The document provides information about cancer services provided at Lewisham and Greenwich NHS Trust. It describes that the Trust provides surgery for early stage cancers as well as chemotherapy and oncology clinics on both hospital sites. It is investing in chemotherapy units and has expanded services. Radiotherapy is provided at another hospital and the Trust supports the development of a new unit. It also describes pediatric oncology services and refers more complex cases to specialist cancer centers.

1. For patients diagnosed with cancer we provide surgery for colorectal, early
stage gynaecological and skin cancers and for patients referred to the Queen
Elizabeth site, Breast surgery. Patients requiring more complex surgery or
surgery for other cancers we refer to the Cancer Centres of Guy's and St Thomas'
and King's College Hospitals.
We have weekly Oncology clinics
on both hospital sites and patients
diagnosed with breast, lung, colorectal
and haematological cancers requiring
chemotherapy treatment have access to
chemotherapy units on either hospital
site. We are investing in these services
and in recent years have relocated and
expanded the unit at University Hospital Lewisham with the opening of the
David Whitmore suite and lately extended opening to 6 days a week at Queen
Elizabeth Hospital located in the Macmillan Brook Unit. We have also invested
in an electronic prescribing system which we anticipate will support patient
choice in where they receive their chemotherapy.
Radiotherapy services are provided at St
Thomas’ hospital and we are supporting
the development of the satellite
radiotherapy unit planned to open on the
Queen Mary's Sidcup site in 2016.
The Queen Elizabeth site has a level 1
paediatric oncology shared care unit
(POSCU). It provides supportive care and
chemotherapy to children and their families. This includes direct access 24/7 to
the paediatric inpatient Tiger Ward for assessment when unwell. The facilities
include 4 dedicated cubicles for children requiring admission and a day case
bay. We administer outpatient chemotherapy and liaise with families weekly to
provide support. We work alongside the Primary Treatment Centres of the Royal
Marsden Hospital, Great Ormond Street Hospital and University College Hospital.
Lewisham and Greenwich
GP Matters
Cancer Services Summary
Cancer Services at Lewisham and Greenwich NHS Trust
Lewisham and Greenwich NHS Trust provides a range of cancer diagnostic and treatment services for patients referred to University
Hospital Lewisham and Queen Elizabeth Hospital Woolwich.
We aim to provide high quality cancer services and working as part of the London Cancer Alliance South and West Integrated Cancer
System offer care in line with best practice guidelines.
Improving Cancer Waits
We have worked
hard over the
last 12 months to
improve access
to services.
At the beginning of 2015 96% of patients
referred on the urgent suspected cancer two
week wait pathway are seen within 14 days of
the Trust receiving the referral.
Diagnostic Services
Lewisham and Greenwich NHS Trust provides
diagnostic services for suspected Lung,
Breast, Colorectal, Haematological, Brain,
Gynaecological, Skin, Upper Gastrointestinal,
and Sarcoma cancers on both hospital sites.
Services for suspected Head and Neck
cancers are located on the University Hospital
Lewisham site only and suspected Urological
cancers on the Queen Elizabeth site only.
We provide a variety of investigations within
the radiology and endoscopy diagnostic
centres located on both hospital sites.
For patients with more complex diseases
requiring specialist investigation we work
closely with the Cancer Centres of Guy's and
St Thomas' and King's College Hospitals for
timely access to these tests whilst the patient
remains in our care.
Cancer Treatments

2. Lewisham and Greenwich NHS Trust
is the host trust for the South East
London Bowel Cancer Screening
Centre (SELBCSC). Bowel cancer
screening is offered to its 60–74
year old GP registered populations
of Lewisham, Greenwich, Bexley
and Bromley at University Hospital
Lewisham and to Southwark and Lambeth populations at King's College
Hospital NHS Foundation Trust.
The screening centre will implement
a new national service this year called
Bowel Scope Screening. This will be
rolled out incrementally over a two year
period. All 55 year olds registered with
a GP practice that has been included in
the roll out programme will be offered
a one-off flexible sigmoidoscopy.
For patients receiving chemotherapy
treatment at the Trust contact should be
made with the respective chemotherapy unit:
University Hospital Lewisham
David Whitmore Unit, Suite 8
Monday–Friday
09.00am–17.00pm
v 020 3192 6652
Monday–Friday
18.00pm–09.00am
(24 hours, Saturday, Sunday and Bank Holidays)
via Laurel ward
v 020 8333 3000 ext. 8755
Queen Elizabeth Hospital
Macmillan Brook Unit
Monday–Friday
08.30am–18.00pm
v 020 8836 5310
Monday–Friday
18.00pm–08.30am
(24 hours, Saturday, Sunday and Bank Holidays)
via Ward 21
v 020 8836 5317
Other services
Chemotherapy treatment
Emergency Care for patients admitted via the Emergency Department
We have established a multidisciplinary Acute Oncology service operational
Monday to Friday 9am–5pm. The service works closely with all inpatient
wards and emergency departments to ensure patients attending the trust
with complications relating to their cancer or cancer treatment receive timely
oncology advice.
Support Services
We offer a variety of support services for
patients including:
w Dedicated Clinical Nurse Specialist (CNS) for
each cancer type
w Macmillan Welfare Benefits Advice Service
w Cancer Psychotherapy service
w Stop Smoking Service
w Family Risk Assessment for breast,
gynaecological and colorectal cancers
w Macmillan Cancer and Palliative care Dietitians
w Well Being clinic and events
w Colorectal and Gynaecological patient
support groups
w Specialist Palliative Care
Overleaf are listed the leads for the cancer
multidisciplinary teams for Lewisham and
Greenwich NHS Trust.
Monday–Friday 9am–5pm the key first
point of contact for patients being
treated at the Trust is their Clinical
Nurse Specialist (CNS).
Cancer Services Directory

3. Cancer MDTs
Breast Cancer Services
Mr Kislaya Thakur, Lead clinician
Sarah Williams, Jenny Dobrzynski,
Breast CNS
(ext 6899; Bp 282/417)
MDT: Thursday 13.30
Lung Cancer Services
Dr Gareboo, Lead clinician
Caroline Gousy, Nayomi
Wickramasinghe, Lung CNS
(ext 4111; Bp 927/603)
MDT: Wednesday 12.45
Colorectal Cancer Services
Mr Dominic Corry, Lead clinician
Cerena Barnett, Mary Oyekola,
Colorectal CNS
(ext 5500; Bp 402/622)
MDT: Friday 08.00
Dermatology Cancer services
Dr Rachel Healy, Lead clinician
Tracey Thompson, Skin CNS
(ext 5253; Bp 366)
MDT: Monday 09.00
Gynaecological Cancer Services
Mr Russel McDonald, Lead clinician
Margaret Kent, Gynae CNS
(ext 4511; Bp 477)
MDT: Tuesday 12.00
Urology Cancer services
Mr Ramon Niekrash, Lead clinician
Reena Seunath, Urology CNS
(ext 6933; Bp 318)
MDT: Tuesday 14.00
Acute Oncology Service (AOS),
metastatic spinal cord compression
(MSCC) and CUP
Dr Hartmut Kristeleit, Lead clinician
Yvonne Noble, AOS CNS
(Bp 835)
CUP MDT: Thursday 12.00
Referral via Bp 835
AMU referral or 078 2653 0515 MSCC
Co-ordinator (KCH), 075 2897 7590
9–5pm Mon–Fri,
Fax: 020 3299 4197
OOH contact on call neurosurgical SpR
via KCH switchboard
OOH Network Consultant Oncologist
telephone advice service 020 7188 7188 ask
for oncall medical/clinical oncology SpR
Key contacts
Cancer management Team
Dr Naheed Mir and Miss Jane Linsell,
Lead Cancer clinicians
Julie Baker, MacmillanLeadCancerNurse
v 077 9661 2001
Hazel Craig, GeneralManagerforCancer
v 078 8005 4766
Charli Street, Cancer Pathway Manager
v 020 8333 3000 ext 6933
Leighann Innis, CancerServicesManager
v 020 8333 3000 ext 6933
Haemato-Oncology Services
Dr Nic Ketley, Lead clinician
Rachel Benson, Haemato-Oncology CNS
(ext 5961; Bp 556)
MDT: Tuesday 9.00
Upper GI Cancer Services
Dr Amit Gera, Lead clinician
Ann Sparrow, Rahela Osborn, Upper GI
CNS
(ext 6719/5064; Bp 680)
MDT: Friday 08.00
Specialist Palliative Care
Dr Brendan O’Neill, Lead clinician
Wendy Lethem, Nurse Consultant in
Palliative Care
Sik Li, Chris Gale, Lisa Shovelar,
Palliative care CNS
(ext 5442; Bp 747; OOH 020 8320 5831)
MDT: Tuesday 09.00
The Cancer Services provided at QEH:
w Breast
w Lung
w Colorectal
w Upper GI
w Gynaecological
w Urology
w Haemato-Oncology
w Dermatology
w Acute Oncology
w Cancer of Unknown Primary (CUP)
Two week wait referral office
Fax: 020 8836 4035
Email: LG.CWT@nhs.net
Where we are based
Outpatient Oncology Clinics are held
in Macmillan Brook Unit
Queen Elizabeth Hospital, Woolwich

4. Cancer MDTs
Breast Cancer Services
Mr Ash Kothari, Lead clinician
Vernie Ramalingham, Breast CNS
(mob 078 9699 9150)
Kathy Saggers, Oncology Breast CNS
(Bp 1939)
MDT: Tuesday 13.00
Lung Cancer Services
Dr Peter Luce, Lead clinician
Connie Jackson, Lung CNS
(ext 6517; Bp 1936)
MDT: Monday 08.30
Colorectal Cancer Services
Miss Jane Linsell, Lead clinician
Claire Coughlan, Tracy Naughton,
Colorectal CNS
(ext 3752; Bp 2971)
MDT: Thursday 13.00
Dermatology Cancer services
Dr Shamali Hoque, Lead clinician
Frances Parrish, SkinCNS
(ext 6827)
MDT: Tuesday 14.00
Gynaecological Cancer Services
Mr Dan Zamblera, Lead clinician
Saran Sylla, Gynae CNS
(ext 6858; mob 078 8005 4834)
MDT: Monday am
Head and Neck Cancer services
Mr Nicholas Gibbins, Lead clinician
Shari Woods, Head and Neck CNS
(Bp 2912)
MDT: Wednesday 08.00
Acute Oncology Service (AOS),
metastatic spinal cord compression
(MSCC) and CUP
Dr Lena Karapanagiotou, Lead clinician
Helen Guyatt, AOS CNS
(ext 8504; Bp 1931)
CUP MDT: Thursday 12.00
MDT referral
LH.AcuteOncologyService@NHS.net
MSCC Co-ordinator (KCH) 075 2897 7590
9–5pm Mon–Fri
Fax: 020 3299 4197
OOH contact on call neurosurgical SpR
via KCH switchboard
OOH Network Consultant Oncologist
telephone advice service 020 7188 7188 ask
for oncall medical/clinical oncology SpR
Haemato-Oncology Services
Dr Naheed Mir, Lead clinician
Vacant, Haemato-Oncology CNS
(ext 8352; Bp 7024)
MDT: Tuesday 14.00
Upper GI Cancer Services
Dr Raj Srirajaskanthan, Lead clinician
Jane Carroll, Upper GI CNS
(Bp 1937)
MDT: Thursday 13.30
Cancer Clinical Psychology service
Matt Donovan, Psychotherapist
Referral:UHL patients only via proforma
Specialist Palliative Care
Dr Katie Emmitt, Lead clinician
Geraldine Damanhuri, Angie O’Rouke,
Richard Auckland, Marie Morgan,
Palliative care CNS
(ext 3017; Bp 1934/1935/1930
OOH via switchboard)
MDT: Tuesday 09.00
Referral: via referral form on intranet
faxed to 020 8333 3270
University Hospital Lewisham
The Cancer Services provided at UHL:
w Breast
w Lung
w Colorectal
w Upper GI
w Gynaecological
w Head and Neck
w Haemato-Oncology
w Dermatology
w Acute Oncology
w Cancer of Unknown Primary (CUP)
Two week wait referral office
Fax: 020 8333 3451
Where we are based
Outpatient Oncology Clinics are held
in Suite 8, 1st
Floor Pink Zone
Key contacts
Cancer management Team
Dr Naheed Mir and Miss Jane Linsell,
Lead Cancer clinicians
Julie Baker, MacmillanLeadCancerNurse
v 077 9661 2001
Hazel Craig, GeneralManagerforCancer
v 078 8005 4766
Charli Street, Cancer Pathway Manager
v 020 8333 3000 ext 6933
Leighann Innis, CancerServicesManager
v 020 8333 3000 ext 6933