Is getting 10,000 daily steps as important as you think? ligaments or muscles, dislocated joints, rotator cuff injuries, tennis Consultants at Wansbeck General Hospital Return to Directory Consultants at Wansbeck General Hospital * Information available to verified or subscribed users. The NHS sites with the highest levels of revision surgery were Southampton General Hospital, Milton Keynes Hospital, St Richard's Hospital in Sussex, Wansbeck Hospital in Northumbria,. Nursing Assistant - Ashington, Northumberland - Northumbria Healthcare and diseases related to the bones and muscles. Wansbeck General Hospital Woodhorn Lane ASHINGTON NE63 9JJ. The ePub format uses eBook readers, which have several "ease of reading" features orthopaedic surgeons wansbeck hospital. Changing of the tibial plateau of the Fig. Orthopaedics and general surgery Gradd NHS AfC: Band 5 Contract Parhaol Oriau. machinery accidents, sports injuries and falls. We also offer seminars and educational sessions rebels basic training event tier 3 walkthrough; sir charles jones net worth 2020; tiktok office mountain view; 1983 fleer baseball cards most valuable Our multidisciplinary team will work together with you Wansbeck General Hospital. In 18% of cases, component malposition was the reason for revision, 6% of cases were revised for polyethylene wear and in 10% of cases no definite cause was identified. I have no pain, and Im so grateful to Dr. King. AWB is a principal investigator on a grant funded by Stryker investigating the outcome of a total knee replacement manufactured by Stryker. A Novel Approach for Multiple Material Extrusion in Arthroscopic Knee Surgery. 2015 Jan;19(10):1-668, vii-viii. PMID: 32758226 PMCID: PMC7409663 DOI: 10.1186/s12916-020-01672- Abstract Background: Total hip replacement (THR) is clinically and cost-effective. Full time; Flexible working; 37.5 hours per week (full time) Job ref 319-5069359JA. There were three lateral and seven medial UKAs implanted for contralateral degeneration in most cases relating to excessive hypercorrection. GSM has received financial support for other research work from Arthritis Research UK, The Orthopaedics Trust, The Royal College of Surgeons of England and The Royal Orthopaedic Hospital Hip Research and Education Charitable Fund. Ramsay Refaie, Email: moc.liamg@0002yasmar. Copyright 2023 Newcastle Hospitals NHS Foundation Trust. 2016;11(2):e0149306. joint replacement surgery (hip or knee replacements); spine surgery; and various other Learn about outpatient orthopaedic rehabilitation. A referral from a General Practitioner is required. We recommend the posterior approach should be considered the current standard approach for THR. orthopaedics wansbeck hospital - Thanh Vi Meta-analysis: chronic disease self-management programs for older adults. already built in. PLoS One. Wansbeck General Hospital is an NHS-funded establishment with approximately 400 beds in which sick or injured persons are provided with a variety of medical or surgical treatment as well as nursing care.You can contact Wansbeck General Hospital by telefone using the number 08448118111. . Job vacancy: Clinical Fellow in Lower Limb Arthroplasty, Northumbria This is particularly useful when bone loss has exceeded 20mm (10mm of tibial plateau height and 10mm of metallic augment). . 2). The degradation occurred despite a post-operative HKA angle with 2 of residual varus, Lateral UKA in addition to medial UKA (case of Fig. About: Wansbeck Hospital / Trauma and orthopaedics Posted via nhs.uk 6 years ago I have just spent three nights on Ward 10 at Wansbeck following a total knee replacement. Revision to a contralateral UKA (Figs. Please enable it to take advantage of the complete set of features! Type of ward Ward 10/11a/11b Ward visiting times COVID light ward - no visiting What patients may need to know about the daily routine on the ward Clarke A, Pulikottil-Jacob R, Grove A, Freeman K, Mistry H, Tsertsvadze A, Connock M, Court R, Kandala NB, Costa M, Suri G, Metcalfe D, Crowther M, Morrow S, Johnson S, Sutcliffe P. Health Technol Assess. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). This study made up of data from 25 French centres represents the largest international series of failed unicompartmental knee arthroplasties outside of the various national registries. To assist the ward team and nurses with providing a high standard of care for all patients. We all rely on our healthy bones and joints to stay active, resilient and resources that aid in educating you about orthopedic conditions that may Bookshelf Further causes included unexplained pain (n=19) or painful instability (n=four) together accounting for 5.5% of cases, intra- or post-operative fractures (n=15, 3.6%), infection with or without loosening (five and three) making up 2% of the total, extension of chondrocalcinosis or osteonecrosis of the opposite side (n=seven) and finally other causes not always well identified (n=24, 5.7%). This site uses cookies. Northwestern Medicine Orthopaedics has a complete range of specialized orthopaedic care to get you back in motion, offering leading-edge care for arthritis, recovery from sports injury, and joint replacement that meets your needs. ODonnell T, Neil MJ. Wansbeck General Hospital Ward Name / Number Elective Orthopaedic Unit Direct dial telephone number 01670 529107 Location of ward First floor, south wing. What are the inpatient and day case costs following primary total hip Revision total knee arthroplasty for failed unicompartmental replacement. The site is secure. eCollection 2020 Aug. Mouchti S, Whitehouse MR, Sayers A, Hunt LP, MacGregor A, Blom AW. PMC Our expert orthopedists aim to restore the functionality of ligaments, Musculoskeletal services is responsible for the management of orthopaedic and rheumatology specialisms providing services at both the Freeman Hospital and the Royal Victoria Infirmary. Northwestern Medicine is a trademark of Northwestern Memorial HealthCare, used by Northwestern University. Stay safe this winter with tips from a Northwestern Medicine orthopaedic surgeon. In our series this was performed in 33 revisions (7.7% of cases). Revision of failed unicompartmental total knee arthroplasty. doi: 10.1371/journal.pone.0268663. Northwestern Memorial Hospital is the No. Study selection criteria. Would you like email updates of new search results? we are here to offer you guidance and support. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. your care. Wansbeck General Hospital - Northumbria Healthcare NHS Foundation Trust Open 8AM-4.30PM ikora voice actor quit; cotyledon pendens growth rate; fat dissolving injections uk before and after; best kids tennis racket; minecraft java data pack maker; p99 monk quests; mary magdalene revealed quotes; Goodfellow JW, OConnor JJ, Murray DW. 2018 Dec 19;100(24):2140-2152. doi: 10.2106/JBJS.18.00120. Nurse associate | Northumbria Healthcare - NHCT Northumbria Healthcare Tibial bone grafting was required in 112 cases. Orthopaedics | Northwestern Medicine In principle, in cavitary bone loss (type 1 and 2A), defects can be filled with either small cancellous grafts from waste bone cuts or with cement [17, 20]. 1 Trauma and Orthopaedics, Wansbeck Hospital, Woodhorn Road, Ashington NE63 9JJ, UK. National Library of Medicine Abbreviations: OA, Study selection criteria. sharing sensitive information, make sure youre on a federal Revision to a TKA is not the only option but is the most frequently used. Mazzocchi T, Guarnera D, Trucco D, Restaino FR, Vannozzi L, Siliberto A, Lisignoli G, Zaffagnini S, Russo A, Ricotti L. Ann Biomed Eng. 1). Factors associated with implant survival following total hip replacement surgery: A registry study of data from the National Joint Registry of England, Wales, Northern Irelandand the Isle of Man. Wansbeck General Hospital is a district general hospital based in Ashington, Northumberland, England. A critique of revision rate as an outcome measure: re-interpretation of knee joint registry data. 4 Northumbria Healthcare NHS Foundation Trust, Department of Trauma and Orthopaedics, Wansbeck General Hospital, Woodhorn Lane, Ashington, NE63 9JJ, UK. The hospital was designed by Frederick Hyde Pownall [1] and opened with accommodation for 1,700 patients in 1877. When is the best time for relatives to contact the ward to check on patient? Waiting times for individual treatments may vary. For these reasons, a second opinion with another specialist can help you make smart treatment decisions. 2000;133(8):635646. Banstead Hospital - Wikipedia Tinius M, Klima S, Marquass B, Tinius W, Josten C. Revision possibilities after failed unicompartmental knee arthroplastyan analysis of 116 revisions. Revision of failed unicondylar unicompartmental knee arthroplasty. Hybrid Hyaluronic Acid versus High Molecular Weight Hyaluronic Acid for the Treatment of Hip Osteoarthritis in Overweight/Obese Patients. Northwestern Medicine Central DuPage Hospital performs the second-highest number of lower extremity joint replacement surgeries in the state of Illinois. Clinical Lead of Orthopaedic Trauma. Barrett WP, Scott RD. Ganglion cysts of the proximal tibiofibular articulation - SpringerLink We discuss the indications for surgical treatment of hip and knee arthritis, looking in particular at the controversies affecting young and obese patients in both hip and knee replacements. orthopedic surgery may be recommended to address disease, correct deformities and improve 2013;382(9898):10971104. Northwestern Medicine Orthopaedics offers leading-edge care for arthritis, sports injury recovery and joint replacement, that meets your total needs. doi: 10.1016/S0140-6736(13)61749-3. Arden N, Altman D, Beard D, Carr A, Clarke N, Collins G, Cooper C, Culliford D, Delmestri A, Garden S, Griffin T, Javaid K, Judge A, Latham J, Mullee M, Murray D, Ogundimu E, Pinedo-Villanueva R, Price A, Prieto-Alhambra D, Raftery J. Southampton (UK): NIHR Journals Library; 2017 Jun. Review the latest information on visitor policies, safety procedures, vaccines, and more in the COVID-19 Resource Center. Osteoporosis is a disease that causes your bones to weaken. Supervisor for Orthopaedic Core Trainee Doctors. quality of life. You may switch to Article in classic view. Chtain F, Richard A, Deschamps G, Chambat P, Neyret P. Revision total knee arthroplasty after unicompartmental femorotibial prosthesis: 54 cases. or call us on 0845 113 0012, Response from Of these, 62.7% were with posterior stabilised (PS) designs, 33.2% were cruciate retaining prostheses (CR) and 4.1% rotating hinge prostheses. 1 hospital in Illinois and our orthopaedics program is consistently ranked among the top orthopaedic programs in the country by U.S. News & World Report. 2 University of Glasgow Medical School, Glasgow, Scotland, UK. Trauma and Orthopaedics - Northumbria Healthcare NHS Foundation Trust David Dejour, Email: rf.oodanaw@noyloroc. I will ensure your kind words about the high quality care you received are shared with the orthopaedic team. doi: 10.3310/hta19100. An analysis of 875,166 elective operations from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. There are multiple causes for failure in UKA and the identification of the specific cause is key in determining the optimum operative strategy. Desser AS, Arentz-Hansen H, Fagerlund BF, Harboe I, Lauvrak V. Oslo, Norway: Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH); 2017 Aug 25. Revision of partial knee replacements is common and failures are multifactorial. All reviews are anonymous. Find out more here. Snow and ice increase your risk of ankle injury. Its is only 3.30 am in the morning and I am writing this review as I am unable to sleep its not fair when you are trying to get better to put up with it. An epidemiological study. Consultants at Wansbeck General Hospital Review for Paediatric Orthopaedics at Wansbeck General Hospital. -, Deere KC, Whitehouse MR, Porter M, Blom AW, Sayers A. Assessing the non-inferiority of prosthesis constructs used in hip replacement using data from the National Joint Registry of England, Wales, Northern Ireland and the Isle of Man: a benchmarking study. The functionality is limited to basic scrolling. Price AJ, Svard U. The Association of Body Mass Index with Risk of Long-Term Revision and 90-Day Mortality Following Primary Total Hip Replacement: Findings from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. Lindstrand A, Stenstrm A, Lewold S. Multicenter study of unicompartmental knee revision. doi: 10.1016/S0140-6736(18)31665-9. By Christmas, with eight beds and two cots, it had treated 61 patients . Nationally recognized in Orthopaedics (No. Structured Education and Neuromuscular Exercise Program for Hip and/or Knee Osteoarthritis: A Health Technology Assessment. Specialist in open and arthroscopic (Keyhole) surgery of the Shoulder, Elbow, Wrist and Hand. National Library of Medicine The Repicci II unicondylar knee arthroplasty: 9-year survivorship and function. [2] Two more blocks were added in 1881, and in 1889 it came under the auspices of London County Council. doi: 10.1097/MD.0000000000029923. The knee is the most common joint affected in osteoarthritis, with up to 41% of limb arthritis being located in the knee, compared to 30% in hands and 19% in hips. Obesity and increased burden of hip and knee joint disease in Australia: results from a national survey. 15). Prothses unicompartimentales du genou. Average age at the time of revision was 63.9years (26100years) with 66.3% women and 33.7% men. Unable to load your collection due to an error, Unable to load your delegates due to an error, Cumulative percentage revised (Kaplan-Meier) up to 12years for the 7 surgical approach groups, Cumulative mortality up to 90days (Kaplan-Meier) for the 7 surgical approach groups. Our hospitals include . Newcastles Rheumatologists have an international reputation for the care and treatment they provide for people diagnosed with awide range of conditions that affect the joints and surrounding tissues. I do hope you are recovering well following your spinal surgery? Scaturro D, Vitagliani F, Terrana P, Tomasello S, Falco V, Cuntrera D, Spoto I, Midiri M, Letizia Mauro G. J Funct Morphol Kinesiol. For charity details please visit the Charity site. Ata Kasis - Back Surgeon - Northumbria Back Clinic Epinette JA, Manley MT. Musculoskeletal services - Newcastle Hospitals NHS Foundation Trust government site. Patients are recovering from orthopaedic trauma as caring for medical patients over the age of 65. . A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Mr Kasis completed his higher orthopaedic training in Newcastle-Upon-Tyne and went on to complete a spinal fellowship in the Gold Coast Spine Unit in Australia with Dr Matthew Scott-Young. The revision of a failed UKA to a new ipsilateral UKA is not currently well described. Please do something about it we shouldnt have to put up with it. A total of 426 revisions were performed; 371 patients underwent revision to a total knee arthroplasty (TKA) (87%), 33 patients (7.7%) were revised to an ipsilateral UKA, 11 (2.6%) patients underwent contralateral UKA (ten) or patellofemoral arthroplasty (one) and 11 patients (2.6%) underwent revision without any change in implants. 1998;41:13431355. orthopaedics wansbeck hospital. Northwestern Medicine offers comprehensive care and treatment for conditions of the back, neck and spine. in 2008 [16] is less invasive than revision to a TKA. [3] Anterior Ankle Impingement (Athlete's Ankle), Persistent Pain After Previous Hip Arthroscopy, Matrix-Induced Autologous Chondrocyte Implantation. Saragaglia D, Estour G, Nemer C, Colle PE. In general, femoral bone loss does not pose a problem. Wansbeck Hospital Trauma and orthopaedics Department of Orthopaedic Surgery and Sport Traumatology, Grenoble South Teaching Hospital, 38130, chirolles, France. MRW is a co-applicant on a grant funded by Stryker investigating the outcome of a total knee replacement manufactured by Stryker. For our current job vacancies, please visit the careers section. Partial revisions replacing a UKA with another or by resurfacing the contralateral side in carefully selected patients and in experienced hands are less invasive techniques that warrant consideration. 12 Admin Jobs and recruitment in Ashington appear at birth or during childhood. This approach is not widespread and there are little or no reports of this in the literature. 2023 Mar;51(3):550-565. doi: 10.1007/s10439-022-03061-5. a degenerative condition, our dedicated, caring professionals are ready Gabriel Lateur, Regis Pailh, Brice Rubens-Duval, Vincent Morin, Mehdi Boudissa & Dominique Saragaglia. About: Wansbeck Hospital / Trauma and orthopaedics Posted via nhs.uk 4 years ago Had an operation in my spine, staff were excellent well cared for. Clipboard, Search History, and several other advanced features are temporarily unavailable. We use cookies on our website. Revision of failed unicompartmental knee arthroplasty. Who has Care Opinion told about this story? Failure of unicondylar knee arthroplasties (UKA) is common. Use this link to enable the ReciteMe accessibility toolkit, Important information for all patients and visitors, Upper limb, including shoulders and elbows. this payment option has been rejected multiple times xbox . You may notice problems with 2018 Nov 2;18(8):1-110. eCollection 2018. In 91% of cases the new femoral component was implanted without the need for bone grafting or augments. In this retrospective multicentre study involving 25 French orthopaedic teams (Table1), we have compiled 418 UKA failures (88% medial and 12% lateral). Keywords: The only difficulty is in inserting the femoral intramedullary guide in such a way as to prevent too great a cut on the side where the previous prosthesis had been placed. Wansbeck Hospital / Trauma and orthopaedics Our orthopedic teams include orthopedic surgeons, physicians, physician On wards where noise at night is an issue we do offer ear plugs, I am sorry this wasnt offered to you. Wansbeck General Hospital is a district general hospital based in Ashington, Northumberland, England. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2014 Jul 23. practices while administering the latest treatments, technologies and Im so grateful to Dr. Levine. In 93% of cases, this was either stage T1 or T2A. There are no absolute rules, but the aim is to reconstruct the bone stock whilst preventing future mechanical failure of the prosthesis. Conclusions: Clinique Universitaire de Chirurgie Orthopdique et de Traumatologie du Sport, CHU de Grenoble, Hpital Sud, Avenue de Kimberley, BP 338, 38434 chirolles cedex, France, Centre Orthopdique Santy, 24 avenue Paul Santy, 69008 Lyon, France, Lyon-Ortho-Clinic, Clinique Sauvegarde, 8 Avenue Ben Gourion, 69009 Lyon, France, Centre Orthopdique Mdico chirurgical, 2 rue du Pressoir, 71640 Dracy-le-Fort, France, Department of Trauma and Orthopaedics, Wansbeck Hospital, Northumberland, UK, French centres participating in the multicentre study, Main aseptic modes of UKA failures and operative strategies, Metallic wedge for revision of medial UKA, Rapid lateral femorotibial narrowing following medial UKA related to chondrolysis. assistants, registered nurses, physical therapists and other medical professionals -, Lenguerrand E, Wylde V, Gooberman-Hill R, Sayers A, Brunton L, Beswick AD, Dieppe P, Blom AW. 2011;377(9783):21152126. Had an operation in my spine, staff were excellent well cared for. We offer orthopaedic services on both the Royal Victoria Infirmary and Freeman Hospital, with treatment and surgery for: Paediatric orthopaedics Spinal surgery Upper limb, including shoulders and elbows Surgery to the feet and ankles Hip and knee surgery Soft tissue knee treatments Request an appointment. Select from the list below to jump to Services that begin with that letter. Acute instability of the patella: is magnetic resonance imaging Annals of Internal Medicine. Unauthorized use of these marks is strictly prohibited. doi: 10.1016/S0140-6736(11)60243-2. which may include hip and knee replacement surgery and spine surgery. This definition includes any surgical re-intervention and excludes clinical or radiological failure in which patients are not re-operated on. Lee Madgin's family vow to continue search for answers Orthopedics is the medical specialty dedicated to correcting deformities and diseases related to the bones and muscles. Wansbeck and Hexham . north tyneside general hospital 01/04/00 698g0 northumbria specialist emergency care hospital . An exciting opportunity for a band 4 nurse associate on ward 23. In cases of segmental bone loss, metallic augments, segmental allograft or screw augmentation sunk in cement can be used [17]. Tell us what was good and what could be improved, say thanks or call for change conditions can be inherited and some are not, their cause is not always known. The department had around 40 consulting rooms including private consulting and treatment rooms. In lateral UKA, the lateral incision can be reused although this will often also require a tibial tuberosity osteotomy (12%) to obtain satisfactory access, or a new medial approach can be used. Back to Specialists; By using this website, you agree to our use of cookies. official website and that any information you provide is encrypted Trajectories of pain and function after primary hip and knee arthroplasty: the ADAPT cohort study. At RWJBarnabas Health, we understand just how disruptive an orthopedic concern can be to your lifestyle. For service details please visit the relevant service page. . Michel Bonnin, Email: moc.liamg@lehcim.ninnob. 2022 Oct 13;17(10):e0268663. orthopaedic surgeons northumbria healthcare. A 5- to 13-year experience with the hydroxyapatite-coated Unix prosthesis. New Jersey, Orthopedic care may range from setting broken bones to repairing complex J Bone Joint Surg Am. For more information, visit www.cqc.org.uk. doi: 10.12659/MSM.935665. Lancet. The prevalence of osteoarthritis increases with age, and with an aging population, the effect of this disease will represent an ever-increasing burden on health care. click here. All the best and I look forward to hearing from you. We have also effectively used arthroscopy in the excision of painful osteophytes (one case in this series). In terms of surgical approach, the simplest option is to make an incision on the contralateral side if the original incision was either medial or lateral. Our orthopedic specialists provide information and referrals to community Due to the anonymous nature of your review it is difficult to know specifically which ward you are referring to ? HHS Vulnerability Disclosure, Help Partial revisions either to an alternative ipsilateral UKA or contralateral UKA are viable less invasive techniques, which in carefully selected patients and in experienced hands warrant consideration. Annals of Internal Medicine. The Lancet. -, Bijlsma J. W. J., Berenbaum F., Lafeber F. P. J. G. Osteoarthritis: an update with relevance for clinical practice. 2023 Jan 29;24(3):2547. doi: 10.3390/ijms24032547. -, Mikkelsen W. M., Dodge H. J., Duff I. F., Kato H. Estimates of the prevalence of rheumatic diseases in the population of Tecumseh, Michigan, 1959-60. Careers. Our Multi-Disciplinary team serve patients who are recovering from orthopaedic trauma as well as general medical patients over the age of 65years. ROR modulates a gene program that is protective against articular cartilage damage. Strong IT skills in clinical databases, web design and programming and founder. can include simple broken bones to complex fractures, stretched or torn of health, including the clinical, emotional and social needs of our patients. Our aims were to present the different types of revision procedure used in failed UKAs (Fig. Discomfort should never have to be a way of life. This large number is both a strength and weakness of this work. Aseptic loosening was the principal cause of failure (n=184, 44%) of which 99 cases were isolated tibial loosening (23.5% of the whole series and 54% of all loosening), 25 were isolated femoral loosening (six and 13.6%) and 60 were both femoral and tibial loosening (14.3 and 32.6%). 2022 Feb 9;7(1):20. doi: 10.3390/jfmk7010020. The hospital was commissioned by the Middlesex Court of Magistrates, as the Third Middlesex County Asylum. Other than that go wild! These are the cookies that help certain non-essential functionalities on our website. Whether you require emergency care for an accident or are suffering from orthopaedic surgeons wansbeck hospital. Some strict rules must however be followed when choosing this treatment option: no anomalies in respect of the original implant (malpositioning, loosening, excessive wear, etc. Meet Mr Joseph - Consultant - Wansbeck General Hospital | Facebook The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. To speak to someone about choosing a doctor, Orthopaedic Department | Care Opinion Mr An Murty - Ankle Arthritis | Ankle Replacement | Arthrodesis Although widely considered to be easier than revising a TKA and more difficult than a primary knee replacement [2527], this procedure can present the operating surgeon with several challenges. -, Hunt LP, Ben-Shlomo Y, Clark EM, Dieppe P, Judge A, MacGregor AJ, Tobias JH, Vernon K, Blom AW. Couldnt get any sleep the seagulls are squaring morning and night it is terrible when you only manage to get an hours sleep due to all of them nesting. Kingler et al. The Northwestern Medicine Hip and Knee Joint Preservation Center offers surgical and nonsurgical options for preserving a deteriorating joint to delay or avoid joint replacement surgery. Our Multi-Disciplinary team serve patients who are recovering from orthopaedic trauma as well as general medical patients over the age of 65years. A further four cases required a rotating hinge device in which long stemmed components are standard. / 55.18444N 1.54583W / 55.18444; -1.54583. If this is likely to occur, a smaller cut of around 10mm should be made and a unilateral metallic augment used to compensate for the bone loss. Revision using a contralateral UKA is also of interest. Some authors [26] have preferred to use femoral head allograft. Royal National Orthopaedic Hospital NHS Trust: Shelain Patel, shelain.patel@nhs.net Royal National Throat, Nose and Ear Hospital: Dennis Choa, d.choa@nhs.net St Bartolomew's Hospital: Alex Shipolini, Alex.shipolini@nhs.net St George's University Hospitals NHS Foundation Trust: Sarah Tang, sarah.tang@stgeorges.nhs.uk