Mr Andy Pay - Consultant Plastic Surgeon and Skin Cancer Surgeon
Andy is very experienced in the management of skin cancer, particularly melanoma, but also in the management of squamous cell and basal cell carcinomas and other skin and soft tissue tumours.
Mr Andy Pay graduated from St George’s Hospital, London in 1988. He trained in Plastic Surgery at Stoke Mandeville, Salisbury, Bristol and Oxford and received further specialist training during fellowship periods at the Wellington Hospital, London, and also in New Zealand, Australia and Hong Kong. These experiences helped him to develop his specialist interests, in the management of melanoma and other skin cancers, as well as soft tissue tumours.
Mr Pay was granted the certificate in Higher Surgical training and entered onto the General Medical Council (GMC) specialist register in 2000 after passing the National Plastic Surgery examination FRCS (Plast) in first place, with the award of the prestigious McGregor Gold Medal.
Andy was appointed as a Consultant Plastic Surgeon in the NHS in 2002 at the John Radcliffe Hospital, Oxford. In this role, he has led the expansion of plastic surgery services at The Royal Berkshire Hospital NHS Trust, a service now based primarily at the Townlands Hospital in Henley.
Andy is very experienced in the management of skin cancer, particularly melanoma, but also in the management of squamous cell and basal cell carcinomas and other skin and soft tissue tumours. He has performed over 5000 surgical excisions of various skin cancers in his career, with an overall complete excision rate of 98-99%
Mr Pay also has considerable experience of general plastic reconstructive surgery including the use of skin grafts and flap reconstructive surgery, particularly to the face and neck region. He has performed over 850 sentinel node biopsies for melanoma and is one of only a handful of surgeons in the Thames Valley who are licenced to perform complex nodal dissections for metastatic disease.
Andy has frequently lectured on all aspects of Plastic Surgery, and has continued his personal and professional development in the management of skin malignancies to include non-surgical interventions such as cryotherapy and topical treatments in his repertoire. Mr Pay has also been fully trained in the use of the ‘Dermatoscope’© for the clinical assessment of skin lesions and is an advocate and active trainer in its use, both in the NHS and private sectors.
Mr Pay is the Lead Clinician for the Skin Cancer Multi-disciplinary Team covering South Oxfordshire and Berkshire West. He is the Clinical Lead for the Plastic Surgery Service at Townlands Hospital, Henley on Thames, Royal Berkshire NHS Trust. He has published and has lectured on his specialist interests at a national and international level.
“My practice is based in Reading, Henley and Oxford – outpatient consultations and local anaesthetic procedures are performed at The Derma Clinic Reading and at Townlands Hospital, Henley.
I also maintain practicing privileges at The Manor Hospital, Oxford. More technically complex surgical procedures are performed within the Plastic Surgery Department at the John Radcliffe Hospital Oxford.
I am supported by a team of expert specialist nurses and administrative co-ordinators.
I am a core member (and co-founder) of the Skin Cancer Specialist Multi-Disciplinary team, based at the RBH. I am also a senior member of the Thames Valley Cancer Network Clinician Advisory Group for Skin Cancer, an advisory body for all aspects of the management of patients with skin cancer. I attend the regular Skin Cancer Conferences held by The Melanoma Focus Charity, of which I am an active member.
A large part of my consultant role has been educational. I support and train nurses, medical students, junior doctors in training, as well as GPs and consultant colleagues in affiliated specialities. I cover both the theoretical and practical aspects of surgical techniques and expertise. I have set up and run a Royal College approved ‘Surgical Skills Workshop’ to train fellow professionals in the basic techniques required for safe practice in the minor procedure environment.
I have been frequently nominated as “Consultant Teacher of the year” by the Oxford University Medical School and am an Honorary Senior Lecturer in Surgery for Oxford University.”
Derma and Multidisciplinary Working
“The colleagues I work with in the NHS are also those that I have the privilege of working alongside at The Derma Clinic – The team has many years of skin cancer specialist expertise between them. This makes us uniquely placed to provide a comprehensive and integrated management strategy for skin cancer patients. We are continually assessed and peer reviewed, which ensures the highest possible standards of patient care.
This co-location of multidisciplinary specialist expertise and experience, combined with state of the art facilities and resources, means that we are able to provide the highest levels of medical care combined with a highly focussed and individualised patient-centred approach. We are able to provide a wide spectrum of treatment possibilities suitable to provide the very best treatment options for most skin cancers. In addition, by virtue of our existing network of colleagues, on those occasions when disease complexity warrants other Oncological specialist expertise, we can also facilitate onward referral for additional treatment options.”
“I enjoy taking an active role in local village community events and activities. With former service as an RAF officer (1985-93), I am delighted to hold the position of Standard Bearer for the Royal British Legion in our local branch. In addition, I am enthusiastically involved in a wide variety of village social and local fundraising events.
For those quiet moments of peace, mindfulness and immersion in nature, I enjoy fly fishing, fly tying and gardening. I have enjoyed dabbling with a wide variety of crafting activities and provided with the recipe I can always roll up my sleeves and I’m happy to cook the family supper.
During lockdown I took up a musical instrument – the Melodeon- a form of button concertina instrument. I’ve found that it’s a difficult challenge, especially because I can’t read music and particularly because ‘I’m not very good at being not very good!"