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Endocrinology services

We welcome generic referrals to our service or targeted sub-specialty referrals to the responsible clinical leads as highlighted below.

Contact details for referrals

Endocrine clinic co-ordinator: Mrs Jacqui Way
Tel: 0117 342 7202 

Endocrine secretaries (Urgent referrals should be emailed to the endocrine secretaries on ubh-tr.diabetesandendoadmin@nhs.net)

Ms Ann Brook (Professor Stafford Lightman, Dr Rami Fikri)
Tel: 0117 342 7256

Ms Pauline Palmer (Dr Karin Bradley and Professor Andy Levy)
Tel: 0117 342 7258

Ms Kate Hearn (Dr Bushra Ahmad)
Tel: 0117 342 7257

Ms Lucy Martin (Dr Natasha Thorogood)
Tel: 0117 342 7259

Neuroendocrinology

Encompasses neuroendocrine tumours, adrenal disorders and familial endocrine syndromes.

There are clear co-ordinated care pathways with a responsible multi-professional team including named individuals for HPB and adrenal surgery, oncology, radiology, histopathology, anaesthetics and clinical biochemistry. Bi-monthly neuroendocrine MDT meetings are held and there is a dedicated sub-specialty neuroendocrine tumour (NET) clinic.

The service has close links with the geographically neighbouring NET MDTs in Oxford, Birmingham and Cardiff and the teams hold an annual educational meeting co-ordinated by Dr Karin Bradley to share clinical expertise and to support service development.

The NET service also has close affiliations with and support from the NET Patient Foundation or 0800 434 6476, and AMEND or 01892 516076, as the two excellent patient support groups for patients with neuroendocrine conditions.

Service lead: Dr Karin Bradley. 

Pituitary Disorders

Bi-monthly joint pituitary clinic and pituitary MDM on the Southmead site - co-ordinated by Mr Richard Nelson, consultant neurosurgeon, Dr Karin Bradley (UHB endocrinology) and Dr Vernon Parfitt (NBT endocrinology).  

The service has close links with the Bristol support group of the Pituitary Foundation.

Service lead: Dr Karin Bradley. 

Reproductive Endocrinology

Co-ordinated care pathways exist for all local and regional reproductive endocrinology referrals. These include patients with conditions such as Turner's syndrome and CAH as well as a dedicated clinic for transgender patients (led by Professor Andy Levy). The patients may be seen in a variety of appropriate clinics (including a combined endocrinology/gynaecology clinic led by Dr Bushra Ahmad) depending upon their individual needs. 

Please make generic referrals to the endocrine department and patients will be assigned to the appropriate clinic. 

Specialist Thyroid/Ophthalmology Clinic

The BRI endocrine service offers a parallel clinic co-ordinated with ophthalmology for patients with thyroid eye disease to streamline their complex care.

Service lead: Dr Bushra Ahmad.

Thyroid cancer services are co-ordinated as follows:

  • Medullary thyroid cancer is co-ordinated via the NET multi-disciplinary team with named input from head and neck surgery and oncology.
  • Papillary, follicular and anaplastic thyroid cancer is managed in a dedicated weekly oncology clinic co-ordinated by consultant oncologist, Dr Matt Beasley and the Head and Neck multi-disciplinary team.
  • Dr Karin Bradley is the named endocrinology link for the Head and Neck multi-disciplinary team as required. 

Aftercare Service (including Endocrine Late Effects of Childhood Cancer Service)

This is a joint clinical service run with the paediatric oncologists (Dr Rachel Cox and Dr Rachel Dommett) dedicated to the care and support of teenagers and young adults who were treated for cancer or leukaemia (or certain related conditions) in childhood and during their teenage years. Most young adults who have been successfully treated for cancer live healthy lives, but some suffer from the long-term effects from their cancer or its treatment. Others are advised to have check-ups to ensure that they remain well. The endocrine component of this service provides expert advice for individuals whose cancer treatment has affected the function of their hormones. A combined clinic with endocrinology runs twice per month and a multi-disciplinary meeting (including paediatric oncology, nurse specialists, paediatric and adult endocrinology) is held monthly.

Macmillan support worker: Divya Bassi 
Tel 0117 342 8607.
Fax: 0117 342 8628.
Divya.Bassi@UHBristol.nhs.uk

The South West Aftercare service is based at Bristol Royal Hospital for Children (BRHC)  and The Teenage Young Adult outpatient unit at Bristol Haematology and Oncology Centre, and is part of UH Bristol.

Endocrine service leads: Dr Bushra Ahmad, Dr Karin Bradley and Dr Adam Gassas.

Antenatal Endocrinology

A weekly joint endocrine antenatal clinic is held at St Michael's Hospital, where all patients receive care from both the endocrinology and the obstetric team. In addition, as appropriate, the services of diabetes specialist nurses, a diabetes specialist midwife and a dietician are available. Referrals can be made to the service leads below or via the consultant obstetricians - Miss Louise Ashelby and Miss Emma Treloar.

Endocrine service leads: Dr Karin Bradley and Dr Natasha Thorogood. 

General/Secondary Care Endocrinology

The BRI service hosts weekly endocrine clinics offering the full range of secondary care endocrine services and expertise. All clinics are consultant supervised and all new and follow up patients are seen by a consultant or a senior specialist registrar. Any patients seen by a senior specialist registrar are discussed with a consultant to finalise the care plan. 

Endocrine Specialist Nurse Clinics

Bristol Royal Infirmary's endocrine department have two adult endocrine nurse specialists who are nurse members of The Society for Endocrinology. The nurse specialists are available to offer advice and support to patients on a range of endocrine conditions including:

·         Disorders of the pituitary gland

·         Disorders of the adrenal glands

·         Disorders of the thyroid gland

·         Neuroendocrine tumours

·         Genetic endocrine conditions such as MEN

The endocrine nurse specialists are members of the multidisciplinary team for endocrinology, adrenals and neuroendocrine tumours, they also run their own nurse led endocrine clinics where they offer endocrine condition reviews, education, support and carry out diagnostic endocrine tests. They are also involved in the transition of paediatric endocrine patients to the adult service.

Inpatient Endocrine Service

The endocrinology team support inpatient care on weekdays to offer advice or an inpatient review. In addition, shared care with endocrinology is offered for all patients admitted for endocrine surgery to optimise quality, safety and to minimise as much as possible the requirement to stay in hospital. Appropriate care pathways and guidelines are in place.