Neuro-oncology (brain tumours)
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We diagnose and provide the highest standards of care and treatment to patients with every type of brain or spinal tumour. Services are provided in the Atkinson Morley Wing at St George’s Hospital for patients from across London, Surrey, Sussex and Hampshire.
All cases are discussed in the weekly neuro-oncology multi-disciplinary team (MDT) meeting. The meeting is attended by neurosurgeons, neuropathologists, neurologists and neuroradiologists from Atkinson Morley, neuro-oncologists from the Royal Marsden and St. Luke’s Hospital, as well as specialist oncology nurses. Our surgeons use all of the latest techniques for tumour treatment e.g. gliolan to maximise glioblastoma resection.
For pituitary tumours, the meeting is also attended by endocrinologists and Ear Nose Throat surgeons. There are other MDT meetings for paediatric brain tumours that also involve paediatric neuro-oncologists and for skull-based tumours that also involve ENT surgeons and maxillofacial surgeons.
There are sub-specialist services for:
- Acoustic neuromas (Andrew Martin, Parag Patel and Pawan Minhas)
- Awake cranial surgery (Andrew Martin, Timothy Jones, Simon Stapleton, James Laban)
- Gliolan assisted resection of malignant brain tumours (Andrew Martin, Timothy Jones, Simon Stapleton, James Laban)
- Endoscopic resection of pituitary tumours (Andrew Martin, Simon Stapleton, Parag Patel)
- Skull base tumours (Andrew Martin, Simon Stapleton, Parag Patel, Helen Witherow)
- Paediatric brain tumours (Andrew Martin, Simon Stapleton)
- Low-grade glioma: Timothy Jones, Simon Stapleton and Frank Saran run a dedicated low grade glioma clinic.
Our clinical nurse specialists offer round-the-clock support to patients and their families and carers during diagnosis and treatment, and after discharge. Counselling services are also provided for patients, families and carers.
Services are provided by a consultant led multi-disciplinary team who provide care and support for the wide variety of complex issues that can be caused by brain and spinal tumours.
Brain Tumour Referrals
Patients with a suspected brain tumour must be referred to the on call neurosurgery service as described above. In addition, it is essential that a neuro-oncology MDT referral form is completed for each patient, which is available online here.
This needs to then be emailed to stgh-tr.Neuro-OncologyMDT@nhs.net
Please ensure all relevant imaging is sent via Image Exchange Portal (IEP).
The neuro-oncology MDT is on Friday mornings and the outcome of each referred patient will be emailed to the address on the MDT form by 5pm on the Friday.
Please send all relevant imaging via the IEP and the referral form by 12:00hrs on Thursday. The images and information need to be reviewed by a Consultant Radiologist before the Neuro-oncology MDT which starts at 08:00hrs on Friday mornings. It may not be possible to provide management/ advice if a referral form and imaging are unavailable at the time of the meeting.
The MDT coordinator is available during office hours on 020 8725 4191.
Neurosurgical On-Call Referrals
All emergency neurosurgery referrals to St George’s Hospital are to be made electronically via a secure on-line web system www.referapatient.org
Please access this webpage and select the ‘make a referral’ button and fill out the necessary information and clinical details. Once submitted, the on-call neurosurgery doctor will be informed of the referral by text and will review and respond at the earliest opportunity. The response will be received as a pdf letter which will be emailed to the (secure) address provided by the referrer.
If you have trouble opening the PDF document click here for troubleshooting advice.
If you wish to speak to a doctor whilst completing a referral, please contact St George's Hospital switchboard on 020 8672 1255 and ask for the 'On Call Neurosurgery Registrar' or access their bleep (7242) via the automated bleep desk. They may be unable to answer immediately if they are taking another call so please wait for a reply.
It is our experience that the transfer of scans for review can take some time. We therefore recommend contacting PACS transfer teams or radiographers depending on local policy to send any relevant imaging at the earliest opportunity via the Image Exchange Portal (IEP). If your case is urgent then please specify that these scans should be transferred as a 'Blue Light Transfer'.
Consultant outcome publication (COP) is an NHS England initiative to increase transparency within the NHS and to provide the public with information on surgical outcomes. The Neurosurgical National Audit Programme (NNAP) has been mandated by NHS England to publish activity and mortality data for all neurosurgery units and consultant neurosurgeons practising in England.
The newly published mortality data shows that the St George's Hospital neurosurgery unit has a lower than expected mortality rate. You can read the NNAP report on St George's and compare our performance with other neurosurgery units on the Neurosurgical National Audit Programme website.
Consultant Outcome Publication 2014
Read the mortality data and outcome report for each of our consultant neurosurgeons: