One-stop head and neck clinic

 The One-Stop Head and Neck Clinic is now available at Spire Bristol Hospital every week. The clinic offers fast-track assessment, rapid diagnosis and treatment of patients with neck lumps and head and neck disease, carried out by a team of consultants experienced in management of head and neck disease.

The appearance of a neck lump can cause great anxiety and may be due to disease within the major salivary glands, the thyroid gland or lymph glands of the neck. Whilst the majority of neck lumps are diagnosed as benign, some may be malignant and benefit from rapid diagnosis and treatment by professionals skilled in this field.

The addition of ultrasound-guided biopsy and rapid pathological assessment to skilled clinical examination greatly enhances diagnostic accuracy. This reduces time within your patient’s pathway and can lessen patient anxiety. 

The team is made up of Mr Ceri Hughes, consultant head and neck surgeon based at University Hospitals Bristol (UHB), Dr Rebecca Davies, a consultant radiologist at UHB, and Dr Miranda Pring, a consultant pathologist at UHB. They have worked as a team providing high quality care at University Hospital Bristol for many years and are now pleased to offer this service at Spire Bristol Hospital for self-funding and patients with private medical insurance.

The clinic mirrors a very successful clinic held within the NHS but is able to offer a more rapid and more personal service which is guaranteed to be consultant-led and consultant delivered by a team of experts, reducing patient’s anxiety and ensuring early treatment. 

A visit to the ‘one stop’ clinic would usually involve:

  • Clinical history and examination by a consultant head and neck surgeon
  • Flexible endoscopic examination if required
  • High resolution ultrasound examination of the neck by a consultant radiologist
  • FNA or core biopsy of neck lumps if indicated and adequacy of sample assessed immediately
  • Blood test if required
  • Biopsy of oral lesions if indicated
  • Rapid follow up for patients

Advantages of the ‘one stop’ clinic:

  • Immediate adequacy assessment of FNA and core biopsy samples prevents wasted visits for patients
  • Histopathological specimens are assessed by a consultant head and neck pathologist allowing rapid and accurate diagnosis
  • Support at the clinic is offered by a specialist nurse experienced in head and neck disease
  • Rapid communication of results to referring practitioner
  • Rapid access to surgery with continuity of care
  • When management involves other specialists such as oncologists or endocrinologists, our team has established working relationships, ensuring seamless multidisciplinary care

Book an appointment

To book an appointment or for more information, please contact Elizabeth James on 0117 9804042 or email

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© Spire Healthcare Group plc (2016)