Mike Thompson has worked at Queen Alexandra Hospital Portsmouth as a consultant for 48 years, around 38 years mainly in colorectal surgery. For the last 10 years he has also worked in Zambia and Uganda.
He was Chair of the Department of Health Committee in 1999/2000 developing the first set of GP referral guidelines for the two-week clinic. These were mainly based on data prospectively collected from surgical colorectal outpatients in Portsmouth since 1986 and finally published in the BJS on the basis of over 29,000 patients in 2017. These studies show that over 90% of patients referred to outpatients present with specific symptoms, signs and or iron deficiency anaemia. We continue to audit patients referred to the 2-week clinics and I am very aware of the increasing costs of the current ways of detecting and preventing bowel cancer and the harm being done to people without cancer. There is an urgent need to reduce the number of people referred to the two-week clinics and having investigation by whole colonic imaging. There is accumulating data suggesting that FIT may help reduce unnecessary investigation and could also help reduce risk averse practice.
He was the Clinical Lead for the National Bowel Cancer Audit Programme from 2004 -2008 and President, Secretary and Treasurer of the ACPGBI from 1993 to 2004. He is now an Honorary Member of the Association. He has also been President of the Section of Coloproctology of the RSM and the St Mark’s Association, and has been Chairman of the IA Research Committee and a Consultant Advisor for over 20 years.
He is presenting at FIT: is it fit for purpose? on Wednesday at 11.00.