IBD pic

What we do

Welcome to the Inflammatory Bowel Disease (IBD) team at Bradford Royal Infirmary (BRI). We provide a comprehensive range of general and specialist IBD clinical services to the population of Bradford and surrounding area for patients with a diagnosis of IBD. This involves inpatient hospital care and outpatient clinics at BRI delivered by consultants and specialist nurses.

The Inflammatory Bowel Disease team comprises of members from different specialist backgrounds who work together to deliver the best possible care for our patients.

All of the doctors within the team have a special interest in IBD. They will discuss your condition with you and decide along with you what would be the most appropriate way to investigate and treat your IBD.

Consultant gastroenterologist

You will be allocated a named consultant gastroenterologist who will have overall responsibility for your IBD care and will keep you up-to-date with your progress, but you will not necessarily see them at each appointment.

The IBD nurse specialists are senior nurses with specialist training in IBD. They provide a key role in assessing and monitoring patients on a range of drug therapies as well as providing expert advice and information on all aspects of inflammatory bowel disease. They are also the first point of contact via the inflammatory bowel disease advice line and email service.

You may be referred for assessment and treatment to other members of the IBD multidisciplinary team including surgeons and dietitians.

Medication

It is important that you take your medication as prescribed to give yourself the best possible chance of achieving or maintaining remission. If you have any problems taking your medication or you develop any side effects, please do not hesitate to contact either the IBD nurses or your GP.

Patient Information leaflets are available for most of the medicines that are prescribed for IBD. Please ensure that you have read and understood the information and if you have any questions give us a ring.

Outpatient Pharmacy opening hours (Situated in ENT Outpatients, BRI)

  • 08.30 – 17.30 Monday, Tuesday, Thursday
  • 08.30 – 18.00 Wednesday, Friday
  • 09.30 – 13.30 Saturday (BRI only)

Prescriptions

If you need more than three prescription items in three months or 14 in 12 months it may be worth buying a Prescription Pre-payment Certificate.

The charge for a single prescribed medicine is £9, whereas a three-month PPC costs £29.10 and a 12-month PPC £104.

Links to all medication on CCUK

IBD multidisciplinary team (MDT)

The IBD MDT meeting is held once a month and is attended by a group of experts in the field of IBD to improve coherence and continuity of care.

The meeting is attended by gastroenterologists, surgeons, radiologists, histopathologists and the IBD nurses. The purpose of this meeting is to discuss any patients with complex problems, but we can discuss any patients if we feel it is necessary.

Routine endoscopy investigations

Endoscopy

Endoscopy is a procedure that involves looking inside the body with an endoscope, a fine tube with a camera at the end and a channel inside where tools can be passed to take biopsies or stretch a narrowed area. Most people with inflammatory bowel disease will need an endoscopy at some time. The ones you are most likely to need are sigmoidoscopy, colonoscopy or gastroscopy.

Sigmoidoscopy

Sigmoidoscopy looks at the rectum and left-hand side of the large bowel (the sigmoid colon). You may need an enema just before the procedure to empty this area.

Colonoscopy

Colonoscopy looks at the rectum, the whole of the large bowel (sigmoid, transverse and ascending colon) and also the terminal ileum (end of the small bowel) in most cases. You will need to take some medicine the day before the procedure to clean out the bowel. Colonoscopies are usually carried out under sedation.

Gastroscopy

Gastroscopy looks at the oesophagus, stomach and part of the duodenum. You will be given a choice of whether or not to have sedation or a local anaesthetic throat spray.

Most endoscopies in Bradford are carried out on the Gastroenterology Unit at Bradford Royal Infirmary. This is found on level two near the Duke of York entrance on the corridor underneath Gastroenterology Outpatients.

Outpatient clinics

On your first visit to an IBD clinic you will be seen by a consultant gastroenterologist in one of their clinics. If you have had an endoscopy then you may have already had a brief telephone discussion with one of the IBD nurses about your diagnosis.

All of the clinics are held in the Gastroenterology outpatient department on the third floor of BRI. It is important that you always book-in at the main outpatient desk on arrival.

Adolescent Transition and Young Persons’ Clinic

This clinic is for young people who have been under the care of a paediatrician. It is held every three months and the young person is seen by a gastroenterologist and paediatrician. Moving from paediatric to adult care can be a difficult time – as a child your parents or guardian are responsible for your care, as an adolescent you have to learn to take on that responsibility yourself. This clinic is the first stage in that process.

Joint surgical clinic

In this clinic you will be seen by a gastroenterologist (not necessarily the doctor you normally see) and a surgeon. The clinic is for people who need, or would like, more information about surgical options. They run monthly.

Follow-up appointments

After your appointment you will be offered a subsequent appointment where you will be seen again by your consultant, a registrar, the specialist nurses or another member of the allied health professional team.

If you need to change your appointment this can be done via the contact centre on 01274 274274.

The main IBD clinics are held on Tuesday and Thursday mornings, however people with IBD will also be seen in general gastroenterology clinics on other days. In clinics where the IBD nurse specialists are present, you may see either an IBD nurse specialist or a consultant.

Clinic days/times

All of the following clinics are held in the Gastroenterology Unit, BRI. This is on level three and the Duke of York is the closest entrance.

Morning Afternoon
Monday Dr Reynolds Dr Beckett (fortnightly)
Biologics clinic
Tuesday Dr Preston
Dr Ansari
Dr Rabb
Joint surgical clinic (monthly)
Biologics clinic
Wednesday Dr Preston (fortnightly)
Dr Kenneth (fortnightly)
Adolescent transition clinic (quarterly)
Thursday Dr Kenneth
Dr Mundre
Dr Rabb
Joint surgical clinic (monthly)
Biologics clinic
Dr Reynolds
Friday Dr Jowett Dr Ansari

IBD advice line

IBD is unpredictable and you never know when it is going to flare up. The IBD advice line is a point of contact for patients to call if they are having problems, or have any questions in between appointments. It gives patients easy access to advice and supports them in the management of their condition.

It can also reduce outpatient appointments and unnecessary visits to GPs. Patients feel that the advice line is one of the most important aspects of the IBD Service in Bradford.

  • The IBD advice line is an answerphone service where you can leave a message if you have concerns/worries or you are becoming unwell
  • It may take up to 24 hours for us to return your call
  • The advice line should not be used to change appointments or in an emergency
  • If you have an urgent or out-of-hours need contact your GP, NHS 111 or attend the emergency department
  • When leaving a message please speak clearly, leave your name, hospital number if you know it and a contact number
  • Opening hours: 08.30 to 12.30 Monday to Friday. excluding bank holidays.

Useful links

  • Crohns and Colitis UK
    If your life is affected by Crohn’s Disease or Ulcerative Colitis, Crohns and Colitis UK is here to help you.The charity’s confidential support services provide practical information, help and guidance.
  • Ileostomoy and Internal Pouch Association
    The Ileostomy and Internal Pouch Association, known as IA, is a registered charity supporting people living with an ileostomy or internal pouch, their families, friends and carers.
  • CICRA
    CICRA’s vision is a childhood unlimited by inflammatory bowel disease. The registered charity’s mission is to lead research into better treatments, to support children and families with relevant information and advice, and to work with health professionals to improve care and to give children a voice to increase public understanding of Crohn’s and colitis.
  • IBD Registry
    The purpose of the IBD Registry is to improve care of patients and understanding of the treatments they receive, to enable research, and to increase knowledge about IBD in the UK.
  • Prescription Prepayment Certificate
    If you regularly pay prescription charges, a PPC could save you money. A PPC lets you get as many NHS prescriptions as you need for a set price.
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