Endocrinology and Diabetes

Welcome to the Department of Diabetes and Endocrinology. We are a specialist university hospital offering tertiary level care across the whole spectrum of endocrinology - the field of medicine concerned with hormone conditions. 

Adult endocrine and diabetes services are based at Bristol Royal Infirmary. We have specific specialist care pathways for patients with neuroendocrine, pituitary, adrenal and thyroid disease as well as for patients with a reproductive endocrine diagnosis (including pregnancy with an endocrine condition), multiple endocrine neoplasia or other endocrine genetic syndromes, as well as care for patients with endocrine complications from previous cancer therapy. We also offer highly specialist care for patients with diabetes in pregnancy, patients on insulin pump therapy, patients with diabetic neuropathic pain, patients with diabetic foot complications and patients with diabetes in the context of cystic fibrosis, renal disease or genetic syndromes. The diabetes team believe strongly in patient empowerment and patient education. 

As hormone conditions frequently affect many body systems, we have close working relationships across a range of clinical disciplines and have dedicated multidisciplinary teams and defined pathways of care to ensure that we deliver effective, timely and high quality care to our patients. 

The department of endocrinology comprises academic and NHS consultant staff as well as specialist registrars, a lecturer, a clinical research fellow and specialist nurses, ensuring that we have a broad portfolio of expertise to support patient care. We strongly believe in combining high quality, evidence based clinical care and aspire to achieve excellent communication with our patients and healthcare colleagues. All patients seen in routine secondary care clinics will receive a consultant level opinion and all patients seen in tertiary specialty clinics will receive both a consultant level opinion and consultant sign off of the clinic letter, which serves as the patient care record. It is routine practice for all patient correspondence to be copied to the patient unless they express a wish not to receive this information or there are valid clinical reasons not to. 

Senior specialist endocrine trainees from the Severn Deanery Rotation rotate through our service and we aim to offer excellent clinical experience, combined with the opportunity to develop skills in presentation, critical appraisal of the scientific literature and audit. There are also many opportunities for research experience (across the range from small projects to higher academic degrees), publications and exposure to NHS management.