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Out-patients are patients who do not have to stay in the hospital.

this page gives information about:

  • The clinics we have for out-patients
  • The days and times of the clinics
  • How to contact us
  • The staff in our service

We run 20 outpatient clinic sessions per week and a further 5 'virtual' clinics comprising of both general and specialist Gastroenterology and Hepatology patients. We service 5,000 new and 12,000 review patients per annum. All new appointments are seen within 7 weeks of referral currently and we are actively managing this with the aim of getting waiting times down to 2-4 weeks. We are developing community network links to help manage chronic diseases.

What we do

General Gastroenterology

Patients with general GI Conditions or complaints, or undiagnosed GI problems are reviewed

Dysphagia/Oesophageal

Clinic Out-patient service that reviews patients with swallowing problems and oesophageal motility disorders in noncardiac chest pain and GORD

Upper GI Clinic

Out-patient service that reviews patients with upper GI symptoms and problems including dyspepsia and reflux

Suspected Upper GI Cancer Pathway (2 week)

Out-patient service that reviews patients with alarm symptoms or suspected to have upper gastro-oesophageal cancer are endoscoped within 2 weeks

Upper GI Cancer Clinic

Out-patient service that reviews all patients with newly diagnosed gastro-oesophageal cancer within 1 week and follow up patients with the diagnoses regularly with their personalised treatment plans

Barrett’s Clinic and Surveillance

Out-patient service that reviews patients with Barrett’s on presentation, provides information and patient education before entering them into a surveillance programme as recommended by the BSG

Open Access Upper GI Endoscopy

Out-patient GP access for any of their patients for routine diagnostic endoscopy

Rapid Access-Colorectal Services

Rapid access service for patient with suspected colorectal cancer. All patients are reviewed within 2 weeks

IBD/Colon Clinic

Out-patient clinic for patient with Inflammatory bowel disease and other colorectal symptoms or diseases

Quiescent IBD Clinic

A nurse led out-patient service for IBD patients with stable or no symptoms

IBD-Immunosuppression/Blood Monitoring Clinic

A nurse led clinic for patients starting immunosuppression like azathioprine for monitoring their response to treatment and blood tests

Out-patient Access Flexible, Sigmoidoscopy (OAFS)

Out-patient service where GPs can directly book patients for a flexible sigmoidoscopy with rectal bleeding. Haemorrhoid banding can be offered if appropriate

IBD Adolescent Transition Clinic

Out-patient clinic for patients with IBD run with the Gastroenterologists at Alder Hey are seen in a multi-disciplinary environment before coming into the adult clinic

Liver Clinic

Patients with specific liver complaints/diagnoses are investigated and managed. This is the main ‘Liver Clinic’ with 5 Medical Consultants, a Nurse Consultant, 3 SpRs and Specialist Nurse. All patients are pre-investigated before they attend the clinic and there is also an emphasis on standardized protocols and education.

Chronic Liver Disease Management Clinic

Nurse led clinic for patients with chronic liver diseases such as PBC, autoimmune hepatitis who require management of their disease and monitoring of their immunosuppressant medication.

Viral Hepatitis Treatment clinic

Nurse led clinic offering treatment for patients with hepatitis C or B. This is a joint clinic with the specialist nurses in Infectious Diseases.

Pre-assessment HPB-Liver clinic

This is a service that works along side the gastroenterology unit and the specialist nurses. Patients are assessed, consented and sent for necessary investigations prior to day case procedures such as ultrasound guided liver biopsy and ERCP.

Haemachromatosis Clinic

Nurse led service on the Gastroenterology Unit, offering counselling and screening of patients and their families with genetic haemachromatosis, as well as running a regular venesection programme.

Transplant Clinic

Nurse led clinic for patients who have undergone a liver transplant. The clinic offers support for the patients as well as regular monitoring for side effects related to their immunosuppression medication.

Joint Viral Hepatitis / Haematology Clinic

Joint clinic with the Haematology department in the management & treatment of patients with hepatitis C and haemophilia.

Viral Hepatitis C clinic – Primary Care

Joint viral hepatitis treatment clinic with the local GP practice and the community hepatitis nurse.

Neuroendocrine Clinic

This is a specialised out-patient local and regional service where patients with or suspected of having a rare tumours called neuroendrine tumours are investigated and managed.

Anaemia Clinic

An nurse consultant led out-patient service where patient with anaemia have fast-track investigations for the cause of their anaemia

Contact us

Consultant secretaries - an alphabetical list of the Gastroenterology Consultants outlining their sub-specialty interests and contact details is provided below.

  • Dr Anthony Ellis - Colorectal Cancer Genetics & Inflammatory Bowel Disease
    Secretary: Irene Boardman – 0151 706 3414
  • Prof Sir Ian Gilmore - RCP President Hepatology
    Secretary: Jan Hewitt - 0151 706 3558
  • Dr Melita Gordon - Luminal Gastroenterology
    Ann Bird - 0151 706 3554
  • Dr Neil Haslam - Advanced Endoscopist
    Secretary: Debbie Buchanan - 0151 706 3849
  • Professor Chris Probert - Inflammatory Bowel Disease
    Secretary: Jan Hewitt - 0151 706 3558
  • Professor Martin Lombard - Directorate Lead Hepatologist
    Secretary: Sandra Mortimer - 0151 706 3568
  • Prof Anthony Morris - Advanced Endoscopy
    Secretary: Ann Bird - 0151 706 3554
  • Dr Paul O’Toole - Advanced Endoscopist
    Secretary: Debbie Buchanan - 0151 706 3849
  • Prof Mark Pritchard - GI Neuroendocrine Disease
    Secretary: Yvonne Gordon - 0151 706 3553
  • Dr Paul Richardson – Hepatologist
    Secretary: Jan Hewitt - 0151 706 3558
  • Prof Jonathan Rhodes - Inflammatory Bowel Disease
    Secretary: Jan Hewitt - 0151 706 3558
  • Dr Sanchoy Sarkar - Advanced Endoscopist Upper GI Hepato-Biliary Medicine
    Secretary: Ann Bird - 0151 706 3554
  • Dr Howard Smart - Upper GI Cancer Advanced Endoscopist Hepato-Biliary Medicine
    Secretary: Elaine Joynson – 0151 706 3279
  • Dr S Subramanian - Advanced Endoscopist Inflammatory Bowel Disease
    Secretary: Debbie Buchanan - 0151 706 3849
  • Dr Paul Collins - Inflammatory Bowel Disease
    Secretary: Yvonne Gordon - 0151 706 3553

 

Nurse Consultants & Specialist Nurses - contact details of our Gastroenterology Nurse Consultants & Specialists are listed according to their sub-specialty in the table below.

Directorate Statistics (2005/6):

Staff: ~150
Consultant Medical Staff: 13 (4 Academic)
Specialist Nurses: 10 (3 Nurse Consultants)
SpRs: 8 (2 University Lecturers, 1 Flexible Trainee)
SHOs: 2
PRHOs: 4
Clinical Secretaries: 8

Inpatient numbers: 2400 to Gastro Wards; 500 ‘Internal Consultations’ per annum

Outpatient Clinics: 18 (incl 5 nurse-led) service 4000 new and 11000 review appointments per annum. All new appointments are seen within 7 weeks of referral currently and we are actively managing this with the aim of getting waiting times down to 4 weeks. We are developing community network links to help manage chronic diseases.

Endoscopy: approx 14,000 (of whom 4,000 inpatient, 10,000 OP or Day case)
Our diagnostic waiting times are all under six weeks.

Courses run by National Training Centre: 37 (of which 22 “Hands on Endoscopy” including ERCP and EUS)