– 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
Macmillan CNS Team: 0208 963 8956
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
Macmillan Senior Complex Colorectal Cancer CNS
Rhegell Cafirma
Macmillan Complex Colorectal Cancer CNS
Sruthi Mohan
Macmillan Complex Cancer Support Worker
Avondale Bastian
Patient Pathway Coordinator – Complex Colorectal Cancer