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Endocrinology

Our mission

Our aim is to provide a efficient and high quality NHS service for children with hormonal (endocrine) and bone problems, delivered by EC accredited specialists in accordance with best practice.

Services

We offer diagnosis, treatment and support for a whole range of common and complex endocrine conditions in children,

We run a busy service covering a large geographical area in the North-West of England with 1000 day case endocrine admissions per annum, over 150 children with adrenal insufficiency patients (100 children with Congenital Adrenal Hyperplasia) in the adrenal clinic and over 350 children treated with human growth hormone in the growth clinic.  We run a national centre (Northern Congenital Hyperinsulinism service, NORCHI) for the rare disorder of congenital hyperinsulinism with over 160 active patients with the condition. NORCHI is an European centre of excellence and provides highly specialised PET scanning facilities for the diagnosis of focal hyperinsulinism for children in the north of the UK.

The consultants are supported by a team of endocrine nurse specialists.  We also support young people to transition to adult endocrinology services at two monthly Young Person's endocrine clinics, which are run at the Manchester Royal Infirmary (MRI) in conjunction with our adult colleagues Prof. Fred Wu and Prof J Davies.

We also work closely with colleagues from other paediatric specialties by holding multidisciplinary team meetings for patients with complex kidney disorders, DSD, hypothalamic / pituitary tumours and genetic disorders.

We provide local outreach clinics at district general hospitals in Barrow-in-Furness, Blackburn, Lancaster, Macclesfield and Stockport.  We also provide a peripheral congenital hyperinsulinism clinic service at Nottingham.

Basal blood tests may be performed on the day of your outpatient appointment and if required, stimulation endocrine function tests are performed by the trained nurses on the Medical Investigations Unit at the Elective Treatment Centre (ETC) on Ward 76.  Inpatient procedures and admissions are arranged as required and supervised by junior doctors.

Access to the service

We accept referrals from GPs, paediatricians at district general hospitals and from other tertiary paediatric services from other centres. We aim to see all urgent referrals within a week of request. Emergency referrals by phone call are usually seen within 48 hours (including congenital hypothyroidism notified by the Central Manchester Hypothyroidism screening laboratory).

Referral to visiting local outreach clinics are usually made through local paediatricians in discussion with consultants or transfers from Manchester endocrine clinics.  Availability of these clinics are limited and triaged accordingly.

The Team

The clinical service is run by five NHS consultants

  • Dr I Banerjee
  • Dr S Ehtisham
  • Dr M Skae
  • Dr R Padidela
  • Dr Z Mughal

Two academic consultants

  • Dr L Patel
  • Professor P E Clayton

Two Specialist Endocrine nursing practitioners

  • Sister Julie Jones
  • Sister Elaine O'Shea

Two Specialist CHI Nursing Practitioners

  • Sister Lindsey Rigby
  • Sister Louise Caine

There are a number of Specialist Trainees and a CHI Trust fellow.  Other staff include three secretaries and a CHI administrator.

Contact Numbers

Secretaries:
Dr Indi Banerjee, Dr Mars Skae and Dr Raja Padidela - 0161 701 1628
Professor Peter Clayton, Dr Leena Patel and Dr Ehtisham, Dr Zulf Mughal - 0161 701 1678


Specialist Nurses
Julie Jones: 0161 701 2587
Elaine O'Shea: 0161 701 2587
Lindsey Rigby (Congenital Hyperinsulinism): 0161 701 2460
Louise Caine (Congenital Hyperinsulinism): 0161 701 0518

Specialist endocrine nursing services

The Endocrine Team has two specialist nurses who educate and support families of children with disorders of growth requiring growth hormone treatment, which includes visiting the families at home to commence the treatment as well as monitoring the response to treatment, including safety and compliance

As well as the children requiring growth hormone the Endocrine Specialist Practitioners also support, educate and counsel families and schools in the Northwest that have children with complex endocrine problems including Congenital Adrenal Hyperplasia.

Alongside the medical team, the nurses act as a resource for advice and education to other healthcare professionals such as GPs.

The NORCHI service has two specialist nurses who support families with the rare condition of Congenital Hyperinsulinism (CHI). The nurses are based at RMCH but also work at Alder Hey Children's Hospital in Liverpool. They provide support to families whilst in hospital as the children are often admitted for long periods of time. They also provide telephone support once the child has gone home in addition to education for families and community staff on the condition. The nurses, along with the medical team, also engage with providing teaching sessions to local hospitals to educate medical and nursing staff on the management of this condition.  The nurses also facilitate nurse-led clinics for review of patients with CHI.

Clinics

The service is run through a large variety of consultant-led new patient and follow-up clinics at the Royal Manchester Children's Hospital (RMCH) for patients with endocrine and bone disorders between the age ranges of 0-16 years. View both our Regular and Specialist Clinics

Location

Royal Manchester Children's Hospital
Oxford Road
Manchester
M13 9WL


Click here for directions to the Hospital