Colorectal pathway board 

The Colorectal Tumour Pathway Board, led by Michael Machesney, is responsible for driving improvement across the whole care pathway. Click here to read our annual report for 2017/8.

  • Clinical director

    Mr Michael Machesney, Pathway Director for Colorectal Cancer

    Professional background

    I have been a consultant colorectal surgeon and lead clinician for colorectal (bowel) cancer at Whipps Cross Hospital since 2003. I was also the clinical director for surgery, critical care and anaesthesia until the Barts Health merger.

    After qualifying from University College Hospital London in 1990, I completed my professional training in surgical training programmes based at St. Mary's Hospital and the North East Thames region. I also hold an honorary consultant position at the St. Andrew's Plastic Surgery Centre at Broomfield Hospital where I perform complex colorectal and reconstructive operations. I am a member of the court of examiners of the Royal College of Surgeons.

    Specialist interests

    My clinical interest is in coloproctology. I specialise in laparoscopic colorectal surgery and colonoscopy. The colorectal unit at Whipps Cross Hospital is a leader in laparoscopic surgery for bowel cancer and the enhanced recovery programme - a system to optimise perioperative care for surgical patients.

    Research interests

    My research interests include wound healing, laparoscopic and colorectal surgery. I am the clinical lead for the North East London Cancer Network project focused on late presentation in patients with colorectal cancer. I have presented work at national and international meetings on complete biological response following chemoradiotherapy and bowel cancer screening.

 Colorectal pathway board papers

Colorectal Pathway Board minutes September 201916/09/2019
Colorectal Pathway Board minutes June 201911/06/2019
Colorectal Pathway Board minutes January 201921/01/2019
Colorectal Pathway Board Minutes September 201810/09/2018
Colorectal Pathway Board Minutes June 201818/06/2018

 Colorectal pathway board documents

Standards for patients diagnosed with anal cancer in the London Cancer Integrated Cancer System 2014
Clinical Advice for the Commissioning of the Whole Bowel Cancer Pathway August 2017
Colorectal Pathway Board Annual report 2018-19
Colorectal Stratified Follow-up Pathway Resource Pack - June 2018
Appendix F Colorectal Stratified Follow-up Pathway Resource Pack - GP clinical template letter
Appendix E Colorectal Stratified Follow-up Pathway Resource Pack - GP info leaflet
Appendix C Colorectal Stratified Follow-up Pathway Resource Pack - patient info leaflet
Appendix B Colorectal Stratified Follow-up Pathway Resource Pack - draft business case
Appendix VI Colorectal Stratified Follow-up Pathway Resource Pack - patient questionnaire example

 Membership - Colorectal pathway board

Adnan AlamConsultant Colorectal SurgeonHomerton
Andy McMeekingCancer Commissioning Team Manager TCST
Anna NottGeneral PractitionerGP – NHS Camden
Chetan BhanConsultant Colorectal SurgeonWhittington Hospital
Daniella BennettPatientPatient Representative
Edward SewardConsultant GastroenterologistUCLH
Hasan Mukhtar Consultant SurgeonWhittington Hospital
John BridgewaterConsultant Medical OncologistUCLH
Jonathan KnowlesConsultant Colorectal SurgeonRoyal Free London
Jonathan WilsonLead Clinician for Colorectal CancerWhittington Hospital
Joseph HuangConsultant Colorectal SurgeonBHRUT
Kim Jaggs Colorectal CNSRoyal Free London
Lee DvorkinConsultant Colorectal SurgeonNMUH
Maria WalsheClinical Nurse SpecialistWhittington Hospital
Matthew HansonConsultantBHRUT
Michael MachesneyConsultant Colorectal Surgeon / Pathway Board DirectorBarts Health
Mitty Das MohapatraConsultant Colorectal SurgeonPAH
Mo ThahaConsultant Colorectal SurgeonBarts Health
Munesh Mistry General PractitionerGP – Waltham Forest CCG
Patricia JuppPatientPatient Representative
Pauline McCullochColorectal Lead NurseHomerton
Roger Feakins Pathologist Barts Health
Romi Navaratnam Consultant Colorectal SurgeonNMUH
Sarah SlaterConsultant Medical OncologistBarts Health
Sherif RaoufConsultant Oncologist/Clinical LeadBHRUT
Sue WilliamsMacMillan Colorectal CNSNMUH
Vicenta LazarescuClinical Nurse SpecialistHomerton