Governance

The Windsor Bowel Clinic consultants have worked together in the NHS as a team for many years. In addition to their broad experience in the range of colorectal disease and abdominal wall problems, they have a robust governance structure to ensure quality and safety for patients.

Appraisal

Each consultant undergoes an annual appraisal and has completed revalidation of the entire scope of their NHS and private practice to demonstrate they continue to meet the values and principles expected of the profession set out in the GMC’s core guidance Good Medical Practice.

Quality Assurance

As part of the appraisal process each consultant records quality indicators for endoscopic and surgical procedures, reflecting on this data which is reviewed in their annual appraisal and submitted to collaborative national clinical audits – National Bowel Cancer Audit (NBOCA) and Joint Advisory Group on GI Endoscopy (JAG).

A structure is in place for any adverse outcomes or complications to be reported via the Medical Advisory Committee (MAC) at BMI The Princess Margaret and Runnymede hospitals and discussed in a peer review setting at regular morbidity and mortality meetings.

At BMI The Princess Margaret and Runnymede hospitals a system for regular review of policies is in place which are discussed at the Medical Advisory Committee (MAC) and other governance groups at the hospital.

Multidisciplinary Team Meetings

All cancer cases and complex benign cases including inflammatory bowel disease, pelvic floor conditions, abdominal wall hernias, functional abdominal pain are discussed by the Windsor Bowel Clinic consultants in a multidisciplinary meeting. The multidisciplinary team at each meeting incorporates the appropriate consultant and nurse specialists in colorectal surgery, gastroenterology, radiology, oncology and anaesthetics.

A second opinion may on occasionally be appropriate; Windsor Bowel Clinic is in a position to provide this either within the professional group or with another colleague with complimentary expertise.