Haray Full Track pdf

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www.profharay.co.uk

By Professor 

P. N. Haray

Track Record 

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High Quality Service Delivery

 

• Setting up and developing a dedicated colorectal surgical team. 

• Setting up a Rapid Access One Stop Colorectal Clinic. 

• Lead Clinician for Colorectal cancer since 1997 and set up a multi-disciplinary team. 

• Provision of a modern and effective colorectal service for the local population with recognition at local, 

regional & national level. Some of the evidence for this includes: Reduction in: operative mortality from 

11% to <3%, anastomotic leak rate from 9% to 1%, permanent stoma rate from 55% to 29%, median 

length of stay in hospital from 10 to <7 days, (now ≤ 2 days in some selected laparoscopic cases), 

reduced waiting times, Increase in detection of early cancers from 10% to 22%, All RCS Guidelines met 

or exceeded – (validated and published data). 

• Specialist Laparoscopy - one of few surgeons in the UK providing laparoscopic surgery for over 95% of 

colorectal cancer patients and recognised by the Royal College of Surgeons as a Preceptor.  

• Clinical Lead and Director for Cancer Services (1997-2004), provided clinical leadership for the 

management of cancer services in the Trust- meeting all required standards and improving services 

across all specialities. 

As Clinical Director 

• Improved clinical governance arrangements. 

• Achieved consistently high levels of performance in external assessment processes of risk management 

such as the HIW and WRP assessments. 

• Improved clinical incident reporting awareness across all grades of staff. 

• Introduced major changes in service provision in General Surgery and T&O including the introduction of 

the Surgeon of the week, Assessment Unit, Formal Pre-operative assessment service, re-structuring of 

the elective/ emergency workload, introduction of structured compliant junior doctor rotas without 

compromising ‘team working’ and continuity of patient care etc. 

• Expansion in the role of various specialist nurses. 

• Achieved significant expansion of staff and services in various departments including consultant, junior 

doctors and senior nurses. 

www.profharay.co.uk

Track Record As Consultant Surgeon

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• Established collaborative links with Powys LHB and other neighbouring LHBs. 

• Improvements in Day Surgery rates, LOS, Theatre utilisation, maximising bed utilisation etc. All waiting 

list targets met with minimal waiting list initiatives. 

• Improvements in Human Resource utilisation. 

• Implementation of Shared (pooled) waiting lists across all specialities. 

• Achieved annual under-spend helping to mitigate the effects of Trust deficit. 

• Extensive involvement and time commitment around implementation of the Amended Consultant 

Contract and Consultant Appraisals and Job plans. 

• Extensive involvement around Trust integration & reconfiguration of services and the future service 

provision in the Trust and the Region. 

Service Development 

• Established laparoscopic cholecystectomy in the Trust – Jan 1997. 

• Established a combined multi-disciplinary clinic with oncologist – Feb 1998. 

• Established Laparoscopic surgery for colorectal disease – April 1998, (One of earliest centres in Wales & 

UK – published data). 

• Establishing Nurse-led colorectal clinics (first in the UK – published data).  

• Led the cancer services in the Trust from 1997 to 2005. 

• Fund Raising Examples include: Equipment (>£50,000) for the 1 stop clinic, negotiated sponsorships >

£750,000 for clinical and research activities, Successful Capital & Revenue bids for >£1M for cancer 

services, Secured charitable funds for dedicated cancer services facility (£1.7M). 

Managing Health Care Delivery - As Chairman 

• Chair of various Medical Education & Revalidation committees – since 2013. 

• Deputising for Medical Director. 

• South East Wales Colorectal Cancer Network (2002 - 2006). 

• Trust Cancer Services Strategy Group (1997 – 2004). 

• Elective & Emergency Theatres Working Group. 

• Surgical and Medical Products Advisory Group (1997 - 2000). 

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• Chair of various committees within the Combined Surgical Directorate (2004 - 2008). 

• Chair of the ‘Prevention of Surgical Complications’ work stream of the 1000 lives campaign (2008 - 

2010). 

As Committee Member 

• Various National committees for Medical Education,  Revalidation, etc – since 2013. 

• The All Wales Colorectal Cancer Steering Group (2002 - 2007). 

• Advisory Sub-committee for Surgery (Wales) – 1997 to date. 

• All Wales Laparoscopic Colorectal Surgery Steering Group – 2008 to date. 

• Trust Executive Board (2000 - 2008). 

• Trust Research and Development Committee – 1998 to date. 

• Cancer Services Advisory Board Bro Taf (1998 - 2003). 

• Endoscopy Users Group - 1997 to date. 

• Audit & Clinical Effectiveness Committee (1997 - 2001). 

Team Building Activities 

• Prof Haray has established an Alumni Association for all present & past staff of the colorectal surgery 

department, with an annual dinner. 

• Members of the Team meet regularly socially. 

www.profharay.co.uk

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