Colorectal Services at Carlton DTC
Background: I have been an Endoscopist since 1994 and since 1996 have
provided endoscopy services from my practice for my patients and those of other
practices. The current facilities are up to date and specifically designed for endoscopy
provision.
I also work at BTHT as a Hospital Practitioner providing diagnostic &
therapeutic Colonoscopy, Flexible Sigmoidoscopy and Gastroscopy.
The service:
The service I provide at Carlton is a one stop colorectal service which I started in
1996 because no such service existed locally. I will see, investigate and manage any
colorectal condition including:
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Rectal bleeding
Change in bowel habit
Diarrhoea and constipation
Perianal conditions including non-prolapsed piles (treated by sclerotherapy)
and fissures
Anaemia
Abdominal pain
IBS type presentations
All patients will be investigated and managed within my service where possible. Most
will have flexible sigmoidoscopy and proctoscopy as per guidelines agreed with the
local gastroenterologists and colorectal surgeons. I have direct access to further
investigations including Colonoscopy & Gastroscopy (including fast track slots), CT
Colonoscopy, Barium Enema as well as Hydrogen breath testing and SeHCAT scans
for diarrhoea. I also plan to organise direct booking onto surgical lists for perianal
conditions.
What do the patients think? – we get and have always got extremely high levels
of patient satisfaction with our service. We perform biannual surveys.
How do you refer?
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SystmOne Task (share to Carlton Medical Practice and send either an
unassigned task or to me directly),
Choose and Book
or by Letter
Cancers: Should any cancers be discovered I also have direct access to the fast
track colorectal team. As I see all referrals within 2 weeks this service actually
results in a faster track than referring into the fast track system. We have full
tracking in place for all investigations or fast track referrals made from my service.
However if you have a high suspicion of colorectal cancer please still refer via the
fast track service.
Governance – this service has been re-accredited many times by the PCT – the last
re-accreditation was in 2011 for 3 years. GRS (Global Rating Scale) returns are made
nationally from the unit biannually. We are planning to achieve JAG accreditation for
our unit.
How much? – this service is extremely competitive being approximately 1/3 of the
National Tariff price for the equivalent service.
Where is the service provided? – from our purpose built Endoscopy Suite at
Allerton Health Centre, Bell Dean Road, Allerton, Bradford BD15 7WA
Point of contact details? – please just ring the surgery on 01274 484111 or
send an unassigned task.
Why are you telling us about this now? – I have recently made changes at my
practice to increase my capacity hence I now have the ability to flex capacity and
meet my target of a 2 week wait for all new referrals and thus can advertise the
service more widely than previously.
I also hope to be able to deliver some GI educations sessions at your practices along
with one of the gastroenterologists for those that are interested.
http://www.carltonmedical.co.uk/clinics-and-services.aspx - to see a couple of
photos of our facility. Click on the home page if you fancy a peek at our new surgery
in Girlington.
http://www.carltonmedical.co.uk/info.aspx?p=9 – for patient information leaflets
Thanks for considering this service. I am happy to answer any questions of course.
Regards
jim
Dr Jim Welford
GP
GPwSI/Hospital Practitioner in Endoscopy
Honorary Senior Lecturer Leeds University
Email: jim.welford@bradford.nhs.uk
Mob : 07922118470