Richard Miller was appointed to Addenbrooke’s Hospital in 1993 as the first specialist colorectal surgeon in Cambridge. He therefore has 25 years of experience to call on when managing patients with both simple and complex problems. He has performed over 800 resections of the rectum and 1400 colon resections with one of the lowest complication rates in the country. He has performed over 7000 colonoscopies with a completion rate of 98% and had no perforations.
He is very experienced in the management of outpatient problems including haemorrhoids, fissures, fistulae etc. Less that 10% of patients in his practice with haemorrhoids ever need more than outpatient treatment but if needed he can offer HALO and Rafaelo procedures.
His research interests include anorectal physiology and the early detection of colon cancer. He was awarded Honours in surgery at MB finals, the Patey Prize in the Surgical Research Society and a Hunterian Professorship from the Royal College of Surgeons for his research work.
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. The result has been excellent clinical outcomes across the board.
He has had many leadership roles in Addenbrooke’s, being appointed head of General Surgery in 1993, then Clinical Director of Surgery in 1999, which included trauma and orthopaedics, urology, and the Emergency Department. A restructure in 2009 led to the formation of Divisions and he was made Divisional Director of Surgery, which included all of surgery with the exception neurosurgery and gynaecology, a £120M business. Throughout this time he has had a full time clinical role.
After running general surgery, further groups were added and Mr Miller was appointed Clinical Director of Surgery 1 at Addenbrooke’s in 1999 - responsible for general surgery, trauma and orthopaedics, urology, and the Emergency Dept (A+E). In 2008 he was appointed Associate Medical Director. In 2009, after a management restructure, clinically led Divisions were created and Richard was appointed Divisional Director for all of Surgery. This involved direct managerial and financial responsibility for all gastrointestinal and vascular surgery, transplantation, ENT, plastics, urology, trauma and orthopaedics, maxillofacial and eye surgery, a £120m business.
In 2014 Addenbrookes restructured again into more functional groups - for example Division A comprises three clinical groups, GI surgery, GI medicine and endoscopy is one, with musculoskeletal another, and theatres/ITU/anaesthetics the third group.
After 20 years continuous management roles plus a busy clinical practice it was time to stop being a Divisional Director so he did not apply for these new posts in 2014. He is currently running a variety of projects that span all the hospital.
- Fly fishing for salmon and trout
- Game shooting
Treatments and tests offered by Mr Richard Miller at Nuffield Health
- Anterior resection
- Colorectal screening
- Colorectal surgery
- CT scan (or CAT scan)
- Diagnostic endoscopy
- Flexible sigmoidoscopy
- Hernia repair surgery
- Transanal haemorrhoid dearterialisation (THD)
Mr Miller’s thesis work, done in the Bristol Royal Infirmary was on the continence mechanism. It was for this work that the Royal College of Surgeons awarded the Hunterian Professorship.
Currently, Mr Miller is working on new techniques for the early detection of colorectal cancer. This is based at the MRC cell unit with Dr Nicholas Coleman. They have had several research fellows through the unit and this work has also been well received (published in the Lancet and Nature Cancer Reviews). The work is continuing and trials of a new technique for cancer screening start in September 2015.
Mr Miller has also collaborated with David Lomas on new imaging techniques for the colon such as MR Colography.
Distinctions and Awards
- Honours in Surgery MB BS 1978
- Patey Prize, Surgical Research Society, Jan 1988
- Hunterian Professor, Royal College of Surgeons of England, 1989-1990
- Hamilton Bailey Prize, International College of Surgeons 1992
- Patey Prize (research supervisor for recipient, Justin Davies) 2002
- British Medical Association
- Medical Defence Union
- Association of Coloproctology of Great Britain and Ireland
- St Marks Association
- American Society of Colon and Rectal Surgeons
- Royal Society of Medicine
Other post held
- Consultant in General and Colorectal Surgery, Addenbrookes Hospital
- Lead for Anorectal Physiology
- Clinical Lead for Trust patient pathways programme
- Lead for eHospital workforce programme
Insurers Mr Richard Miller works with
Mr Richard Miller works with the following private medical insurance providers:
- AXA PPP Healthcare
- AXA PPP International
Mr Richard Miller does not hold a share or financial interest in this hospital, another Nuffield Health hospital or the company.
Mr Richard Miller does not have a share or financial interest in equipment used at this hospital or another Nuffield Health hospital.
Mr Richard Miller does not hold any paid advisory role(s) at this hospital or on behalf of Nuffield Health.