The Family Cancer Clinic is funded by the NHS and the CRUK Imperial Cancer Centre. It is based at St Mark’s Hospital. We offer advice to people who have a family history of colorectal or associated cancers and provide screening, clinical follow up and counselling.
Click the link for further information on the Family Cancer Clinic:
The Family Cancer Clinic welcomes referrals from from General Practitioners regarding individuals with a family history of colorectal cancer who are worried about their risk of developing colorectal cancer.
Click the links for referral and screening guidelines:
Information for people who have one immediate relative affected by bowel cancer over the age of 50 years. Please click here for our guidelines
For health professionals:
We are currently not on the choose and book system so a referral letter from the patient’s GP will need to be posted or faxed to:
Professor Huw Thomas, The Family Cancer Clinic, St Mark’s Hospital, Level 5V, Watford Road, Harrow, Middx, HA1 3UJ
Tel: 0208 235 4266 Fax: 0208 235 4277 Email: email@example.com
A GP referral letter is needed in the first instance before we can offer advice
Patient information leaflets:
Links to Useful Websites
NHS Bowel Cancer Screening Programme www.cancerscreening.nhs.uk
Cancer Research UK www.cancerresearchuk.org/home/
Genetic Alliance for a list of Regional Genetics Services www.geneticalliance.org.uk/services.htm
St Mark’s Polyposis Registry www.polyposisregistry.org.uk
Macmillan Cancer Support www.macmillan.org.uk/home.aspx
St Mark’s Hospital www.stmarkshospital.org.uk
The North West Thames Regional Genetics Service www.nwlh.nhs.uk/nwthamesgenetics
Consultant Physician /consultant-staff
Genetic Nurse Counsellor/Clinical Nurse Specialist
Carole works part time in the Family Cancer Clinic usually on Tuesdays, Thursdays and Friday afternoons.
The St Mark's Hospital Polyposis Registry
The St Mark's Polyposis Registry dates back to 1924 when the Consultant Pathologist at St Mark's, Dr Cuthbert Dukes, was working on his new theory, the adenoma carcinoma sequence. In the course of his search for adenomas he discovered the existence of families with multiple polyps and a family history of bowel cancer. A register of these families was started and continues today, eighty years later.
There are now over seven hundred families registered. Over eight hundred patients, who either have polyposis or who are at risk of inheriting it, are currently monitored at St Mark's Hospital. The Registry remains the hub for research into the different polyposis syndromes that have been identified over the decades; but in recent years the staff has taken on a more clinical role as well.
The main aims of the Registry are to:
The main aims of the research are to:
For more information please visit our website at www.polyposisregistry.org.uk
The Macmillan Cancer Unit is located alongside St. Mark's and Macmillan nurse specialists in colorectal cancer are available to support patients and their families through diagnosis and treatment of bowel cancer.
St. Mark's Hospital Endoscopy Unit became a nominated and chosen site for the NHS Bowel Cancer Screening Programme through a rigorous accreditation programme. The accreditation process led to the NHS Bowel Screening Certificate administered by the Joint Advisory Group on Gastrointestinal Endoscopy.
The Bowel Cancer Screening Centre is located within the Endoscopy Unit, Level 3, St. Mark's Hospital and currently covers the areas of Brent, Harrow & Hillingdon Primary Care Trusts.
The Bowel Cancer Screening Centre is in strong partnership and working closely with The London Programme Hub, Primary Care Trusts and Public Health Teams to promote the service and provide education and awareness locally.
Within the Centre we co-ordinate and aim to provide the highest level of holistic care to individuals identified through the Screening Programme.
All men and women aged 60-69 and registered with a GP will be automatically offered a Faecal Occult Blood Test (FOBT) every two years. Those over 70 years and over will not be invited automatically but can call the free-phone number to request their free kit.
The invitations to the borough of Brent will commence 16th October, Harrow will follow in November and Hillingdon in January 2007.
Research has shown that screening men and women for bowel cancer using FOB Test can reduce the mortality rate from bowel cancer by 16% in those invited for screening.
The aim is to find diseases (in this case bowel cancer) at an early stage when there is a better chance of a person being successfully treated.
Those eligible for screening will receive a kit for use in the privacy of their home.
The FOB test kit is then analysed to detect traces of blood that may not be visible to the naked eye.
The FOB test is NOT a diagnostic test for cancer. Results will, however indicate whether further investigation is required.
Around 98% will receive a normal result and will be invited to participate again in a further 2 years time if still eligible.
Around 2 in 100 people will receive an abnormal/ positive result. They will be referred to see the Specialist Bowel Screening Nurse to discuss and arrange a Colonoscopy if appropriate.