Stoma and Pouch Care

The Stoma & Pouch Teams at St Mark’s Hospital consists of 12 members, including a Consultant Nurse, a Lead Nurse, 5 Stoma Care Specialists, a Pouch Care Specialist, a Healthcare Assistant, a Team Pathway Co-ordinator and 2 Community Stoma Care Specialists.


Stoma care contact details

Tel: 020 8453 2196
Email: lnwh-tr.stomacare@nhs.net

Pouch Care contact details

Tel: 020 8453 2099
Email: lnwh-tr.internalpouchcare@nhs.net 

How to refer patients to our services

Patients’ GPs need to send a referral to either the stoma or pouch email above, or call us if you have a query. The referral will need to include patients’ full past medical and surgical history, medications list, any relevant investigations.


Our vision

Our vision is to make certain every patient undergoing stoma or internal pouch surgery is well supported, understood and empowered to ensure optimal quality of life is restored.

Mission statement

The Stoma and Internal Pouch Department at St Mark’s Hospital is dedicated to providing individualised, expert and research-based nursing care within the field of colorectal surgery. We aim to offer sustainable services for both inpatients and outpatients, providing an exceptional experience for all.

For our patients and community we aim to:

  • Treat all patients with dignity and respect
  • Provide high quality, evidence-based clinical care
  • Select appropriate and economical yet high quality stoma appliances and accessories that allow patients to return to the lifestyle they desire
  • Work collaboratively with other teams to provide a safe and seamless transfer for patients from acute hospital services into community care
  • Develop robust links with patients to offer long-term support and clinical review
  • Continue to develop and support nursing and medical staff in order to maintain and improve standards of care.

The aim of the nursing service

The aim of the stoma and internal pouch nursing service is to provide an informative and supportive service to all our patients with either a stoma, enterocutaneous fistula or internal pouch. This will begin when you meet your specialist nurse, usually before surgery. You will be given information regarding your surgery and the ideal site for your stoma will be selected. On admission to the hospital, your specialist nurse will talk to you about whether you have understood this information and discuss any questions or anxieties you may have.

After your operation you will be shown how to care for your stoma, including how to empty and change the appliance independently. You will be given information regarding your diet, ongoing supplies, returning to work, common problems and much more.

If you are a local patient, you will be followed up in the stoma clinic two weeks after you are discharged. If you live outside the area then you will be referred to a stoma care nurse based in your area, who will provide ongoing support.


Stoma care clinics

The stoma care clinics are for patients to attend for preoperative counselling, routine check-ups, if problems occur or if further information is required. The clinics are for appointments only and the venue depends upon where you are registered with your GP. You can make an appointment by contacting the stoma care department directly or by getting a referral from your GP. Rapid Access Clinics for all patients by appointment only. Please contact the stoma team directly for all stoma care or rapid access clinic appointments. If you are a local patient, you will be followed up in the stoma clinic two weeks after you are discharged. If you live outside the area then you will be referred to a stoma care nurse based in your area, who will provide ongoing support.

Clinic location: Brent
Day: Tuesday. Time: 9.00 a.m. to 4.30 p.m. 
Confirm room with reception
Wembley Centre for Health and Care, 116 Chaplin Road, Wembley. HA0 4UZ

Clinic location: Brent, Harrow, Ealing
Day: Monday to Friday. Time: 9.00 a.m. to 3.00 p.m.
Stoma Department, Ground Floor, Central Middlesex Hospital, Acton Lane, Park Royal. London NW10 7NS

Clinic location: Edgware
Day: Wednesday. Time: 1.00 p.m. to 4.30 p.m.
Room 62, Edgware Community Hospital, Burnt Oak Broadway, Edgware. HA8 0AD

Clinic location: Ealing
Day: Thursday. Time: 9.00 a.m. to 12.00 p.m.
Outpatients 2, Area C, Ealing Hospital, 601 Uxbridge Road, Southall. UB1 3HW


Stoma Patients Information

To read our Stoma Care Objectives Poster, click here. To read our Stoma Patient Pathway Poster, click here. There are patient support groups for stoma patients, such as Inside Out, IA, Young IA, Colostomy UK, JOSH and the UA. To visit our Patient Support Groups page, please click here.

To read more about our book, Stoma Care – A Guide for Patients, click here.

Stoma Patient information leaflets

Advice about eating and drinking when you have a high output stoma
How to take Loperamide
Electrolyte mix (E-mix)
Healthy Eating for People with an Ileostomy
Dietary Advice for people with a Colostomy
Urostomy – Hints & Tips
St Mark’s High Output Stoma Management
St Mark’s Stoma Obstruction Management
NHS England Learning Hub Stoma, Pouch and Fistula care Module


Stoma Bag Change Video

Below is a basic stoma care video with a step-by-step instruction on changing a stoma bag. 


Pouch Service

Pouch care clinics

The pouch care clinics are for patients to attend for preoperative counselling, routine check-ups, if problems occur or if further information is required. The clinics are for appointments only and the venue depends upon where you are registered with your GP. You can make an appointment by contacting the pouch care department directly or by getting a referral from your GP. Rapid Access Clinics for all patients are by appointment only. Please contact the pouch team directly for all pouch care or rapid access clinic appointments.

Service Times

Times: Monday to Friday 9.00 a.m. to 3.00 p.m.
Address: Stoma and Pouch Department, Ground Floor, Central Middlesex Hospital, Acton Lane, Park Royal. London NW10 7NS


Pouch Patients Information

To view the Pouch Nurse Led Clinics Protocol Algorithm, click here. To view the St Mark’s Hospital Pouch Patient Pathway, click here. There are patient support groups for pouch patients, such as The Red Lion Group, IA and Young IA. To visit our Patient Support Groups page, please click here.

To read more about our book, Ileo-Anal Pouch Surgery for Ulcerative Colitis – A Guide for Patients, click here.

Pouch Patient Information Leaflets

Ileoanal Pouch – Perianal Skin Care
Managing strictures and adhesions – Liquid diet
Managing strictures and adhesions – soft diet
St Mark’s High Output Pouch Management
St Mark’s Pouch Obstruction Management
NHS England Learning Hub Stoma, Pouch and Fistula care Module