Haematology
About
The speciality of haematology has sub-specialties organised according to the special needs of groups of patients and include:
- Haemato-oncology: acute and chronic leukaemias, lymphoma, multiple myeloma
- Haemostasis/thrombosis: haemophilia, thrombophilia, acquired bleeding disorders
- Disorders of blood production and destruction: bone marrow failure, myeloproliferative disorders, myelodysplastic syndromes, inherited and acquired; haemolytic anaemias, autoimmune blood diseases, haemoglobinopathies
- Transfusion medicine: blood transfusion services, therapeutic apheresis
- Paediatric haematology
Laboratory service
Path Links is a Lincolnshire-wide laboratory pathology service serving a population of 1 million including Lincoln, Boston, Grantham, Grimsby and Scunthorpe. Path Links is managed by Northern Lincolnshire and Goole Hospitals NHS Trust (NLaG) which is made up of Scunthorpe General Hospital, Goole Hospital and Diana Princess of Wales Hospital, Grimsby.
There are blood transfusion laboratories at Lincoln, Boston and Grantham.
Cancer services
The cancer services are part of the East Midlands Cancer Network.
The current medical establishment is seven Consultant Haematologists:
Dr Mark Adelman - Lincoln, Haemostasis
Dr Dennis Prangnell - Lincoln, Transfusion medicine
Dr Bethan Myers - Lincoln, Haemostasis
Dr Gamal Sidra - Lincoln, Haemato-oncology
Dr Gabriel Anghal - Lincoln, Haemato-oncology
Dr Kandeepan Saravanamuttu - Lincoln, Haemato-oncology
Dr Ciro Rinaldi - Boston, Haemato-oncology
Dr Virginia Tringham - Grantham, Boston, Haemato-oncology
Service locations
As outlined in the Haematology Improving Outcomes Guidance, there are 4 levels of service, defined as follows:
| Level 1: | Outpatient care, daycase chemotherapy, limited inpatient chemotherapy for non-Hodgkin’s lymphoma (NHL), management of neutropenic sepsis |
| Level 2: | Facilities for acute leukaemia, using intensive chemotherapy regimens, and aggressive lymphoma |
| Level 3: | Autologous transplantation |
| Level 4: | Autologous and allogenic transplantation |
The current service configuration is:
Level 1: Boston (Ward 7A); Lincoln (Waddington Unit) and Grantham (although without facilities for neutropenic sepsis)
Level 2: Lincoln
Level 3: Nottingham City Hospital
Level 4: Nottingham City Hospital
(Grantham provides a haematological outreach outpatient service)
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