qualification: 2005, Imperial College London

Speciality: Vascular and Endovascular Surgery 

Clinical interest: Lower limb arterial and deep venous reconstruction

Secretary: Daisy Tucker 

Telephone: 0117 414 6378

Mr Baris Ata Ozdemir trained in vascular and endovascular surgery in the London. He subsequently completed a lower limb endovascular and open aortic fellowship in Montpellier, France. He was appointed to the Bristol, Bath and Weston Vascular Network in 2019.
He has a special interest in diabetic limb salvage, deep venous reconstruction, thoracic endovascular, and open aortic repair.
Mr Ozdemir’s PhD  was on healthcare outcomes and he has also published extensively on aortic diseases and the diabetic foot. He is an honorary senior lecturer at the University of Bristol. He is a member of the British Society of Endovascular Therapy.

GMC Number: 4441885

Year of first qualification: 1996, Oxford University

Speciality: Neurology

Clinical interests: Neuromuscular disease

Secretary: Holly Yockney

Telephone: 0117 414 1751

Dr Wood-Allum qualified in Medicine from Oxford University in 1996 having first done a degree in Natural Sciences (Neurophysiology) at Cambridge. She obtained her MRCP (Lond) in 2000 after junior medical jobs in Oxford, Northampton and Nottingham.

She then undertook a period of research into the pathogenesis of Motor Neurone Disease (MND) working for her PhD as a Wellcome Clinical Research Training Fellow at The University of Sheffield. After the completion of her PhD she was appointed Clinical Lecturer and continued her research into MND. On completion of her training in Neurology she was appointed as a Consultant Neurologist at Sheffield Teaching Hospitals NHS Foundation Trust.

Dr Wood-Allum moved to Bristol in 2018 and was appointed as a Consultant Neurologist to the South West Neuromuscular Operational Delivery Network (SWNOD) and North Bristol NHS Trust.

GMC Number: 6063754

Year of first qualification: 2002, Aleppo University, Syria 

Speciality: Diabetes & Endocrinology

Secretary: Yvette Wardle

Telephone:01174146420

Hassan graduated in 2002 from Aleppo Medical School, Syria. He came to the UK in 2003 for postgraduate training and obtained certificate of completion of training (CCT) in Diabetes, Endocrinology and General Medicine in 2017.  In 2013, he completed a PhD at Hull York Medical School with a focus on Polycystic Ovary Syndrome, Obesity, and Platelet function. Hassan joined the Diabetes and Endocrinology Team at Southmead Hospital in January 2019. He enjoys Diabetes and Endocrinology as a whole and has a special interest in Weight Management.