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Clinical
Practice
There has been a
continuum of change and development in Obstetrics and Gynaecology
within the Kings Lynn & Wisbech Hospitals NHS Trust which I have
been in a key position to influence in response to service
needs.
- In the 1970's
I pioneered epidurals in obstetrics and regional blocks for
Caesarean sections and at the same time introduced continuous
electronic fetal monitoring in Kings Lynn. I provided the
leadership to initiate and set up the epidural service in
Obstetrics ahead of other hospitals in East Anglia and I published
two landmark papers in international peer reviewed journals about
multi-disciplinary team working in this field. The epidural
service in the QE Maternity Department is now second to
none.
- In the 1980's I introduced vaginal
hysterectomy without prolapse and started the colposcopy service.
I initiated laser surgery in gynaecology in North West
Norfolk.
- I am lead
Clinician of the Colposcopy service, which I set up and I am
accredited by the BSCCP as a trainer. I am now involved in putting
arrangements in place to comply with the audit requirements, which
are needed with the introduction of clinical governance.
- At the
beginning of this decade I developed the infertility service to the
point of carrying out the first Gamete Intra-Fallope Transfer
(GIFT) procedure in West Norfolk. I was influential in the
development of this service before appointing a consultant
gynaecologist with a special interest in infertility.
- More
recently I have introduced
outpatient clinics for hysterosocopy and medical termination of
pregnancy and become lead clinician for antenatal fetal diagnosis
and amniocentesis.
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