New Consultant ListTWENTY

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New Consultant ListLondon Bridge Hospital

name title QUaliFications depaRtment

Dr Maria Rosario Caballero Consultant in Allergy PhD EEUU Allergy

Dr Vip Gill Consultant Anaesthetist MBBS FRCA Anaesthetics

Dr Guy Glover Consultant Anaesthetist MB ChB FRCA DICM Anaesthetics

Dr Devendra Mahtani Consultant Anaesthetist BSc MB ChB FCARCSI Anaesthetics

Dr Huw Thomas Consultant Anaesthetist CCT FRCA MBCHIB Anaesthetics

Dr Stephen Tricklebank Consultant Anaesthetist BMBS BMedSci FRCA EDIC Anaesthetics

Dr Christian Jansen Consultant Cardiologist Cardiology

Mr Paul Chatrath Consultant ENT Surgeon MA (Cantab) MBBS MRCP MRCS ENT DLO FRCS (orl-hns) MD

Mr Andreas Lesseps Consultant Gynaecologist MBBS FRCS (Eng) MRCOG Gynaecology

Dr Michael Robson Consultant Nephrologist BA MBBS MRCP PhD Nephrology

Mr Irfan Ahamad Malik Consultant Neurosurgeon MBBS FRCS FCPS FRCS (SN) MSc Neurosurgery

Mr Karim Hussain Consultant in Oral BDS MBBS FDSRCS FRCS FRCS Oral Maxillofacial Maxillofacial Surgery/ MAXFAC FACOMS Head and Neck Surgery

Mr James Ritchie Consultant Orthopaedic BSc (Hons) MNBBS MRCS FRCS Orthopaedics Surgeon (Tr&Orth)

Mr Jonathan Walczak Consultant Orthopaedic MB BS (Lond) BSc FRCS (Eng) Orthopaedics Surgeon FRCS (Orth)

Miss Norma Timoney Consultant Plastic Surgeon MB ChB FDS RCS FRCP (Plast) Plastic Surgery

Mr Martin Arissol Consultant Podiatrist BSc (Hons) Podiatry Podiatry

Dr Sanjay Kamath Consultant in Psychiatry MB BS MRCPsych Psychiatry

Mr Christian Brown Consultant Urologist BSc MBBS MRCS (Eng) MD Urology FRCS (Urol)

note: Please see our website or Referrers’ Guide for contact details of all Consultants featured in this magazine or contact the GP Liaison Department on:

T: 020 7234 2009

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Health MattersWinter 2011 • Issue 9

INSIDE: The Services New Clinic The Treatment The Innovation

Cardiac Services • Cardiac Rehabilitation • Diagnostic and Treatment Centre • Men’s andWomen’s Health • London Lung Cancer Centre • Vascular Ultrasound • FODMAPs• Orthopaedic Services • The Core of Lower Back Pain • Chronic Back Pain

Intr

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Welcome to the Winter edition of Health Matters Magazine, our opportunity to present articles from our Consultants at London Bridge Hospital and connect with you in terms of the services that we offer to support you and your patients.

The fi rst thing that I would like to mention is the GP education programme which is going fromstrength to strength with strong attendances at GP seminar sessions. Our Saturday events in particular have proved immensely popular with over 180 attendees at many events this year.

The feedback you provide allows us to maintain this high level of interesting topics and to makeit as relevant to the Primary Care sector as we can. Following your feedback we have expanded ourrange of seminar topics for the coming year to encompass many more interesting subjects. TheGP Liaison Team is always available to help with any specifi c educational requirements you may haveand will be happy to hear from you.

Secondly, London Bridge Hospital is still currently part-way through a major £15 million development project; the hospital has gained a new Dialysis Unit as well as two state-of-the-art theatre suites and a hybrid lab. This enables our Consultants to perform more complex diagnostic and treatment procedures and is a development project that sees the hospital’s bed count rise to over 130, allowing us to provide more care to a greater number of patients in one central London location.

To coincide with the development of London Bridge Hospital, we have also expanded our comprehensive Outpatient Care Service with two new sites – City of London Medical Centre and Sevenoaks Medical Centre. These new diagnostic and treatment centres allow patients convenient access to our Consultants and medical expertise in the Sevenoaks and Tower Hill area. We havealso been selected as the preferred bidder to run Guy’s Hospital Nuffi eld Health Centre and theprivate unit in the new Guy’s Hospital Cancer Centre. This venture will allow us to developa leading cancer treatment centre and provide expansion space for other specialties at the hospital.

I wish to thank you very much indeed for your continuing involvement in the hospital, for thefeedback you provide us and for the opportunity to care for yourpatients. I hope very much that you will continue to visit the hospital, attend our events and to regard us as partners in your patients’ care. Please continue to feed back to me and to the GP Liaison Team wherever you see an opportunity for us to extend our partnershipwith you or indeed to improve what we offer.

Please enjoy this magazine and thank you as always.

With kind regards and best wishes.

Yours sincerely

John ReayChief Executive Offi cer

Features

IntroductionTWO

A message from the CEO

John Reaychief executive offi cer

DISCLAIMER NOTICEAny publication included in Health Matters and/or opinions expressed therein do not necessarily refl ect the views of HCA International Limited (including London Bridge Hospital) (‘HCA’) but remain solely those of the author(s). The author(s) have used reasonable endeavours in preparing this publication. However, the author(s) make no representation or warranty with respect to the accuracy, or completeness of the contents of this publication and specifi cally disclaim any implied warranties or fi tness for a particular use. All of the information supplied in this publication is published without warranty, it does not constitute legal or any other professional advice and the reader must satisfy themselves to its suitability for use.

The information contained in this publication is the exclusive property of HCA or is licensed to HCA and is protected by copyright and/or other proprietary rights. This information includes but is not limited to the design, layout, look and feel, appearance and graphics. Nothing contained in this publication may be reproduced, distributed or edited in any manner without the prior written authorisation of HCA.

GP Liaison Department Tel: 020 7234 2009

Email: gpliaisonlbh@hcahealthcare.co.uk

THREEFeatures

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4 Cardiac ServicesLeading-edge technology and state-of-the-art facilities at London Bridge Hospital

6 Cardiac RehabilitationEnabling patients to get back to their normal way of life as quickly as possible

7 31 Old Broad StreetOffering patients quick, convenient and high quality healthcare in the heart of the City

8 Men’s HealthOffering clinical expertise, rapid assessment and customised care

10 Women’s HeathProviding a wide range of diagnostic and treatment services

12 London Lung Cancer CentreNew clinic for patients with suspected or established lung or thoracic cancer

13 Vascular UltrasoundSpecialist service now available at Docklands and 31 Old Broad Street

14 FODMAPHow the low FODMAP diet can help improve symptoms of functional gut disorders

15 Orthopaedic ServicesOffering access to leading specialist Orthopaedic Consultants

16 The Core of Lower Back PainUsing rehabilitative Real-Time Ultrasound Imaging (RTUI)

17 Chronic Back Pain PatientsThe use of Cognitive Behavioural Therapy (CBT) for the treatment of chronic back pain

18 10 Minutes With…Interview with Mr Henry Atkinson, Consultant Orthopaedic Surgeon

19 GP Liaison Team

20 New Consultant List

Feat

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Cardiac ServicesFOUR

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Cardiac ServicesLondon Bridge Hospital

Cardiac Services at London Bridge Hospital provides a wide range of diagnostic and treatment services. Our Cardiac Services is recognised nationally and internationally for its clinical expertise, rapid assessment and customised care. Located at one of the largest private hospitals in the UK, it offers leading-edge technology, state-of-the-art facilities and extended clinical back-up.

These results are reported on a bespoke Cardiopulmonary Centre analysis system, which reduces the complex analysis procedure to a single (or multiple) diagnosis. The unit also uses critical power, anaerobic threshold and anaerobic power testing to assess patient response to exercise intensities.

RespiRatoRy and oncology analysisThe Cardiopulmonary Centre also works with the hospital’s Thoracic Centre to carry out advanced lung function analysis. These tests, combined with CT and radiographic images provide detailed analysis of various respiratory medical conditions, including lung cancer and malignant pleural mesothelioma. Patients are directly referred to our Lung Cancer Unit for rapid diagnosis, advice and treatment.

imaging seRvicesWe have state-of-the-art diagnostic equipment and use only specialist radiologists and cardiologists to interpret scans and generate reports. Patients can expect to receive the very latest techniques for the non- invasive assessment of the function and structure of the cardiovascular system.

services offered include:• Aortic ultrasound

• Cardiac MRI (stress and rest)

• Carotid and deep venous/arterial scans

• CT aorta

• CT coronary angiography – provides a non-invasive alternative to standard coronary angiography

• CT coronary calcium scoring

• Nuclear Medicine myocardial perfusion scanning (stress and rest)

cRitical caRe UnitThe 15-bed Critical Care Unit provides dedicated, continuous and specialised care to critically ill patients with a variety of medical or surgical conditions who require complex multi-organ support. The unit is staffed by a dynamic and motivated multi-disciplinary team, with Consultant Intensivists who provide 24-hour cover. This allows for comprehensive and uninterrupted Consultant care at all times.

The Consultant Intensivist is supported by a Critical Care Resident Medical Officer (CCRMO) qualified to Anaesthetic Registrar Level equivalent. The CCRMO is on-site 24 hours a day. At all times there is a qualified Critical Care Nurse on duty with Advanced Life Support Qualifications. The remainder of the multi-disciplinary team comprises pharmacists, physiotherapists, dietitians and nurses specialised in the management of acute pain.

clinical nURse specialists (cns)Working alongside Consultants, Cardiac Services has a number of highly specialist nurses who provide excellent support to patients and their families.

these include:• Arrhythmia CNS

• Interventional Cardiology CNS

• Rehabilitation CNS

These specialist nurses provide care and a dedicated point of contact from pre-admission to post discharge.

Alongside this, London Bridge Hospital has a very high nurse-to-patient ratio, providing skilled nursing care to patients as they recover in a comfortable and attractive ward environment.

an integRated appRoachOur Cardiac Services incorporate specialist units, catheter labs and theatres. We operate on an integrated teamwork-focused basis to deliver a coordinated plan for each patient. All clinical services are conducted at one London location for quick, easy access, reducing multiple appointments.

incReased expeRtise• High ratio of registered nurses

provide 24/7 care

• Many specialists are associated with London’s top teaching hospitals

• Comprehensive non-invasive imaging improves diagnosis

patients are referred to us for:• Central access to all medical services

• Coordinated cardiac treatment programmes

• High clinical success rates

• International, customised, quality care

• Low infection rates

• Rapid assessment and diagnosis

caRdiopUlmonaRy centReThe Cardiopulmonary Centre provides a respiratory/cardiac assessment service. This carries out ratified, safe testing of lung function, cardiopulmonary and sleep diagnostics – from consultation to treatment.

All CardioPulmonary Exercise Testing (CPET) is performed on the latest Viasys Masterscreen CPX system. CPET is essential for :

• Heart failure assessment

• Pacemaker optimisation

• Pre-operative assessment

• Unique diagnosis

• Cardiac tumour surgery• Complex mitral valve repair• Coronary artery bypass surgery• Endoscopic coronary artery

bypass grafting• Minimal access aortic surgery• Renal/cardiac tumour surgery• Surgical atrial fibrillation ablation• Thoraco-abdominal aortic

aneurysm repair• Transcatheter Aortic Valve

Implantation (TAVI)• Valve replacement surgery – aortic,

mitral, tricuspid and pulmonary

Blood management seRvicesA team of clinical perfusion scientists utilise the most advanced technology available to offer a range of perfusion techniques unmatched in the UK private sector.

Blood management strategiesAbility to reduce bleeding, therefore dramatically reducing the need for blood transfusions. London Bridge Hospital is unique in offering blood management to every single patient, not just those undergoing complex procedures.

cardiopulmonary bypass excellenceState-of-the-art equipment minimises post-operative complications.

intraoperative cell salvageAllows the collection and processing of patients’ blood that may otherwise have been lost during surgery, so that it can be returned to the patient.

low post surgery stroke rate

only private centre in the UK to offer platelet mapping™ and multiplate™Immediately identifies the effectiveness of prescribed anti-coagulation medication.

point-of-care testing facilitiesA laboratory in the theatre uniquely provides rapid assessment of blood-related issues as routine for every patient.

For more information about Cardiac Services, please visit our website at:

www.londonbridgehospital.com or contact: t: 020 7234 2009

angiogRaphy/catheteR laB seRvicesConditions such as aneurysm, arteriovenous malformation and arterial stenosis, as well as tumours and clots, can all be diagnosed with angiograms performed by our highly skilled team. They can also provide related procedures as treatment for patients under the care of Cardiac Consultants.

services offered include:• AF management including radio

frequency ablation with Hansen RobotTM and cryoablation

• Cardioversions

• Coronary angiography

• Coronary angioplasty

• Electrophysiological studies and ablation

• Implantable Cardioverter Defibrillators (ICD) including biventricular

• Implantable loop recorder

• Insertion of left atrial appendage closure device

• Pericardial aspiration

• Permanent pacing (including biventricular pacing)

• Related radiological procedures

• Structural disease reconstruction (TAVI, PFO, ASD closure, mitral clipping)

• Vascular disease (AAA)

caRdiac sURgeRyWe have access to a highly skilled team of surgical nurses, anaesthetic practitioners and perfusionists who facilitate the range of surgical procedures that our leading surgeons are able to perform, such as:

• Aortic root surgery

• Aortic valve sparing root surgery

• Ascending and arch aortic surgery

31 O

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31 Old Broad Street was developed with the patient in mind, offering a comprehensive range of outpatient services in the heart of the City. Located in the shadow of the iconic Tower 42 and open Monday-Friday from 8.00am-8.00pm, the centre is both convenient and accessible.

The centre offers a wide range of specialist ‘one-stop’ clinics, diagnostic testing and consultations with specialists from London’s top teaching hospitals,all of whom also consult at London Bridge Hospital.

specialties and clinicsoffered include:• Dermatology

• Gynaecology

• Hand & Wrist Clinic

• IVF Clinic

• Neurology

• One-Stop Breast Care

• Phlebotomy

• Rheumatology

• Sports & Exercise Medicine

Facilities at 31 old Broadstreet include:• 10 consulting rooms

• 2 minor procedure treatment rooms

• 1.5 Tesla MRI scanner

• Extremity MRI scanner

• Hand & wrist treatment centre

• Phelebotomy room

• Ultrasound, with dedicated reporting room staffed by a Consultant during operational hours

• X-ray

31 Old Broad Street enjoys the added benefi ts of being situated just under a mile from its parent site – where if further intervention is required, patients can be referred to the specialist facilities at London Bridge Hospital:

Facilities include:• Full medical back-up

• Integrated approach to patient care

• Rapid access

• Specialist nursing teams

• 24-hour anaesthetic and RMO cover

• 15 critical care beds staffed by expert nursing staff

In the Heartof the City

Healthcare Excellence

With a complete range of outpatient services located in the heart of the City of London, 31 Old Broad Street is the place to refer your patients for quick, convenient, high quality healthcare.

For further information regarding the Cardiac Rehabilitation and Prevention services offered by London Bridge Hospital, please contact the Cardiac Rehabilitation Clinical Nurse Specialist:

t: 020 7407 3100 ext 42078 or ask for beep 071

Cardiac RehabilitationSIX

have been treated with angioplasty or stent procedures, will be seen during the recovery period as an inpatient by a team of health professionals consisting of:

• Dietitian

• Pharmacist

• Physiotherapist

FoUR phases oF caRdiac RehaBilitation

phase 1Occurs on admission prior to cardiac surgery, angioplasty and stent or as a step change in a patient’s cardiac condition, such as:

• Emergency hospital admission with coronary artery disease

• Heart attack

• Onset of angina

Phase 1 involves comprehensive medical evaluation, reassurance, risk factor assessment and education.

phase 2Initiated in early recovery following a cardiac event, procedure or surgery,this phase further develops the relationship between the Cardiac Rehabilitation Clinical Nurse Specialist and the patient. The patient will be provided with British Heart Foundation (BHF) literature on lifestyle changesand cardiac rehabilitation, which canbe discussed at length with the CNS,

who will consult with the patient to create a programme tailored to their needs. This is a time prior to discharge when many patients feel apprehensive and anxious, especially following surgery; a CNS will maintain regular contact with patients to check ontheir progress and answer any queries or address any concerns.

phase 3This phase involves an ongoing personalised and structured course comprising of exercise, education and physiological support at an NHS hospital near to the patient’s home. The CNS will make a referral to alocal cardiac rehabilitation centre on the patient’s behalf.

phase 4Phase 4 is essentially focussed on the long-term maintenance of physical activity and permanent lifestylechanges to minimise future risk of further cardiac events.

Of these, phases 1 and 2 are currently provided in-house by London Bridge Hospital. Our Cardiac Rehabilitation Clinical Nurse Specialist referpatients to their local NHS cardiac rehabilitation centre and remain apoint of contact to aid with thesmooth transition from phase 2 to phase 3.

What is cardiac rehabilitation?

Cardiac rehabilitation is a prescriptive exercise, relaxation and health information programme aimed at restoring and maintaining an individual’s optimal physiological status. Cardiac rehabilitation will benefi t any patient who has experienced:

• A heart attack

• Angioplasty or stent procedure

• Coronary artery bypass graft

• Valve surgery

London Bridge Hospital provides phase 1 and 2 cardiac rehabilitation to all of its cardiac patients. A bespoke programme is designed to provide patients with education and information on the condition of their heart, lifestyle and ways in which coronary risk factors might be modifi ed. This includes fi nding ways of improving functional capacity and means of alleviating activity-related symptoms, with the ultimate aim of increasing patients’ physical fi tness and returning to a healthy and active lifestyle.

A Clinical Nurse Specialist (CNS) or senior cardiac nurse meets with patients on admission and prior to discharge to plan the rehabilitation process following any kind of cardiac event with the end goal of an optimal quality of life with an improved, healthy heart.

Those who have undergone cardiac surgery and, if appropriate, those who

Cardiac RehabilitationAs London Bridge Hospital is an internationally-renowned centre of cardiac excellence, it is imperative that the surgeries and treatments performed by our specialist teams are followed up with an expert cardiac rehabilitation service to enable cardiac patients to get back to their normal way of life as quickly as possible.

at London Bridge Hospital

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Men’s HealthEIGHT

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Men’s HealthLondon Bridge Hospital

cardiothoracics

London Bridge Hospital carries out many procedures to treat patients with a broad range of cardiac and thoracic disease; among these is the coronary artery bypass.

Our cardiothoracic surgeons take full advantage of our state-of-the-art clinical perfusion facilities. A team of clinical perfusion scientists utilise the most advanced technology available to offer a range of perfusion techniques – unmatched in the UK private sector – in order to support, or temporarily replace, the patient’s heart and lung function in theatre.

The highly skilled team is headed by Consultants from London’s leading teaching hospitals, supported by surgical nurses, anaesthetic practitioners and perfusionists who help to facilitate the wide range of surgical procedures performed at London Bridge Hospital.

specialist post-surgery cardiac Rehabilitation programmes

Coordinated by our Cardiac Rehab Clinical Nurse Specialist, rehabilitation programmes are key in helping patients return to a normal way of life following cardiac surgery.

sleep centre

London Bridge Hospital has set up a dedicated Sleep Centre to provide diagnostic observations and subsequent treatment for those patients who may be suffering from conditions arising from lack of sleep.

oncology

We offer treatment for the most common male cancers:

• Bladder cancer• Lung cancer• Prostate cancer• Testicular cancer

However, we also offer full diagnosis, treatment and support services for those suffering from other cancers. Oncologists from London’s leading teaching hospitals are supported by a multi-disciplinary team including specialist dietitians and complementary therapists who visit patients within our secluded and discreet Chemotherapy Day Unit.

sexual health

Sexual health is an important function for most men. Sexual problems and relationship difficulties can significantly affect an individual’s self esteem, quality of life and happiness. At London Bridge Hospital, we offer expert advice, consultation and treatment on a large array of sexual health conditions, such as:

• Andropause (male menopause)• Erectile difficulties• Sexually Transmitted Infections (STIs)

sexual counselling

At London Bridge Hospital, we offer dedicated psychosexual counselling to address a wide range of sexual and relationship issues.

sports medicine

Our internationally renowned Sports Medicine Team consists of specialist sports physicians, orthopaedic surgeons and physiotherapists, who work together to provide a bespoke, integrated care programme for our patients.

Our expertise in the treatment and early rehabilitation of sports injuries

At London Bridge Hospital we provide a wide range of diagnostics and treatments for men. Our Men’s Health Services are recognised for clinical expertise, rapid assessment and customised care. We offer the very best facilities with extensive clinical back-up at one of the UK’s largest private hospitals.

For more information regarding the Men’s Health Services we offer, please contact the GP Liaison Department on:

t: 020 7234 2009 or alternatively visit www.londonbridgehospital.com.

oUR seRvices

an integRated appRoach

Our Men’s Health Services incorporate various specialist units, catheter labs and theatres. We operate on an integrated basis, working as a team to deliver a bespoke care plan for each patient. All clinical services are conducted at one London location for quick, easy access, reducing the need for multiple appointments.

cardiac medicine

Cardiac Medicine at London Bridge Hospital encompasses the full range of diagnostic, treatment and rehabilitation services, provided by the Cardiology, Cardiothoracics, Imaging and Theatre Teams that make up our internationally-renowned Cardiac Services.

cardiology

A team of highly skilled physiologists works alongside Consultant Cardiologists to provide services offering the diagnosis and treatment of hypertension, chest pain and arrhythmia. Patients usually visit the Cardiology Department on an outpatient basis.

Services include:

• 24-hour/7-day testing, including ECG and blood pressure monitoring

• Cardiac ultrasound and Cardiac MRI

• Stress echocardiography

• Follow-up treatments for patients with implantable pacemakers, defibrillators, biventricular and resynchronisation therapy device

diagnostic services and specialties including:

• Day Surgery Unit including endoscopy

• Dermatology

• Dietetics including sports nutrition

• Endocrinology including the diagnosis and continuing treatment of Type 1 and Type 2 diabetes

• Hepatology including live-related liver transplantation

• Imaging Services including:

- Bone Densitometry (DEXA)

- Cardiac MRI

- CT scanning

- Interventional radiology

- MRI

- Nuclear medicine

- Ultrasound

• Neurology including the diagnosis and treatment of sleep disorders via the Sleep Centre

• Psychology/Psychiatry

ensures a prompt return to fitness for both recreational and elite sports participants.

We have a purpose-built on-site Physiotherapy Department, including:

• Chartered and HPC-registered Physiotherapists

• Fully-equipped multi-sport gymnasium

• Running and cycling movement analysis, using the state-of-the-art Dartfish computer software

• Specialist training in Clinical Pilates

• VO2 max testing

Urology

Urology is a surgical specialty dealing with diagnosis and treatments of the urinary tract and reproductive organs. Within the urology specialty at London Bridge Hospital, there is a dedicated treatment programme for prostate cancer and the skills and facilities to carry out laparoscopic (keyhole)

surgery wherever possible. The full range of services available from the Urology Team includes the following:

• Prostate cancer screening, diagnosis and treatment

• Brachytherapy – an innovative treatment option for prostate cancer

• Surgical procedures for enlarged prostate

• Management of debilitating bladder disorders, including treatment for overactive bladder and bladder stones

• Interventional and non-interventional treatment for kidney stones

• Treatment for Urinary Tract Infections (UTIs)

• Vasectomy

• Reversal of vasectomy

additional services

London Bridge Hospital offers a wide range of medical, interventional and

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Women’s HealthLondon Bridge Hospital

At London Bridge Hospital, we provide a wide range of diagnostics and treatments for women. Our Women’s Health Services are recognised nationally and internationally for clinical expertise, rapid assessment and customised care. We offer the very best facilities with extensive clinical back-up at one of the UK’s largest private hospitals.

For more information regarding Women’s Health Services, please contact the GP Liaison Department on:

t: 020 7234 2009 or alternatively visit www.londonbridgehospital.com.

ovarian cancer• Epithelial ovarian cancer• Germ cell tumours• Stromal tumours

cervical cancer• Adenocarcinoma• Squamous cell carcinoma

We provide a fully tailored treatment programme with access to leading Oncology Consultants. Treatments for ovarian and cervical cancers involve a combination of surgery and chemotherapy.

endometrial (Uterine) cancer

Endometrial cancer is the most commonly occurring cancer of the female reproductive system. At London Bridge Hospital, we have the capability to diagnose endometrial (uterine) cancer and identify what stage the cancer is at.

London Bridge Hospital also offers a wide range of medical, interventional and diagnostic services and specialties including:

cardiology• High cholesterol level

(hypercholesterolaemia)• Hypertension (high blood pressure)• Sleep Centre

colorectal• Bowel cancer screening

dermatology• General dermatology

endocrinology• Diabetes (Type 1 and Type 2)

orthopaedics• General sports injuries• Physiotherapy• Musculoskeletal• Back/spine disorders/injuries

sexual health• Sexual counselling• Sexually Transmitted Infections (STIs)

We offer a dedicated service treating STIs.

sports & exercise medicine• General sports injuries• Physiotherapy

• Benign breast conditions

• Breast cancer

• Breast reconstruction

These services provide rapid access, advice, diagnosis and treatment. Appointments are available five days a week and patients can choose from our London Bridge Hospital site or 31 Old Broad Street, our Diagnostic and Treatment Centre in the City. We also offer a One-Stop Breast Clinic at London Bridge Hospital and 31 Old Broad Street providing patients with quick diagnosis in one appointment.

gynaecology

At London Bridge Hospital we have access to leading gynaecological specialists. These specialists provide treatment for a large array of problems such as:

• Endometriosis

• Fibroids

• Infertility

• Menstrual cycle problems

• Menopause

- Onward referral for osteoporosis

• Ovarian cysts

• Polycystic Ovary Syndrome (PCOS)

menstrual cycle problems

Most women have a menstrual cycle that’s regular, around 28 days long, and they bleed for three to seven days each cycle. Some women, however, experience problems. The Gynaecology Services available at London Bridge Hospital can help with the following menstrual cycle problems:

• Bleeding at abnormal times

• Heavy periods (menorrhagia)

• Irregular periods

• Painful periods (dysmenorrhoea)

• Periods which stop (amenorrhoea)

menopause

The menopause is marked by the ending of menstruation (when a woman’s periods stop). As a result of these hormonal changes, many women have physical and emotional symptoms such as hot flushes, night sweats and irritability.

At London Bridge Hospital, we provide consultation and treatment to ease menopausal symptoms that are severe or distressing.

oncology

The Oncology Unit specialises in the diagnosis and treatment of cancer. It has access to renowned surgeons, medical and clinical oncologists and interventional radiologists. The unit provides comprehensive care for most cancer types including haematological malignancies.

London Bridge Hospital has a dedicated Oncology Ward and Chemotherapy Day Unit which forms part of the LOC@LBH for the treatment and reassessment of patients undergoing systemic anti-cancer treatments. The ward nurses are qualified as cancer nursing practitioners to ensure that systemic anti-cancer treatment is administered safely.

ovarian and cervical cancer

At London Bridge Hospital, we can treat the most common types of ovarian and cervical cancer which are:

Breast care

Our Specialist Breast Service draws on the expertise of the country’s leading breast units. Our team of surgeons, oncologists and radiologists are responsible for many of the latest advances in both female and male breast disease and cancer research.

This dedicated team of professionals work solely in the field of breast care and deliver a personal and highly specialised service.

We offer diagnosis and treatment for the following breast conditions:

an integRated appRoach

Our Women’s Health Services operate on an integrated basis, working as a team to deliver a bespoke care plan for each patient. We provide appointments at one London location for quick, easy access, reducing the need for multiple appointments.

oUR seRvices

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The London Lung Cancer Centre was originally developed at London Bridge Hospital to offer patients with suspected or proven lung cancer – or any thoracic cancer – a rapid opinion and treatment plan.

We have exceptional expertise in minimally invasive thoracic surgery and can offer keyhole surgery when other surgeons would offer a standard operation through a large incision. The benefit is reduced pain and discomfort, rapid return to normal activities and improved cosmetics.

We also have a particular expertise in managing complex thoracic cases such as advanced-stage lung cancer or secondary lung cancer – when a cancer has spread to the lungs (from a primary bowel, renal, breast or skin cancer).

We offer all treatment modalities including surgery, chemotherapy, targeted therapy with new agents aimed at blocking key receptors on the cancer cells and radiotherapy including CyberKnife radiosurgery, one of the most accurate and effective radiotherapy modality.

We offer Radiofrequency Ablation (RFA), a new treatment modality allowing percutaneous treatment of lung cancer when patients are not fit enough for surgery.

We have an established reputation in the field of malignant pleural mesothelioma, a form of pleural cancer involving the lining of the lung and induced by asbestos exposure. Our expertise in surgery, chemotherapy, targeted therapy and

radiotherapy for this condition is widely acknowledged both nationally and internationally.

We offer expertise in all fields and a combined integrated approach minimising delays and improving the chances of success. Our expertise is based on treating hundreds of patients per year and participating in ground-breaking research in the field.

We offer rapid consultations and appointments for onward treatment. Generally, patients can have an appointment within 24-48 hours of referral at different sites across London: London Bridge Hospital, Harley Street Clinic in Central London or The Lister Hospital in West London.

London Lung Cancer CentreA new clinic for patients with suspected or established lung or thoracic cancer.

For more information regarding the London Lung Cancer Centre, please contact the GP Liaison Department on:

t: 020 7234 2009 or visit our website www.londonlungcancer.com

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THIRTEENVascular Ultrasound

A service provided by a small team specialising in vascular ultrasound is now available to all referrers, including GPs and Consultants, at Docklands Healthcare and 31 Old Broad Street. The service is run by Elaine Young and Kate Sommerville who were among the first small group of specialists to work in the routine application of diagnostic vascular ultrasound in the UK and jointly they have 40 years’ experience in diagnostic vascular ultrasound. Both have held the post of President for the professional body in the UK (SVT GBI).

The service, which uses the latest advanced Colour Doppler Ultrasound technology, provides three half-day sessions a week across the two sites during working hours.

The team comprises four clinical vascular scientists all of whom hold full accreditation with the SVT GBI and have extensive specialist experience of at least ten years in full-time vascular ultrasound. This experience includes running services at a number of large NHS teaching hospitals including UCH/Middlesex, St George’s Hospital and the Royal Free Hospital, as well as large private hospitals and clinics across London.

Vascular Ultrasound or Colour Doppler Ultrasound (Duplex) is a specialist, non-invasive imaging modality, giving accurate and detailed images of the blood vessels and flow patterns in real time. The investigations require minimal preparation, will typically take from thirty

minutes to an hour, and the results are available immediately to be sent to the clinician. This allows prompt exclusion or confirmation of disease, and therefore management of any conditions diagnosed.

Patient groups regularly requiring these specialist investigations include those suffering from diabetes, heart disease, high cholesterol and high blood pressure.

patients who may require arterial ultrasound investigationsPatients with suspected carotid artery disease who present with suspected TIA, stroke or who may have risk factors and require screening. Below, image 3 shows a significant carotid stenosis.

Patients are also referred with a suspected Abdominal Aortic Aneurysm (AAA) or screening to exclude an AAA (image 1 below). AAA ultrasound screening has recently been introduced as an NHS national screening programme for males of 65 years or over, however referrers may wish to exclude this condition in other patient groups or those at high risk.

Early detection of both carotid artery disease and AAA can be of great benefit to the patient in terms of disease management and intervention if required.

Patients may also present with symptoms of lower limb arterial disease. These include intermittent claudication, ischaemia and in extreme cases,

ulceration/gangrene. A lower limb arterial ultrasound scan can easily and reliably identify narrowing or occlusion in the arteries and can provide a map of any segments of disease from the aorta to the ankles. Fine detail of the particular artery affected provides information on the aetiology of disease, location, percentage narrowing and length of diseased segments. Below, image 4 shows a normal posterior tibial artery waveform.

patients who may require venous ultrasound investigationsThe patient may present with suspected acute Deep Vein Thrombosis (DVT) or have a previous history of suspected DVT which has resulted in possible post-thrombotic syndrome.

Image 2 shows an acute deep vein thrombosis in the femoral vein.

The patient may also present with varicose veins or thread veins, some cases may be complex with recurrent disease following surgery. A full map of all the underlying incompetent veins can be given allowing the referrer to plan any treatment required.

The team are also highly experienced in assessing renal dialysis patients either pre or post fistula, patients with upper limb symptoms of thoracic outlet disease/thrombosis, lower limb entrapment syndrome, false aneurysms, aortic stents and lower limb grafts.

Specialist Vascular Ultrasound ServiceNow available at Docklands and 31 Old Broad Street

1. Abdominal aortic aneurysm 2. Common femoral vein partial thrombosis 3. Internal carotid artery stenosis 4. Posterior tibial artery

For further details on Vascular Ultrasound Screening Services, please visit www.londonbridgehospital.com.

31 Old Broad Street – Tuesday (pm) & Thursday (am) Docklands Healthcare, Canary Wharf – Monday (am)

t: 020 7234 3522 t: 020 7516 1999

To find out more, please contact the Dietetic Department on:

t: 020 7234 2359 e: info.lbh@hcahealthcare.co.uk

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To find out more about Orthopaedic Services at London Bridge Hospital, contact the GP Liaison Department on:

t: 020 7234 2009 or visit our website www.londonbridgehospital.com.

Orthopaedic Services

London Bridge Hospital

At London Bridge Hospital we provide comprehensive Orthopaedic diagnosis and treatment with access to leading specialist Orthopaedic Consultants.

These services at London Bridge Hospital provide rapid assessment, consultation and treatment of numerous musculoskeletal problems, using minimally invasive procedures and the latest imaging techniques. Our Consultants develop a tailored treatment plan for each individual patient situation.

Our leading orthopaedic specialists and surgeons carry out a range of common and complex treatments, including spinal surgery, arthroscopy, total joint replacements, reconstructive surgery and pain management.

orthopaedic surgery specialties include:

• Advanced spinal surgery • Back pain

• Foot and ankle • Hand & Wrist Clinic

• Hip • Knee surgery

• Lower limb • Shoulder

• Spine surgery

Among the list of specialties, common procedures involve knee surgery and surgery to treat severe back pain. Where possible, our orthopaedic surgeons use the latest surgical techniques to reduce recovery time. This is especially helpful with knee and back surgery, where the area being operated on is particularly complex and delicate.

The Consultants are supported by a team of chartered physiotherapists at the hospital who work with orthopaedic patients to develop and maintain personal exercise programmes, before and after surgery.

At London Bridge Hospital, we also provide diagnostic tests, treatments and clinical consultations at one of our outpatient centres such as 31 Old Broad Street, City of London Medical Centre, Docklands Healthcare and Sevenoaks Medical Centre. This provides your patient with quick and convenient access to our medical services and Consultants.

oUR consUltantsLondon Bridge Hospital Orthopaedic Services comprises the UK’s leading specialists each of whom have developed an expertise in certain areas of musculoskeletal conditions. Please refer to the list on the right.

oUR consUltants

Knee Mr James Bliss FRCS (Eng) FRCS (Orth)

Consultant Orthopaedic Surgeon (Knee)

Mr Peter Earnshaw FRCS FRCSC

Consultant Orthopaedic Surgeon (Knee)

Mr Venu Kavarthapu MBBS FRCS FRCS (Tr&Orth)

Consultant Orthopaedic Surgeon (Knee & Hip)

Mr Dominic Spicer FRCS (Orth)

Consultant Orthopaedic Surgeon (Knee & Hip)

hipMr David Nunn MB BS LRCP MRCS FRCS (Eng, Ed) FRCS (Ed Orth)

Consultant Orthopaedic Surgeon (Hip & Knee)

Mr Marc George Consultant Orthopaedic Surgeon (Hip)

spinal Mr Thomas Ember MBBS MRCS (Lon&Glas) FRCS (Tr&Orth)

Consultant Orthopaedic & Spinal Surgeon (Spinal)

Mr Jonathan Lucas MBBS FRCS (Tr&Orth)

Consultant Orthopaedic & Spinal Surgeon (Spinal)

Mr Khai Lam BMedSci, BM BS FRCS (Edin) FRCS (Orth)

Consultant Orthopaedic Surgeon (Advanced Spinal)

hand & WRistMr Jonathan Compson MBBS BSc FRCS FRCS (Orth)

Consultant Orthopaedic Surgeon (Hand & Wrist)

Mr Sam Gidwani BSc MBBS FRCS (Tr&Orth)

Consultant Orthopaedic & Trauma Surgeon (Hand & Wrist)

Foot & anKle Mr Martin Klinke Consultant Orthopaedic Surgeon (Foot & Ankle)

Mr Sam Singh MA (Cantab) FRCS (Tr&Orth), Fellowship in Foot & AnkleSurgery, Harvard

Consultant Orthopaedic Foot & Ankle Surgeon (Foot & Ankle)

shoUldeR Mr Simon Owen-Johnstone MB ChB (Hons) FRCS (Eng) FRCS (Tr&Orth)

Consultant Orthopaedic Surgeon (Hand & Wrist& Shoulder)

Mr Joydeep Sinha BSc (Hons) MBChB FRCS (Tr&Orth) Fellowship in Shoulder Surgery Seattle and New YorkConsultant Orthopaedic & Trauma Surgeon (Hand & Wrsit & Shoulder)

Mr Adel Tavakkolizadeh MB BS MRCS MSc FRCS (Tr&Orth) Consultant Upper Limb & Orthopaedic Surgeon (Shoulder & Hand & Wrist)

The Low FODMAP Diet

What are Fodmaps?

FODMAPs are found in a vast array of the foods we eat. FODMAPs is an acronym for:

Fermentable

Oligosaccharides (e.g. fructans and galactans)

Disaccharides (e.g. lactose)

Monosaccharides (e.g. excess fructose)

And

Polyols (e.g. sorbitol, mannitol, maltitol, xylitol and isomalt)

Where are Fodmaps found?

A few examples of common food sources for each of the Fodmaps are listed below. This list is by no means exhaustive, the dietitians at London Bridge Hospital will be able to provide up to date details of the full list of foods during a consultation.

• excess fructose: apples, corn syrup solids, high fructose corn syrup, honey, mango, pear, watermelon.

• Fructans: artichokes (globe and Jerusalem), asparagus, beetroot, chicory, dandelion leaves, garlic (in large quantities), leek, onion (brown, white, Spanish, onion powder), raddichio lettuce, rye (in large amounts), spring onion (white part only), wheat (in large amounts), inulin (found naturally in many of

the foodstuffs listed above, as well as in many processed foods as a sugar, fat or flour replacement), fructo-oligosaccharides.

• galacto-oligosaccharides (gos): chickpeas, legume beans(e.g. baked beans, borlotti beans, kidney beans), lentils.

• lactose: milk, condensed and evaporated milk custard, dairy desserts, ice-cream, margarine, milk powder, soft unripened cheeses (e.g. ricotta, cottage, cream, marscarpone), yoghurt.

• polyols: apples, apricots, avocado, cherries, longon, lychee, mushrooms, nectarines, pears, plums, prunes, sorbitol (420), mannitol (421), xylitol (967), maltitol (965) and isomalt (953).

What can be eaten on a low Fodmap diet?

The low Fodmap diet involves many dietary changes that are best described to a patient in consultation with a dietitian. For expert dietitian advice, please contact the Dietetic Department.

The Dietetic Service is available to all inpatients and outpatients during their treatment. Each member of the Dietetic Department is a registered dietitian holding current registration with the Health Professions Council (HPC), member of the British Dietetic Association (BDA) and registered provider with medical insurance companies.

The low FODMAP diet originated in Australia and was developed by a team at Monash University in Melbourne following extensive research in 2001. It has now been successfully adapted to the UK by researchers at King’s College London and implemented in the private sector by the Dietetics Department at London Bridge Hospital.

FODMAPs can be found in many of the foods we eat. FODMAPs is an acronym referring to Fermentable, oligosaccharides, disaccharides, monosaccharides and polyols. These short chain carbohydrates (e.g. fructans, galacto-oligosaccharides, polyols, fructose and lactose) can be poorly absorbed in some patients’ small intestine. Ingestion of FODMAPs leads to alterations in fluid content and bacterial fermentation in the colon triggering functional gut symptoms in susceptible individuals. Removing FODMAPs from the diet can be a highly effective means of improving the symptoms of people with functional gut disorders such as Irritable Bowel Syndrome (IBS). Symptoms of IBS include abdominal bloating and distension, excess wind (flatulence), abdominal pain, nausea, changes in bowel habits (diarrhoea, constipation or a combination of both), and other gastro-intestinal symptoms.

Low Back PainSIXTEEN

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Low Back Pain Chronic Back PainThe Core of An Innovative Service for

All health professionals know that lower back pain is a prevalent problem in modern society and is one of the most common musculoskeletal problems seen by GPs and physiotherapists.

There are various treatment options open to physiotherapists for low back pain. In the past few years, musculoskeletal research has increasingly focused on the deep muscles of the trunk, and findings suggest that these ‘deep muscles’ are very important in providing stability of the spine and should be addressed during rehabilitation. The studies have shown that the deep core muscles become dysfunctional in the presence of low back pain and that they don’t necessarily

recover when the pain resolves. This may predispose the individual to recurrence of symptoms. The research also suggests that these muscles, if dysfunctional, can be effectively retrained with specific stabilisation exercises.

Physiotherapists are experts in the field of exercise rehabilitation and helping patients to retrain the deep core muscles is a key component of rehabilitation. Activating the core muscles correctly can be quite difficult and it requires good body awareness. Because of this, patients often find it hard to understand or to know if they are working the right muscles in the right way.

The London Bridge Hospital Physiotherapy Department has recently acquired a Real-Time Ultrasound Imaging (RTUI) machine specifically for helping patients to retrain the deep core muscles. Using the RTUI machine to retrain muscle function is termed ‘Rehabilitative RTUI’. Few physiotherapy clinics are fortunate enough to have access to these machines for muscle retraining. For the first time, London Bridge Hospital physiotherapy patients can benefit from the use of

rehabilitative RTUI. Patients can now view the deep core muscles that they are trying to activate, gaining valuable visual feedback. In addition, the physiotherapist can have confidence that the patient is doing the exercises correctly.

With the increasing popularity of rehabilitative RTUI, several research studies on its use have emerged.

The data suggests that the visual feedback provided by RTUI training significantly improves the ability of the individual to activate the deep trunk muscles compared to those who trained without it. The results also suggest that the training improvement is retained at follow-up, more so than in those who did not use RTUI for their stability training.

In physiotherapy we often see patients who have been doing core strengthening exercises or Pilates for a long time, yet they attend for low back pain. When asked to demonstrate their core exercises, often it is performed incorrectly and inappropriate muscles are used. With RTUI we can now show patients if they were not recruiting the deep core muscles as well as they had thought, and teach them more appropriate strategies.

Rehabilitative RTUI is a great tool for physiotherapists who have been trained in its use and emerging research supports its effectiveness in aiding core muscle rehabilitation.

To find out more about the Counselling Service or to refer a patient, please contact the Physiotherapy Department on:

t: 020 7234 2500 F: 020 7234 2815Ruth Jennings, Psychologist can be contacted directly on:

ruth.jennings@hcaconsultant.co.uk

To refer your patients for highly specialised physiotherapy, please call:

t: 020 7234 2500F: 020 7234 2815

The National Institute for Health and Clinical Excellence (NICE) guidelines suggest a combination of physiotherapy and psychological treatment

(Cognitve Behavioural Therapy (CBT)) as best practice in the treatment of chronic lower back pain. It is in keeping with these recommendations that

London Bridge Hospital Physiotherapy Department launched an innovative CBT pilot programme in April of this year.

CBT for pain management is based upon a cognitive-behavioural model of pain (Turk, Meichenbaum & Genest, 1983).

The basis of this model is the idea that pain is an intricate experience that is

not only influenced by its underlying pathophysiology, but also by an individual’s cognitions, affect and behaviour (Keefe & Gil, 1986).

The particular therapeutic techniques of CBT frequently include keeping a diary of important events and associated feelings, thoughts and behaviours; probing and testing cognitions, assumptions, evaluations and beliefs that might be unhelpful and/or unrealistic; progressively facing activities which may have been avoided; and trying out alternative ways of behaving and reacting. Relaxation, mindfulness and distraction techniques are also a very important part of the therapeutic process and are particularly important for patients managing pain.

Cognitive behavioural approaches aim to improve the way that an individual manages and copes with their pain, rather than finding a biological solution

to the existing pathology. The approach is very much related to problem solving and returning control to the sufferer.

The six-month pilot programme is proving to be a great success and as a result all patients at London Bridge Hospital experiencing chronic pain

will have the opportunity to add psychological therapy to their treatment. Considering the importance of a multi-disciplinary approach to treatment, this is a great step forward for the department.

The pilot programme identified a number of common themes that affected patients with chronic lower back pain:

• Low self-worth

• Feelings of guilt around prioritising their own needs

• Difficulty in asserting their own needs

• Putting others’ needs before their own

• High levels of stress/anxiety and a difficulty in managing this

• Feelings of anger/resentment around their pain

• Loss of independence/old self and managing this change

• A sense of loss of control

• Not feeling heard

In the United Kingdom, NICE recommends CBT as the treatment of choice for a number of mental health difficulties, including post-traumatic stress disorder, OCD, bulimia nervosa, anxiety and clinical depression.

Ruth JenningsPsychologist

For those of you who know us well, you will be aware of how the GP Liaison service can help you. However, for those of you who may be unfamiliar with how we work, our GP Liaison Team offers the following support to our referring General Practitioners:

London Bridge Hospital’s GP Liaison Team

GP Liaison Assistant Team• A dedicated phone line, 020 7234 2009, open 8.30am –

6.00pm, Monday to Friday for you, your secretaries and patients.

• A fast, efficient appointments service. We can deal with both named and unnamed referrals (i.e. Dear Consultant Cardiologist).

• A helpful, friendly team ready to deal with any questions that you or your patients may have about the hospital.

• A promise to help you and your patients as much as we can, even if this means making an appointment with a competitor.

GP Liaison Officer TeamA GP Liaison Officer dedicated to your area offers the following:

• Organising educational events on areas of interest to Primary Care. These can be both large scale and bespoke smaller scale.

• Keeping you in touch with the hospital and any new developments/services.

• A personal contact point at the hospital for any issues that may arise.

Your Feedback:

We are constantly striving to improve our service offering. We would be delighted to hear from you with any ideas as to how we could do this. Please feel free to contact your GP Liaison Officer.

The Referral Process through GP Liaison

*Please note: To save you time, we only need minimum details when you contact us: the patient’s name, date of birth, contact telephone number, the specialty to which you are referring them and brief details of their condition.

Call the GP Liaison Team on:

020 7234 2009 or email: gpliaisonlbh@hcahealthcare.co.uk

Patient attends GP consultation

Referral recommended

GPL call patient for availability

GPL liaise with Consultants’ secretaries

Call patient to offer

appointment

=Appointment

made

Ensure all paperwork with

secretary prior to appointment

If you wish, we can inform you

when appointment is confirmed

Phone call from GP/Sec

to GPL*

GP directs patient to contact

GPL

Encrypted email from GP/Sec to

GPL

Fax from GP/Sec to

GPL

10 Minutes With...EIGHTEEN

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1. Why did you decide to study medicine? When I was about 10-years-old a friend and I were having a water fight in the

garden. My friend accidently fell and lacerated his forehead; there was blood everywhere! In a panic my mother ran across the road to fetch our neighbour who was a neurosurgeon. He came over and stitched the scalp wound in the garden. I was fascinated as I watched him stitching, and from that point onwards always wanted to be a surgeon.

2. What made you pursue your specialty? Orthopaedics was instantly extremely appealing to me. It is a very practical

and logical specialty with loads of great kit and gadgetry. I particularly enjoy the problem-solving aspects, having the ability to fix patients’ injuries, reconstruct or replace their damaged joints, and getting them back to having active lives.

3. What is the most rewarding part of your job? Seeing patients getting better is definitely the most rewarding part of the job.

I also love working with so many other highly skilled co-professionals in the hospital and other clinical environments, both in the UK and abroad.

4. What do you enjoy doing in your spare time? I have a young family that keeps me pretty busy. I otherwise enjoy cycling,

fairweather windsurfing and sailing, and triathlons. I snowboard in the winter and love eating. In my younger years, I was a Drum and Bass DJ and ran my own record company. I had a number one hit in the Drum and Bass Chart in 1993 with a 5-track record called the ‘Summer Rush EP’, though that was a lifetime ago.

5. What is the title of your ‘best read’ so far? ’Catch 22’ by Joseph Heller – just brilliant.

6. If you could invite three people to dinner, living or dead, who would they be?

Genghis Khan would be my first choice. Who else but the man who commanded the world’s largest contiguous Empire, and from whom one in twelve of us is directly descended. My second would be Bill Bryson. I love reading the trivia in his books and think he would be extremely interesting to chat to. Novak Djokovic would be my third. He is not only an outstanding world-class athlete at the top of his game, but extremely bright and an amazing ambassador for his country Serbia, that has suffered such a troubled recent history.

7. What is special about where you grew up? I grew up in a lot of places. I was born in Yugoslavia and then lived in Italy

and Sweden before settling in the UK. I studied in Edinburgh, did my registrar training in London and Fellowships in Canada and Australia. All these places and their differing cultures hold special memories for me.

8. Where is your favourite place in the world? Nothing beats home with the family.

9. Who would you get to play yourself in a movie? Will Smith. I have always wanted to play a part in saving the world.

MinutesWith...10 Consultant interview

Mr Henry Atkinson qualified in Medicine from the University of Edinburgh in July 1998, and completed basic surgical training in Edinburgh on the South East of Scotland BST rotation, attaining the Membership of the Royal College of Surgeons of Edinburgh (MRCS) in 2001. He became Fellow of the Royal College of Surgeons (FRCS) in Trauma and Orthopaedics in 2006, and completed his Specialist Registrar training in Trauma and Orthopaedics on the Imperial College North West Thames rotation in July 2008.

Henry has also had Fellowship training in Sports Medicine and Knee and Hip Surgery at SportsMed SA, Adelaide, Australia; Foot and Ankle Surgery at St Michaels Hospital, University of Toronto, Ontario, Canada; and Trauma and Limb Reconstruction at the Banjica Special Hospital for Orthopaedic Surgery, Belgrade, Serbia.

Mr Atkinson was appointed as a Consultant Orthopaedic and Trauma Surgeon at North Middlesex University Hospital in September 2009. In recent years, Mr Atkinson has assisted in the publication of many scientific papers in a variety of subject areas.

Mr Henry AtkinsonConsultant

Orthopaedic Surgeon

Secretary: Mandy O’Conor

T: 08445 617 157F: 08445 617 157

henry.atkinson@sportsortho.co.uk