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Oncology

Division: SS

Bristol Cancer Institute

Oncology consultants are contacted via the relevant secretarial teams by tumour site.

Acute Oncology Service

0117 342 3336

Medical oncology
Dr Anna Kuchel
Dr Alfredo Addeo
Clinical oncology
Dr Susie Masson (from September 2015)

Anal cancer

0117 342 2415

Clinical oncology
Dr Stephen Falk

Breast cancer

0117 342 2415

Medical oncology
Dr Jeremy Braybrooke
Dr Alfredo Addeo
Clinical oncology
Dr Amit Bahl
Dr Charles Comins

Cancer of Unknown Primary

0117 342 3336

Medical oncology
Dr Anna Kuchel

CNS (central nervous system)

0117 342 2417

Clinical oncology
Dr Chris Herbert
Dr Alison Cameron

Colorectal

0117 342 2415

Medical oncology
Dr Axel Walther
Clinical oncology
Dr Stephen Falk

Germ cell cancer

0117 342 2418

Medical oncology
Dr Anna Kuchel
Dr Jeremy Braybrooke
Clinical oncology
Dr Amit Bahl

Gynaecological oncology

0117 342 2417

Medical oncology
Dr Axel Walther
Clinical oncology
Dr Hoda Al Booz
Dr Waheeda Owadally

Head and Neck

0117 342 2417

Clinical oncology
Dr Matthew Beasley
Dr Hoda Al Booz

Lung cancer

0117 342 2418

Medical oncology
Dr Adam Dangoor
Dr Jeremy Braybrooke
Dr Alfredo Addeo
Clinical oncology
Dr Charles Comins
Dr Waheeda Owadally (from January 2015)
Dr Gareth Ayre (from August 2015)

Lymphoma (radiotherapy)

0117 342 2417

Clinical oncology
Dr Matthew Beasley

Paediatric radiotherapy

0117 342 2417

Clinical oncology
Dr Alison Cameron

Sarcoma

0117 3422417

Medical oncology
Dr Adam Dangoor
Clinical Oncology
Dr Matthew Beasley
Dr Gareth Ayre (from August 2015)
Dr Paula Wilson (from September 2015)

Skin cancer

0117 342 2415

Clinical oncology
Dr Chris Herbert
Dr Amar Challapalli

Thyroid cancer and isotope treatment

0117 342 2417

Clinical oncology
Dr Matthew Beasley

Upper GI (hepatobiliary)

0117 342 2415

Clinical oncology
Dr Stephen Falk
Dr Gareth Ayre (from August 2015)
Medical oncology
Dr Adam Dangoor

Urological cancers

0117 342 2418

Clinical oncology
Dr Serena Hilman
Dr Amit Bahl
Dr Amar Challapalli
Dr Susie Masson (from September 2015)

Lead Doctor for Bristol Cancer Institute

0117 342 2418

Dr Jeremy Braybrooke

Lead Doctor for Chemotherapy

0117 342 2415

Dr Adam Dangoor

Lead Doctor for Radiotherapy

0117 342 2417

Dr Matthew Beasley

Acute Care (D602)

Acute Care is the acute oncology assessment area located on level 6 of the Bristol Haematology and Oncology Centre (BHOC).

Tel: 0117 342 2011

The service provides 24/7 telephone triage to all oncology patients, ensuring appropriate and consistent advice to allow for the early recognition of potential emergencies, treatment complications and the provision of emotional support and follow-up. This is available 24/7. It has a maximum capacity of 4 patients, depending on patient acuity and dependency.

The service is aimed at patients known to BHOC and experiencing side-effects of their treatment. It is also directed at health professionals (both in hospital and primary care) in that they will have access to timely and expert advice on management of symptoms and information to help make the right choice in terms of onward referral.

Patients can self-refer via the 24 hour emergency telephone service. Healthcare professionals (both in the Trust and the community) may refer patients via face to face, telephone / bleep.

Staff should not direct patients to the service without them first being triaged and accepted by the emergency practitioner (Staff Grade/Advanced Nurse Practitioner).

The last referrals to the unit should be no later than 17:00. Referrals after this time will be managed by medical on-call staff.

Cancer of unknown primary

The cancer of unknown primary multidisciplinary team runs a weekly meeting and clinic for cases with radiological evidence of cancer where the primary tumour is not evident. To refer patients for urgent assessment by the team, please use the referral form on Choose and Book.

Malignant spinal cord compression

Malignant spinal cord compression (MSCC) is a rare condition occurring when cancer cells grow in or near to the spine and press on the spinal cord and nerves leading to weakness and numbness. Urgent referral and treatment should be arranged as soon as possible to prevent permanent damage to the spinal cord which can result in irreversible paralysis. The earlier cord compression is diagnosed, the better the chances of the treatment being effective.

If an adult patient with a past history of malignancy has signs and symptoms suggestive of malignant spinal cord compression, contact MSCC coordinator (oncology registrar on call) at BHOC via the hospital switchboard on 0117 923 0000.

Palliative Radiotherapy

BHOC aims to provide a timely, palliative radiotherapy service to patients with a view to providing relief of symptoms, improving quality of life and reducing the need for analgesia, when appropriate.

Access / Referrals

Patients who, in the opinion of their GP, may benefit from palliative radiotherapy should be referred, preferably via the key worker of the multi-disciplinary team managing that patient, to a consultant clinical oncologist:

  1. Routine. By generic referral to a routine outpatients clinic where the patient and their oncologist can discuss the benefits of radiotherapy and decide to go forward with treatment. The average wait for patients would be less than 14 days from the decision to treat, in line with national targets set by the Royal College of Radiologists. The patient will be allocated to the appropriate site-specialist consultant.  
  2. Acute. By telephone referral directly to the consultant clinical oncologist or SpR to allow a discussion of the patient's symptoms. This would be appropriate for patients with more acute symptoms such as severe pain and could eliminate the need for an outpatient clinic visit. Depending on the severity of symptoms, such patients could expect to be treated within a week of the clinical oncologist accepting the telephone referral.
  3. If an adult patient with a past history of malignancy has signs and symptoms suggestive of malignant spinal cord compression, contact MSCC coordinator (oncology registrar on call) at BHOC via the hospital switchboard on 0117 923 0000.

In both situations, the referring GP needs to indicate to the clinical oncologist if the patient needs to be an inpatient. If an urgent admission to D603 is required out of hours, then referral should be made by telephone to the consultant on call.

Teenage and Young Adult Services (TYA)

Teenage Cancer TrustTYA_logo _trimmed

University Hospitals Bristol NHS Foundation Trust (in partnership with North Bristol Trust) is the Principal Treatment Centre for Teenagers and Young Adults with Cancer for the South West of England. It is a multidisciplinary service that provides specialist haematology and oncology care along with emotional, social and practical support to young adults diagnosed with cancer between 16 and 24 yrs. The hub of the service is based around a purpose built, age appropriate, TYA inpatient and day care facility that opened in April 2014. This was funded by our local communities responding to a Teenage Cancer Trust appeal and raising £2.5 million for the unit build.

For further information on this service visit www.uhbristol.nhs.uk/tya

Teenage and Young Adult Team email: TYAMDaT@UHBristol.nhs.uk

Heads of Departments

Sophie Baugh

0117 342 3074

Interim General Manager

Kate Love

0117 342 2454

Radiotherapy Services Manager

Hayley Long

0117 342 2055

Matron

Jane Bailey

0117 342 2055

Matron

Heather Carroll

0117 342 4325

Clinical Trials Unit Manager

Nathalie Delaney

0117 342 7758

Performance and Operations Manager

The Bristol Cancer Institute based at the Bristol Haematology and Oncology Centre is the specialist centre for non-surgical treatment for cancer covering all oncology services, chemotherapy, radiotherapy and palliative care. 

Day case treatment

Day case treatments for oncology patients are provided from D502 Oncology Day Unit at BHOC and satellite chemotherapy units at South Bristol Community Hospital and Concord Medical Centre (Little Stoke).

Radiotherapy treatment (D201)

The radiotherapy department provides external beam radiotherapy, high-dose rate brachytherapy for gynaecological and locally advanced prostate cancers and oesophageal patients.

Gamma Knife radiotherapy treatment (D101)

If you require any information about treatment at the Bristol Gamma Knife Centre then please contact us at bristolgammaknife@uhbristol.nhs.uk or on 0117 342 6717

Ward D603

Ward D603 is the oncology ward incorporating Area 61 (Teenager and Young Adult inpatient unit).

Patients undergoing treatment at the oncology centre will be kept under regular review. Many will have copies of clinic letters for information, but if for medical reasons you require further details or advice concerning their case, please contact us.

For urgent problems please contact BHOC acute care on 0117 342 2011, or an on-call oncology registrar is available via the hospital switchboard on 0117 923 0000. Otherwise the relevant consultant secretary can be contacted.

Psychological Health Services (PHS) (D402)

Clinical psychologists work with people who are experiencing a variety of personal or relationship difficulties, sometimes in the context of medical illness. There is a small team of clinical psychologists based at the BHOC to work with inpatients and outpatients and the important people in their lives.  They can help if patients are experiencing emotional or personal difficulties at any point during or after their illness.

Clinical psychologists are trained in helping people to achieve positive change for themselves, based on evidence about the links between behaviours, emotions, thoughts, relationships and the biological aspects of health and illness. They are not medically trained and do not give mental health diagnoses or provide medication. They mainly offer "talking therapies" or they may introduce patients to some practical techniques and strategies to help them with a specific problem, like poor sleep, anxiety or adjustment difficulties. The help they offer is tailored to each individual person and would depend very much on what they feel would be most useful to them.

Opening hours

Monday-Friday, 0900 - 1700

Contact

0117 342 2885

Cancer Information and Support Centre (D401)

The Cancer Information and Support Centre is a drop-in centre for anyone affected by cancer (patients, carers, family or friends and staff). It offers a confidential service where people can access information and talk to trained staff / volunteers about how cancer is affecting their life. In addition to information on cancer and its treatments, the centre provides information on sources of practical help and support. Information is available in different formats including leaflets, booklets, CDs, DVDs and via the Internet.

Opening Times

Monday - Friday: 0900 - 1700

Helpline

0117 342 3369

Email

cancerinfoandsupport@uhbristol.nhs.uk

Clinical trials unit (D801)

BHOC has a large clinical trials unit which organises and supports clinical research for cancer care. and staffed by a team of nurses, radiographers, clinical trials coordinators and clerical support to ensure that patients involved in research studies have information, support, treatment and follow-up.

What to do when a patient dies

Please inform the centre if any patients receiving active treatment at the Bristol Haematology and Oncology Centre die on 0117 342 2605.

See also the entry on Palliative Care