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- Inflammatory bowel disease
Dr Milestone is very experienced in the management of all aspects of gastrointestinal and liver disorders, comprehensively assessing and investigating your symptoms, before recommending appropriate individualised treatment.
Dr Milestone studied medicine at Charing Cross and Westminster Medical School, Imperial College London qualifying with Bachelor Honour Degrees in Medicine, Surgery and Medical Science with Physiology.
Andrew subsequently trained in Gastroenterology, Hepatology and General Internal Medicine in London at Hammersmith, St Mary’s, Charing Cross and St Mark’s hospitals, all internationally recognised centres of excellence in Gastroenterology.
He spent the final 3 years of his training treating complex gut diseases at St. Mark's Hospital, including Inflammatory Bowel Disease and Irritable Bowel Disease leading to a Doctorate in Medical Research (MD) from Imperial College London in 2012.
Andrew was honored for his achievements by election as a Fellow of the Royal College of Physicians London in 2014 (FRCP).
Dr Milestone currently holds the post of Lead Clinician in Gastroenterology at Hereford County Hospital.
Dr Milestone is a fully JAG accredited endoscopist and trained at the Wolfson Endoscopy Unit, the only centre in the UK with the distinguished status of OMED World Centre of Excellence for Endoscopic Training and Research. He is Clinical Lead for Endoscopy Training at Hereford and also a Faculty member on National courses teaching colonoscopy to other endoscopists.
Dr Milestone works closely with an extensive multidisciplinary team of colleagues, including consultant surgeons and radiologists (X-ray), dietitians and psychologists. In particular, patients diagnosed with cancer are managed in close collaboration other experts from the 3 Counties Cancer Network, including chemotherapy/ radiotherapy specialists (oncologists), histopathologists, and MacMillan specialist nurses in order to select the best evidence-based treatment tailored to the patient’s own circumstances. Dr Milestone will refer you as appropriate, introduce and support your case.
In his role as Lead Clinician for Gastroenterology at Hereford County Hospital, Dr Milestone has progressively modernised and upgraded the Department of Gastroenterology and Medicine since his arrival in Herefordshire in 2010. He has introduced state-of-the-art, next generation diagnostic technologies, including:
- Video Capsule Endoscopy
- High Resolution Oesophageal Manometry and pH impedance studies
- Faecal Calprotectin and Faecal Immunochemistry (non-invasive tests for bowel inflammatory and cancer).
Andrew is also Clinical Lead for Nutrition.
Never one to rest on his laurels, Dr Milestone always has a clinical improvement project in development! For example, Andrew is responsible for establishing the Department of Acute Medicine at Hereford Hospital (including the Clinical Assessment Unit) and several safety innovations.
This dedication is reflected in his NHS Annual Appraisal Summary Feedback 2018: “Dr Milestone is highly motivated & dedicated to improving quality & safety of service provision, within & beyond own speciality/department incl. collaboration with colleagues across the trust & primary care (illustrated by portfolio of service improvement initiatives). High level of ongoing mutual respect for patients & colleagues evidenced by an excellent broad spectrum of multidisciplinary 360 degree feedback (ward/speciality nurses, support staff, doctors & managers).”
Areas of interest
Irritable Bowel Syndrome IBS; Nutrition; Bowel Disease inc Inflammatory IBD; Endoscopic Procedures; Hepatology; Complex Gut Diseases; Gastrointestinal; Liver Disorders; Liver Disease; Comprehensive & Investigating Symptoms; Abdominal Pain; Abdominal Swelling; Abnormal Liver Function Tests; Altered Bowel Habits; Anaemia; Autoimmune Hepatitis; Barrett’s Oesophagus; Bowel Cancer; Coeliac Disease; Colonoscopy; Colorectal Screening; Constipation; Crohn’s Disease; Diagnostic Endoscopy; Diarrhoea; Difficultly Swallowing & Swallowing Disorders; Diverticulitis; Duodenal Ulcer; Dysphagia; Epigastric Pain; Flexible Sigmoidoscopy; Gall Stones; Gastric Ulceration; Gastroscopy; Haematemesis; Heartburn; Helicobacter; Hepatomegaly; Imaging of Gastrointestinal Tract; Indigestion Dyspepsia; Jaundice; Nausea & Vomiting; Non Cardiac Chest Pain; Oesophageal Stricture; Oesophageal Varicies; Oesophagitis; Pancreatic Disease; Primary Biliary Cirrhosis; Rectal Bleeding; Stomach Ulcer; Ulcerative Colitis
Current NHS consultant posts held
Consultant Gastroenterologist and Physician, Hereford County Hospital
Lead Clinician for the Dept. of Gastroenterology
Lead Clinician for Endoscopy Training
Lead Clinician in Nutritional Support
Lead Clinician for Clostridium difficile prevention
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Dr Milestone is married with has 3 young sons. Having exchanged London life for beautiful Herefordshire , he is actively embracing country life!
Clinical Excellence Awards (NHS) Level 5
(2011, 2012, 2013, 2014, 2015, 2016)
A Kumar, B Hicken, A Milestone, R Ransford. PTU-130 Indeterminate faecal calprotectin identifies significant small bowel Crohn’s disease Gut Jul 2017, 66 (Suppl 2) A114-A115.
A Kumar, B Hicken, A Milestone, A Ahmed, R Ransford. PTU-131 Are faecal calprotectin and radiological imaging reliable investigations in predicting small bowel crohn’s disease? Gut Jul 2017, 66 (Suppl 2) A115.
Dhaliwal A, ORouke J, Sagar V, Burdsall J, Ransford R, Milestone A. Use of Faecal Calprotectin Pathway in Primary Care to Distinguish Irritable Bowel Syndrome from Inflammatory Bowel Disease. P0317. United European Gastroenterology Week (UEGW 2015).
Milestone AN, Raman M, Walters JR, Hart AL, Ghosh S. Vitamin D and Gastrointestinal Diseases: Inflammatory Bowel Disease and Colorectal Cancer. Therap Adv Gastroenterol. 2011 Jan;4(1):49-62.
Milestone AN, Iacucci M, Ghosh S. Is rosiglitazone a promising treatment for ulcerative colitis? Nat Clin Pract Gastroenterol Hepatol. 2008 Sep;5(9):486-7.
Mann ER, Bernardo D, Al-Hassi HO,. English NR, Clark SK, McCarthy NE, Milestone AN, Cochrane SA, Hart AL, Stagg AJ and Knight SC. Human gut-specific homeostatic dendritic cells are generated from blood precursors by the gut microenvironment. Inflammatory Bowel Disease August 2011
Courses offered to GPs
Interpretation of Abnormal Liver Function Tests
Diagnosis and management of Inflammatory Bowel Disease (including Calprotectin)
Referral Pathways (2WW, NICE UGI/LGI, FIT)
Irritable Bowel Syndrome and Food Intolerance
Dysphagia and Gastro-oesophageal reflux disease (including pH Manometry).
- Bachelor of Medicine / Bachelor of Surgery (MBBS) Imperial College London 1998
- Bachelor of Medical Science with Physiology University of London 2005
- Doctor of Medicine (Research) - MD Imperial College London 2012
- Membership of the Royal College of Physicians - Higher Medical Examinations (MRCP) Royal College of Physicians (London) 2001
Reference number 4544441
Professional bodies (positions held - last 3 yrs)
- Fellow of the Royal College of Physicians Royal College of Physicians (London) 2014
Details of entry to specialist register
- Gastroenterology, 2010
- General (Internal) Medicine, 2010
Affiliations / memberships
British Society of Gastroenterology
American Gastroenterological Association
British Medical Association
European Crohn’s and Colitis Organisation
Royal College of Physicians of London
- Nuffield Hospital Hereford
- 14:00 - 20:00
- 01432 818220
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.