THE LONDON RECTAL CLINIC AT

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] www.108harleystreet.co.uk

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk

R ECTA L THE L CLINIC OTNHDEO N LONDON R E C TA L RCELCI N TA I CL CLINIC

THE LONDON RECTAL CLINIC THE LONDON RECTAL CLINIC THE LONDON RECTAL CLINIC

AT AT ATT A

ABOUT US ABOUT USRectal Clinic provides the highest professional standards of The London The London Rectal Clinic provides thereassuring highest professional dedicated care within a friendly and enviroment.standards of dedicated care within a friendly and reassuring enviroment. All treatment programmes are individually tailored to suit your needs with All treatment programmes arespecialist individually to suit your needs with to members of our experienced caretailored team working closely together members of our peace experienced care team working closely together to ensure ultimate of mindspecialist and minimum delays. ensure ultimate peace of mind and minimum delays.

ABOUT US The London Rectal Clinic provides the highest professional standards of dedicated care within a friendly and reassuring enviroment. MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

OUR APPROACH All treatment programmes are individually tailored to suit your needs with OUR APPROACH People visit The London Rectal Clinic, at 108 Harley Street, for a variety of members ofThe ourcommonly, experienced team working closely together People London Rectal Clinic,been atcare 108 Harley for apractitioner variety of to reasons;visit most theyspecialist have referred byStreet, a medical reasons; an most commonly,has they have been referred by a medical because abnormality and a surgical opinionpractitioner is required. ensure peace ofhas mindbeen andnoticed minimum becauseultimate an abnormality been noticed anddelays. a surgical opinion is required. The clinic is dedicated to minimising patient anxiety. The colorectal The clinic is dedicated to available minimising anxiety. Thehaving colorectal anxiety and rapid access consultants are currently onpatient Thursday and Fridays, so appointments consultants areoffered currently available on Thursday Fridays, so appointments to consultation and investigation. can usually be within a maximum of 72and hours. can usually be offered within a maximum of 72 hours. The clinics held in our relaxed and friendly premises, are designed to lead to a The clinics held in our relaxed and friendly premises, are designed to lead to a rapid, yet accurate, diagnosis. During an initial meeting with the consultant rapid, yetaaccurate, an initial meeting with physical the consultant surgeon, thoroughdiagnosis. history willDuring be taken followed by expert surgeon, a thorough history will be taken by expert examination. Facilities are available onsite,followed at 108 X-Ray and physical Imaging, should examination. Facilities are available onsite, at 108 X-Ray should x-ray or ultrasound investigation be required. Other testsand canImaging, be undertaken x-ray or ultrasound at partner facilities. investigation be required. Other tests can be undertaken at partner facilities. Once diagnosis has been confirmed, appropriate treatment can be Once diagnosis has confirmed, treatment beeach recommended. Thisbeen treatment will beappropriate discussed and agreedcan with recommended. This treatment be discussed and agreed with each individual patient, it may involvewill surgical intervention, or ongoing medical individual patient, it may involve surgical intervention, or ongoing medical management of the condition. management of the condition.

OUR APPROACH People visit The London Rectal Clinic, at 108 Harley Street, for a variety of reasons; most commonly, they have been referred by a medical practitioner because an abnormality has been noticed and a surgical opinion is required.

The clinic is dedicated to minimising patient anxiety. The colorectal consultants are currently available on Thursday and Fridays, so appointments can usually be offered within a maximum of 72 hours.

The clinics held in our relaxed and friendly premises, are designed to lead to a rapid, yet accurate, diagnosis. During an initial meeting with the consultant surgeon, a thorough history will be taken followed by expert physical examination. Facilities are available onsite, at 108 X-Ray and Imaging, should x-ray or ultrasound investigation be required. Other tests can be undertaken at partner facilities. Once diagnosis has been confirmed, appropriate treatment can be recommended. This treatment will be discussed and agreed with each T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: W: www.108harleystreet.co.uk T: [email protected] 44individual (0)20 7563 1234 it F: may + 44 involve (0)20 7563 1212intervention, or ongoing medical patient, surgical E: [email protected] W: www.108harleystreet.co.uk management of the condition.

FACILITIES AND SERVICES FACILITIES AND SERVICES

THE L OTNHDEO N LROENC D O LN TA RCELCI N TA I CL CLINIC AAT T AT

The services provided are: The services provided are: Out-patient • Consultation Out-patient Proctoscopy • Consultation • Rigid sigmoidoscopy Proctoscopy Haemorrhoid injection • Rigid sigmoidoscopy banding • Haemorrhoid injection Rectal biopsy banding • Haemorrhoid • Rectal biopsy Day Surgery: Conditions Investigated & Procedures Undertaken • Haemorrhoidectomy Day Surgery: Conditions Investigated & Procedures Undertaken Fissure – Creams / Botox / Lateral sphincterotomy / Flaps • Haemorrhoidectomy Pilonidal– sinus – Excision closure / Rotational fl/ aps • Fissure Creams / Botox and / Lateral sphincterotomy Flaps Anal sepsis and– fiExcision stula in and ano closure / Rotational flaps • Pilonidal sinus Rectalsepsis prolapse • Anal and fistula in ano • Pruritis ani / faecal soiling Rectal prolapse Excisionani of /anal polyps / lesions / warts • Pruritis faecal soiling Colonoscopy – diagnostic and polypectomy • Excision of anal polyps / lesions / warts Flexible sigmoidoscopy • Colonoscopy – diagnostic and polypectomy Endoscopy • Flexible sigmoidoscopy In Patient Colorectal Surgery Colon and rectal cancer resection In •Patient Colorectal Surgery increasingly laparoscopic assisted surgery • Colon and rectal cancer resection • Diverticular / Diverticulitis increasingly Disease laparoscopic assisted surgery Ulcerative Colitis and/ Diverticulitis Crohn’s Disease • Diverticular Disease • Ulcerative Colitis and Crohn’s Disease In Patient General Surgery Laparoscopic appendicectomy In •Patient General Surgery cholecystectomy • Laparoscopic appendicectomy Abdominal hernia repair – increasingly via laparoscope • Laparoscopic cholecystectomy • Abdominal hernia repair – increasingly via laparoscope • Bariatric (weight loss)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W:1234 www.108harleystreet.co.uk T: + 44 (0)20 7563 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

THE THE LONDON LONDON R E C TA L R E C TA L CLINIC CLINIC

aspects of colorectal surgery, in particular investigation of anorectal conditions and fistula-in-ano. He is presently undertaking collaborative research on laparoscopic resection of colorectal cancer.

THE THE TEAM TEAM II CONSULTANTS CONSULTANTS

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The Consultant team at The London Rectal Clinic offers the The Consultant team at The London Rectal Clinic offers the best possible assessment of colorectal and general surgical best possible assessment of colorectal and general surgical conditions with the support of radiologists, pathologists, conditions with the support of radiologists, pathologists, oncologists, nurses and other experienced health professionals; oncologists, nurses and other experienced health professionals;

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

CONSULTANT SURGEON CONSULTANT SURGEON Mr Gordon Buchanan MD MSc FRCS (Gen) Mr Gordon Buchanan MD MSc FRCS (Gen) Gordon Buchanan is Consultant Colorectal and General Gordon Buchanan is Consultant Colorectal and General Surgeon at Charing Cross and Hammersmith Hospitals, Surgeon at Charing Cross and Hammersmith Hospitals, London. He is experienced in carrying out a wide variety London. He is experienced in carrying out a wide variety of Colorectal and General Surgical procedures. of Colorectal and General Surgical procedures. He graduated from St. Thomas’ Hospital, London and He graduated from St. Thomas’ Hospital, London and undertook colorectal and general surgical training in colorectal T: + 44 (0)20 7563 1234 F: undertook + 44 (0)20 7563 1212and general surgical training in South East England. He also received advanced colorectal SouthW: East England. He also received advanced colorectal E: [email protected] www.108harleystreet.co.uk training at St. Mark’s Hospital, Harrow, St. Thomas’ training at St. Mark’s Hospital, Harrow, St. Thomas’ Hospital, London and Mount Sinai Hospital, Toronto, Hospital, London and Mount Sinai Hospital, Toronto, Canada. Canada. During additional laparoscopic colorectal training During additional laparoscopic colorectal training fellowships, in Colchester and Yeovil, Gordon Buchanan fellowships, in Colchester and Yeovil, Gordon Buchanan undertook laparoscopic appendicectomy and day case undertook laparoscopic appendicectomy and day case laparoscopic cholecystectomy, as well as benign and laparoscopic cholecystectomy, as well as benign and malignant laparoscopic colorectal resection. He also malignant laparoscopic colorectal resection. He also undertook research at St. Mark’s Hospital and Imperial undertook research at St. Mark’s Hospital and Imperial College, London. He has published papers on many College, London. He has published papers on many aspects of colorectal surgery, in particular investigation of aspects of colorectal surgery, in particular investigation of anorectal conditions and fistula-in-ano. He is presently anorectal conditions and fistula-in-ano. He is presently undertaking collaborative research on laparoscopic undertaking collaborative research on laparoscopic resection of colorectal cancer. resection of colorectal cancer.

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complex recurrent pilonidal disease and day case surgery for haemorrhoids. His special interests are rectal bleed, colonoscopy, colorectal cancer, management of fissures, haemorrhoids and pilonidal sinus disease, and he is a specialist in the surgical treatment of Crohn’s disease and ulcerative colitis.

THE TEAM I CONSULTANTS

CLINIC AT

TAHTE LONDON R E C TA L CLINIC AT

CONSULTANT SURGEON Mr Emin Carapeti MBBS MD FRCS (Gen) CONSULTANT SURGEON Emin Carapeti is Consultant General and Colorectal Surgeon Mr Emin Carapeti MBBS MD FRCS (Gen) at Guy’s and St. Thomas’ Hospitals. He is a Member of Emin Carapeti is Consultant General and Colorectal Surgeon Council of the Section of Coloproctology of the Royal Society at Guy’s and St. Thomas’ Hospitals. He is a Member of of Medicine, a member of the Association of Coloproctology Council of the Section of Coloproctology of the Royal Society of Great Britain and Ireland and an examiner in surgery at the of Medicine, a member of the Association of Coloproctology CONSULTANT Royal College ofSURGEON Surgeons of England. of Great Britain and Ireland and an examiner in surgery at the Mrgraduated Emin Carapeti MBBS FRCS (Gen)and undertook He from Guy’s Hospital, London Royal College of Surgeons ofMD England. Emin Carapeti is Consultant General Colorectal Surgeon his training in London and South Eastand England. His specialist He graduated from Guy’s Hospital, London and undertook at Guy’s was and at St.St. Thomas’ is a Member of training Mark’s Hospitals. Hospital inHe London and Mount his training in London and South East England. His specialist Council of theinSection of where Coloproctology of thehisRoyal Society Sinai Hospital Toronto, he developed interest and training was at St. Mark’s Hospital in London and Mount of Medicine, a member of theof Association ofammatory Coloproctology expertise in the management complex infl bowel Sinai Hospital in Toronto, where he developed his interest and of Greatand Britain and Ireland and an examiner in surgery at the disease anorectal disorders. expertise in the management of complex inflammatory bowel Royal College of Surgeons of England. His thesis and main research was in the treatment of disease and anorectal disorders. T: + 44 (0)20 7563 1234 F: +Hospital 44 (0)20and 7563 He graduated from Guy’s Hospital, and undertook haemorrhoids and fissure-in-ano at London St. Mark’s he1212 HisE:thesis and main research was inW: the treatment of [email protected] www.108harleystreet.co.uk his training in the London andofSouth East (MD) England. Hisinspecialist was awarded Doctor Medicine degree 2000. haemorrhoids and fissure-in-ano at St. Mark’s Hospital and he training was at St.widely Mark’son Hospital in London and Mount He has published anorectal disorders and pilonidal was awarded the Doctor of Medicine (MD) degree in 2000. Sinai in Toronto, where he developed his interestinand sinus Hospital disease and has pioneered new surgical techniques He has published widely on anorectal disorders and pilonidal expertise recurrent in the management of complex inflcase ammatory complex pilonidal disease and day surgerybowel for sinus disease and has pioneered new surgical techniques in disease and anorectal disorders. haemorrhoids. complex recurrent pilonidal disease and day case surgery for thesis and main are research in the treatment colorectal of His special interests rectalwas bleed, colonoscopy, haemorrhoids. haemorrhoids and fissure-in-ano at St. Mark’s Hospital and he cancer, management of fissures, haemorrhoids and pilonidal His special interests are rectal bleed, colonoscopy, colorectal was awarded Medicine (MD) degreetreatment in 2000. sinus disease, the andDoctor he is a of specialist in the surgical cancer, management of fissures, haemorrhoids and pilonidal HeCrohn’s has published on anorectal disorders and pilonidal of diseasewidely and ulcerative colitis. sinus disease, and he is a specialist in the surgical treatment sinus disease and has pioneered new surgical techniques in of Crohn’s disease and ulcerative colitis. complex recurrent pilonidal disease and day case surgery for haemorrhoids. His special interests are rectal bleed, colonoscopy, colorectal cancer, management of fissures, haemorrhoids and pilonidal sinus disease, and he is a specialist in the surgical treatment of Crohn’s disease and ulcerative colitis.

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

THE LONDON R E C TA L CLINIC

THE TEAM I CONSULTANTS

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CONSULTANT SURGEON Mr. Ahmed R Ahmed BSc(Hons) FRCS (Gen)

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

Mr Ahmed is a Consultant Surgeon at Charing Cross Hospital, Imperial College London. He set up and heads the bariatric and metabolic surgery unit which is now a leading unit in the UK designated as an NHS preferred provider and provisionally recognised as an International Bariatric Surgery Centre of Excellence ASMBS. He trained at University College London and Middlessex Hospital School of Medicine. Prior to his Consultant appointment he undertook extensive training in laparoscopic (keyhole) surgery in both the UK and USA. Ahmed’s main areas of interest are; • Laparoscopic weight loss / bariatric surgery • Laparoscopic general surgery eg gallbladder / hernias etc • Emergency surgery eg appendictomy • Endoscopy

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk

THE ONDON R E C TA L CLINIC

THE TEAM I CONSULTANTS MULTI-DISCIPLINARY TEAM & MEDICAL ADVISORY COMMITTEE

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THE LONDON R E C TA L CLINIC AT

anaged and audited by the Consultant Team s in their field and specially selected for their ent aspects of disease and cancer care. MEDICAL

specialist nurses and other support staff in s, to ensure that each patient receives the or their own particular problem. Every patient’s case is assessed, managed and audited by the Consultant Team at 108 Harley Street; all are leaders in their field and specially selected for their expertise and experience in different aspects of disease and cancer care.

ay team working, there are regular meetings Theupdates Consultants and all work with our specialist and educational reviews, as nurses and other support staff in integrated multi-disciplinary teams, to ensure that each patient receives the best possible treatment required for their own particular problem.

In addition to the routine day to day team working, there are regular meetings

regulates the admitting rights the which cover clinical, bestand practice and educational updates and reviews, as well as detailed case audit. s working at 108 Harley Street, as well as

The Medical Advisory Committee regulates the admitting rights and the clinical governance of Consultants working at 108 Harley Street, as well as disciplinary matters.

mittee are: committee are: The current members of the are: The current members ofcommittee the committee are: hairman) Mr O J A Gilmore, Surgeon (Chairman) Mr Simon Marsh, Surgeon (Chairman) O J Simon A Gilmore, Surgeon (Chairman) Mr Marsh, Surgeon (Vice-Chairman) man) e-Chairman) Mr Dr Nick Perry, Radiologist Dr Nick Perry, Radiologist (Vice-Chairman) Miss Miss Fiona Fiona Macneill, MacNeill,Surgeon Surgeon hairman) MissMiss Fiona Macneill, Surgeon Tena Walters, Surgeon Miss Tena Walters, Surgeon MissDr Walters, Surgeon Nick Perry, Radiologist DrTena Felicity Muncey, Radiologist Mr Dr Simon Marsh, Surgeon Felicity Muncey, Radiologist Dr William Teh, Radiologist Dr Felicity Muncey, Radiologist Dr Teh, Radiologist Dr William Carmel Coulter, Oncologist Dr William Teh, Radiologist Dr Coulter, Oncologist Dr Carmel Alison Jones, Oncologist Dr Carmel Oncologist Dr Alison CliveCoulter, Wells, Dr Jones,Cytologist Oncologist& Histopathologist Dr Alison Jones, Oncologist Mr Emin Carapeti, Surgeon Dr Clive Wells, Cytologist & Histopathologist Dr Nick Plowman, Oncologist Dr Clive Wells, Cytologist & Histopathologist Mr Emin Carapeti, Surgeon Dr Julia Scarisbrick, Dermatologist Mr Stuart James, Plastic Surgeon

stopathologist pathologist

+ 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563T: 1212 E: [email protected] W: www.108harleystreet.co.uk E: [email protected] W: www.108harleystreet.co.uk

CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

THE LONDON R E C TA L CLINIC

THE TEAM I CONSULTANTS WHAT TO EXPECT I RECEPTION

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AT

YOUR FIRST VISIT TO THE LONDON RECTAL CLINIC

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

THE LONDO R E C TA L CLINIC

Reception On your first visit to the clinic, you will be greeted by a receptionist, who will collect any referral letters, x-rays, test results or other information that you have brought with you. These will be passed to the consultant surgeon. It is helpful if you can arrive at least 15 minutes prior to the time of your first appointment, so that any outstanding personal information can be obtained and so the consultant has time to review any information that you have brought with you. You can then take a seat in the waiting room, where a medical secretary may see you, if any personal information is still required. A nurse will take you to meet the consultant surgeon. A spouse, partner, relative or friend can accompany you, or the nurse can stay with you during your consultation and examination.

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563T:1212 + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk E: [email protected] W: www.108harleystreet.co.uk

THE ONDON R E C TA L CLINIC

TAHTE ONDON R E C TA L CLINIC AT

THE LONDON R E C TA L CLINIC

THE LONDON R E C TA L CLINIC

THE WHAT TO WHAT EXPECT TO EXPECT LONDON R E C TA L I INITIAL I CONSULTATION INITIAL CONSULTATION THE TEAM CONSULTANTS WHAT TO EXPECT CLINIC AT AT I INITIAL CONSULTATION

AT INITIAL CONSULTATION INITIAL CONSULTATION Whether you have Whether referredyou yourself, have referred or been yourself, referred by or been a GP or referred other by a GP or medical specialist,medical the consultant specialist,surgeon the consultant will discuss surgeon the nature will discuss of yourthe natur INITIAL CONSULTATION problem andorany problem other relevant andbyany information, other relevant suchinformation, as your general suchmedical as your gener Whether you have referred yourself, been referred a GP or other history and family history history. and A family thorough history. examination A thorough will follow. examination The nurse will follow. can medical specialist, the consultant surgeon will discuss the nature of your be present duringbe this present examination. this examination. problem and any other relevant information, such as during your general medical history and family history. A thorough examination will follow. The nurse can The consultant surgeon The consultant will discuss surgeon your care will discuss with you, your and care may with request you, and may be present during this examination. INITIAL CONSULTATION investigations andinvestigations tests to assistand withtests the to diagnosis. assist with the diagnosis. Whether you have referred yourself, or been referred by a GP or other The consultant surgeon will discuss your care with you, and may request medical specialist, the consultant surgeon will discuss the nature of your Anassist appointment will appointment be arranged for willabe follow arranged up consultation, for a follow to upM discuss consultation, t investigations and tests to with the An diagnosis. E D I C the AL problem and any other relevant information, such as your general medical outcome of the investigations outcome of the andinvestigations any ongoing and treatment any ongoing plan. CHAMBERS treatment plan. history and family history. A thorough examination will follow. The nurse can 108 HARLEY STREET An appointment will be arranged for a follow up consultation, to discuss the LONDON WIG 7ET be present during this examination. The consultant surgeon The consultant will writesurgeon to your will GP and writeany to your otherGP referring and any doctor other refe outcome of the investigations and any ongoing treatment plan. and relevant specialists, and relevant summarising specialists, yoursummarising consultationyour and consultation the planned and the The consultant surgeon will discuss your care with you, and may request investigations. Copies investigations. of any the other letter Copies can be of sent the letter to you, canif be requested. sent to you, The consultant surgeon will write to your GP and referring doctor T Letters H Eif reques investigations and tests to assist with the diagnosis. will also be sent will also all subsequent be sent consultations, all subsequent and consultations, as the results and and relevant specialists, summarising yourafter consultation andafter the planned L O Nof D OasNthe re available. investigations. Copies ofinvestigations the letter canbecome beinvestigations sent available. to you, ifbecome requested. Letters R E C TA L An appointment will be arranged for a follow up consultation, to discuss the will also be sent after all subsequent consultations, and as the results of CLINIC outcome of the investigations and any ongoing treatment plan. investigations become available.

WHAT TO EXPECT I INITIAL CONSULTATION

WHAT TO EXPECT ITheFOLLOW UP APPOINTMENT consultant surgeon will write to your GP and any other referring doctor

and relevant specialists, summarising your consultation and the planned investigations. Copies of the letter can be sent to you, if requested. Letters FOLLOW APPOINTMENT will also beUP sent after all subsequent consultations, and as the results of The consultantbecome surgeonavailable. will discuss with you the results of the investigations investigations carried out. He will recommend appropriate treatment and you will then have the opportunity to ask questions and discuss the benefits and any contra-indications of the treatment proposed.

AT

If surgery is indicated, the proposed operation will be explained. This may be as a day patient, at 108 Harley Street, or may require admission to hospital. All patient care is based on informed consent; you will always know exactly what operation you will be undergoing, before admission and will not be asked to agree to further or alternative procedures. Surgery can be arranged for a mutually convenient date and confirmed upon pre-authorisation by medical insurers, where relevant. If no surgery is required, you will be discharged back to the care of your GP and other referring specialists but you may return should the problems recur. Following surgery all patients are offered follow up appointments, as required.

T: + 44 (0)20 7563T:1234 + 44 (0)20 F: + 44 7563 (0)20 1234 7563F:1212 + 44 (0)20 7563 1212 E: [email protected] E: [email protected] W: www.108harleystreet.co.uk W: www.108harleystreet.co.uk T: +1212 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 E: [email protected] W: www.108harleystreet.co.uk E: [email protected] W: www.108harleystreet.co.uk

THE LONDON R E C TA L CLINIC

WHAT TO EXPECT I SURGERY

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MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

SURGERY If an operation is required, it can be arranged immediately, for the first mutually convenient date for you and your surgeon. Surgery, under general anaesthetic, takes place at a partner hospital and The London Rectal Clinic staff will make the booking for you. The partner hospital is recognised by all medical insurance companies, however it is important that you confirm with your insurers that the hospital is included among those covered by your policy. Each patient is given a full estimate of the professional fees for the surgery, including anaesthesia and an indication of the length of inpatient stay required. Patients are usually admitted to hospital on the morning of operation. On arrival, a hospital administrator will ask for contact information and confirm your method of payment. Insured patients should bring insurance company and policy details with them. Once admitted to your room, a nurse will confirm your personal details and answer any questions concerning hospital procedures. A bracelet is attached to each patient’s wrist with their name and hospital number. Any further investigations, such as blood tests or x-rays requested by your consultant surgeon will be undertaken. Before the operation, the surgeon will visit, answer any further questions and ask the patient to sign a consent form for the procedure; he will visit again post-operatively. The consultant anaesthetist will also make a pre-operative visit to ask relevant questions and explain the method of anaesthesia, he will also visit again after surgery.

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THE LONDON R E C TA L CLINIC

ACCOUNTS

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Our objective is to provide the highest standard of professional care with the minimum of delay, in relaxed and friendly surroundings. If you would like to discuss any aspect of your account, please don’t hesitate to contact the Accounts Department on 020 7563 1234. Insured Patients All the consultation, investigations and procedures at 108 Harley Street are routinely covered as outpatient treatment and are paid by medical insurers subject to policy terms, benefit limits, conditions, exclusions and excesses. The Consultants at 108 Harley Street are able to request these investigations as part of the original claim so a further pre-authorisation is not usually required but you should check with your insurer if this is their policy. Patients who have been referred by a Doctor not based at 108 Harley Street should also be covered under their original claim reference but again it is better to check with the insurer. Own Account If you are paying your own account, you are requested to settle all invoices on receipt this will usually be at the time of treatment. An indication of investigation fees can be given in advance of any appointment based upon standard outcomes but these are for guidance only and are not binding. Sponsored Patients If you are being sponsored by your employer or other third party please bring a letter of guarantee signed by your sponsor to your first appointment with a Consultant. The letter should outline the scope of cover being paid for on your behalf e.g. consultations, investigations, surgery or provide a monetary limit. If this is not provided you will be regarded as a self paying patient and asked to settle the account at the time of treatment.

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] W: www.108harleystreet.co.uk

MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

• Regents Park - Bakerloo Line • Oxford Circus - Bakerloo, Central and Victoria Lines The London Rectal Clinic is a division of The London Breast Clinic Ltd. CONTACT US in England and Wales Reg No 2520520. Registered • Great Portland Street - Circle, Metropolitan, Registered Offi ce: Hammersmi th and City Lines Whitewater Mill, Hook, HANTS RG27 9EH • Baker Street - Jubilee, Hammersmith and City, Office Hours Monday to Thursday, 7am - 6pm Metropolitan, Bakerloo and Circle Lines Friday, 7am - 5.30pm E: [email protected]

THE LONDON R E C TA L CLINIC AT

The London Rectal Clinic, 108 Harley Street, London W1G 7ET T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: [email protected] MEDICAL CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

108 London Medical Breast Ltd. Reg No Ltd. 2520520. The London Rectal Clinic is a division of The Clinic Registered in England and Wales Reg No 2520520. Registered in England and Wales

VISITING USOffice: Registered Whitewater Mill, Hook, HANTS RG27 9EH Parking Parking meters are available on Harley Street, however, remember that it is in the Office Hours Monday to Thursday, 7am -telephone: 6pm congestion charging zone, 0845 900 1234. Parking meters are also Friday, 7am - 5.30pm available near by in Regents Park which are not in congestion charging zone.

Buses Bus numbers 18, 27, 30 and 205 stop at Marylebone Road at the top of Harley Street. VISITING US There is a car park on Queen Anne Street which is accessed at the end of Harley Parking Parking are available Harley Street, remember Square that it is in the Street viameters Cavendish Square. on There is also a carhowever, park at Cavendish congestion charging zone, telephone: 0845 900 1234. Parking meters are also available near by in Regents Park which are not in congestion charging zone.

FOR FURTHER INFORMATION PLEASE VISIT: www.108harleystreet.co.uk

Please note that Harley Street is within a one way traffic system running north south There is a car park on Queen Anne Street which is accessed at the end of Harley from Road to Cavendish Square. StreetMarylebone via Cavendish Square. There is also a car park at Cavendish Square Please note that Harley Street is within a one way traffic system running north south Public TransportRoad to Cavendish Square. from Marylebone

Underground Public Transport The nearest tube stations are: Underground The nearest stationsPark are:- Bakerloo Line • tubeRegents • Regents Park - Bakerloo Line •• Oxford Oxford Circus Circus -- Bakerloo, Bakerloo, Central Central and and Victoria Victoria Lines Lines •• Great Great Portland Portland Street Street -- Circle, Circle, Metropolitan, Metropolitan, Hammersmith and City Lines Hammersmith and CityHammersmith Lines • Baker Street - Jubilee, and City, • Baker Street - Jubilee, and City, Metropolitan, BakerlooHammersmith and Circle Lines Metropolitan, Bakerloo and Circle Lines Buses

T: + 44 (0)20Director 7563 1234 + 44 (0)20 Medical - 108 F:Harley Street7563 1212 Buses FURTHERco.INFORMATION PLEASE E:Mrinfo@108harleystreet. uFRCS(ED) k W: www.F.I1NST08harleystreet. co.uVISIT: k O JFOR Awww.108harleystreet.co.uk Gilmore MS FRCS SPORTS MED Bus numbers 18, 27, 30 and 205 stop at Marylebone Road at the top of Harley Street. Bus numbers 18, 27, 30 and 205 stop at Marylebone Road at the top of Harley Street.

FOR FURTHER INFORMATION PLEASE VISIT: www.108harleystreet.co.uk

T: + 44 (0)20 7563 1234 + 44 (0)20 7563 1212 Medical Director - 108 F:Harley Street E: [email protected] W: www.108harleystreet.co.uk Mr O J A Gilmore MS FRCS FRCS(ED) F.INST SPORTS MED