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.