WHHT Gastroenterology:Overview of new services

Alistair KingConsultant Gastroenterologist

Now running 2 years (full cycle)

Age extension 70-75yrs coming soon

Oesophageal pH and manometry

Mark Fullard Started April 2010

National IBD Standards New consultant with

specialist interest (other consultants will still see IBD)

0.5WTE IBD specialist nurse- Simone Dracup

Hepatitis C Treating patients at HHGH since Apr 08 RFH specialist nurse alternate Tuesdays 55 patients treated so far, 80% SVR Prison clinic Sept 2009- nurse 2 weekly,

AK 3 monthly 20 patients

16 await ultrasound 3 on treatment, 1 about to start

‘The move to Watford’ March 2009 St Albans and Hemel clinics

unaffected Endoscopy at Hemel continues to

run 19.5 lists/week (BCSP, cystos, no ERCP)

Endoscopy waits: 2 weeks urgent (regardless of 2ww), 5 weeks routine

Outpatient ConsultantsHemel/SACH Sue Catnach Alistair King Mark Fullard Ian Barrison New IBD consultant

covers bothWatford Bruce Macfarlane Tony Leahy

Inpatient services AAU- gastroenterologist gives

specialist input Mon-Friday- reduce length of stay

Cassio – 19 bed gastro ward- 5 (6!) consultants rotate 1 month each

Sue Catnach setting up a nutrition service

ERCP

All at Watford Tues am and Fri am

lists AK, BM, AL all cross

cover each other No wait….. Fewer patients sent to

tertiary centres

GRS scores

Commissioning 2010 40% reduction in clinic numbers!!?? Trust is planning more for a 10%

reduction How is this going to be done? Any way you can think of to help

you reduce referrals- we are listening!

Finally…. Ian Barrison retiring 16th July 2010 Replaced by ?????

AK ‘retired’ from clinical lead 1/4/2010- Mark Fullard is the new lead