Polyposis Patient Information

The Polyposis Registry staff provide information for patients and their families at St Mark’s Hospital.

Vicky Cuthill

Consultant Nurse/Manager of the Polyposis Registry and Family Cancer

Vicky obtained her BSc(Hons) Nursing Studies from King’s College, London before specialising in intensive care nursing and then transferring into the field of Coloproctology. Initially she worked at The Royal London Hospital, gaining experience in benign colorectal conditions and undertaking ano-rectal physiology and biofeedback. She then moved to The Homerton Hospital as the Colorectal Cancer nurse specialist prior to becoming a Nurse Practitioner in The Polyposis Registry.

Vicky was appointed as Lead Nurse/Manager of The Polyposis Registry and Family Cancer Clinic following Kay Neale’s retirement in November 2016. As a nurse practitioner, Vicky has undertaken various training (e.g. physical assessment and independent prescribing) to be able to carry out extended roles and completed an MSc in Genomic Medicine in July 2019, obtaining a distinction. She now divides her time between her work as a nurse practitioner, running nurse-led clinics, both in outpatients and over the telephone and Registry/Family Cancer Clinic management.

Introduction to the Polyposis Department

Professor Sue Clark

Consultant Colorectal Surgeon & Director of the Polyposis Registry

Sue Clark is the Clinical Director of the Polyposis Registry. She trained in medicine at Cambridge University and St Thomas’s Hospital Medical School in London. She spent two years in full time research at St Mark’s Hospital with an Imperial Cancer Research Fund Fellowship. She was based in the Polyposis Registry and worked on various clinical aspects of desmoid disease in Familial Adenomatous Polyposis as well as studying the genetic changes within these rare tumours.

She spent three years as a consultant at the Royal London Hospital before returning to St Mark’s. During this time Sue set up a Family Cancer Clinic to provide services for inherited or potentially inherited colorectal cancer in the North East London Cancer Network.



FAP: Familial adenomatous polyposis


Surgery in FAP


Colectomy with ileorectal anastomosis (IRA)


Restorative proctocolectomy / Pouch operation


Desmoid tumours

Dr Andrew Latchford

Consultant Gastroenterologist and Assistant Director of the Polyposis Registry

Andrew Latchford is a Consultant Gastroenterologist at St Mark’s Hospital and Assistant Director of the Polyposis Registry with a specialist interest in upper GI endoscopy.

Andrew Latchford’s research interests include the study of desmoid disease and duodenal cancer in patients with Familial Adenomatous Polyposis (FAP).

Serrated polyposis syndrome

Warren Hyer

Consultant Paediatrician and Consultant Paediatric Gastroenterologist

Warren Hyer is the Paediatric and Adolescent Gastroenterologist at St Mark’s Hospital with clinics in paediatric inflammatory bowel disease and paediatric nutrition and allergy. He has published widely on polyposis syndromes in children and is the lead clinician for the UK paediatric polyposis service.

At what age can we test a child for polyposis syndrome?


How can we undertake colonoscopy with children?

Jackie Hawkins

Paediatric Polyposis Nurse Practitioner

Jackie Hawkins is a Paediatric Nurse Practitioner specialising in caring for children in families with a polyposis syndrome. She qualified as a Children’s Nurse in 1991 and has worked at Great Ormond Street Hospital, London where she achieved a BSc in Child Health and her interest in paediatric gastroenterology began. Jackie has also worked in general paediatrics where she managed the general paediatric ward and Day care unit at Northwick Park Hospital before returning to gastroenterology as a research nurse for an International study based in the Polyposis Registry.

Since April 2014 Jackie has been working as the paediatric nurse developing the service and looking after children and ‘young adults’ with polyposis syndromes. Jackie sees children with their parents before their surveillance procedures to assess and fully prepare them and sees children and their families in her own clinics and also visits them on the wards, following procedures and surgery. She is currently undertaking an MSc in the Advanced Children’s Nurse Practitioner programme.

Children with polyposis