Mr Michael R Machesney: General surgery
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Mr Michael R Machesney

General surgery

  • Fee assured
Overview

Specialises in

  • General
  • Lower GI surgery

About us

Mr Machesney would like to reassure his privately insured patients that his charges will comply within their insurer's guidelines.

Mr Machesney is the Chair of the newly constituted Colorectal Cancer Clinical Reference Group (CRG) for NHS England with an ambition to improve the patient
experience, safety and early diagnosis. He is also the Pathway Director for
Colorectal Cancer at London Cancer, an integrated cancer system (ICS) resulting from the amalgamation of the North East London Cancer Network (NELCN) and the North Central London and West Essex Cancer Network (NCLWECN) following the Cancer Review for London (CRL). Before the formation of the ICS he was Chair of the Colorectal Tumour Advisory Board for the NELCN. He was also the Clinical Director for Surgery, Critical Care and Anaesthesia at Whipps Cross Hospital up to the time of the merger with Newham General Hospital and Bart’s and the Royal London Hospitals, to form Bart’s Health NHS Trust. He is involved with National Peer Review and has been a CQC Hospital Inspector. He is on the Clinical Advisory Board of Bowel Cancer UK.

He has been in consultant practice as a surgeon since 2003 and for the first nine years of his appointment was the Lead Clinician for Colorectal Cancer at Whipps Cross University Hospital NHS Trust. During the time as Lead Clinician, he built a team that was an early adopter of laparoscopic surgery and enhanced recovery for colorectal patients. Whipps Cross was recorded in the CRL Case for Change document (2008) to have had the second highest rate for laparoscopic surgery and the lowest length of stay for colectomy in the Capital.

As Pathway Director at London Cancer, working with his colleagues at UCL Partners, he has built a Board and developed relationships with Commissioning Support, Primary Care Commissioners, Colorectal Charities, Patient Groups, Clinicians and his colleagues in the other London ICS, the London Cancer Alliance. He is a member of the NHS England (London) Early Detection and Awareness Group where he was co-author of New London Referral Guidelines to promote early diagnosis of bowel cancer by lowering the threshold for GPs to refer. He commissioned and participated in the implementation of a triage straight to test pathway for patients with colorectal symptoms at Whipps Cross, which was shortlisted for a BMJ Award in 2014.

Areas of interest

• Colonoscopy • Endoscopy • Laparosopic 'keyhole" surgery • Colorectal Surgery • Laparoscopic and open right hemicolectomy; Laparoscopic and open sigmoid colectomy; Laparoscopic and open anterior resection; Laparoscopic colostomy and ileostomy; Laparoscopic and open total colectomy; Laparoscopic and open abdominoperineal excision of rectum; Rectopexy; Laparoscopic cholecystectomy for gall stones • Laparoscopic splenectomy • Laparoscopic and open inguinal hernia repair • Laparoscopic and open incisional hernia repair; Umbilical hernia repair; Laparoscopic ventral hernia repair; Abdominal wall reconstruction • Bowel cancer • Inflammatory bowel disease • Abdominal pain • Rectal bleeding •Proctology including: Haemorrhoids (piles) • Anal fissure • Fistula • Pilonidal sinus • Anal tags

Medical secretaries

Anaesthetists worked with (Bupa members, please ask your consultant whether your anaesthetist is fee-assured)

Our private practice
Consultant's practices
Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

  • H2510

    Rigid sigmoidoscopy (including proctoscopy and biopsy) - (5-50)

    The Holly Private Hospital (5-50)

  • X3510

    IV sedation administered by operator - (5-50)

    The Holly Private Hospital (5-50)

  • H2003

    Therapeutic colonoscopy with snare loop biopsy or excision of lesion - (5-50)

    The Holly Private Hospital (5-50)

  • H2002

    Diagnostic colonoscopy, includes forceps biopsy of colon and ileum - (5-50)

    The Holly Private Hospital (1-5)

  • A7350

    Local anaesthetic blockade of named major nerve or plexus - (1-5)

    The Holly Private Hospital (1-5)

  • G6500

    Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye spray - (1-5)

    The Holly Private Hospital (1-5)

  • H2502

    Diagnostic flexible sigmoidoscopy (including forceps biopsy and proctoscopy) - (1-5)

  • T4130

    Freeing of adhesions of peritoneum - (1-5)

  • G8083

    Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) - (1-5)

    The Holly Private Hospital (1-5)

  • H3332

    Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) - (1-5)

  • H4800

    Excision of lesion of anus - (1-5)

    The Holly Private Hospital (1-5)

  • H4130

    Perianal excision of lesion of rectum (including sigmoidoscopy) - (1-5)

    The Holly Private Hospital (1-5)

  • H4430

    Examination of rectum under anaesthetic (as sole procedure) - (1-5)

  • T2400

    Repair of umbilical hernia (irrespective of age) - (1-5)

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