Inflammatory Bowel Disease (IBD)

Our service provides specialist care and support for the diagnosis and treatment of inflammatory bowel disease including:

• All aspects of diagnosing IBD
• Medical management including day case infusion
• Surgical management including resection and pouch formation
• Peri-anal complications resulting from IBD (including fistulae)
• Nutritional support including intestinal failure management

 

Urgent and emergency care

Inflammatory bowel disease care is provided on Ward F21 at QMC.  This is a combined gastroenterology and hepatology ward with 28 beds including 4 side rooms.  Our consultant gastroenterologists provide ward cover on a rotational basis.  There is separate consultant cover for hepatology (liver) patients who are admitted. 

Patients are admitted from a variety of settings, including: medical admissions unit, emergency departments, critical care areas, outpatient clinics and endoscopy. 

 

Treatment Centre Day Case Unit

Our infusion unit is situated in the Medical Day Case Unit at the Treatment Centre on Gateway E.

To contact the day Case Unit please ring 0115 9429924 on extensions 78815 or 78810

If you need to arrange your infusion, please call the day case scheduler on 0115 9249924 extension 78729.

Patients who require infusion of biological medicines or intravenous iron will be booked into the Medical Day Case Unit in the Treatment Centre, Gateway E.  During this appointment relevant blood tests will be taken if required and checked prior to your next infusion.  If your bloods are out of range, we will highlight them to your IBD team to follow up.

We would advise you not to attend your infusion if you are unwell with an infection.  Please reschedule your infusion by ringing the Medical Day Case Unit on 0115 9429924 on extensions 78815 or 78810 and inform the IBD nurses via the helpline on 0115 924 8439.

 

IBD flare Clinic

The IBD flare clinic (also known as The Super Clinic) is held every Wednesday morning in the Treatment Centre Gateway I.  This clinic is supported by two IBD consultants and a specialist nurse. The majority of appointments are face to face (although some do take place via telephone or video).  This clinic aims to provide urgent access for anybody with a diagnosis of IBD who is suffering from a relapse in symptoms (a flare).  It also enables urgent review for people who are referred with symptoms suggestive of IBD.    All referrals are vetted by a specialist doctor and prioritised. 

 

Endoscopy

Many IBD patients are diagnosed following an outpatient colonoscopy (camera test of the large bowel) or flexible sigmoidoscopy (limited camera test of the large bowel. For more information about colonoscopy, please click here:  https://www.nhs.uk/conditions/colonoscopy/. 

Colonoscopies take place at the Treatment Centre and City Hospital.Occasionally colonoscopies can take place at other sites, such as King's Mill Hospital, Woodthorpe Hospital and The Park Hospital. 

 

Acute Gastrointestinal Service

Emergency care for patients with gastrointestinal diseases is provided by the Acute Gastrointestinal Service (acute GI). This rotational team consists of a consultant, a specialist registrar, and a specialist nurse. Their responsibilities include the review of patients in the emergency department and other admission areas as well as patients in critical care. The acute GI team will see referrals from other wards and prioritise the transfer of appropriate patients to specialist gastroenterology and hepatology beds. Emergency endoscopy for inpatients is provided by the acute GI team including the endoscopic treatment of gastrointestinal bleeding both in and out of hours

 

Specialist Pharmacy Support

Our team benefits from a specialist pharmacist in inflammatory bowel disease. They provide specialist pharmacy support and supply of medication to our patients in a variety of settings. Their responsibilities include medication prescribing and provision of advice to healthcare professionals and patients. Our specialist pharmacist prescribes many of our biological infusions and monitors drug levels for certain medications (a process called therapeutic drug monitoring TDM).  Only certain medications require TDM.  

 

IBD Specialist Nurses and IBD Helpline

The IBD specialist nurse team offer a telephone advice line, nurse led clinics and an immunosuppressant blood monitoring service.  Nurse led clinics are available for clinical review, assessment of symptoms, patient education, information and support.    Our IBD nurses can offer support and guidance with all aspects of your disease.  You can contact the IBD nurses via The IBD Helpline on 0115 9709 324 or via The IBD Email address: IBDhelpline@nuh.nhs.uk 

The IBD helpline service runs Monday – Friday. We aim to respond to your enquiry by the end of the next working day.   If you require regular blood monitoring due to your IBD medication the IBD nurses will provide you with a regime and blood forms to get your bloods taken. Without up to date blood tests we cannot provide a repeat prescription.  If we supply your mediation please give us two weeks’ notice to turn your prescription around.  Please leave a message on the helpline/email with:

• Your name
• Current weight
• Mediation you require

We will call you when your prescription has been taken to pharmacy and from that point it will be ready to collect in two working days. 

 

IBD administration

The IBD administration team work closely with clinical colleagues to organise and deliver clinical care. The team support the delivery of care by supporting consultant and nursing teams, organising and attending multi-disciplinary team meetings and triaging helpline calls.  They also support delivery of homecare medicines.

 

IBD patient information evenings

• We have recently set up a new series of information evenings designed for patients.  Our goal is to provide you with information about your diagnosis along with strategies and ideas to help you manage your condition.  Currently the meetings are held virtually 3 times a year.   Previous topics have included Diet and IBD, What is IBD? And Travel advice with IBD.  If you would like to attend the next evening please express your interest via the IBD helpline  / IBDhelpline@nuh.nhs.uk

Our outpatient services include face to face, telephone, video and digital clinics.  Your appointment type will be specified in your appointment letter.

We offer clinics at both The Treatment Centre and City Hospital.

 

The Treatment Centre

The Treatment Centre Lister Road, Nottingham, NG7 2FT 

If you have questions about your appointment or need to change or cancel your appointment please contact the booking office between 8am – 6pm on 0115 9194477 Ext 78997

For information on how to get to the Treatment Centre click here (Treatment Centre | NUH

 

Treatment Centre Day Case Unit, Lister Road, Nottingham, NG7 2FT 

Patients who require infusion of biological medicines or intravenous iron will be booked into the Medical Day Case Unit in the Treatment Centre, Gateway E.  During this appointment relevant blood tests will be taken if required and checked prior to your next infusion.  If your bloods are out of range, we will highlight them to your IBD team to follow up.

We would advise you not to attend your infusion if you are unwell with an infection.  Please reschedule your infusion by ringing the Medical Day Case Unit on 0115 9429924 on extensions 78815 or 78810 and inform the IBD nurses via the helpline on 0115 924 8439.

 

Nottingham City Hospital

Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB

If you have questions about your appointment or need to change or cancel your appointment please contact central appointments on 0115 8403392 between 8.30am – 4.30pm Monday to Friday.

Meet our team:

Consultant Gastroenterologists

Dr Sunil Samuel

Dr Samuel graduated from Stanley Medical College in Chennai, India and trained in gastroenterology in the South West and East Midlands Deanery. He completed a PhD at the University of Nottingham studying intestinal stem cells in normal and diseased bowel. He also completed a 12 months advanced training IBD fellowship at Mayo Clinic, Rochester, USA. Dr Samuel has particular interests and expertise in clinical management of IBD and all aspects of IBD related research including commercial trials of novel agents. He currently is the lead clinician for IBD services in NUH and has clinics in both QMC and NCH campuses

 

Dr Tim Card

Dr Card graduated from the University of Bristol in 1992. He received his clinical training in gastroenterology in the Oxford region and undertook an MSc at the London School of Hygiene and a PhD in Nottingham between 2000 and 2003. He is currently a Clinical Associate Professor in the University of Nottingham and Honorary Consultant Gastroenterologist in NUH. He has research interests in the epidemiology of gastrointestinal diseases and in particular IBD. His major clinical interest is IBD, though he cares for patients with a wide range of luminal GI diseases.

 

Dr Nina Lewis

Dr Lewis trained in epidemiology at the London School before undertaking her PhD in coeliac disease at Nottingham.   Dr Lewis is the City Hospital gastroenterologist for C. difficile and helped bring faecal transplantation to Nottingham to treat recurrent infections.  Her routine clinical practice is assessing and diagnosing patients referred with suspected cancer in her role as NUH clinical lead for the ‘suspected cancer but of unknown primary site (two week wait) pathway’. She is the clinical diagnostic lead to the NUH geriatric-oncology service, assessing and managing geriatric patients referred with suspected cancer in a dedicated geriatric cancer diagnostic clinic. She is also the linked cancer physician to the NUH Acute Oncology Service contributing to in-reach assessments of NUH patients presenting as an emergency with new diagnosis of cancer.  Additionally she is the lead gastroenterologist responsible for providing expert opinion on the assessment and management of cancer treatment complications affecting the gut.   As Nottingham City Hospital’s Clinical Nutrition lead, Dr Lewis is responsible for providing expert assessment and management of patients with complex nutrition needs and or intestinal failure. She also delivers care in the Intestinal Failure Unit at Queen’s Medical Centre.  Following dedicated training in her lectureship in inflammatory bowel disease, Dr Lewis has a busy inflammatory bowel disease clinical practice. Her practice supports national research studies and was co-author on the recently published PROFILE molecular biomarker study in Crohn’s disease.

 

Professor Y Mahida

Professor Yashwant Mahida is Professor of Medicine and Hon. Consultant Physician & Gastroenterologist at the University of Nottingham and Nottingham University Hospitals NHS Trust. He obtained his medical qualification from Liverpool University and undertook higher medical training in London, Oxford and Nottingham. Following Medical Research Council (MRC)-funded research training in the field of inflammatory bowel disease (IBD) in Oxford, he has held a number of clinical academic posts in Nottingham. He was also a visiting Research Fellow at the Massachusetts General Hospital & Harvard Medical School (Boston, USA) to carry out laboratory research relevant to IBD.

Professor Mahida’s current clinical and research interests are in IBD and C. difficile infection. His research has been funded by the MRC, charities (including Crohn’s & Colitis UK, Guts UK and the Wellcome Trust) and he has supervised 25 higher degrees (PhD and MD). He has previously served on the editorial board of the journals Clinical Science and Inflammatory Bowel Diseases. Currently he is a member of the Advisory Board of Clinical Medicine journal of the Royal College of Physicians. He was previously an elected member of Council of the British Society of Gastroenterology, Medical Adviser to the Nottinghamshire Group of Crohn’s & Colitis UK and a member of this charity’s Medical Research Awards Committee.

 

Dr Gordon Moran

Dr Moran is an academic gastroenterologist with a special interest in the clinical management of Inflammatory Bowel Disease. He has completed his gastroenterology training in Birmingham, UK and his PhD studies at the University of Manchester in 2011. He advanced his clinical training in Inflammatory Bowel disease by undertaking a one year advanced clinical fellowship in Inflammatory Bowel disease at the University of Calgary, Canada.

He has been appointed as Clinical Associate Professor in Gastroenterology at the University of Nottingham in 2013 and has been Head of Service for IBD at NUH till 2022. He is a member of the IBD section for the British Society of Gastroenterology, leads IBD research at the NIHR Nottingham Biomedical Research Centre and is an IBD expert member for the National Institute of Health Research Trent Clinical Research Network. He leads the 2024 IBD guideline development group of the British Society of Gastroenterology. To date he has received over £11 million pounds in grant research income, authored nearly 80 peer-reviewed academic chapters, gave a number of national and international lectures and supervised 10 PhD students and 3 IBD fellows. His research interest is mainly advanced imaging in IBD, early phase mechanistic studies and phase II-IV IBD trials. Dr Moran has a very large IBD practice, performs GI endoscopic procedures and treats complex paediatric and adult IBD across the Midlands.

 

Dr Victoria Jennings

Dr Victoria Jennings graduated from medical school in 2009 with a degree from the University of Wales Cardiff.   Prior to attending medical school she attained a BA Economics Degree from the University of Nottingham, graduating in 2002.  During her medical training she undertook a fellowship in Clinical Leadership and achieved a Postgraduate Certificate in Clinical Leadership.  She undertook an additional fellowship in IBD and Clinical Nutrition at the University Hospital Wales in Cardiff.  Dr Jennings is a luminal gastroenterologist who looks after a varied range of gastrointestinal complaints.  She has a particular interest in managing Inflammatory Bowel Disease.

 

Dr Tanya Monaghan

Dr Monaghan graduated from the University of Southampton Medical School in 2002. Whilst an Academic Clinical Fellow in Gastroenterology, she was awarded a Wellcome Trust Clinical Training Fellowship to study for a PhD in the molecular immunology of C. difficile infection. Following completion of an NIHR Academic Clinical Lectureship in 2017, she continued to pursue her research interests in enteric infection and Global Health as an Anne McLaren Fellow and now as a Clinical Associate Professor in Gastroenterology at the University of Nottingham. Dr Monaghan has a particular interest in infectious and inflammatory bowel diseases, drug development and microbiome studies. She also has a keen interest in medical education and has co-authored four Oxford University Press Handbook titles

Other consultants include Dr Matthew Shale, Dr Aida Jawhari and Dr Frank Phillips

 

Clinical Nurse Specialists

Wendy Roome

Wendy qualified at Nottingham school of nursing in 1994. She started out as a staff nurse in dermatology before moving to the gastroenterology team in 1996. She worked as deputy sister on the gastroenterology medical ward before moving to endoscopy. She then took up her current role as inflammatory bowel disease (IBD) nurse specialist in 2002. She is responsible for nurse led clinics, patient advice line and management of the nursing team.  Wendy has completed a specialist degree module in IBD and is a non- medical prescriber.

 

Stephanie Melia

Steph qualified in 1997 from the University of Nottingham with a Diploma in Adult Nursing followed by a BSc in Nursing 2000 and an MSc in Advanced Nursing Practice 2005.    Steph also qualified as a non-medical prescriber in 2018.  Steph’s nursing background is acute medicine & gastroenterology working in the City ward areas, with short secondments to Alcohol Liaison & Haemochromatosis before a permanent position as IBD Nurse Specialist in 2008

 

Shellie Radford 

Shellie is a Clinical Academic IBD Nurse specialist. She qualified with her Degree in Nursing in 2013, and has worked in Gastroenterology since 2016. Shellie gained her Masters degree in 2020 by undertaking research into the lived experiences of patients living with IBD, also achieving her Postgraduate Certificate in Gastrointestinal disorders in 2021. Shellie's role incorporates delivery of clinical care to patients with IBD and conducting and facilitating clinical research into IBD, possible treatments and the impact of IBD on patients' lives.   Shellie works part time in the IBD nursing team, as she is also undertaking her PhD at the University of Nottingham.  Shellie is a member of the British Society of Gastroenterology Nurses association, and is the Nurses representative for the 'IBD' and 'Research' sub-committees.

 

Sarah O’Rouke

Sarah is an IBD Nurse Specialist graduated from the University of Derby in 2012, and started my role as a registered nurse in Endoscopy.  She worked in Endoscopy as a senior nurse until 2016,  she subsequently took on a new role as a biosimilar medication switch coordinator within the IBD service, which lasted for 12 months. The role increased her knowledge and interest around IBD, this lead to her taking on the role of IBD Nurse Specialist in 2017.

 

Deborah Trout

Deb qualified in 2013 from the University of Nottingham with a Diploma in Adult Nursing. Working in Endoscopy before taking a temporary role within the IBD service in 2015, becoming a permeant IBD Nurse Specialist in Feb 2016. Deb attends the majority of our paediatric transition clinics to ensure smooth transition from paediatrics to adult service for 16-18 year olds. Other roles include nurse clinics, both telephone and face to face, patient IBD helpline service and patient education. Deb will be commencing the non-medical prescribing course in 2022.

 

Rebecca Ryan

Becs qualified from Nottingham University with a Masters of Nursing Science in 2017. She began her career working in Critical Care in Nottingham looking after an array of specialities on the surgical high dependency unit. Becs also undertook the nutritional lead whilst in this role. She then went on to work in endoscopy at the Treatment Centre where her passion for gastro began. Whilst here Becs was the resuscitation trainer for the department. From here, she gained a role as an IBD nurse specialist in 2021 where she remains and continues to gain new skills.

 

Maxine Horner

Maxine qualified as a staff nurse at Derby School of Nursing in 1994. Her first Job as a staff nurse was at Nottingham urology services. In 1995 Maxine Started working in acute Medicine specialising in Gastroenterology were she became deputy sister before getting her job as an IBD nurse in 2010. Along the way Maxine has had experience with bed management across the trust,Tissue viability,  Home parental nutrition and endoscopy.

 

 

Advanced Pharmacist Practitioner Gastroenterology

Azma Malik - Advanced Pharmacist Practitioner Gastroenterology

Azma qualified with MRPharmS with a First Class Honours degree in Pharmacy. She commenced her role as a junior pharmacist in gastroenterology in 2005 at Nottingham City Hospital. She later obtained her Clinical diploma and Independent Prescribing, Pharm IP and PG diploma whilst working her way up as a specialist clinical pharmacist in gastroenterology. Azma has served Gastroenterology as a Lead Specialist Pharmacist at NUH for more than 15 years, developing the pharmacy gastroenterology service. Azma has a specialist interest in IBD and TPN.

In 2017 Azma moved on to join the IBD specialist team as an Advanced Pharmacist Practitioner. A very unique role for the service taking on developing the virtual biologics prescribing across site for over 3000 patients. Azma provides specialist pharmacist support to our IBD patients as well as specialist advice to healthcare professionals.

Pharmacy information

City Pharmacy, located on the Ground Floor, south corridor near the South Entrance dispenses between the hours of 9am to 5pm

Treatment Centre Pharmacy is located on the Floor 1, adjacent to the coffee shop.  This pharmacy dispenses between the hours of 9am and 6pm

Appointments

The Treatment Centre -  If you have questions about your appointment or need to change or cancel your appointment please contact the booking office between 8am – 6pm on 0115 9194477 Ext 78997

Nottingham City Hospital - If you have questions about your appointment or need to change or cancel your appointment please contact central appointments on 0115 8403392 between 8.30am – 4.30pm Monday to Friday

IBD Helpline

You can contact the IBD nurses via The IBD Helpline on 0115 9709 324 or via The IBD Email address: IBDhelpline@nuh.nhs.uk 

The IBD helpline service runs Monday – Friday. We aim to respond to your enquiry by the end of the next working day.