Meet the team
The nutrition support and intestinal failure service is run by a team of doctors, surgeons, specialist nurses, pharmacists, dietitian and ward staff. We have close links with many other services including psychiatry and the chaplaincy.
Dr Trevor Smith, consultant in gastroenterology and intestinal failure and divisional clinical director
Dr Smith has a specialist interest in intestinal failure and nutrition support, and is the clinical director for intestinal failure and specialist medicine. Dr Smith has a number of national roles including chairing the British Artificial Nutrition Survey. Contact Dr Smith's secretary on 023 8120 4153.
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Dr Emily Clarke, consultant in gastroenterology and intestinal failure
Dr Clarke is a consultant gastroenterologist specialising in nutrition and intestinal failure. She completed gastroenterology training in South West England, and spent time working in intestinal failure at St Mark’s Hospital, London and in intestinal and multivisceral (multiple organ) transplantation at Addenbrooke’s Hospital, Cambridge. She also looks after general gastroenterology inpatients and outpatients. Contact Dr Clarke's secretary on 023 8120 4153.
Dr Charlotte Rutter, consultant in gastroenterology and intestinal failure
Dr Rutter completed senior clinical fellowships in intestinal failure at St Mark’s Hospital and in intestinal and multivisceral (multi-organ) transplant at Addenbrooke’s Hospital in Cambridge, before joining the team as a consultant in Southampton in 2016. She is the lead for intestinal transplant at UHS and attends the National Adult Small Intestinal Transplant forum (NASIT). She is the departmental lead for Gastroenterology at UHS and the British Society of Gastroenterology (BSG) Workforce Lead. Contact Dr Rutter's secretary on 023 8120 4153.
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Mr Andrew King, consultant colorectal surgeon
Mr Andrew King works as our lead intestinal failure surgeon. He is involved in the management of all of our patients with enterocutaneous fistulae and open abdomens. He also has an interest in laparoscopic surgery both in the treatment of complex inflammatory bowel disease and colorectal cancer. Contact Mr King's secretary on 023 8120 4636.
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Mr Carl Richardson, consultant colorectal surgeon
Mr Richardson leads the surgical intestinal failure service alongside Mr King, and has a special interest in surgery for inflammatory bowel disease. He was part of the team responsible for the successful application to NHS England for Southampton to become a national service for intestinal failure surgery. Contact Mr Richardson' secretary on 023 8120 4636.Read full profile
Liz Buse, clinical nurse specialist in intestinal failure
Liz is based predominantly on the intestinal failure unit. She works with the surgeons, gastroenterologists, nutrition team and ward nurses. Liz acts as an advocate for patients and their families, providing support and guidance in many aspects of managing intestinal failure, and coordinating the highly individualised and multi-disciplinary care required. She also provides education and training for the staff within the intestinal failure unit and acts as a resource for colleagues.
Zillah Leach, clinical nurse specialist in nutrition support
Zillah has extensive training and experience in enteral nutrition (feeding via a tube into the gut) and parenteral nutrition (feeding via a tube into the vein). Working closely with the rest of the team, her role involves reviewing patients receiving intravenous feeding.
Catherine Sibley, clinical nurse specialist in enteral nutrition
Catherine assesses patients for enteral nutrition (feeding via a tube into the gut), and provides information, support and advice to patients and their families. Catherine also works with community teams to ensure patients receive good care for their feeding tubes if they are admitted to hospital.
Priya Mistry, lead pharmacist, nutritional support and intestinal failure
Priya reviews patients receiving parenteral nutrition with close attention to the formulation and their other medication needs. Priya also works closely with the in-house technical services unit and the surgical ward pharmacists. Her role includes helping to co-ordinate parenteral nutrition for patients at home, and working with the homecare companies' pharmacy units. Her role as lead pharmacist involves co-ordinating and taking responsibility for the pharmacy service to the team.
Debbie Taylor, senior pharmacist, nutrition support and intestinal failure
Debbie works closely with other members of the nutrition support and intestinal failure team in the provision of parenteral nutrition to inpatients, as well as set up and management of patients on home intravenous nutrition and fluids. Within this role she regularly reviews and optimises patient medications whilst also reviewing patient clinical conditions.
She has spent time working within the technical services unit and thus has additional expertise in the area of compounding and stability of parenteral nutrition.
Lucy Bakewell, intestinal failure dietitian
Lucy leads the dietetic team for the service providing support to patients managing their dietary changes and intravenous nutrition. She has a particular interest in patient experience of the service and how patient views can help change the service.
Alongside the rest of the dietitians, she helps people maximise the nutrition and fluid they get from their diets whilst minimising symptoms. Alongside other members of the team, she reviews patients on intravenous nutrition and helps them move towards other forms of nutrition. Lucy also runs a separate clinic for outpatients who would benefit from more intensive dietetic input.
Caroline Coward, intestinal failure dietitian
Caroline has substantial experience seeing patients with short bowel syndrome, high output stomas and pre-op distal limb feeding.
Alongside other members of the team, Caroline reviews patients daily on parenteral nutrition as well as providing tailored diet and fluid advice to support a patient’s journey off IV support. Caroline attends the weekly multidisciplinary clinic where she works alongside the intestinal failure consultants and nurses to provide a complete nutritional review.
Hannah Leach, intestinal failure dietitian
Hannah works with the team reviewing patients on intravenous nutrition with a focus on moving them to alternative methods of nutrition. She is particularly interested in helping patients return to an oral diet after surgery.
The nursing team
Nurses on the intestinal failure unit
The intestinal failure unit team work to optimise nutritional status, regulate fluid and electrolyte balance and aid complex stoma, fistula and wound management. The nurses are highly trained and competent in wound care and the care of central access devises and promote high levels of infection prevention and control in order to safeguard our patients. The staff working within the intestinal failure unit continually strive for excellence and aspire to promote patient centred care, while encouraging condition understanding and self management as appropriate.
The stoma care nurses provide education, informal counselling, lifestyle advice, health promotion, appliance management and support to people who have or are about to have a stoma formed. The service involves both pre-operative and long term management of clients with a stoma. This service is provided by Solent NHS Trust and is accessible to all inpatients and outpatients within Southampton city and parts of West Hampshire. Patients living outside of the local area will be provided with contact details for their local services before discharge.
Kim Bath, intestinal failure coordinator
Kim works closely with all members of the multidisciplinary Southampton nutrition support and intestinal failure (NSIFT) team. She is the recognised liaison point for the NSIFT for all internal and external enquiries. Kim acts as a point of contact for patients, helping them with their enquires and liaising or signposting to other services as required. She co-ordinates the outpatient clinic service for the intestinal failure team.
Kim facilitates the coordination of the patient admission and discharge pathways, through close liaison with the relevant services. She is instrumental in the administrative side of the service, and provides clerical support to team members, as well as supporting data analysis and the organisation of local and regional educational events.