We aim to provide a comprehensive specialist service to care for patients with all colorectal (large bowel/intestine) suspected and diagnosed colorectal cancer. Patients will be guided by a dedicated and highly qualified multidisciplinary team of doctors, nurses and allied health professionals throughout their care, and supporting from their first clinic visit, to surgery (if required) and then follow-up. We offer full surgical options including stoma support.
Intravenous chemotherapy and radiotherapy treatments are given at Barts health (St Bartholomew’s Hospital NHS Trust).
Waiting times for surgery
The average operation waiting time is between three to four weeks upon diagnosis of colorectal cancer.
Macmillan Cancer Information and Support Service
We have a Macmillan cancer information and support manager, based in our Health and Cancer Information Centre who provides information, support and advice to all patients, family members and carers affected by colorectal cancer.
What to expect at your appointment
Patients are referred into the colorectal service by their GP, A&E, gastroenterology department and other hospital consultants. They are seen in the outpatients department.
Tests & investigations
- Colonoscopy is an endoscopic procedure which uses a colonoscope (a thin, flexible telescope) to look into the large intestine.
- CT scan, uses x-rays to takes images at different angles, it is more detailed than a normal x-ray
- Sigmoidoscopy (rigid or flexible), uses a small tube with a light at the end to look into the rectum and sigmoid colon (lower part of the large bowel). Air is introduced into the intestine through the sigmoidoscope to inflate it for better viewing.
Some of the investigations shown above may take place prior to the outpatient appointment.
What to expect
Urgent suspected cancer GP referrals are seen within two weeks through the fast-track system via our cancer referral office. We will tell your GP immediately if a cancer diagnosis is made. Non-urgent referrals will be seen during a routine outpatient appointment. Patients can be discharged or an open appointment will be given.
Following the investigation, patients return to the outpatient clinic to receive their results. The consultant and Colorectal Cancer CNS will both be present. In the case of patients who are diagnosed with a colorectal cancer, initial treatment or surgery takes place within two to four weeks of the diagnosis being confirmed and discussed with the patient. Patients who require surgery for colorectal cancer will be operated on at Homerton and chemotherapy and radiotherapy treatment will take place at St Bartholomew’s Hospital.
After surgery the follow-up in the outpatients department is with a surgeon who will inform you of your pathology/ histology results. If you need further treatment , you will be referred to an oncologist to discuss possible further treatment.
If you do not need further treatment after your surgery you will then be followed up by the Colorectal Cancer CNS either in a face to face clinic or via telephone contact. There is a designated colorectal nurse specialists and an associate colorectal nurse specialist who see all patients diagnosed with colorectal cancer.
Colorectal, stoma and palliative care clinical nurse specialist teams provide ongoing practical and emotional support and referral to other health care professionals where appropriate. We provide a telephone support service as well as a colorectal stoma support group, helping patients cope with their physical and emotional issues.
How we support you
Our team here offers counselling, clinical psychology and liaison psychiatry input to help you deal with the emotional and psychological side effects of cancer and will offer you information, support and practical help. Speaking to our psychologist can also help you cope with confusing or upsetting emotions. Your healthcare team can tell you more about our psychological support services and refer you if necessary.
- Dr Sylvia Puchalska
Clinical Psychologist in Cancer Care for City and Hackney
Working days – Monday, Wednesday, Thursday
- Steve Young
Counselling Psychologist in Training & MBACP
Working days – Tuesday, Wednesday, Friday
Macmillan Cancer Information and Support Service, between 8am to 4pm, Monday to Friday. Based at the main entrance of the hospital. We are at the end of the phone for cancer patients, their relatives and carers to answer your questions or to direct your call to the appropriate person.
We want to make sure that you get all the assistance you need to live well with – and after – cancer. There’s a wide range of support available to help you cope with cancer, including physical, emotional and practical advice for you, your family, friends and carers.
- Madhu Agarwal
Macmillan Cancer Information and Support Manager
Phone: 020 8510 5191
Financial Support at Homerton
Macmillan Toynbee Hall Welfare Rights Service
020 7392 2958
Welfare support by appointments only available on Tuesday 1pm – 4pm and Wednesday 9.30 am -12.30pm.
Your care will be provided by a group of experts called a multidisciplinary team (MDT). This is a team of doctors, nurses and other health professionals specialising in treating your type of cancer. You can discuss your care with them and ask them any questions you have about your treatment. Our team includes:
- Mr. Adnan Alam, MS FRCS
Consultant Colorectal (General Surgeon), Lead Clinician for the Colorectal Cancer MDT
- Mr Amir Ghanbari, FRCS
Consultant Colorectal (General Surgeon), Clinical Lead in Inflammatory Bowel Disease
- Dr Ian Ewing
Consultant Gastroenterologist, Gastroenterologist- Cancer Lead
- Dr Jun Ling Chin
- Dr Ray Shidrawi
- Dr Peter Boavida
- Professor Freaking
Histopathologists at St. Bartholomew’s Hospital
- Dr Sarah Slater
Consultant Medical Oncologists
Oncology secretary: Susan Maslanka
020 8510 7819
- Sherif Raouf
Clinical Oncologist based at St. Bartholomew’s Hospital
Clinical Nurse Specialists (Key worker)
- Vicenta Lazarescu (Keyworker) (currently on maternity leave)
- Carlos Cargaleiro (Part-time Keyworker) (covering maternity)
Colorectal Cancer CNS
- Glyn Fountain (Keyworker)
Associate Colorectal & Stoma CNS
The Colorectal Cancer Nurse is able to offer:
- advice on treatment options
- information on any investigations
- referral to another team member
- information on local support groups
- information on relevant websites and charities
Phone: 020 8510 7599
Mobile: 07785 577 558
- Irene Fernandes
Stoma Care CNS
020 8510 5318
- Noreen Chindawi
Anal Cancer CNS, HANS CNS (AIN/Anal Cancer)
0208 510 5296
- Lucy Freeman
Extended team members at Homerton
- Krystal Maxime
Macmillan Cancer CNS Support Worker.
They help the Clinical Nurse Specialist (Key worker) in their day to-day activities but can help with administrative queries or to leave a message for the CNS’s. As they are not medically qualified, they are unable to give medical advice.
020 8510 8969
- Muhammad Numan
Bowel related information and support websites
Lynn’s Bowel Cancer Campaign Videos and Patient experience
Bowel Cancer UK - Living life to the full with stoma
Macmillan Cancer Support - Caring for a stoma
University Hospitals Birmingham NHS Foundation Trust - Stoma care video preview
Guts UK - Having a Gastroscopy, Having a Colonoscopy