Rachel Bright-Thomas

Miss Rachel Bright-Thomas

Miss Rachel Bright-Thomas obtained a first in medical sciences at Cambridge University and then did her clinical training at Oxford University. Rachel spent the next 13 years in surgical training, largely in London teaching hospitals, before moving home to the West Midlands. As part of her post-graduate training she did a masters degree at London University looking at gene therapy in the prevention and treatment of cancer.

On the clinical front she spent her penultimate year in training in 1 of only 9 National Oncoplastic Breast Fellowships, learning how to use plastic surgical techniques to complement and enhance the results of breast cancer surgery. Rachel is fully trained in breast reconstruction and offers this as part of her regular NHS practice.

In 2006 Rachel was appointed as a Consultant Breast and General Surgeon at Worcestershire Royal Hospital and has been MDT and clinical lead. All her elective work is breast surgery as outlined below.

Rachel was awarded the NHS hero award in 2013 and Worcestershire Acute NHS Trust Patient’s choice staff achievement nomination in 2015. She is also a recognised trainer (assigned educational supervisor) for 2 registrars and several other junior doctors. She has written and produced many posters and publications (see below) and is the current audit lead for the breast department at WAHNHST.

Rachel is married with two young children. She enjoys spending time with her immediate and extended family and socialising with friends.


Special Clinical Interests

Breast Disease
Breast Cancer
Oncoplastic Breast Cancer Surgery
Sentinel Lymph Node Biopsy
Risk Reducing Breast Surgery
Nipple Reconstruction
Reconstructive Breast Surgery
Cosmetic Breast Surgery
(Augmentation, reduction, Coleman fat transfer)


Professional Awards

NHS hero award in 2013
Worcestershire Acute NHS Trust Patient’s Choice staff achievement nomination 2015


Professional Memberships

Association of Breast Surgeons
Fellow of the Royal College of Surgeons of England
Women in Surgery

    Patient Feedback

  • Was the doctor polite and considerate?100%
  • Did the doctor listen to what you had to say?100%
  • Did the doctor give you enough opportunity to ask questions?100%
  • Did the doctor answer all your questions?100%
  • Did the doctor explain things in a way you could understand?100%
  • Are you involved as much as you want to be in the decisions about your care and treatment?100%
  • Did you have confidence in the doctor?100%
  • Did the doctor respect your views?100%
  • If the doctor examined you, did he or she ask your permission?100%
  • If the doctor examined you, did he or she respect your privacy and dignity?100%
  • By the end of the consultation did you feel better able to understand and/or manage your condition and your care?100%

  • * Results from the GMC revalidation process 2015. Download report here.

Surgical Outcomes

Zero 30 day mortality rate (in line with most breast surgery nationally).
11-18% re-operation rate for involved margins (below national average of 20% and below Trust average)
High patient satisfaction rate (100% scored outstanding on last Equiniti 360 degree assessment in 2015 - repeated 3-5 yearly)

National results: 54,821 patients underwent mastectomy last year. Among patients ≥70, 11,927 did not have reconstruction, 109 had reconstruction. Among patients <70, 40,755 did not have reconstruction and 2040 had reconstruction. Patients without reconstruction had a significantly higher number of co-morbidities compared to those having reconstruction (P = 0.001). The 30-day complication rate for patients without reconstruction was 4.2% in patients ≥70 compared to 4.4% for those <70 (p = 0.4). In patients with reconstruction, the 30-day complication rate was 6.4% in patients ≥70 compared to 5.6% for those <70 (p = 0.7).

For more information on the surgical outcomes of breast cancer surgery, please visit the breastcancer.org website here.

PRESENTATIONS AND PUBLICATIONS

BOOK CHAPTERS

Breast disease management -a multidisciplinary manual. Authors: James Harvey, Sue Down, Rachel Bright-Thomas, John Winstanley and Hugh Bishop. Oxford Care Manuals, Oxford University Press 2014 ISBN 978-0- 19-921506-5.

‘Breast Surgery’. Handbook For Surgical Cross Cover, OUP 2008. Edited by I. Fitzgerald O’Connor and M. Urdang, pages 429-448.

'Genes and The Surgeon'. Recent Advances in Surgery, Volume 25, 2002. Edited by C. Johnson and I. Taylor, pages 47-57.

REVIEW ARTICLES

R. M. Bright-Thomas & R. Hargest. APC, Beta-Catenin and hTCF-4; An Unholy Trinity In The Genesis Of Colorectal Cancer. EJSO. 2003 29 (2): 107-117.

ORIGINAL ARTICLES

DJ Hadjiminas, KE Zacharioudakis, MK Tasoulis, JCC Hu, R Bright-Thomas, NG Dimopoulos, G Hornzee, DA Cunningham, SJ Cleator, R Al Mufti. Adequacy of diagnostic tests and surgical management of symptomatic invasive lobular carcinoma of the breast. Annals of the Royal College of Surgeons. Vol 97, no.8. November 2015.

R.M. Bright-Thomas. Keeping a breast of change-A ‘career focus’ article for the BMJ Careers. 332: 23-24.

R.M. Bright-Thomas, A. Agrawal and R. Hargest. Preclinical Studies Of Gene Transfer For The Treatment Of Desmoid Disease In Familial Adenomatous Polyposis. BJS. 2002 89(12): 1563-1569.

Weetman AP, Bright-Thomas RM and Freeman M. Regulation of interleukin 6 release by human thyrocytes. Journal of Endocrinology. 1990 127: 357-361.

CASE REPORTS

Bhuban Choudhury and Rachel Bright-Thomas. Paget’s disease of the male breast with underlying ductal carcinoma in situ (‘DCIS’). Journal of Surgical Case Reports 2015 1-2. Doi 10.1093/jscr/rjv037.

Harji DP, Rastall S, Catchpole C, Bright-Thomas R, Thrush T. Pseudomonal Breast Infection. On line Ann R Coll Surg Engl 2010; 92.

Bright-Thomas RM, Wakefield SE and Moss L. Prosthetic hip joint infection presenting as perianal sepsis. British Journal of Hospital Medicine. 1995 53(5): 229 -230.

TECHNICAL TIPS

P Sarmah, N Abbott, R Bright-Thomas. A pure dermal sling for implant reconstruction after mastectomy in the generous breast. Ann R Coll Surg Engl 2012; 94:p20.

WRITTEN ABSTRACTS

Rebecca Griggs, Christina Harris, Rachel Bright-Thomas, Michelle Mullan. “Imaging in Patients aged 35-39- which modality is best?” 2012

R.M. Bright-Thomas, H.S. Wasan, R. Hargest. Intraperitoneal Gene Therapy For Desmoid Disease in Familial Adenomatous Polyposis. European Journal of Surgical Oncology. 2000 26 (8):855.

R.M. Bright-Thomas, H.S. Wasan, R. Hargest. Studies of APC and Beta-catenin in the Min/+ mouse. European Journal of Surgical Oncology. 2000 26 (8):856.

ORAL PRESENTATIONS

West Midlands Surgical Society Meeting May 2015
Not ANOTHER bloody haematoma!”. The Incidence of significant haematoma formation following oncoplastic breast surgery Given by Miss M Tan SpR

1st International Conference on Repair , Regeneration and Reconstruction. September 2014. The Royal Institution of Great Britain.
“Enhanced Recovery after breast reconstructive surgery (BRS): Impact on length of hospital stay and audit of ERP standards”. Given by Dr Punam Kalirai FY2

West Midlands Breast Chapter Meeting Sept 2013
“Management of new diagnosis breast carcinoma: an age comparison of those aged over and under seventy years.”
Given by Miss Una Walsh SpR

The International Meeting of Oncoplastic and Reconstructive Breast Surgery, September 2008
‘The lower pole sling: a technique for immediate implant-based reconstruction’ Given by Dr J Smith FY2

9th Nottingham International Breast Cancer Conference 2005
‘Differences in Presentation of Lobular, Ductal, Mixed and Special Type Breast Cancer’

3rd Joint Meeting Leeds Castle Polyposis Group and International Collaborative Group Hereditary Non-Polyposis Colorectal Cancer 2001
'Intraperitoneal Gene Therapy For Desmoid Disease in Familial Adenomatous Polyposis'

'Beta-Catenin Alterations in The Small Intestinal Epithelium of the Min/+ Mouse'

POSTER PRESENTATIONS

ABS May 2016- The role of breast MRI in altering pre-planned treatment in elderly women with lobular breast cancer

Third Symposium on Primary Breast Cancer In The Elderly- Nottingham, March 2015
“Neo-adjuvant Endocrine Therapy (NET) in Elderly Patients with Breast Cancer: Our Clinical Experience”

Oncoplastic & Reconstructive Breast Surgery meeting 2015- Nottingham “Comparison of Radial Margins In Therapeutic Mammoplasty and Wide Local Excision for Invasive Breast Cancer”

ABS June 2015- Surgical Management of Breast Cancer Following Neoadjuvant Endocrine Therapy (NET): Our Clinical Experience

ABS June 2015- Comparison of Radial Margins in Therapeutic Mammoplasty and Wide Local Excision for Invasive Breast Cancer

ABC2-Advanced Breast Cancer Second International Consensus Conference, Lisbon, November 2013
“Audit of the investigation and management of loco-regional breast cancer recurrences in a UK district general hospital”

13th Conference of the International Society of Geriatric Oncology, Copenhagen, Denmark, October 2013
“ Management of new diagnosis breast carcinoma: an age comparison of those aged over and under seventy years.”

Association of Breast Surgeons Conference May 2013
“Acellular Dermal Matrices in immediate implant based breast reconstruction: our experience of complication rates using Strattice and Biodesign”

Association of Breast Surgeons Conference May 2013
“The PIP Implant Scare: Estimating the Cost to One Regional Breast Unit”

Association of Breast Surgeons Conference May 2013
“PIP Implants: Where are we now?”

Enhanced Recovery Society Meeting November 2012 (Cheltenham)
“Enhanced Recovery for Reconstructive Breast Surgery.. How can this be achieved?

EBCC-8 Meeting Vienna March 2012
“Breast imaging in Patients aged 35-39- which modality is best?”

Association of Breast Surgeons Conference May 2012
“Breast imaging in Patients aged 35-39- which modality is best?”

3rd International Meeting of Oncoplastic and Reconstructive Breast Surgery, September 2011
‘A pure dermal sling for implant reconstruction after mastectomy in the generous breast’
‘Bilateral Simultaneous Breast Surgery – what patients think an update’
‘Breast reconstruction/volume displacement procedures in the elderly’

British Breast Cancer Research Conference (Nottingham) September 2010
‘A review of complications in breast surgery on the nipple areola complex (NAC)’

West Midlands Breast Meeting 23rd June 2009
‘Bilateral Simultaneous Breast Surgery’
‘Modern Management of Paget’s Disease of the Breast’

2nd International Meeting of Oncoplastic and Reconstructive Breast Surgery, September 2009
‘Nipple Reconstruction – Experience of a single Oncoplastic Unit’

3rd International Nottingham Colorectal Cancer Conference October 1999
'APC and Beta-Catenin in Tumour Development. Is one mutant allele sufficient?'

International Cancer Gene Therapy Conference, July 2000.
'Intraperitoneal Gene Therapy for Desmoid Disease in Familial Adenomatous Polyposis'

CHAPTERS/BOOKS/RESEARCH APPLICATIONS REVIEWED

Article Review for RCSE Annals Journal & Bulletin Journal May 2015

RCSE RESEARCH FELLOWSHIP APPLICATIONS

2014- 3 Research Applications reviewed
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