Dr. Narasimhaiah Srinivasaiah

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MBBS, MD, MRCS (Eng, Ed, Glas, Ireland), FRCS (CCST), FEBS (Colo-proctology), PGDMLE (NLSIU)

Career Ambition

Mission statement: Provide General Surgical / Colorectal / Oncological / Emergency Surgical care services to bring excellence in clinical care.

Vision statement : Provide organ specific sub-specialty care.

My Consultant practice till date has encompassed General surgery, Coloproctology and colorectal, peritoneal and pelvic surgical oncology.

My consultant practice in the UK @ Princess Alexandra Hospital - involved General Surgical and Colorectal surgical practice. It involved General surgery / emergency surgery with oncall rota of 1 in 7 / colorectal surgery both benign and malignant and endoscopy services.My academic appointment was as a senior lecturer @ Queen Mary University Hospital, London. Training and teachinhg involved me as a Surgical Tutor @ the RCS, London.

As a senior consultant colorectal surgeon @ Apollo hospitals - Have established the centre for colorectal surgery. I am also an associate professor of Surgery @ AHERF.

As a part of my higher surgical training, I undertook generic , specialist and sub-specialty training in Colorectal, pelvic and peritoneal oncology. St. Marks, The Royal Marsden and The Christie were centres of specialist tertiary colo-rectal practice. Following completion of general surgical and trauma training, I have embarked on advanced colo-rectal training involving minimally invasive, exenterational and cyto-reductive surgery. I have spent time at St. Marks hospital gaining skill and exposure in MAS (Laparoscopy, SILS & TAMIS), advanced proctology, Pelvic floor, Intestinal failure, IBD, Polyposis, re-do surgery, recurrent rectal cancers and exenterational surgery. A short fellowship in MAS (Laparoscopy, Robotics) & Exenterational surgery at the Royal Marsden was undertaken. This was followed by a further fellowship in Colorectal, Peritoneal, and Pelvic Oncology with emphasis on Cyto-reductive surgery & HIPEC at The Christie in Manchester, where there was exposure to MIS (Laparoscopy & Robotics).

I was appointed as a laparoscopic colorectal surgeon at Princess Alexandra hospital in Essex in Spring 2017.Further knowledge, skill and experience augmentation has been done from oncology fellowships undertaken at the Memorial Sloan-Kettering Cancer Center in New-York and Champalimaud Foundation in Lisbon, Portugal.

I am a minimally invasive surgeon with use of Laparoscopy / SILS and Robotics as tools. In addition to the generic benign and malignant colorectal work, I hold experience and expertise in pelvic onco-surgery and peritoneal surface malignancies (Cyto-reductive surgery + HIPEC).

My training in district hospitals, Trauma centres and Tertiary referral centres have exposed me to a broad generality of Trauma, general and colorectal surgery (open and laparoscopic). I am a JAG accredited upper and lower GI endoscopist and Trainer. Placements post CCT fellowships exposed me to a broad spectrum of tertiary referral practice in colorectal / anal cancers, laparoscopy, pelvic exenterational surgery, Cytoreductive surgery, Robotics and advanced pelvic surgery. In addition knowledge and skills relevant to advanced proctology, IBD, Polyposis, Intestinal failure, pelvic floor and complex colorectal cases were gained. I undertake Ano-rectal physiology and am trained at EAUS skills.

Health outcomes research and patient orientated qualitative research are of great interest to me. Management of low rectal cancers, recurrent cancers and peritoneal carcinomatosis are challenging. I would like to weave together my research expertise, clinical acumen and judgement in the decision making process, integrating patient choices into the decision making process of this complex clinical entity. I started my consultant practice on a broad base with both general and colorectal work from April 2017. Emergency, endoscopy, proctology, general surgery benign and laparoscopic colorectal resections are what, I have been doing in the last 8 years of my practice. My expertise now spans low rectal cancer, recurrent cancers, exenterational surgery and peritoneal malignancies @ a tertiary referral practice. Being a keen academic with an interest in research, training and teaching, I would like to nurture ties with regional referral centres & medical schools for building on complex work, research, teaching and training.

Key Positions Held (Current) :

• Head of colorectal services : Karnataka region, India
• Senior Consultant : Department of Colo-rectal surgery, Apollo hospitals, Bangalore
• Associate Professor of Surgery : Apollo Hospitals Group
• Professor of Surgery : Chitradurga Medical College & Research Institute (Hon)
• Core member : Integrative GUT Unit, Apollo Ayurvaid : Bangalore, India
• Journal club : Faculty facilitator : Bangalore, India
• Clinical lead (Tumour Board Services ) : Bangalore, India
• Co-ordinator : Robotic surgery programme, Apollo hospitals, Bangalore
• Core member : Care Quality Committee, Apollo hospitals, Bangalore
• Core member : Medical Records QA review group, Apollo hospitals, Bangalore
• Core member : Mortality peer review group, Apollo hospitals, Bangalore
• Director : VINAR Institute of Surgical Education & Research : Bangalore, India
• Founder : ORG (A charitable CSR venture ) : Rural Bangalore, India
• Founder : org (A wellness and healthcare venture) : Rural Bangalore, India
• Advisor : Karnataka Cancer Society, Bangalore

Key Positions Held (Previous):

• Honorary Consultant : Lap general / colo-rectal / onco-surgery : PAH NHS Trust, UK
• Honorary Senior Lecturer : Queen Mary University of London,
• Surgical Tutor : Royal College Tutor for Surgery, RCS England,
• Core member : Laparotomy outcomes review group (LORG) : PAH NHS Trust, UK
• Core member : Mortality review group (MoRG) : PAH NHS Trust, Essex , UK
• Surgical Lead : Endoscopy users group, PAH NHS Trust, UK . QIP –
• Key member : Quality Improvement in Surgery (QIPS) : PAH NHS Trust, , UK

Key Performance Indicators:

• Revenue Metrics / Financial : I have managed to raise the commercials from zero at the beginning to about 5 crores per quarter with an annual turnover of 15 to 20 crores. With minimal Capex and Opex - the EBIDTA is high with a satisfactory top line.
• Clinical outcomes : Excellent and comparable to standards around the world.
• Patient Related Outcome Measures (PROMS) : Available as a summary of appreciations / qualitative feedbacks and complaints.
• Sick leaves availed : Zero
• Annual reviews : Pending for 2025
• Monthly revenue earned : Available on request

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