1. WHHT Gastroenterology: Overview of new services Alistair King Consultant Gastroenterologist

2. Now running 2 years (full cycle) Age extension 70- 75yrs coming soon

3. Oesophageal pH and manometry Mark Fullard Started April 2010

4. National IBD Standards New consultant with specialist interest (other consultants will still see IBD) 0.5WTE IBD specialist nurse- Simone Dracup

5. Hepatitis C Treating patients at HHGH since Apr 08 RFH specialist nurse alternate Tuesdays 55 patients treated so far, 80% SVR Prison clinic Sept 2009- nurse 2 weekly, AK 3 monthly 20 patients 16 await ultrasound 3 on treatment, 1 about to start

6. ‘The move to Watford’ March 2009 St Albans and Hemel clinics unaffected Endoscopy at Hemel continues to run 19.5 lists/week (BCSP, cystos, no ERCP) Endoscopy waits: 2 weeks urgent (regardless of 2ww), 5 weeks routine

7. Outpatient Consultants Hemel/SACH Sue Catnach Alistair King Mark Fullard Ian Barrison  New IBD consultant covers both Watford Bruce Macfarlane Tony Leahy

8. Inpatient services AAU- gastroenterologist gives specialist input Mon-Friday- reduce length of stay Cassio – 19 bed gastro ward- 5 (6!) consultants rotate 1 month each Sue Catnach setting up a nutrition service

9. ERCP All at Watford Tues am and Fri am lists AK, BM, AL all cross cover each other No wait….. Fewer patients sent to tertiary centres

10. GRS scores

11. Commissioning 2010 40% reduction in clinic numbers!!?? Trust is planning more for a 10% reduction How is this going to be done? Any way you can think of to help you reduce referrals- we are listening!

12. Finally…. Ian Barrison retiring 16 th July 2010 Replaced by ????? AK ‘retired’ from clinical lead 1/4/2010- Mark Fullard is the new lead