Consultant Profile

Dr Anne McCune

Name:
Dr Anne McCune BSc (Hons), MBBS, MD, FRCP
Practicing at:
Spire Bristol Hospital
Specialties:
  • Gastroenterology
    • Bowel disease
    • Colonoscopy
    • Endoscopy
    • Liver disease
    • Pancreatology
Special clinical interests:

Management of a wide variety of hepatological disorders (e.g. alcohol-related liver disease, fatty liver disease, viral hepatitis, autoimmune liver disease, liver cancer). Liver transplant assessment. Management of complications of cirrhosis. Non-invasive assessment of liver disease (e.g. Fibroscan). Metabolic liver disease (iron overload and other genetic disorders).  Endoscopy. Gastroenterology.

Research interests:

Iron overload (especially hereditary haemochromatosis). Complications of cirrhosis (especially variceal haemorrhage, refractory ascites). Severe alcohol-related hepatitis. Hepatic encephalopathy. Autoimmune hepatitis and primary biliary cirrhosis (PBC).

Current NHS and /or university posts:

Consultant Hepatologist and Gastroenterologist
Department of Hepatology, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust

Year of first medical qualification:
1991
Current membership(s) of professional, national and regional bodies:

Fellow of Royal College of Physicians (FRCP)
British Association for the Study of the Liver (BASL)
European Association for the Study of  the Liver (EASL)
National Institute for Health and Clinical Excellence (NICE)
South West Hepatology Network
National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Steering Committee.
Royal College of Physicians Patient Safety Committee
British Liver Trust- clinical advisor

 
Contact Details 
Telephone number to make a private appointment:
0117 980 4070
Private secretary:
Amanda Ezel
Private secretary telephone number:
0117 980 4059
Private secretary email address:
 
Background Information 
Professional profile:

Having originally trained in London at University College Hospital Medical School, I spent my higher specialist training in the South West and Cardiff, where I was awarded an MD after research on an unusual genetic condition affecting the liver called hereditary haemochromatosis. I was appointed as a consultant in Bristol in 2005 and the majority of my clinical time is spent looking after patients with a wide variety of both common and unusual liver diseases.

Within my NHS practice I act departmental lead for gastro/hepatology and clinical lead for alcohol-related and metabolic liver disease. I recently introduced an integrated alcohol service for patients with and without liver disease, improved patient pathways for upper gastrointestinal bleeding and introduced novel therapeutic endoscopy techniques to the trust. Non-invasive measurements of liver fibrosis are now increasingly available to patients with liver disease and this can reduce the need for liver biopsy in some liver diseases. My patients can access my expertise through Liver Health Clinics and elastrography (Fibroscan) where appropriate. Other services include endoscopic investigation (gastroscopy and colonoscopy), general gastroenterology investigations and general medicine.

My practice is holistic and underpinned by clinical effectiveness; the latter being a particular specialist interest. Currently, I am working on a national project with the Royal College of Physicians Accreditation Unit to develop and test an accreditation model for liver services. Public health promotion is also a particular passion and I work with and alongside a number of national and local organisations involved with the care of liver patients, as well as being an executive member of a national charity.

My research interests are broad and thus my patients are given the opportunity to participate in national and local research studies I run. These include studies on treatments for alcohol-related hepatitis, fatty liver disease, primary biliary cirrhosis, autoimmune hepatitis, hepatic encephalopathy and refractory ascites.

Personal profile:

I am married and have two sons. Most of my free time is spent ferrying children to the wet and windswept sporting touchlines of the region but if allowed a perfect day off it would be spent hill walking in the Lakes or the North Yorkshire Dales. Any remaining free time is devoted to reading and supporting my local village cricket club. 

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