Bladder Cancer for Clinicians

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Bladder cancer is the tenth most common cancer in the UK. It can present in a number of ways, however the commonest presentation is with haematuria. New patients with haematuria can be referred in via the two week wait pathway under the CCG criteria. Patients will usually have a combination of a flexible cystoscopy and imaging to diagnose their bladder cancer.


Once diagnosed with bladder cancer, the patient will have the diagnosis discussed with them and will be invited to meet a cancer nurse specialist. The patient will, in most cases, then be booked for a trans-urethral resection of bladder tumour operation to remove histological tissue samples and treat the tumour.
Following this their case will be discussed at the Multi-disciplinary team meeting (Wednesdays), they will be risk stratified and then contacted with the results by our cancer nurse specialists.


Follow-up strategy and further treatment will depend a number of factors including; upon risk stratification, patient co-morbidities and patient wishes.

 

The bladder cancer team is:
Non-muscle invasive bladder cancer urology consultant surgeons – Miss H Burden, Mr F Qureshi and Miss K Warren
Robotic bladder cancer urology consultant surgeons – Mr J Aning, Mr A Koupparis, Mr E Rowe
Oncology Consultants – Dr A Challipalli, Dr A Bahl, Dr T Bird and Dr S Masson
The above consultant work as part of a team, including other doctors, surgeons, specialist nurses and healthcare professionals.

 

Bladder cancer

Flexible Cystoscopy

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The BUI performs a large number of flexible cystoscopies for both diagnosis and follow-up. The department has 16 flexible cystoscopes for routine use, which are high definition and enable narrow band imaging.


Patients can be referred for a cystoscopy if they meet the two week wait cancer criteria, and in most cases will have a cystoscopy on the day of their appointment if deemed necessary. For routine cystoscopies, patients are normally seen in clinic to be assessed by a clinician first, and will then be given an appropriate date for the cystoscopy.

Cystoscopy

Essentials in Urology

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Next course date to be confirmed 

Essentials in Urology is a free course is suitable for junior doctors, senior nursing staff and medical students based in Bristol. 

It is a free interactive course covering emergency and ward based common urological problems:

  • basic and difficult catheterisation
  • 3 way or supra pubic catheter
  • how to manage paraphimosis
  • bladder washouts
  • setting up irrigation
  • how to deal with nephrostomies

Venue: Learning & Research Building, Southmead Hospital.

Consultant Lead: Helena Burden. 

For further information contact karen.evely@bui.ac.uk

 

Urology

Peer Support and Learning

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If you’re an early years/new researcher, peer support is available to you at NBT through the SNAHPer Group (Scientists, Nurses, Allied Health Professional early researchers Group).

SNAHPer logo

There are many people at NBT undertaking Master and Doctorate level study, or wanting to start their research careers. As a University post-graduate student, people are part of a full-time research community, meeting in shared study areas, and forming informal peer support networks. They are also supported by a post-graduate department who host events and provide training opportunities.

As full-time scientists, nurses, and allied health professionals undertaking research these support networks historically have not been present within NBT. SNAHPer aims are to rectify this. Our plan to give every individual a sense of belonging to an early career researcher peer community.

Research[1] suggests that accessing group support increases the likelihood of:

  • Completing a post-graduate degree.
  • A greater likelihood of completing in good time.
  • A greater likelihood of having a more enjoyable and less stressful journey.

We have developed a draft programme of workshops and events to support any SNAHPer within the Trust. This support maps directly onto the Vitae Researcher Development Framework (the UK’s national organisation for researcher development).

As a member of SNAHPer, you will be encouraged to work with your supervisory team (within your registered HEI, if registered for a formal educational program) in using the Researcher Development Framework to identify your own goals and skill levels, enabling you to engage with targeted training and development activities, with them and within NBT.

If you would like to get involved in the group, please email SNAPHer@nbt.nhs.uk.

Here, our champions of the West of England Clinical Research Network (CRN), share why they believe AHPs should get involved in research:

Video Transcript

I think research is important to AHPs because AHPs are very well placed in a lot of diverse clinical and community environments to talk to patients, to work with patients, to work in collaboration with patients, in order to ask the pertinent questions around what is going to benefit the patient in terms of clinical intervention, clinical treatments, and we are really well placed to work together with patients in order to further our knowledge, both the clinical benefit but also the patient benefit as well.

AHPs have a different relationship with their patients to medical clinicians, nurses and other staff within the hospitals. They have hands on contact with their patients for a much longer period than other clinicians in the hospital, and for a longer period of time. And the type of research that they can do therefore is very different. It tends to be more practical types of research, and therefore has potential impacts in quality of life and the day-to-day living of patients.

Really, we know that the best research ideas come from those working on the ground. They know what the problems are, what the issues are. With the clinical service, they do it day in, day out. They’ve probably already thought of solutions that, as academics sitting in an office, we wouldn’t necessarily know. I think it’s a really good opportunity to help the patients that you say day in, day out, and also to develop yourself as well. It's a tough process, but it’s an interesting process, and it’s just as important that we capture everyone’s voice in the research process.

I think it’s really important that AHPs get involved in research, if they can, if they have an interest in it, because we like to think of research as being enhanced healthcare. Everybody wins. The setting that the research is carried out in wins because it means that they have a more stringent team of healthcare professionals. The patients obviously win, because they’ve got access to the most cutting-edge healthcare available, and also that they can feel that they are doing something for somebody else, which is really important, and it does broaden the skillset of any clinician or AHP and widen their career, which has got to be a bonus.

As Allied Health Professionals, we are all involved in research because we are consumers of the research that is published. But actually, we need to be the people who also driving the research, because it’s through our clinical experience that we identify unique and different needs that need to be addressed through research, and we as the AHPs need to be leading that, and not just following the medics or other people’s research agendas, but actually setting our own research agenda.

[1] Conrad, L. 2006. “Countering Isolation—Joining the Research Community.” In Doctorates Downunder: Keys to Successful Doctoral Study in Australia and New Zealand, edited by C. Denholm and T. Evans, 34–40. Camberwell, VIC: Acer Press

View Our Research

Doctor conducting research at NBT

Explore the ground-breaking research currently taking place at North Bristol NHS Trust.

About Research & Development

NBT Researcher

Find out more about our research and how we're working to improve patient care.

Contact Research

Research & Development
North Bristol NHS Trust
Level 3, Learning & Research building
Southmead Hospital
Westbury-on-Trym
Bristol, BS10 5NB

Telephone: 0117 4149330
Email: research@nbt.nhs.uk

Mr Peter Robinson - Orthopaedics & Trauma

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Peter Robinson

GMC Number: 6156615

Year & location of first qualification: 2007, University of Bristol

Specialty: Orthopaedics & Trauma

Clinical interests: Foot & Ankle Surgery, Trauma

Secretary: Rachel Powell

Telephone number: 0117 414 1607

Mr Peter Robinson completed his Orthopaedic & Trauma training in the Bristol region. He obtained advanced fellowship training in Foot & Ankle Surgery in Bristol & Sydney, Australia. He also completed trauma fellowship training in Bristol.

He provides specialist/complex foot and ankle treatments, including cartilage grafting & ankle replacements. He specialises in arthroscopic and minimally invasive techniques for sports and degenerative conditions. He is part of the diabetic foot multidisciplinary team.

Robinson

Prostate Transperineal Biopsy Training Workshop

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Next course date TBC

The Bristol Urological Institute run this 1 day course with BXTAccelyon using the PrecisionPoint Transperineal Access System for biopsies in prostate cancer diagnostics. The techniques taught in the course are endorsed by the prostate steering group of the Southwest cancer alliances as a means of improved patient care and minimising cancer pathway delays.

This course is aimed at urologists, oncologists, radiologists, trainees and Allied health professionals.  The one day workshop will teach the principles of freehand local anaesthetic transperineal targeted and systematic prostate biopsies.

It will be an exciting and comprehensive day comprising of presentations and Q&A sessions. Taught by experienced faculty who are BXTAcceylon Ltd approved trainers.

Course Directors: Stefanos Bolomytis and Raj Persad, Consultant Urological  Surgeons

 

For further information please email buicourses@nbt.nhs.uk

Prostate Transperineal Biospy

Dr Fleur Talbot - Diabetes & Endocrinology

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GMC Number: 6129715

Year of first qualification: 2005, University College London

Specialty: Diabetes & Endocrinology

Clinical interest: Adrenal disease, obesity, pituitary and thyroid disease. 

Secretary: Sue Trevascus

Telephone:  0117 414 6422

Dr Fleur Talbot completed a PhD at the University of Cambridge, looking at hypothalamic function and its control of appetite and energy expenditure. She joined the trust in 2019 and practices general diabetes, endocrinology and general medicine. 

Talbot

Virtual Flexible Cystoscopy Course

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Wednesday 25 May 2022

This one day virtual Flexible Cystoscopy Course aims to enhance the safe and effective use of Narrow Band Imaging and products during flexible cystoscopy.   

Local Course Faculty: Helena Burden and Kate Warren, Consultant Urological  Surgeons, Bristol Urological Institute.

This course is being offered by Olympus

Further details about the event and how to secure a place are available at https://learn-emea.olympus-europa.com/learn/course/external/view/classroom/1167/flexible-cystoscopy-course

 

Flexible Cystoscopy

SWNODN Events for Professionals

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SWNODN Events for Clinicians and Allied Healthcare Professionals

South West Interest in Muscles (SWIM) Conference

The SW Neuromuscular ODN deliver a SWIM Conference twice a year.  The Conference is open to clinicians and allied healthcare professionals who have an interest in neuromuscular conditions.  It's a great opportunity to network with colleagues in other specialties and organisations in the South West.  The conference is usually themed around neuromuscular conditions or focusing on points in the patients care pathway across other related specialties.  

If you would like to be notified of details of future SWIM conferences, please contact the SWNODN Neuromuscular Office by email (swneuromuscularodn@nbt.nhs.uk) and request to be added to our mailing list.

 

Past SWIM Themes

Below is a list of some of the past SWIM Themes.  If you would like further information, please contact the SW Neuromuscular office on 0117 4141184 or e-mail swneuromuscularodn@nbt.nhs.uk.

  • 29 June 2023 - Peripheral Neuropathies with an emphasis on CMT
  • 16 June 2022 - Spinal Muscular Atrophy: Progression with treatments
  • 21 November 2019 - Duchenne Muscular Dystrophy
  • 20 June 2019 - Anterior Horn Cell disorders - including MND and SMA
  • 29 November 2018 - Moaning Muscles and Miserable Mitochondria - The Metabolic Myopathies
  • 21 June 2018 - Myasthenia Gravis and related disorders
  • 23 November 2017 - Neuropathies
  • 8 June 2017 - Respiratory and Neuromuscular Disease
  • 1 December 2016 - The New Genetics: Transforming Research in Neuromuscular Disease
  • 19 May 2016 - Psychology related to Neuromuscular conditions / Transition from paediatric to adult neurology services
  • 19 November 2015 - Neuromuscular disorders and Scoliosis Surgery / Orthopaedic considerations in Neuromuscular conditions
  • 23 April 2015 - Neuromuscular disorders and their impact on child, family and society / Neuromuscular disorders and the heart
  • 20 November 2014 - Transition and Genetics
  • 8 May 2014 - Muscles and Mitochondria in Neuromuscular disorders / Metabolic conditions
  • 21 November 2013 - Bones in Neuromuscular disorders
  • 23 May 2013 - Respiratory issues in Neuromuscular disorders - paediatric and adults
  • 22 November 2012 - Palliative Care
  • 14 May 2012 - Neuromuscular disorders and the heart
  • 1 December 2012 - Myasthenic and Myotonic conditions
  • 5 May 2011 - Bone health and neuropathy
  • 18 March 2010 - Cardiac, Physiotherapy, Spinal Complications and Respiratory care

 

SWNODN SWIM audience 1.jpg

Stroke Thrombectomy Service - For Clinicians

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Flow diagram made of different boxes, setting out what is needed for a referral, with arrows pointing to the next points in a patient's journey through thrombectomy and then returning to their referring hospital

The service is open 24 hours a day, seven days a week to patients referred from: 

Gloucestershire Hospitals Foundation Trust

Great Western Hospitals Foundation Trust

North Bristol NHS Trust

Royal United Hospitals Bath

Taunton & Somerset NHS Foundation Trust

University Hospitals Bristol and Weston NHS Foundation Trust Bristol

Yeovil District Hospital NHS Foundation Trust

We also provide a service to the south and western regions of Wales 7 days a week from 6am and patients must be at the hospital by 10pm.

Please use the following process to refer a patient to our service.

Stroke Thrombectomy Service - For Clinicians