Richard Miller trained in and around London having qualified at St Bartholomew’s Hospital with a distinction in Surgery. He started his specialist colorectal training in Bristol where he also undertook his research funded by the MRC. This work was well received and he was awarded both the Patey Prize at the Surgical Research Society and a Hunterian Professorship at the Royal College of Surgeons. After this he was appointed to St Marks Hospital as RSO and then took a travelling fellowship with the Minnesota Colorectal Group.
He was appointed to Addenbrookes Hospital in 1993 whilst in the USA, the first specialist colorectal surgeon in Cambridge. He therefore has over 20 years of experience to call on when managing patients with both simple and complex problems. There are excellent specialist radiologists who provide state of the art imaging by CT and MRI if needed and all cancer patients are discussed in the local multidisciplinary team (MDT) meetings, which assures excellent governance around treatment decisions.
However, many patients with for example, haemorrhoids, do not need investigation and treatment can be started in the clinic on the same day. 90% of patients presenting with haemorrhoidal rectal bleeding can be treated in the clinic and he has published outcomes on over 600 patients to prove this is a safe approach. He is also experienced in the modern management of haemorrhoidal disease such as HALO or THD procedures, which are less painful and can be done as a day case, should these new techniques be needed.
He has performed for example over 800 anterior resections of the rectum, mostly for cancer, with excellent outcomes. Objective evidence for this is provided by national audit, ACPGBI Surgeons Outcome Data available at https://www.acpgbi.org.uk/surgeon-outcomes/cambridge-university-hospitals-nhs-foundation-trust/
There are few surgeons in the country on this national database published in 2016 that have performed a higher number of operations for colorectal cancer. His outcomes are among the best in the country and he has one of the lowest mortalities (0.9%). He has performed over 7000 colonoscopies without injury to the colon and a completion rate of 96%.
He performs many mesh repairs of groin hernias (inguinal or femoral) with a recurrence rate of 0.7%. Other than surgery for pilonidal sinuses, this is the only aspect of general surgery he performs. This is because he strongly believes that specialisation in surgical practice gives patients better care and has driven specialisation at Addenbrooke’s with the help of many colleagues.
He was made the lead for General Surgery in 1993, then Director of Surgery in 1999, which included trauma and orthopaedics, urology, and the Emergency Department. A restructure in 2008 led to the formation of Divisions and he was made Divisional Director of Surgery, which included all disciplines with the exception neurosurgery and gynaecology, a £120M business. Throughout this time he has had a full time clinical role. The effect of specialisation has been excellent clinical outcomes across the board.
He demitted the post of Divisional Director in 2014, came off the on call rota when there was a further re-organisation of the Divisions and was rapidly appointed as a Deputy Medical Director, his current role at Addenbrooke’s.
Gardening thankfully with expert guidance from others
Fishing for trout and salmon in UK and abroad
Shooting and conservation in East Anglia
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