Dr Sarah Martindale - Anaesthetics

Regular Off On A-Z of Consultants
Dr Sarah Martindale

GMC Number: 3545214

Year of first qualification: 1991, London

Specialty: Anaesthetics

Clinical interest: Anaesthesia for neurosurgery, trauma and plastic surgery

Secretary: Anaesthetic department

Telephone: 0117 414 5114

Dr Sarah Martindale qualified in London at St Marys Hospital in 1991 before completing training in anaesthetics in Oxford and Bristol in 2002.

Dr Martindale is the North Bristol NHS Trust (NBT) lead for NCEPOD and has an interest in medical law & ethics.

She is also one of the consultants involved in preoperative assessment and cardiopulmonary exercise testing.

Martindale

Dermatology Team

Regular Off Off

Dermatology Consultants

Dr Amrit Darvay   
Secretary: Dot Phillips                            
Telephone: 0117 4147596

Dr Helen Audrain (Lead Clinician)        
Secretary: Carole Wathan
Telephone: 0117 4147621

Dr Daniel Keith
Secreatry: Carole Wathan
Telephone: 0117 4147621

Dr Kimberlee Lim 
Secretary: Carole Wathan  (NBT Secretary only)
Telephone: 0117 4147621

Dr Giles Dunnill  
Secretary: Roz Mogg (NBT Secretary only)                
Telephone: 0117 4147620

Dr Janet Angus 
Secretary: Maria Mitsis
Telephone: 0117 4147594

Dr Beth Wright
Secretary: Rachel Hunt
Telephone: 0117 4147287

Dr Shalini Narayan (UHB)              
Secretary: Dot Phillips (NBT Secretary only)
Telephone: 0117 4147596

Dr Adam Bray (UHB)
Secretary: Carole Wathan  (NBT Secretary only)
Telephone: 0117 4147621

Dr Nina Natafji
Secretary: Carole Wathan  (NBT Secretary only)
Telephone: 0117 4147621

Associate Specialists in dermatology

Dr Katherine Finucane
Secretaries: Roz Mogg
Telephone: 0117 414 7620

 

Dr Aidan Marsh - Intensive Care Medicine and Anaesthesia

Regular Off On A-Z of Consultants

GMC Number: 4180601

Year of first qualification: 1995, University of Bristol

Specialty: Intensive Care Medicine and Anaesthesia

Clinical interest: Intensive Care Medicine and anaesthesia for plastic surgery and neurosurgery

Telephone: 0117 414 0856

Marsh

Dermatology

Regular Off On A-Z of Services

DermatologyA comprehensive range of services for patients with skin diseases are provided by specialist dermatologists at North Bristol NHS Trust. The service is run by a team of 6 Consultants who work across Bristol. There are general clinics for any type of skin problem and fast track referral clinics are run every week for patients with suspected skin cancer. 

The dermatologists provide a service for patients with all sorts of skin problems including severe psoriasis, eczema, and acne and a range of other less common conditions.  They regularly advise on patients admitted to hospital who develop rashes and will occasionally admit patients to hospital who require in-patient stays to manage their skin problems. 

Our dermatology team will provide advice and guidance for GPs who request help in diagnosing and managing all forms of skin disease.  The team also teaches and supervises doctors training to be dermatologists and our dermatologists are involved in various local and national research studies.

The department is based in the Outpatient area at Southmead Hospital where we have several consultation rooms and 2 modern skin surgery operating suites. The department is supported by dedicated nursing and clerical staff.  The dermatologists work closely with plastic surgeons and oncologists dealing with a wide variety of different skin cancers. 

The dermatology team support community dermatology nurses helping to manage some skin diseases in the community nearer to patient’s home avoiding unnecessary hospital visits.

Outpatient clinics are held at:

  • Southmead Hospital Bristol
  • Cossham Hospital
  • Thornbury Hospital
  • Yate Health Centre

Patients are referred by their GP via NHS eReferral or by paper referral.

NHS eReferrals allows patients to book their appointment without having to contact the hospital. 

Dermatology

Dr Paul Mannix - Neonatal Medicine

Regular Off On A-Z of Consultants

GMC Number: 3298237

Year of first qualification: 1988, The London Hospital Medical College

Specialty: Neonatal Medicine

Clinical interest: Nutrition and feeding, physiology, teaching

Secretary: Julie Deady

Telephone: 0117 414 6815

Dr Paul Mannix has been a Consultant in neonatology since 1998.

He is interested in both undergraduate and postgraduate teaching.

His has Neonatal interests in nutrition and feeding as well as physiology of the newborn.

He is a lifelong Everton fan and season ticket holder.

Mannix

Respiratory "Hot" Clinic

Regular Off Off

The clinic runs Monday to Friday 8 am to 4pm. 

The clinic is staffed by a Respiratory Consultant, supported by a Respiratory Nurse Specialist and a Specialist Registrar. 

This service is available to GPs and Community Matrons to refer patients they feel meet the referral criteria. It is intended to prevent the admission of patients with acute respiratory problems and is suitable for referral of adult patients threatening admission with a respiratory problem. Patients are discharged from the clinic with a management plan drawn up by a Respiratory Consultant.

This service is NOT for suspected lung cancer in well patients - these must still be referred via the "2 week wait fast track" service.

Location

SDEC
Gate 36
Brunel building
Southmead Hospital
Bristol
BS10 5NB

Contact details for use by Healthcare Professionals

Email: faxrespiratoryhotclinic@nbt.nhs.uk
Fax: 0117 414 9451

Lung Cancer Specialist Team

Regular Off Off

A Lung cancer nurse specialist (LCNS) has expert knowledge and experience in all aspects of lung cancer. We form an important part of the team of healthcare professionals who will provide support, information and advice during investigations, diagnosis, and treatment.

At North Bristol Trust there are three lung cancer nurses and one Mesothelioma and pleural specialist nurse.

What is our role? 

To act as your key worker To make sure your care runs smoothly To act as a point of contact throughout your cancer journey To make sure you have all the information you need to help you make decisions about your care

How do we do this? 

We provide advice, support and information leading up to and following a diagnosis of lung cancer or mesothelioma We assess your holistic needs and assist to control any symptoms you may have relating to the cancer We offer opportunity to talk about any concerns or questions you may have and those of your family We can discuss up to date information about lung cancer and mesothelioma and the current treatments available along with any research trials We liaise with other healthcare professionals involved in your care as well as your family doctor which helps provide continuity of care We offer information about financial support and benefit entitlements

Contact Lung services

Patient Pathway Coordinator for Lung Oncology - Carole Berry 

Telephone: 0117 414 2016

Email: Medicaloncologysecretaries@nbt.nhs.uk 

 

Lung Oncology Nurses:

Telephone: 0117 414 1900

Email: Lungcancercns@nbt.nhs.uk 

 

Mr George Malcolm - Neurosurgery

Regular Off On A-Z of Consultants

GMC Number: 3256811

Year of first qualification: 1987, Kings College, London

Speciality: Neurosurgery

Clinical interests: Oncology and and spinal surgery, rheumatoid arthritis

Secretary: Vidya Rao

Telephone: 0117 414 6703

Mr George Malcom undertook his Neurosurgical training in London, Edinburgh and Bristol, and his Neurosurgical Fellowship at University of Tennessee.

 

Malcolm

Lung Exercise & Education Programme (LEEP)

Regular Off Off

LEEP

The Lung Exercise and Education Programme (known at North Bristol NHS Trust as “LEEP”) is a Pulmonary Rehabilitation programme for people who are limited by breathlessness from a chronic lung condition.

LEEP began at Frenchay Hospital in 1994. It has evolved, moved locations, and adapted to improve the programme, patient experience, and to meet the growing demand.

LEEP values and mission

  • We are a dynamic, friendly, and innovative team.
  • We are dedicated to the delivery of excellent, evidence-based Pulmonary Rehabilitation.
  • The programme is well supported and valued by our team and patients.
  • We believe in giving everyone limited by their lung condition the opportunity to improve their physical condition and quality of life.
  • We do this through patient-centred care and shared decision making.

Who runs LEEP?

LEEP is led by the Respiratory Specialist Physiotherapists, with support from our Respiratory Consultant Team.

Similar programmes are also run by Sirona Care and Health in the community in areas such as Southmead, Bradley Stoke, Knowle and Weston-super-Mare. Full details can be found on their website: Community Respiratory Team: Pulmonary Rehabilitation – Sirona care & health NHS services

What happens on the programme?

LEEP is a 6-week programme. You will attend two sessions a week (Tuesday and Friday afternoons) at Cossham Hospital (total 12 sessions). Each session is usually just under two hours long and includes:

  • An hour of supervised exercise tailored to your abilities and symptoms.
  • An educational session about living with lung disease and strategies to help manage this yourself. 

LEEP aims to encourage and support you to understand more about your lung condition, manage your symptoms better, and have the right information to help you make informed decisions about your self-management. For example, recognising and managing chest infections, and knowing when to seek medical help. 

The education sessions are delivered by Physiotherapists, Consultants, Specialist Registrars, Psychologists, Nurses, and Physiotherapy Exercise Technicians.

Why LEEP?

There is strong scientific evidence for Pulmonary Rehabilitation, and it is recommended for managing chronic respiratory conditions such as COPD, bronchiectasis and pulmonary fibrosis.  The benefits include:

  • Improvement in exercise tolerance.
  • Improvement in quality of life.
  • Improvement in confidence in doing physical activities.

All of these have a positive impact on mood and wellbeing.  People say they feel more in control of their condition after completing the programme.  

Evidence also suggests that people that have completed pulmonary rehabilitation within the last 12 months are less likely to be admitted to hospital with an exacerbation (episode of worsening) of their condition. Those that are admitted have a much shorter hospital stay than those who haven’t done Pulmonary Rehab. 

Who can do LEEP?

It is suitable for anyone diagnosed with a chronic respiratory condition who is limited by breathlessness in daily life, such as walking on the flat, walking on hills, doing chores etc.  You can repeat Pulmonary Rehabilitation, after 12 months, if your condition has got worse or you haven’t been able to maintain regular exercise since finishing the programme.

LEEP receives referrals from GPs, practice nurses, pharmacists, community teams, and the Respiratory Specialist Team and Hospital Consultants at Southmead Hospital. You can also self-refer – see the section below for details. 

(Information for clinicians referring to LEEP can be found here: Pulmonary Rehabilitation (Remedy BNSSG ICB))

Everyone referred to the service is invited to come to an introductory session to explain the programme and choices available, including alternative venues or days of the week that are offered by Sirona. You are then offered and booked into individual assessment appointments to take your full medical history and to make sure the programme is suitable for you and enrolled to start.  

Self-referral

We are keen to make sure you have easy access to Pulmonary Rehabilitation in your local area. You can refer yourself to LEEP in 2 ways: 

  1. Phone the LEEP self-referral line on 0117 414 2009. Leave a message with your name and phone number. LEEP staff will contact you within one week to complete the process.
  2. Email the LEEP team at leepinfo@nbt.nhs.uk

What happens afterwards?

After the 6-week course, you will be given a discharge assessment to gather information about how you have benefited from the programme. This is sent back to your doctor.  

We will help you make individual exercise plan is also set to help you to maintain increased activity levels long term.

Feedback from people who have recently completed LEEP

“It would only be to your advantage and you’re allowed to take the sessions at your own pace”

“I found all of it helpful and got inspiration from watching others in worse health than me, doing the course”

“The thought of physical exercise frightened me but the programme encouraged me to try and push myself”

“The staff are so helpful in explaining and giving confidence to cope with your condition”

“Anyone with chest problems can only gain from this course, apart from meeting other people affected, and building confidence and knowledge of how you can improve your condition” 

© North Bristol NHS Trust. This edition published March 2025. Review due March 2028. NBT003758. 

Contact LEEP

The LEEP Team can be contact on 0117 4142010 or via email at leep@nbt.nhs.uk.  Referrals are accepted via emailed LEEP referral form*, on the ICE referral system or at: The LEEP Office, Physiotherapy Department, Cossham Hospital, Lodge Road, Kingswood, Bristol BS15 1LF.  

Support your local hospital charity

Southmead Hospital Charity logo

See the impact we make across our hospitals and how you can be a part of it. 

Respiratory Physiology

Regular Off Off

The Respiratory Physiology is situated at Gate 12, Level 1, Brunel building, Southmead Hospital. It forms part of the North Bristol NHS Trust (NBT) Lung Centre. 

The function of the department is to perform breathing tests to aid in the diagnosis of lung disease. The department also participates in various research projects and is involved in the Trust's teaching program.

The Service is provided Monday-Friday for both in and outpatients.

Testing procedures include:

  • Spirometry and flow volume loops
  • Full lung function testing (including lung volumes and gas transfer studies)
  • Allergy tests
  • Bronchial reactivity tests
  • Fit to Fly tests
  • Respiratory muscle strength assessments and diaphragm screening
  • Overnight sleep screening
  • Carbon monoxide monitoring
  • Blood gas assessments
  • Exhaled Nitric Oxide monitoring
  • Induced sputum sampling
  • Exercise assessments (walk tests, CPET)
  • Hyperventilation provocation testing 
  • Upper airway assessments 

Contra-indications for performing lung function tests:

  • Haemoptysis of unknown origin - may aggravate the underlying condition
  • Pneumothorax
  • Unstable angina pectoris
  • Unstable cardiovascular status (eg, recent MI or PE - blood pressure changes may aggravate these conditions
  • Thoracic, abdominal or cerebral aneurysms - danger of rupture due to increased thoracic pressure (surgical advice)
  • Recent eye surgery - increased intra-ocular pressure
  • Recent thoracic or abdominal surgical procedure
  • Acute disorders affecting technique (e.g. nausea and vomiting)
  • Poor comprehension

Home spirometry – measuring your lung function at home

 

Contact Respiratory Physiology