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Endoscopy

The endoscopy service is based across two sites: Royal Stoke University Hospital and County Hospital.  Our endoscopy service cares for patients throughout Staffordshire and the surrounding areas.

Royal Stoke University Hospital is a state-of-the-art endoscopy unit, opened in 2012 and comprising six endoscopy rooms. It delivers the full range of diagnostic and therapeutic procedures which include ERCP, EUS, EMR, colonoscopy, OGD, GI Physiology and a bronchoscopy service. 

The Royal Stoke University Hospital is JAG accredited and a Bowel Cancer Screening Centre, which includes the Bowel Scope service.  We are also providers of specialised training and education for medical and nursing staff.

The department comprises a dedicated team including Endoscopists, Nurses, Healthcare Assistants, GI Physiologists and admin teams, including reception and appointment clerks, who all work together to care for you.​​

 

 

 

 

The Endoscopy Unit at County Hospital was opened in 2014. It has four rooms and offers diagnostic services including flexiblesigmoidoscopy, colonoscopy, OGD, capsule endoscopy and hydrogen breath tests.

The department comprises ​a committed team of Endoscopists, Nurses, Healthcare Assistants and admin teams, who collaborate to assist you on your journey through our department.  

County Hospital is very proud to have achieved JAG accreditation in 2016. Our services continue to expand, with the introduction of the bowel cancer screening service, starting in September 2017.     

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​At UHNM, we have hundreds of dedicated staff caring for our patients. Click on the links below to find out about your consultant in Endoscopy, or keep scrolling down to meet our nurse endoscopists
Consultants
Ashraf, Sohail​​
Brind, Alison
Bullen, Timothy
Dawson, Robin
Desai, Rajeev
Farmer, Adam D
Farmer, Martin
Garimella, Veerabhadram
Glass, Robert

Hebbar, Srisha

Kurup, Arun

Lau, Kar Wai

Nkhoma, Alick

Priest, Oliver​

Rajikumar, Sarveson

Sen, Sandip

Sringeri, Rakesh

Tsiamis, Achilles

Varghese, Philip

Yeomans, Neil

​​Nurse endoscopists

Sarah Hoole

Prince Thomas

Rachel Prince

Sunitha Rajan

 

Unit Manager

Daniel Hobby

​​​​​​​​​​​​​​​​Here are some procedure information leaflets to help you prepare for your appointment. Click on each link to open the document. Once you have opened the document you can save and print it out if you want to​.

Upper Gastrointestinal Endoscopy

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​​​

Colonoscopy

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​​​​​​​​​​

Flexible Sigmoidoscopy (Enema on Arrival)

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​​​

Bowel prep

Picolax
Movi-Prep AM
Movi-Prep PM
Klean-Prep

OGD and Flexi EOA​ (Gastroscopy & Flexible Sigmoidoscopy - Enema on Arrival)​

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​

OGD and Colon (Gastroscopy and Colonoscopy)

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​​

GI Physiology

24-hour Oesophageal PH Testing
Anorectal manometry
Biofeedback clinic
Hydrogen breath test
Oesophageal manometry

Endoscopic Ultrasound (EUS)

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​​​​​

ERCP

Information pack - Royal Stoke
Information pack - County Hospital
Consent form​​​​​​

​Contact information


For more information about the team or advice on how to obtain your screening kit, contact:

Bowel Cancer Screening Centre Office: 01782 676643 (answer machine) or 01782 676642 (screening nurses) or 01782 676641 (Lead Nurse​).

Email: bcsp@uhnm.nhs.uk

Screening Hub Free telephone helpline: 0800 707 60 60

The Bowel Cancer Screening Centre is open Monday to Friday between 8.00am and 4.30pm.

About the condition

Symptoms

  • Blood in the poo
  • Going to the toilet more often
  • A change in your normal bowel habit
  • Lost weight and you don't know why
  • Lump in the tummy

 

After the treatment

Most patients receive a normal result, but about two percent receive a positive or abnormal result. Patients with a positive result will be invited to see a specialist nurse and may be referred for a colonoscopy, an examination of the lining of the large bowel (colon) using a tiny camera on the end of a flexible tube.

  • About 5 in 10 people who have a colonoscopy will have a normal result.
  • 4 in 10 people who have a colonoscopy will be found to have a 'polyp'.
  • About 1 in 10 people who have a colonoscopy will have cancer detected.

Clinics

Nurse-led clinics are run at Royal Stoke University Hospital and County Hospital. Full details and clinic times are sent to patients with their invitation. Colonoscopy investigations take place in the endoscopy unit at the Royal Stoke University Hospital and County Hospital. 

Bowel cancer screening team

The bowel cancer screening team are working hard to increase awareness and eventually improve outcomes for patients with bowel cancer in Stoke-on -Trent and Staffordshire.

The NHS Bowel Cancer Screening Programme (BCSP) offers screening every two years to all men and women aged 60 to 74. Its aim is to identify people who appear healthy but are at an increased risk of developing bowel cancer. Anyone above the age of 74 can opt into the programme by telephoning the free phone hub on 0800 707 60 60.

The team are regularly out in the local area speaking to the public about the importance of bowel cancer screening and explaining the importance of early detection and diagnosis. Bowel cancer affects around 41,000 people in the UK every year and is the second most common cause of cancer death, with 1 in 20 people developing bowel cancer during their lifetime. Each year around 16,000 people die from bowel cancer. The work that the team are carrying out is aimed at eventually improving the diagnosis and eventual prognosis for patients with bowel cancer.

UHNM's team has 11 members. Recently, they have focused on carrying out health promotion events across catchment areas.

The team provide bowel scope testing for over 55-year olds and that is helping the team raise awareness of the disease.

The service has received excellent feedback from patients and highlights the importance of patient engagement to help improve and develop the programme.​

The wider team

  • Dr Sandip Sen, Consultant Gastroenterologist: BCS Clinical Director and Accredited Screening Colonoscopist
  • Dr Srisha Hebbar, Consultant Gastroenterologist: Accredited Screening Colonoscopist
  • Dr Alan Bohan, Consultant Gastroenterologist: Accredited Screening Colonoscopist
  • Dr Alison Brind, Consultant Gastroenterologist: Accredited Screening Colonoscopist
  • Dr Sarveson Rajkumar, Consultant Gastroenterologist: Accredited Screening Colonoscopist
  • Dr Cordelia Howitt, Lead Pathologist
  • Dr Ingrid Britton, Lead Radiologist
  • Carol Beeston, Lead Specialist Screening Nurse
  • Gloria Garlick, Screening Nurse
  • Adrian Black, Screening Nurse
  • Deborah Maccioni, Screening Nurse
  • Rachel Owen, Screening Nurse
  • Edna Beaty, Screening Nurse
  • Julie Holland, Lead Administrator, Bowel Cancer Screening
  • Pam Hawkes, Lead Co-ordinator, Bowel Scope
  • Karen Davies, Assistant Administrator
  • Louise Booth, Assistant Administrator
  • Angela Power, Bowel Cancer Screening Programme Manager​

Further information and support

The Macmillan Cancer Support and Information Centre

At the centre, staff will:

  • Listen to how cancer is affecting your life
  • Provide a wide range of free booklets and other written information
  • Put you in touch with other sources of support such as local counselling services, benefits advisers and support groups

The address is: 

The Macmillan Cancer Support and Information Centre
University Hospitals of North Midlands
Ground Floor
Main Building
Newcastle Road
Stoke on Trent
ST4 6QG

Contact: 01782 676333 or e-mail: macmillancentre@uhnm.nhs.uk

TOpening hours are Monday to Friday between 9.00am and 5.00pm

Please note, we are not related to the local Douglas Macmillan Hospice, despite the word Macmillan being in both our names. If you are making a special journey, please ring to make an appointment so you are not kept waiting.​

 

We were the very first hospital to offer 'hands on' training in upper and lower endoscopic procedures, holding our very first course in 1976.  Our training team provides training to doctors and nurses from around the county, including JAG accredited training courses:

  • Basic Skills in Upper Gastrointestinal  (UGI) Endoscopy
  • Basic Skills in Colonoscopy
  • ERCP Skills Training
  • Training the ERCP Trainer (TERCPT)

    We also run ERCP up-skilling courses, nurse's courses and ad-hoc training to promote excellence in Endoscopy.

    Our trainers link with other Trusts working as faculty members, both in this county and overseas and we host an annual ERCP Symposium in conjunction with Aquilant Endoscopy. 

    For further information on any of our courses please follow the link below, or email our Training Coordinator: Emily.Meakin@uhnm.nhs.uk
    https://www.jets.nhs.uk/RoyalStoke

Bronchoscopy procedures are performed five days-a-week across both the Royal Stoke and County Hospital sites. 

Royal Stoke site, Stoke on Trent

Monday (AM), Tuesday (AM), Wednesday (PM), Thursday (AM), Friday (AM).

County Hospital site, Stafford

Tuesday (AM), Wednesday (PM)

The bronchoscopy department comprises a dedicated team including Bronchoscopists, Nurses, Healthcare Assistants and reception and appointment clerks, who all work together to give you a good experience in our department.   

Bronchoscopy procedures performed at UHNM include:

Diagnostic flexible bronchoscopy

This helps us to visualise the breathing passages of the lungs (called 'airways'). It is done to see inside the airways of your lungs, or to get samples of mucus or tissue from the lungs.

Endoscopic inspection vocal cords to investigate dysfunctional breathing

We inspect the movement of the voice box (vocal cords) in relation to breathing.

EBUS (Endobronchial Ultrasound) and transbronchial needle aspiration

This procedure allows us to visualise the breathing tubes (similar to a bronchoscopy) and take sampling from enlarged glands (lymph glands) within the chest. This is done by using the aid of an ultrasound scan which is present at the end of a telescope and taking samples from the glands which lie outside the normal breathing tubes (bronchi).

Autofluoresence bronchoscopy and narrow band imaging​

This helps us to visualise early abnormalities on the surface of the lung airways.​​

Bronchoscopy/EBUS under propofol sedation

This is the same as procedures for a bronchoscopy and EBUS but it is done with deeper sedation​.

Rigid bronchoscopy under general anaesthesia

This is carried out in combination with a flexible bronchoscopy for diagnostic and therapeutic purposes, which include central airway obstruction management, argon plasma coagulation, stenting and balloon dilation.

Endoscopic management of emphysema​

In addition to these procedures, the unit performs:

  • Local anaesthetic thoracoscopy (LAT)
  • Visualisation of the inner lining of the chest cavity and sampling of abnormal lesions
  • Tunnelled chest tube to drain fluid collection in the chest at home

The service at Royal Stoke has been running for five years, with the Local Anaesthetic Thoracoscopy (LAT) service introduced two years ago. It is one of the largest services of its kind in the UK and the service will shortly be expanding to include a radial ultrasound mini-probe and cryobiopsy service. 

The service is also accessed by surrounding hospitals investigating and treating patients from Walsall, Telford and Shrewsbury.

The Respiratory Consultant team comprises:

Dr M Haris
Dr S Khan
Dr N Maddekar
Dr S Bikmalla
Dr I Hussain
Dr E Idris
Dr M Iqbal
Dr M Ganaie
Dr K Asa'ari (interventional bronchoscopy and pleural fellow)​

The gastrointestinal physiology unit is located within the Endoscopy department on LG1 at Royal Stoke University Hospital.  The unit is led by an independent practitioner who uses the most up-to-date, highly technical equipment to provide a range of diagnostic procedures on the upper and lower intestinal tract. We also offer a biofeedback service for people with bowel disorders.  

We see in excess of 1000 patients each year, who may be referred because they suffer from any of the following conditions:

  • Difficulty swallowing (dysphagia)
  • Unexplained chest pain
  • Heartburn, indigestion (gastro oesophageal reflux disease)
  • Cough
  • Excessive belching or burping
  • Malabsorption due to small bowel bacterial overgrowth or lactose intolerance
  • Faecal incontinence
  • Constipation
  • Feeling of incomplete rectal emptying
  • Rectal prolapse

The physiology team work as part of a multidisciplinary team which includes Gastroenterologists, Upper GI and Colorectal Surgeons, Radiographers and other healthcare professional,s all of whom discuss patient test results and the care pathway.

Gastrointestinal tests include:

  • Oesophageal high resolution manometry
  • 24 hr ambulatory pH and Impedance monitoring
  • Anorectal high resolution manometry
  • Biofeedback therapy
  • Breath tests to detect for small bowel bacterial overgrowths and lactose intolerance

Head of Service: Dr Adam Farmer

Senior Gastro Intestinal Physiologist: Mrs Stephanie Evans MSc

About the condition

In the UK, it is estimated that well over 100,000 people have Crohn's disease and over 140,000 have a diagnosis of ulcerative colitis.

Inflammatory bowel disease (IBD) can be painful, disrupt normal activities and reduce quality of life, particularly during periods of active disease.

Crohn's disease is a chronic inflammatory disease that mainly affects the gastrointestinal tract. The disease may be progressive in some people, and a proportion may develop extra‑intestinal manifestations. The causes of Crohn's disease are widely debated. Smoking and genetic predisposition are two important factors that are likely to play a role. Typically people with Crohn's disease have recurrent attacks, with acute exacerbations interspersed with periods of remission or less active disease.

Ulcerative colitis is the most common type of inflammatory disease of the bowel. The cause of ulcerative colitis is unknown. It can develop at any age, but peak incidence is between the ages of 15 and 25 years, with a second, smaller peak between 55 and 65 years (although this second peak has not been universally demonstrated). Ulcerative colitis usually affects the rectum, and a variable extent of the colon proximal to the rectum. The inflammation is continuous in extent. Inflammation of the rectum is referred to as proctitis, and inflammation of the rectum and sigmoid as proctosigmoiditis. Left-sided colitis refers to disease involving the colon distal to the splenic flexure. Extensive colitis affects the colon proximal to the splenic flexure, and includes pan-colitis, where the whole colon is involved. Symptoms of active disease or relapse include bloody diarrhoea, an urgent need to defaecate and abdominal pain.

Our service

University Hospitals of North Midlands offers an IBD service cross both Royal Stoke and County Hospital. Along with gastroenterology consultants, we have clinical nurse specialists who offer nurse-led clinics and a telephone helpline for those patients needing advice/support in between clinic appointments and expedition of clinic appointments, as required. 

If you have a confirmed diagnosis of IBD and require support, the helpline number is 01782 675360 for Royal Stoke and County Hospital. The helpline is available Monday-Friday (excluding bank holidays) between the hours of 08:00-16:00. This number is also available for GPs to contact us on for advice.

Alongside nurse-led clinics and the telephone helpline, our nurse specialists also coordinate and administer biological treatments across both hospital sites, along with blood monitoring of those patients on both biologics and immunosuppressant medications. ​

The units at Royal Stoke and County Hospital are both open Monday to Friday, 8am - 5pm​​

The unit at Royal Stoke is also open on Saturday from 8-5pm

Pictured: Mr David Hardy and Chief Nurse Liz Rix presenting the Endoscopy team with the UHNM Hero award for showing great care and compassion

We very often receive lovely comments from our patients following their care at UHNM. Here is just a snapshot of the type of feedback we get...We hope that reading it will help to bolster your confidence in the knowledge and skill of our amazing team. 

UHNM Hero award

Mr David Hardy (pictured above) gave the team the UHNM Hero award to thank them for their care. He had been feeling apprehensive about his appointment, but after staff helped to reassure and calm him, he felt a lot better.

Mr Hardy said: "I just want to pass on my sincere thanks for the way in which my appointment went. The reception staff were smiling, happy, and extremely helpful, and my fears were well and truly calmed when the nurses and auxiliary staff continued the first class treatment. After being called through, all of the staff were very efficient and really helped to calm my concerns. Dr Rabbi and his team were marvellous and talked me through everything. They were very attentive to me throughout the whole procedure."

Exemplary treatment

"From the receptionist to the discharge team, my experience and treatment was exemplary. I was really dreading this, but I can honestly say my fears were for nothing. The staff really are amazing people."

Mrs KB

Thank you for looking after my mum

"I would like to convey my thanks to your staff for the care provided to my mum, who had an endoscopy carried out on a Saturday morning. I accompanied my mum and found the staff to be very professional, kind and caring. They all took the time explaining the procedure clearly to my mum, which alleviated her anxieties. After the procedure my mum was monitored closely and the results were explained to her and myself."

Ms FB 

 

An anxious time made a lot easier

"Everything was very punctual and the staff were lovely. They kept me informed of all the procedures and made an anxious time a lot easier. I can't think of any improvements, I really felt like I received the best treatment."

Anonymous comment from department patient feedback card

 

A professional point of view following a training session

"We received feedback on how well your staff communicated during the procedures today and how, even when things got tough, they remained calm and prepared all the accessories promptly and with confidence. It is comments like these that mark out your ERCP Courses as outstanding and congratulations should go to you and your team on another course well executed."

Claire Kneeshaw, Territory Manager, COOK Medical