The Neuro Oncology team based at Lancashire Teaching Hospitals comprises of a team of Multi-professional people working together to provide an accurate diagnosis and management of patients with all aspects of brain disease.
There are a team of 9 Neurosurgeons here at Lancashire Teaching Hospitals who all have their own specialist areas of interest. Below are the Five Consultants who specialise in Neuro oncology.
Mr G Hall – Neuro Oncology MDT Lead Clinician
Mr Gregory John Hall F.R.C.S. (SN), Ph.D. studied Medicine at the London Hospital Medical College from 1985 – 1991 and completed his basic surgical training in London. He then trained as a neurosurgeon in Leeds from 1997 – 2008. During his training he spent three years at the Cancer Research UK laboratory in Leeds. Mr Hall conducted research into the use of genetically modified adenoviruses to treat malignant brain tumours and investigated a new approach using ultraviolet light as a treatment agent. This work culminated in a PhD in 2007.
Mr Hall joined the team at Lancashire Teaching Hospitals in 2009 as a Consultant Neurosurgeon. His specialist interest is in neuro-oncology and research into novel therapies for brain tumours.
Elvira Lekka Consultant Neurosurgeon
Mr A Ray
Mr Arup Ray MBBS, FRCS(Glas) FRCS(Ed) FRCS(SN) qualified in India and completed post-graduation training in the UK. Neurosurgical training was done in Leeds, Manchester and Preston. He then did further neuro-oncology training at Toronto Western Hospital, Canada and was a National Spinal Fellow at James Cook University Hospital, Middlesbrough. Mr Ray’s interests are in Neuro-oncology include awake craniotomies for brain tumours, implantable chemotherapy, brain-mapping, stereotactic radiosurgery and management of low-grade tumours. He also has an interest in complex spine surgery. Mr Ray is also involved in other roles outside of his clinical duties which are:
Chairman, Brain & CNS tumours NSSG
Core Member, Neuro-oncology Multi-Disciplinary Team
Core Member, Metastatic Spinal Cord Compression MDT
Neurosurgical Lead, Stereotactic Radiosurgery service
Lead, Clinical Governance and Audit
Lead, Neurosurgical Departmental Training
Co-ordinator, North-West Deanery Neurosurgical Teaching Program
Member, Brain Tumour North-West Research Group
Mr G Roberts – Skull base & Pituitary
Mr Gareth Roberts MBChB, BSc Hons, MD studied medicine at Liverpool University 1984 -1990 and completed his basic surgical training in 1996. Mr Roberts then went onto Dublin to further study in higher Neurosurgical training completing in 2000. He took up a Consultant post here at Lancashire Teaching Hospitals in 2001. Mr Roberts specialist areas of practice are General Neurosurgery, neurovascular surgery and skull base tumours which includes pituitary.
Mr N Gurisinghe – Skull base
Mr Nihal Gurusinghe, MBBS, FRCSEd graduated from medical school in Colombo, Sri Lanka (1970). He then completed neurosurgery training at Atkinson Morley's Hospital (St. Georges Hospital Medical School), National Hospital for Nervous Diseases, Queen Square and The Great Ormond Street Hospital, London. Mr Gurusinghe joined Lancashire Teaching Hospitals in 1985 where he specialises in Neurovascular disease; skull base lesions and spinal tumours. Outside of his clinical work he has also taken on a variety of roles:
Member of the Executive Council of the Society of British Neurological Surgeons. Joint Royal College representative on the Specialist Advisory Council for Neurosurgery.
Chairman of the Specialist Advisory Board for Neurosurgery (Specialty Surgical Group) for the Royal College of Surgeons, Edinburgh.
Specialist Advisor to National Institute for Clinical Excellence
Co-ordinator for Society of British Neurological Surgeons for NICE5.
National Selection Panel for Neurosurgery Run Through training 5.
SAC Liaison Member for Neurosurgery training in Scotland
Oncologists are medical doctors who study, diagnose and treat cancerous tumours. At Lancashire Teaching Hospitals we have 3 Oncologists who work with the Neuro Oncology team to treat patients with brain tumours.
Dr A Hindley – Consultant Oncologist
Dr Hindley MBchB MD MRCP FRCR FRANZCR graduated in 1977. During 1992 -1997 he worked as a Consultant radiation Oncologist in New Zealand. He then joined Lancashire Teaching Hospitals in 1997 as Consultant Oncologist. Dr Hindley’s specialist areas of practice and interest included patients with brain tumours, Stereotactic Radiosurgery, Gynaecological cancer, Breast cancer and Lung Cancer. He delivers Chemotherapy and radiotherapy to all these tumours. Up until recently Dr Hindley has been the clinical research lead for the Lancashire and South Cumbria Cancer Network. He continues to take an interest in research and has been a major participant in UK/EORTC brain tumour trials including upfront Temozolamide and upfront Carboplatin trials which are coordinated by the Royal Marsden hospital. He has also been involved in BR 11,12,13 and 14 trials for gliomas, and the GALA trial for Glioblastomas.
Also Dr Hindley has attended an Electa Stereotactic radiosurgery course in Wurzburg Germany in December 2011.
Dr G Read – Consultant Oncologist
Dr Read MB Bchir MA FRCR FRCP graduated in 1971 and has held junior posts in Medicine at the Manchester Royal Infirmary and Crumpsall Hospital (North Manchester General). He then took up a registrar and specialist registrars post at The Christie where he then became a Consultant Oncologist. He then joined Lancashire Teaching Hospitals as a Consultant Clinical Oncologist. Dr Read’s special interests are in radiotherapy for Brain tumours and Skin Cancer and also radiotherapy for non-malignant disease. Previously he has undertaken research into urological cancers and taken on the following roles, Clinical Director, Medical Director at the previous Lancashire and South Cumbria Cancer Network and is an honorary lecturer at the University of Central Lancashire.
Dr Read currently runs oncology clinics on Monday and Thursday afternoons in the Rosemere Cancer Centre.
Radiologists are doctors who are trained to carry out and interpret medical images such as X-rays and CT scans. They are supported by radiographers, who are trained to carry out X-rays and use other types of scanning equipment.
Dr S Mathur – Consultant Radiologist
Dr Sachin Mathur, MBBS; MD; MRCP; FRCR trained within the Manchester Radiology Training Scheme. He was appointed a Consultant Neuroradiologist at Lancashire Teaching Hospitals in July 2011. He has a keen interest in imaging of brain tumours and is a core member of the neuro-oncology multidisciplinary meeting and also the lead radiologist for the Low grade glioma MDT. He is in the process of implementing advanced neuro-imaging in brain tumours to provide as much information as possible to the surgeons and oncologists prior to and during treatment.
Dr S Wuppalapati - Consultant NeuroRadiologist
Dr Wuppalapati MBBS DMRE DNB Radiodiagnosis, International Masters in Neurovascular disease registered in 2006 after training in Mumbai as an Interventional neuroradiologist. His specialist area of practice is diagnostic and interventional neuroradiology.
Dr H Sonwalker - Consultant NeuroRadiologist
Dr Hemant Sonwalker MBBS, FRCR, MD, DM registered in 2006 where he took a Consultant Radiologists post in Claderdale and Huddersfied Trust. Dr Sonwalker joined Lancashire Teaching Hospitals as a Neuro radiologist in 2010. His specialist areas of practice are diagnostic and interventional neuroradiology.
Dr R Bartlett, Consultant NeuroRadiologist
Dr Richard Bartlett, FRCR, FRCP, EQN undertook his medical training at St. Thomas’s , London. He then specialised in radiology by training in Leeds during 1980-1986. He then became a Consultant Neuro Radiologist in Hull between 1987 and 2013. Dr Bartlett has recently joined Lancashire Teaching Hospitals in October 2013 as a Consultant Neuro Radiologist and is the newest member to the NeuroOncology MDT. Outside of his clinical commitments Dr Bartlett has been a secretary to the British Society of Neuroradiologists during 1999 and 2003. His special interests are in complex spinal imaging and has had multiple publications relating to the cervical spine.
Pathologists are medically trained doctors who then specialise in the detection of disease. Histopathology is the diagnosis and study of disease by interpretation of cells and tissue samples. Histopathologists are members of the Multi-disciplinary team and play and integral part of cancer management through staging and grading tumours.
Prof T Dawson – Consultant and Clinical Professor in Neuropathology
Dr Dawson MB BCh BSc (hons) PHD (Wales) DipRCPath(Gen) FRCPath graduated from the University of Wales College of Medicine, Cardiff in 1985 with science and medical degrees. He undertook his general hospital training and obtained Post-Doctoral Research Fellowship at the University of Basel/ZLF, Switzerland studying cellular transport systems. He returned to Wales as a lecturer to complete a PhD in tumour biology, and specialist training in both general and neuropathology. Professor Dawson is a fellow of the Royal College of Pathologists with dual accreditation. He has been a Consultant and Head of Neuropathology for Lancashire Teaching Hospitals NHS Foundation Trust since 1999.
Professor Dawson is also the Clinical Chair in Neuropathology at the University of Central Lancashire and holds an honorary Lecturership with Manchester University.
He continues to maintain a research interest in neuro-oncology and the trust’s tumour bank and research laboratory which are part of the Brain Tumour North West (BTNW) research group. This initiative aims to improve the understanding and treatment of these aggressive tumours by regional collaboration.
Professor Dawson also has an interest in forensic neuropathology and as well as performing regional and supra-regional specialist Coronial autopsies, he provides a national forensic neuropathology service as well. As an Executive member of the British Neuropathology Society, he contributes to matters concerning standards, training, governance and research within the UK. He is also the trust directorate lead for undergraduate teaching and research.
Dr J Joseph – Consultant Neuropathologist
Dr Joseph MBBS (Calicut University, India) MD in Pathology (India) FRCPath (UK) registered in 2004. He undertook his general histopathology practice in India between 1987 and 2000. During 2000 and 2005 he was a specialist registrar in Neuropathology ending his time in Addenbrookes Hospital, Cambridge. Dr Joseph joined Lancashire teaching Hospitals as a Consultant in 2005 reporting on all neurosurgical biopsies including intra-operative smears and frozen sections. He also reports on muscle and nerve biopsies; ophthalmic specimens; cerebrospinal fluid cytology and neuropathologic postmortems. His special interests are the Pathology of brain tumours; muscle and nerve diseases.
Neurology is a specialty involved in the diagnosis and management of diseases of the nervous system, and caring for the patients who suffer from them.
Specialist nurses are dedicated to a particular area of nursing; caring for patients suffering from long-term conditions and diseases such as cancer, diabetes, epilepsy, motor neurone disease, Parkinson’s and dementia. They provide direct patient care and can play a vital role in educating patients on how best to manage their symptoms, as well as offering support following diagnosis. Today’s specialist nurse takes a leading role in making sure patients get the best care possible.
Julie has worked in various roles within the Neurosciences unit including ward manager, research nurse and nurse practitioner. Whilst working as a Ward sister she gained a BA(Hons) in Health Studies then completed MSc in Professional Practice. Julie began the role of Macmillan Neuro oncology nurse specialist in 2007 and now works as part of a team to deliver care, provide advice and support to act as keyworker for brain tumour patients and their carers. Julie has completed courses in counselling, advanced communication skills training, Macmillan cancer care course and cancer leaders programme. She has an interest in education for both health professionals and patients and carers. She has contributed to audits/research and presented at conferences as well.
Lorraine qualified with a Diploma of Higher Education in Nursing from the University of Central Lancashire. Here she took a staff nurse position in the Neuroscience Directorate at Lancashire Teaching Hospitals gaining experience and insight in caring and supporting patient with central nervous system conditions. Lorraine also has a background of Palliative Care nursing and during her time as a staff nurse became drawn towards caring for patients with Neuro oncology conditions. This led her to take additional education modules with neuro oncology and Palliative care. Lorraine then moved to the oncology directorate to gain a knowledge and experience in chemotherapy delivery thus gaining an understanding of the different aspects of nursing throughout the patients cancer journey. Now as a Neuro oncology specialist nurse and a member of a multi-professional team allows her to provide holistic supportive care for patient, carers and families to maximise the benefits of treatment and improve the quality of life for patients with central nervous malignancy.
The Pre-op team in Neurosurgery incorporates an elite group who have accomplished with in the Trust, a Gold Standard Service for all Neurosurgical elective patients in expediting their clinical risks for anaesthesia. This has seen the team achieve a trust quality award for the service they deliver and feedback on patient satisfaction records the service as excellent.
The teams responsibility is to support patients with brain tumours by providing a one stop fast track service which reduces time and delivers a high quality service.
Embracing and being part of the whole oncology team is a privilege and ultimately gives the patient an excellent service. By having a multi professional approach that is of the highest standard ensures comfort and confidence in the patient and carers journey.
Currently the team consists of a Doctor, a preoperative neurosurgical specialist nurse, a senior registered nurse with over 25 years experience in neurosciences and a health care assistant.
There is a wide range of healthcare professionals who are involved in your cancer treatment. Therapy Radiographers are responsible for planning your treatment, delivering your treatment and your day to day care whilst receiving radiotherapy.
Tina Benn-McKay – Superintendent Radiographer
Tine works as a treatment delivery superintendent radiographer within the radiotherapy centre at Lancashire Teaching Hospitals where she is the lead stereotactic radiographer for radiosurgery.
Tina trained at the University of Liverpool which included her clinical experience being based at the Northern Centre for Cancer Treatment in Newcastle-upon-Tyne. She qualified in 1995 and has worked in a variety of radiotherapy centres both large and small in the UK and Australia. Tina returned back to the North West in 2002 and started work at the Rosemere Cancer Centre (RCC).
Tina’s work involves supporting and leading the treatment delivery team and ensuring they have the appropriate skills and experience to deliver a high quality patient friendly service. Leading the stereotactic radiosurgery service involves guiding the patients through the stereotactic journey, giving them the information and support they require. Radiosurgery has a multidisciplinary team approach with support from Consultant Oncologists, Neurosurgeons, Neuro-oncology specialist nurses, Medical physicists and therapy radiographers.
Tina has also had the opportunity to be involved in several projects that have improved the quality of patient care within the Rosemere Cancer Centre and continues to do this with the implementation and development of the stereotactic radiosurgery service.
Darran Kellet – Technical Development Superintendent
Darran is a Therapeutic Radiographer who works alongside the neuro team in the Rosemere Cancer Centre. His area of responsibility is the pre-treatment and patient preparation area. His duties in the neuro-oncology setting are mainly developing and implementing the equipment used in the radiosurgery treatments and deputising for the lead stereotactic radiographer in her absence.
Darran qualified in the North Trent School of Radiography at Sheffield Hallam University between 1988- 1991 and has worked at the Rosemere Cancer Centre since 1997 in a variety of positions within the Radiotherapy department. Darran’s experience prior to moving to Preston was in the south of England and also in Sheffield where he trained.
Darran continues to enjoy the opportunities & challenges that developing new treatment techniques offer.
Charlotte Mills, MDT Coordinator
The role of the Brain & CNS MDT Co-ordinator facilitates and co-ordinates the needs of the multidisciplinary team meetings and members. The aim of the role is to ensure the appropriate patients are discussed at MDT’s and obtain the correspondence, notes, x-rays; results are available for review.
The role of coordinator during the multidisciplinary meeting is to take minutes, distribute the minutes to all concerned, gather data and adjust pathways to reflect patient outcomes.
This position requires good communication between consultants, Clinical Nurse Specialist’s, Oncology, Secretaries and other referral centres to ensure that each patient is correctly represented by the clinical team. This role is pivotal to the care of cancer patients.