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We apply the same rigorous standards of clinical governance and audit across our NHS and private practices to ensure optimal patient outcomes. We review our patient registry with the clinical team in a dedicated weekly session in order that we have an accurate month-on-month and year-on-year analysis of our performance. Accordingly we have demonstrated that our practice is safe; in particular our mortality figures for bowel cancer patients undergoing resectional laparoscopic surgery are exemplary.


Clinical and operative performance depends on a range of factors. Selecting the right operation for each patient with the best possible anaesthesia, using the most appropriate operative technique and ensuring good post-operative care are crucial. All of these require teamwork and we ensure that all our medical and nursing colleagues work together for the benefit of each and every patient.

Click on any of the following peer reviewed & published papers for information about our operative experience and objective outcome measures.

Laparoscopic Colon & Rectal Surgery

Ultra low lap anterior resection, pull through & coloanal anastomosis : 5yr experience
SILS anterior resection: a comparison to standard three port laparoscopic resection
Laparoscopic TME: short and medium term results
SILS restorative proctocolectomy with ileoanal pouch
Lap surgery for primary & recurrent ileocolic Crohn's disease
10 yr experience of laparoscopic ileoanal pouch surgery
Early results of LESS/SILS Cholecystectomy
20 Single Port Colectomies
500 consecutive, unselected laparoscopic colectomies with anastomosis
SILS Colectomy: a technique of great promise
Training does not affect patient outcome: a comparison of 300 elective laparoscopic colonic resections with anastomosis.
The safety of NHS and PRIVATE laparoscopic segmental colectomy
Laparoscopic emergency & elective surgery for Ulcerative Colitis
Laparoscopic Subtotal-Colectomy for fulminate Ulcerative Colitis
Laparoscopic proctectomy & restorative ileoanal pouch for Ulcerative Colitis
Laparoscopic proctocolectomy with restorative ileal-anal pouch
Laparoscopic Reversal Hartmann's Operation
Emergency laparoscopic surgery for complicated diverticular disease
Laparoscopy & Sigmoid Volvulus

Pelvic Floor Surgery

Long-term results of LVMR in male patients
LVMR for external rectal prolapse: long-term results
How to deal with complications post Lap ventral Mesh rectopexy
Lap Ventral Mesh Rectopexy: the treatment of choice for Solitary rectal Ulcer
LVMR for Uterine/Vault & rectal prolapse
Ventral rectopexy for full thickness external prolapse in patients >80yrs
Circumferential stapled haemorrhoidopexy(PPH) in the management of 3rd and 4th degree haemorrhoids
Laparoscopic ventral rectopexy and posterior colporraphy – vaginal sacrocolpopexy for rectal prolapse and mechanical outlet obstruction
Lap Ventral Rectopexy fo patients >80 years
Medium term results of STARR
STARR for high-grade haemorrhoids
BLAs 7-year experience STARR

Laparoscopic Hernia TEP Surgery

1000 TEP inguinal hernia repairs
Laparoscopic TEP inguinal hernia repair - Early results

Laparoscopic Abdominal Surgery

Laparoscopic appendicectomy: a training model for laparoscopic right hemicolectomy
Laparoacopic Appendicectomy

Enhanced Recovery & other

Accelerated recovery. The evolution of TAP, LAP and Go.
Evaluation of a radiographer provided barium enema service
ERA(S) laparoscopic colorectal resection is safe & does not lead to an increased readmission rate

Clinical audit is at the heart of clinical governance:

  • It provides the mechanisms for reviewing the quality of everyday care provided to patients.
  • It builds on a long history of doctors, nurses and allied healthcare professionals reviewing case notes and seeking ways to serve their patients better.
  • It addresses quality issues systematically and explicitly, providing reliable information.
  • It can confirm the quality of clinical services and highlight the need for improvement.


There have been significant shifts in society’s attitude to quality in healthcare over recent years, leading to the introduction of clinical governance. As part of local arrangements for clinical governance, all healthcare organisations are required to have a comprehensive programme of quality improvement activity that includes clinicians participating fully in audit. Clinical audit is the component of clinical governance that offers the greatest potential to assess the quality of care routinely provided for patients – audit should therefore be at the very heart of clinical governance systems. 

Clinical audit is the 'systematic and critical analysis of the quality of clinical care, including the procedure for the diagnosis, treatment and care, the associated use of resources and the resulting outcome and quality of life for the patient'. It is a simple system which allows professionals to measure their performance, to recognise good practice and, if necessary to make improvements. A clinical audit is not undertaken in isolation by one person but is developed with the help of colleagues and the support of management. Clinical audit is an essential part of the desire by every professional involved in patient care to deliver good quality of care.

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SPIRE Hospital, Bristol. 
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Contact: Claire Trenberth - 0117 9804051