North Bristol Trust

North Bristol NHS Trust is the largest Trust in the South West region, and one of the largest trusts in the country. Last year the Trust treated over 100,000 inpatients, over 350,000 outpatients, 90,000 emergency department patients and helped deliver over 6,000 babies. It employs more than 9,500 staff, has approximately 1,050 inpatient beds and income  in excess of £540 million.

The Trust provides medical surgical, neonatal and maternity care for its local population of approximately a million people in Bristol, South Gloucestershire and North Somerset. The Trust also provides regional, regional services in neurosciences, orthopaedics, pathology, plastic surgery and burns, renal medicine and transplant and urology and is the major trauma centre for the West Country.

The health service in Bristol, North Somerset and South Gloucestershire is being remodelled to concentrate acute facilities and where appropriate to provide more care close to patient homes through a network of community hospitals and facilities. The Trust recently moved the majority of its acute services to tthe Brunel building, regarded as one the most the best hospital facilities in Europe, on the Southmead Hospital site. At Southmead Hospital, we also have our excellent maternity and women’s health services, the Bristol Breast Care Centre and the Trust’s Severn Pathology service.

As well as Southmead Hospital, the Trust also has Cossham Hospital, in Kingswood and the Bristol Centre for Enablement at Cribbs Causeway (Bristol). The Trust also runs children’s community health services across Bristol and South Gloucestershire.   

The Trust has University Teaching status and is associated with both the University of Bristol and the University of the West of England.

Services

  • Level 2 Liver unit (everything except liver transplant)
  • TIPSS
  • Small bowel – balloon and video capsule
  • ERCP/spyglass
  • EUS
  • Critical flicker and fibroscan

The team

Consultants

Initials

Roles

Dr Robert Przemioslo

RPZ

Gastroenterology Research Lead

Dr Melanie Lockett

MXL

 

Dr Talal Valliani

TV

Gastroenterology Lead

Dr Ana Terlevich

AT

Endoscopy Lead

Dr Uthayanan Chelvaratnam

UC

Governance Lead

Dr Leonard Griffiths

LG

Audit Lead and Gastroenterology Clinical Tutor

Dr Zeino Zeino

ZZ

 

Dr Ankur Srivastava (AS)

AS

 

Dr Sam Murray (SM)

SM

Endoscopy Training Lead

Dr Jo Hulley

JH

 

Other Medical Staff

3 F1s

1 F2

2 CMTs

3 gastroenterology StRs

[This CF post]

IBD nurse x2

Hepatology nurse x1

Alchol liason nuse x3

Typical week

NBT utilise a “on ward”/”off ward” system, rotated with 2 other SpRs/clinical fellows. An example is below:

Post

 

MON

TUES

WED

THURS

FRI

Registrar 1

am

Office

 

Cossham GI clinic (see rota)

RPZ (TV/AT) 09.00-13.00

Or MDT meeting/teaching Dirac SR

 

ZZ Endoscopy (T)

 

Liver clinic (see rota)

08.00-12.00 Gate 5

or office

HPB MDT UHB 10-11.30

Kings Transplant MDT

11.30-12.00 Carpenter Room

 

 

 

HCV telecon 13.30-14.00

 

Grand round Cabot SR, G14, L5

pm

MXL endoscopy (S)

 

 

Nutrition WR 14.00 (1 in 3)

then/or office

 

Office

 

Nutrition WR 14.00  (if Elinor away)

then/or office

GI clinic Gate 12 (see rota) AS 13.00-17.00 or office

 

Post

 

MON

TUES

WED

THURS

FRI

Registrar 1

am

Board round

Cons WR 8A

Board round

MDT meeting/teaching Dirac SR

ZZ endoscopy (T)

Board round

StR WR 8A

Board round

Cons WR 8A

 

 

 

 

 

Grand round 1pm Cabot SR, G14, L5

pm

AMU/Ward

AMU/Ward

AMU/Ward

AMU/Ward

AMU/Ward

 

 

 

 

 

 

Other opportunities

There is a weekly medical grand round, weekly GI X-ray meeting, weekly IBD MDT, GI histology meeting every two weeks, GI journal club every two weeks and a 2-monthly Gastroenterology Clinical Governance meeting. There are 6 Gastroenterology and 5 General Medical regional training days each year.