GMC: 7042109

Speciality: Radiology

Clinical interests: Musculoskeletal Radiology

Secretary: Gail Bailey

Telephone: 0117 414 9008

Dr Walton has completed post CCT musculoskeletal radiology fellowships in the UK and Australia with expertise in all facets of musculoskeletal diagnostic imaging and image guided intervention.

Dr Walton is a fellow of the Royal College of Radiologists and a member of the British and European Societies of Skeletal Radiology.

GMC: 3547429

Year of first qualification: 1991, London

Speciality: Anaesthesia

Secretary: Jean Moon

Telephone: 0117 414 5114

Fellow of the Royal College of Anaesthetists 

Bristol Weight Management and Bariatric Service (BWMBS) encompasses a specialist Weight Assessment and Management Service (WAMS) and Bristol Bariatric Service (BBS) for individuals with obesity.

WAMS was previously known as the ‘Tier 3 Specialist Weight Management Service’. WAMS provides non-surgical, multi-disciplinary weight management support and interventions for a 6-12month period. This may be in the form of individual one-to-one appointments with a dietitian and / or psychologist, or through our 8 session Mood & Food group programme. WAMS also supports appropriate individuals to prepare for bariatric (weight loss) surgery with the ‘Bristol Bariatric Service’ (BBS).

It is national guidance that an individual receives intensive support from a specialist weight management service, such as WAMS, before they can be considered for a referral to a bariatric surgery team. There may be some exceptions to this rule for those who have other medical issues that require urgent treatment.

Download: 

How to refer to BWMBS

Please note that there are different eligibility criteria for Wiltshire and Bristol, North Somerset, South Gloucestershire (BNSSG).

• For Bristol, North Somerset, South Gloucestershire (BNSSG), please complete the referral form at remedy.bristolccg.nhs.uk/adults/weight-management/tier-3-weight-management-service
• For Wiltshire, please download and complete 
  Tier 3 Weight Management Referral Form.doc84 KB

For administration or referral Advice contact: 
Zoe Woodward – WAMS Co-ordinator
Email: t3wms@nbt.nhs.uk
Telephone: 0117 414 1028
Address: Office 2, Gate 38, Brunel building, Southmead Hospital, Westbury-On-Trym, Bristol. BS10 5NB

Severn Major Trauma Network Clinical Director

Dr Julian Thompson

Major Trauma Centre Clinical Lead

Dr Nirosha De Zoysa

Severn Major Trauma Network, HART & Major Trauma Centre Manager

Shabba Vaithianathan

Severn Major Trauma Network Co-ordinator

Daniel Fletcher-Walliss

Severn Major Trauma Centre Support Co-ordinator

Adeline Chiu

Severn Major Trauma Network Governance Lead

Dr Nick Blundell

Severn Major Trauma Network Training Lead

Dr Fran verey

Severn Major Trauma Network Research Lead

Dr Philip Braude

Severn Major Trauma Network Director of Rehabilitation

Dr Shigong Guo

Consultant in Rehabilitation Medicine

Dr Ida Bakar

Speciality Doctor in Rehabilitation Medicine

Dr Kriti Mishra

Specialist Clinical Psychologist

Dr Joanna Latham

Major Trauma Practitioner & Severn Major Trauma Network AHP Lead

Denise Axelsen

Major Trauma Practitioners –

Laura Crowle

Nicholas Crease

Beezy Wakefield

Anna Greene

HART Practitioners

Hannah Stroud

Hannah Austin

Claire Campbell

Lucy Thomas

Major Trauma & HART Practitioners

Beth Douglass

Cora Deegan

NMTR Major Trauma Data Coordinator –

Nicola Ford

Khushboo Dixit

Oluwatyin Mbonu (Felicia)

Sacral Neuromodulation Surgical Training Courses 

The BUI Functional Urology Team run a series of SNS training courses. 

For more information about what courses may be available in 2025 please email buicourses@nbt.nhs.uk

Mrs Caitlin Holme BA, MA

PhD Candidate

I completed my BA in Spanish and Linguistics at the University of Southampton in 2016, and then pursued my interest in both acquired and developmental language disorders through an MA in Clinical Linguistics from the University of Amsterdam, which I completed in 2017. As part of my Master’s degree I also completed an internship at the Speech and Language Therapy Department of the Pontificia Universidad Católica in Santiago, Chile. During this time I was responsible for creation of a new discourse analysis assessment tool to assess the speech of Spanish-speaking patients with glioma and other traumatic brain injuries. In 2019/2020 I was a Research Associate on a national project funded by Public Health England to develop a new assessment tool to support early identification of children with speech, language and communication needs. As part of that project we evaluated the acceptability of the new tool for parents and practitioners via qualitative interviews and focus groups. In June 2020 I began a full-time PhD based at BSLTRU and the University of Bristol.

Current Research

My PhD research is focussed on children’s language development and parent-child interactions, drawing on my previous research experience in both linguistics and speech and language therapy. Parent-child Interaction Therapy (PCIT) is a technique commonly employed by speech and language therapists for children with Developmental Language Disorder (DLD). However, there are concerns about the validity of PCIT for some families, given that the theory underpinning techniques as well as research into its effectiveness have mainly concentrated on white, middle-class families. Studies suggest that PCIT holds implicit cultural biases about linguistic interactions with children. This PhD study aims to gather evidence about a range of children’s daily language interactions and patterns of activities in their home environments. The ultimate goal will be to improve the evidence base about home language environments and make recommendations for SLTs to ensure interventions are appropriate and valid for families from culturally and linguistically diverse backgrounds.

Linked profiles of academic outputs

https://www.researchgate.net/profile/Caitlin_Holme

At the end of your first six months you will be reassessed by the Consultant. At this time we will discuss with you your options, which may include:

• Being offered a further 6 months of lower level support from us.
• Referral to the Bristol Bariatric Service for weight loss surgery. Referral for surgery can only be made if all the team are in agreement regarding your readiness for surgery, which includes having made the relevant behavioural changes.
• Discharged from the service.

If there are medical, nutritional or psychological reasons which mean you are not ready for weight loss surgery or not able to engage with the service, this will be discussed with you and the information sent to your GP.

The details and outcome of your reviews will be sent to your GP and/or the Bristol Bariatric Service if we agree to refer you there.

Once you have completed the full 12months in the service, you may receive a further Consultant review. At this time, you will either:

• Be referred on to the Bristol Bariatric Service if the team are in agreement for your readiness for surgery.
• Discharged back to your GP if you are not ready for weight loss surgery or this is not something that you wish to consider.  Please note that you can be re-referred back to BWMBS in the future.

Common causes of urinary retention in men

• Urological
  • benign prostatic enlargement
  • prostate malignancy
  • urethral stricture
  • haematuria
  • prostatic abscess
• Non-urological
  • recent surgery (anaesthetic/mobility related)
  • constipation
  • drugs - antidepressants, nasal decongestants, anaesthetic

Male TWOC Referral Form. 

Common causes of urinary retention in women

• pelvic prolapse

• post surgery

• pelvic masses

• constipation

• neurological

• drugs - antidepressants, nasal decongestants, anaesthetic

Female TWOC Referral Form