– See also: Complex Colorectal Cancer Service – Introduction

– See also: Referral Guidelines

Description of Service

The Complex Cancer Clinic (CCC) at St Mark’s Hospital is a specialist service dedicated to the assessment and surgical management of patients with recurrent and advanced pelvic and colorectal cancers. The service is led by two Consultant Colorectal Surgeons: Mr JT Jenkins, Ms E Burns and Mr A Antoniou, working closely with dedicated Consultant urological, orthopaedic, gynaecological, vascular and plastic surgeons. The service is supported by a multi-disciplinary team that includes specialist radiologists, specialist nurses and other health care professionals who offer a comprehensive approach to patient care.

The role of the team is to assess patients for their suitability for surgery; plan and deliver appropriate surgical management; promote and sustain recovery and offer a personalised pathway of care for each patient until they are well enough to be referred back to their local team.

The pathway for this service is as follows:

• Referral to the Complex Cancer Clinic multidisciplinary team (MDT)
• MDT assessment of suitability for surgery
• Attendance at CCC for formal clinical assessment
• Remote pre-assessment
• Elective Admission for Surgery
• Surgical Procedure
• Recovery
• Carefully planned discharge
• Stratified protocolised follow-up
• Discharge to referring team

What is a complex colorectal cancer?

Complex cancers include four different groups:

• Locally advanced rectal cancers – those extending beyond the standard rectal anatomical plane
• Locally recurrent rectal or extensive recurrent anal cancers
• Colorectal cancers with spread inside the abdominal cavity (colorectal peritoneal metastases)
• Other cancers including neuroendocrine tumours and locally advanced anal and colon cancers and other rarer pelvic masses

Hours of Service

CCC clinics run every Friday in St Mark’s Outpatients, Level 3, St Mark’s Hospital. There is a weekly CCC MDT meeting.

Key Contacts

Avondale Bastian: 020 8235 4128
Theatre scheduler for admission dates: 020 8235 4108
Caroline Gee and Claire Taylor for clinical enquiries 020 8869 2569

Referral Guidelines

Complex cancer clinic referral checklist

CRS and HIPEC for colorectal peritoneal metastases at St. Mark’s Hospital

The CCC Team

Mr Ian Jenkins
Consultant Colorectal Surgeon

Ms Elaine Burns
Consultant Colorectal Surgeon

Mr Anthony Antoniou
Consultant Colorectal Surgeon

Dr David Burling, Dr Michele Marshall, Dr Arun Gupta, Dr Alison Corr
Consultant Radiologists

Mr Giles Hellawell, Mr Rajesh Kavia, Dr Jeff Webster
Consultant Urological Surgeons

Mr Will Aston
Consultant Orthopaedic Surgeons

Ms Maleeha Mughal
Consultant Plastic Surgeon

Claire Taylor
Macmillan Colorectal Cancer Nurse Consultant

Caroline Gee
Macmillan Colorectal Cancer Nurse Consultant

Therese Beth Hona
Complex Cancer and HIPEC Clinical Nurse Specialist

Avondale Bastian
Patient Pathway Coordinator – Complex Colorectal Cancer

Alice Finch
Macmillan Specialist Physiotherapist