Dr Andy Milestone

Dr Milestone studied medicine at Charing Cross and Westminster Medical School, Imperial College London qualifying in 1998 with Bachelor Honour Degrees in Medicine, Surgery and Medical Science with Physiology. Andrew subsequently trained in Gastroenterology, Hepatology and General Internal Medicine in London at Hammersmith, St Mary’s, Charing Cross and St Mark’s hospitals, all internationally recognised centres of excellence in Gastroenterology. He spent the final 3 years of his training treating complex gut diseases at St. Mark's Hospital, including Inflammatory Bowel Disease and Irritable Bowel Disease leading to a Doctorate in Medical Research (MD) from Imperial College London in 2012. Andrew was honoured for his achievements by election as a Fellow of the Royal College of Physicians London in 2014 (FRCP). Dr Milestone has been a Gastroenterology Consultant since 2010. He currently holds the post of Lead Clinician in Gastroenterology and Hepatology at Hereford County Hospital. Dr Milestone is also the Trust Lead for Cancer at Wye Valley NHS Trust. Dr Milestone is a fully JAG-accredited endoscopist and trained at the Wolfson Endoscopy Unit, the only centre in the UK with the distinguished status of OMED World Centre of Excellence for Endoscopic Training and Research.  Previous posts include Clinical Lead for Endoscopy Training at Hereford and also a Faculty member on National courses teaching colonoscopy to other endoscopists. Dr Milestone works closely with an extensive multidisciplinary team of colleagues, including consultant surgeons and radiologists (X-ray), dietitians and psychologists. In particular, patients diagnosed with cancer are managed in close collaboration other experts from the 3 Counties Cancer Network, including chemotherapy/ radiotherapy specialists (oncologists), histopathologists, and MacMillan specialist nurses in order to select the best evidence-based treatment tailored to the patient’s own circumstances. Dr Milestone will refer you as appropriate, introduce and support your case. In his role as Lead Clinician for Gastroenterology at Hereford County Hospital, Dr Milestone has progressively modernised and upgraded the Department of Gastroenterology and Medicine since his arrival in Herefordshire in 2010. He has introduced state-of-the-art, next generation diagnostic technologies, including: - Small Bowel, Colon and Pan-Enteric Capsule Endoscopy  - Transnasal Upper Endoscopy  - High Resolution Oesophageal Manometry and pH impedance studies - Faecal Calprotectin, Faecal Immunochemistry and Stool Pathogen PCR tests Andrew's dedication to patient care is reflected in his NHS Annual Appraisal Summary Feedback “Dr Milestone is highly motivated & dedicated to improving quality & safety of service provision, within & beyond own speciality in collaboration with colleagues across the trust & primary care".

Endoscopy (including Transnasal Endoscopy and Capsule Endoscopy) Inflammatory Bowel Disease Functional Bowel Disorders GI Physiology including Oesophageal Manometry and pH Studies